Background: There is a need to study age-sensitive psychological management for improving the clinical and overall health outcome for elderly adults. Hence, we intended to evaluate the effects of selection, optimization, and compensation (SOC) model, usually studied in nonmental health settings predominantly, in managing depression and well-being of the elderly in a clinical mental health setting in an Indian context. Methods: A pre–postintervention with a 2-month-follow-up approach was adopted. We delivered six sessions over 4–5 months. An independent rater assessed participants using the Beck Depression Inventory-II and World Health Organization's Well-Being Index (WHO-5) at baseline, postintervention, and a 2-month follow-up. Results: There was a clinically significant improvement in depression severity and well-being of participants at the postintervention and 2-month follow-up. Conclusions: SOC-based intervention has potential therapeutic effects in improving depression severity and well-being of elderly individuals in clinical settings. We recommend the current protocol to be studied in a randomized design study with a larger sample size and a longer follow-up period.
{"title":"Improving depression and well-being in older adults using selection, optimization, and compensation model: A case series","authors":"N. Samantaray, N. Kar","doi":"10.4103/jgmh.jgmh_7_21","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_7_21","url":null,"abstract":"Background: There is a need to study age-sensitive psychological management for improving the clinical and overall health outcome for elderly adults. Hence, we intended to evaluate the effects of selection, optimization, and compensation (SOC) model, usually studied in nonmental health settings predominantly, in managing depression and well-being of the elderly in a clinical mental health setting in an Indian context. Methods: A pre–postintervention with a 2-month-follow-up approach was adopted. We delivered six sessions over 4–5 months. An independent rater assessed participants using the Beck Depression Inventory-II and World Health Organization's Well-Being Index (WHO-5) at baseline, postintervention, and a 2-month follow-up. Results: There was a clinically significant improvement in depression severity and well-being of participants at the postintervention and 2-month follow-up. Conclusions: SOC-based intervention has potential therapeutic effects in improving depression severity and well-being of elderly individuals in clinical settings. We recommend the current protocol to be studied in a randomized design study with a larger sample size and a longer follow-up period.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"34 - 38"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48188225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vortioxetine-induced switch - New drug with emerging old problems","authors":"Shiva Shanker Reddy Mukku, R. Nadella","doi":"10.4103/jgmh.jgmh_27_21","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_27_21","url":null,"abstract":"","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"58 - 59"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42940099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Grover, B. Gupta, GHOUSE MODIN NABEESAB MAMDAPUR
Aim: To analyze the publication growth, international collaboration, funding support, citation impact, and distribution of publications on delirium with one of the authors from India, indexed in Scopus database, published during 2001–2020. Methodology: The Scopus database (http://www.scopus.com) was searched for publications on delirium during 2001–2020 with one of the authors from India. The publications were identified and retrieved. Results: The initial search, which involved locating the global publication output, yielded 22,929 records. When the search was limited to research originating from India, it yielded 478 Indian records. Researchers from India contributed to 2.08% of the world's delirium research, and overall, the research output from India, ranked twelfth in the world. Of the research originating from India, only 12.97% of publications involved international collaboration. The number of publications on delirium with one of the authors from India increased from 1 in the year 2001 to 47 in the year 2020, accounting for 33.61% annual average growth rate, higher than 9.5% of publication growth rate on the topic for the worldwide publications. The 10-year cumulative publications increased from 84 during 2001–2010 to 394 during 2011–2020, registering 369% absolute growth, which was much higher than 107.52% of the world publications. Conclusion: To conclude, this study suggests that only 2% of the world's delirium research emerges from India and overall based on this research output, India stands at the 12th position in delirium research. However, over the last few years, the research on delirium from India has increased.
