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A controlled evaluation of monthly maintenance interpersonal psychotherapy in late-life depression with varying levels of cognitive function
- Authors:
- CARREIRA Kristen, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(11), November 2008, pp.1110-1113.
- Publisher:
- Wiley
This study evaluated the effect of maintenance Interpersonal Psychotherapy (IPT) on recurrence rates and time to recurrence of major depression in elderly patients with varying levels of cognitive function. Two-year maintenance study of monthly maintenance IPT vs supportive clinical management (CM) in remitted depressed elderly who were participants in a previously reported placebo-controlled study of maintenance paroxetine and IPT (Reynolds et al., [2006]). Cox regression analysis was used to test interactions between cognitive status (Dementia Rating Scale score) and treatment (IPT, CM) with respect to recurrence of major depression. A significant interaction between cognitive status and treatment was observed: lower cognitive performance was associated with longer time to recurrence in IPT than in CM. Subjects with average cognitive performance showed no effect of maintenance IPT vs CM on time to recurrence. Monthly maintenance IPT confers protection against recurrence of major depression in elders with lower cognitive functioning.
Reminiscence: social and creative activities with older people in care
- Author:
- SIM Roger
- Publisher:
- Speechmark
- Publication year:
- 1997
- Pagination:
- 229p.
- Place of publication:
- Bicester
Ideas for Activities themes and resources using photographs, slides, videos, cultural trips etc. Reminiscence sessions and associated activities are an appropriate and effective way of bringing pleasure, stimulation, meaning and purpose into the lives of older people in care. This manual describes in detail the kind of activities that can be carried out, as well as the principles behind Reminiscence Work.
Memory games for groups
- Author:
- DYNES Robin
- Publisher:
- Speechmark
- Publication year:
- 1998
- Pagination:
- 178p.
- Place of publication:
- Bicester
Although primarily for use with older people, these games can be successfully enjoyed by people of all ages. The games can be used as part of a social activities programme, for reminiscence sessions, for reality orientation, to exercise memory skills and to promote discussion. The book contains 20 games and guidance on how to run sessions.
Putting the past into the present
- Author:
- READ Claire
- Journal article citation:
- Health Service Journal, 123(6365), 6 September 2013, pp.24-25.
- Publisher:
- Emap Healthcare
The author explains how learning about key episodes in history that dementia sufferers have lived through, is just one way of truly empathising with them. (Publisher abstract)
Mild cognitive impairment in the older population: who is missed and does it matter?
- Authors:
- STEPHAN Blossom C. M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(8), August 2008, pp.863-871.
- Publisher:
- Wiley
Classifications of mild cognitive impairment (MCI) vary in the precision of the defining criteria. Their value in clinical settings is different from population settings. This difference depending on setting is to be expected, but must be well understood if population screening for dementia and pre-dementia states is to be considered. Of importance is the impact of missed diagnosis. The magnitude of missed at-risk cases in the application of different MCI criteria in the population is unknown. Data were from the Medical Research Council Cognitive Function and Ageing Study, a large population based study of older aged individuals in the UK. Prevalence and two-year progression to dementia in individuals whose impairment failed to fulfil published criteria for MCI was evaluated. Prevalence estimates of individuals not classified from current MCI definitions were extremely variable (range 2.5-41.0%). Rates of progression to dementia in these non-classified groups were also very variable (3.7-30.0%), reflecting heterogeneity in MCI classification requirements. Narrow definitions of MCI developed for clinical settings when applied in the population result in a large proportion of individuals who progress to dementia being excluded from MCI classifications. More broadly defined criteria would be better for selection of individuals at risk of dementia in population settings, but at the possibility of high false positive rates. While exclusion may be a good thing in the population since most people are presumably normal, over-inclusion is more likely to be harmful. Further work needs to investigate the best classification system for application in the population.
Awareness of memory functioning in early Alzheimer's disease: lessons from a comparison with healthy older people and young adults
- Authors:
- OYEBODE J. R., et al
- Journal article citation:
- Aging and Mental Health, 11(6), November 2007, pp.761-767.
- Publisher:
- Taylor and Francis
To compare awareness of memory in people with early Alzheimer's disease (AD) with older and younger control groups in order to clarify the contributions of disease and ageing. Twenty-one individuals with early AD, 32 older people (OP) and 32 younger people (YP) estimated their performance before and following each of four tests of memory. Those with AD significantly overestimated performance prior to testing, confirming the presence of unawareness for prediction. Their estimates were adjusted for age in a similar way to those of OP, who predicted their performance accurately. Younger people significantly underestimated their performance. Following memory tests, YP and those with AD significantly adjusted their ratings towards greater accuracy but on average those with AD still overestimated. There were variations in post-test ratings from over to under prediction in all three groups. Heightened awareness post-performance may open possibilities of cognitive rehabilitation to consolidate momentary into more long-term awareness, whilst the operation of possible psychosocial influences suggests that emotion oriented interventions to increase acceptance and decrease shame might be helpful.
Don't patronise me!
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 23.02.06, 2006, pp.42-43.
- Publisher:
- Reed Business Information
An 87-year-old women in frail health and prone to memory lapses insists that she wants to live at home, against the advice of health staff. This article reports on the efforts of social care staff to ensure she was able to return home.
A kaleidoscope of culture
- Author:
- WILLSHAW Eileen
- Journal article citation:
- Working with Older People, 9(4), December 2005, pp.12-15.
- Publisher:
- Emerald
Kaleidoscope is an innovative creative communities programme for the over 55s in north Liverpool. It works with older residents to explore ideas about memory, place and identity in an area currently being transformed through regeneration and redevelopment. This article looks at the project and some of its positive outcomes.
Variability in response of older people with dementia to both Snoezelen and reminiscence
- Authors:
- BAILLON Sarah, et al
- Journal article citation:
- British Journal of Occupational Therapy, 68(8), August 2005, pp.367-374.
- Publisher:
- Sage
Snoezelen and reminiscence are interventions commonly used by occupational therapists in dementia care. Snoezelen is reported to have a positive effect on patients' mood and their behaviour, in particular on agitated behaviour. A study was designed to assess the effects of Snoezelen on agitated behaviour in dementia. Reminiscence therapy was selected as a suitable comparison intervention, which would enable the benefits of Snoezelen other than those attributable to receiving one-to-one attention from staff to be evaluated. There was found to be considerable variation in the direction and magnitude of change in individual participants' agitated behaviour and heart rate during and after the sessions. This article considers the possible explanations for these individual differences and the practical implications of this research.
Doing memory work with older men: the practicalities, the process, the potential
- Authors:
- BLAKE Vic, et al
- Journal article citation:
- Working with Older People, 20(4), 2016, pp.209-213.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe the process of setting up and participating in a collective memory work group of older men, with a focus on the making and unmaking of older men and masculinities through age, ageing, gender, gendering, and other intersections. Design/methodology/approach: Participant review and reflection on collective of memory work group of older men. Findings: Memory work is located in relation to related but different forms of writing and group work, emphasizing how in this method everyone becomes a writer, an author, a listener, a reader, a discussant, and a commentator. This provides a novel way to explore the constructions and intersections of ageing, gender, men, and masculinities. Social implications: The potential of memory work, both for working with older men, and more generally is outlined. Key issues are: genuine and collective commitment to substantive change, not just at a personal level, but also at wider social/political/cultural levels; willingness to trust in the other members of the group, an issue that may be difficult for some men; and commitment for caring for one another especially in their moments of greatest vulnerability. Originality/value: There is little, if any, other writing on this approach to ageing, men, and masculinities. The paper is therefore of great value, and may stimulate wider application of this approach. (Publisher abstract)