{"title":"Research on delirium: A scientometric assessment of publications from India during 2001 to 2020","authors":"S. Grover, B. Gupta, GHOUSE MODIN NABEESAB MAMDAPUR","doi":"10.4103/jgmh.jgmh_26_21","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_26_21","url":null,"abstract":"Aim: To analyze the publication growth, international collaboration, funding support, citation impact, and distribution of publications on delirium with one of the authors from India, indexed in Scopus database, published during 2001–2020. Methodology: The Scopus database (http://www.scopus.com) was searched for publications on delirium during 2001–2020 with one of the authors from India. The publications were identified and retrieved. Results: The initial search, which involved locating the global publication output, yielded 22,929 records. When the search was limited to research originating from India, it yielded 478 Indian records. Researchers from India contributed to 2.08% of the world's delirium research, and overall, the research output from India, ranked twelfth in the world. Of the research originating from India, only 12.97% of publications involved international collaboration. The number of publications on delirium with one of the authors from India increased from 1 in the year 2001 to 47 in the year 2020, accounting for 33.61% annual average growth rate, higher than 9.5% of publication growth rate on the topic for the worldwide publications. The 10-year cumulative publications increased from 84 during 2001–2010 to 394 during 2011–2020, registering 369% absolute growth, which was much higher than 107.52% of the world publications. Conclusion: To conclude, this study suggests that only 2% of the world's delirium research emerges from India and overall based on this research output, India stands at the 12th position in delirium research. However, over the last few years, the research on delirium from India has increased.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"8 1","pages":"45 - 50"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44397644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic and the global/local response to it have placed the mental health of older adults disproportionately at risk. We illustrate the challenges in geriatric mental health care during the COVID-19 lockdown in India using a case report. Mr. S, a 65-year-old man, developed very late-onset schizophrenia-like psychoses in January 2020. While his illness is not novel, the pandemic accentuated his distress and led to barriers in accessing elective mental health care. Social inequity including economic disparity and digital literacy amplified barriers in accessing care. In the meantime, he developed suicidal ideation and attempted self-harm, which was averted. Mr. S was finally able to access subsidized government mental health care in June 2020 and is recovering. However, we argue that the barriers to treatment and consequent delay in care in the context of the pandemic are worth addressing.
{"title":"Challenges in geriatric mental health delivery during the COVID-19 lockdown in India: Illustration using a case report","authors":"M. D’cruz","doi":"10.4103/jgmh.jgmh_28_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_28_20","url":null,"abstract":"The COVID-19 pandemic and the global/local response to it have placed the mental health of older adults disproportionately at risk. We illustrate the challenges in geriatric mental health care during the COVID-19 lockdown in India using a case report. Mr. S, a 65-year-old man, developed very late-onset schizophrenia-like psychoses in January 2020. While his illness is not novel, the pandemic accentuated his distress and led to barriers in accessing elective mental health care. Social inequity including economic disparity and digital literacy amplified barriers in accessing care. In the meantime, he developed suicidal ideation and attempted self-harm, which was averted. Mr. S was finally able to access subsidized government mental health care in June 2020 and is recovering. However, we argue that the barriers to treatment and consequent delay in care in the context of the pandemic are worth addressing.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"108 - 110"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43888399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peripheral edema has been reported as an adverse effect of various medications including antibiotics, nonsteroidal anti-inflammatory drugs, anti-hypertensive drugs, antipsychotics, etc., There are a limited number of cases reported the association of a high dose of Pregabalin association with peripheral edema, but none of them reported the low dose association with peripheral edema. We report a case of an older person presented with depressive disorder, had peripheral edema with 50 mg of pregabalin. It is suggested that a clinician should be aware of this association. Geriatrician should be careful when advising the pregabalin to an older person.
{"title":"Peripheral edema associated with low dose of pregabalin in an older person","authors":"Shivanee Kumari, A. Mehra, S. Grover","doi":"10.4103/jgmh.jgmh_31_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_31_20","url":null,"abstract":"Peripheral edema has been reported as an adverse effect of various medications including antibiotics, nonsteroidal anti-inflammatory drugs, anti-hypertensive drugs, antipsychotics, etc., There are a limited number of cases reported the association of a high dose of Pregabalin association with peripheral edema, but none of them reported the low dose association with peripheral edema. We report a case of an older person presented with depressive disorder, had peripheral edema with 50 mg of pregabalin. It is suggested that a clinician should be aware of this association. Geriatrician should be careful when advising the pregabalin to an older person.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"105 - 107"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48035109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Smoking and tobacco use are the most used psychoactive substances globally, with an estimated population of more than one billion users across the world. It is a significant public health problem and is associated with a multitude of adverse health consequences, particularly in the elderly population, such as various types of neoplasms, cardiovascular and respiratory illnesses, delayed wound healing, and cognitive deficits. It has been seen that the adverse consequences are reduced in past smokers/tobacco users who have eventually become abstinent as compared to active smokers/users. Effective treatment strategies are available to assist individuals in quitting smoking or tobacco use. It is especially important in the elderly as their mobility is reduced, and so is their motivation to quit, mainly due to the longer duration of tobacco use and insufficient knowledge about its adverse effects than the younger population. It is worthwhile to understand the impact and the measures of assessment and treatment to improve the health outcomes in the elderly. This review intends to present clinically relevant aspects of smoking and tobacco use in the elderly, including epidemiology, predictors and risk factors, adverse impact on physical health, and assessment and management of tobacco use and smoking.
{"title":"Smoking and tobacco use cessation in the elderly","authors":"S. Sarkar, Nishtha Chawla, Prabhoo Dayal","doi":"10.4103/jgmh.jgmh_23_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_23_20","url":null,"abstract":"Smoking and tobacco use are the most used psychoactive substances globally, with an estimated population of more than one billion users across the world. It is a significant public health problem and is associated with a multitude of adverse health consequences, particularly in the elderly population, such as various types of neoplasms, cardiovascular and respiratory illnesses, delayed wound healing, and cognitive deficits. It has been seen that the adverse consequences are reduced in past smokers/tobacco users who have eventually become abstinent as compared to active smokers/users. Effective treatment strategies are available to assist individuals in quitting smoking or tobacco use. It is especially important in the elderly as their mobility is reduced, and so is their motivation to quit, mainly due to the longer duration of tobacco use and insufficient knowledge about its adverse effects than the younger population. It is worthwhile to understand the impact and the measures of assessment and treatment to improve the health outcomes in the elderly. This review intends to present clinically relevant aspects of smoking and tobacco use in the elderly, including epidemiology, predictors and risk factors, adverse impact on physical health, and assessment and management of tobacco use and smoking.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"70 - 77"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43951193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vishnupriya Veeraraghavan, K. Srinivasan, J. Alexander
Dystonia is a movement disorder whose main feature is a sustained or intermittent muscle contraction causing abnormal, often repetitive, movements. Cervical dystonia (CD) is a type of focal dystonia affecting cervical muscles leading to abnormal postures and movements of the head, neck, and shoulders. Pathological laughter and crying are a condition characterized by uncontrollable episodes of laughter and crying. It occurs without any apparent triggering stimulus or in response to a stimulus which had not resulted in cry or laughter before the onset of the condition. It is characterized as a disorder of emotional expression rather than a disorder of feelings. The purpose of presenting this case report is that this patient presented with pathological laughter and CD without any other neurological complications which are a very rare and unusual presentation.
{"title":"A rare co occurrence of Cervical Dystonia and Pathological Laughter in an elderly female","authors":"Vishnupriya Veeraraghavan, K. Srinivasan, J. Alexander","doi":"10.4103/jgmh.jgmh_30_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_30_20","url":null,"abstract":"Dystonia is a movement disorder whose main feature is a sustained or intermittent muscle contraction causing abnormal, often repetitive, movements. Cervical dystonia (CD) is a type of focal dystonia affecting cervical muscles leading to abnormal postures and movements of the head, neck, and shoulders. Pathological laughter and crying are a condition characterized by uncontrollable episodes of laughter and crying. It occurs without any apparent triggering stimulus or in response to a stimulus which had not resulted in cry or laughter before the onset of the condition. It is characterized as a disorder of emotional expression rather than a disorder of feelings. The purpose of presenting this case report is that this patient presented with pathological laughter and CD without any other neurological complications which are a very rare and unusual presentation.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"113 - 115"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46075739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Improving the mental health of older adults in the era of COVID-19 pandemic through home-based physical activity","authors":"C. Okechukwu","doi":"10.4103/jgmh.jgmh_45_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_45_20","url":null,"abstract":"","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"116 - 117"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45037727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elderly natural opiate users are often forced to seek treatment when they cannot avail opioids. We present here a case of a 98-year-old male who came to us with six decades of natural opiate use in the form of raw opium and poppy husk. The patient was managed symptomatically with tramadol and diazepam for about 6 months. The case highlights the long duration of natural opiate use for nearly six decades, its impact and outcome in terms of psychosocial functioning, and the successful management of elderly patients with natural opiate use in outpatient settings.
{"title":"Six decades of natural opiate use in a nonagenarian","authors":"Saumya Mishra, S. Sarkar","doi":"10.4103/jgmh.jgmh_29_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_29_20","url":null,"abstract":"Elderly natural opiate users are often forced to seek treatment when they cannot avail opioids. We present here a case of a 98-year-old male who came to us with six decades of natural opiate use in the form of raw opium and poppy husk. The patient was managed symptomatically with tramadol and diazepam for about 6 months. The case highlights the long duration of natural opiate use for nearly six decades, its impact and outcome in terms of psychosocial functioning, and the successful management of elderly patients with natural opiate use in outpatient settings.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"111 - 112"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42670021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Joseph, K. Das, Suryakanti Dhal, Tamanna Sehrawat, Sweety Reshamia, Gazal Huria
Background: The coronavirus disease 2019 (COVID-19) pandemic is a global health emergency that could potentially have a serious impact on public health, including mental health. Elderly people are more vulnerable to the stress associated with the COVID-19 outbreak, and there is a dearth of epidemiological data on this issue. Aim: We conducted a web-based survey to evaluate the mental health concerns of middle-aged and elderly populations related to the COVID-19 outbreak from Haryana, India. Materials and Methods: An online survey was conducted from April 17 to May 01, 2020 using the principles of the snowball recruiting technique. The mental health concerns of the potential study participants were evaluated using the Hindi version of Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) scales. Results: There were a total of 1006 responses, out of which 266 were excluded from the analysis. The mean age of the participant was 58.68 (standard deviation [SD] = 8.05) years, and around 36' of respondents were the elderly with an age range of 60–79 years. The mean and SD of the GAD and PHQ were 2.51 (3.69) and 2.80 (4.86), respectively. The overall prevalence of anxiety and depressive symptoms was 19.7' and 21.5', respectively, (GAD-7 and PHQ-9 cutoff score of more than 05). We found a significant association between mental health outcomes with the presence of comorbid illness and physical activeness during the lockdown period. Conclusion: The present study represents a preliminary report on the psychological impact of the novel coronavirus outbreak in the Indian middle-aged and elderly community. The findings can be preliminary evidence for conducting a larger longitudinal study to guide policy-makers for subsequent research and clinical intervention strategy for mental health concerns related to COVID-19.
{"title":"Mental health concerns related to COVID-19 outbreak in the middle-aged and elderly population: A web-based, cross-sectional survey from Haryana, North India","authors":"J. Joseph, K. Das, Suryakanti Dhal, Tamanna Sehrawat, Sweety Reshamia, Gazal Huria","doi":"10.4103/jgmh.jgmh_22_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_22_20","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic is a global health emergency that could potentially have a serious impact on public health, including mental health. Elderly people are more vulnerable to the stress associated with the COVID-19 outbreak, and there is a dearth of epidemiological data on this issue. Aim: We conducted a web-based survey to evaluate the mental health concerns of middle-aged and elderly populations related to the COVID-19 outbreak from Haryana, India. Materials and Methods: An online survey was conducted from April 17 to May 01, 2020 using the principles of the snowball recruiting technique. The mental health concerns of the potential study participants were evaluated using the Hindi version of Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) scales. Results: There were a total of 1006 responses, out of which 266 were excluded from the analysis. The mean age of the participant was 58.68 (standard deviation [SD] = 8.05) years, and around 36' of respondents were the elderly with an age range of 60–79 years. The mean and SD of the GAD and PHQ were 2.51 (3.69) and 2.80 (4.86), respectively. The overall prevalence of anxiety and depressive symptoms was 19.7' and 21.5', respectively, (GAD-7 and PHQ-9 cutoff score of more than 05). We found a significant association between mental health outcomes with the presence of comorbid illness and physical activeness during the lockdown period. Conclusion: The present study represents a preliminary report on the psychological impact of the novel coronavirus outbreak in the Indian middle-aged and elderly community. The findings can be preliminary evidence for conducting a larger longitudinal study to guide policy-makers for subsequent research and clinical intervention strategy for mental health concerns related to COVID-19.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"100 - 104"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47227811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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