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Prevalence of metabolic syndrome in elderly patients with depression 老年抑郁症患者代谢综合征的患病率
Pub Date : 2021-01-01 DOI: 10.4103/jgmh.jgmh_8_21
S. Grover, Rahul Chakravarty, A. Mehra, S. Chakrabarti
Aim: To assess the prevalence of metabolic syndrome (MetS) in elderly patients with depressive disorder. Methodology: By using retrospective study design, the treatment records of all the elderly patients (aged ≥60 years) diagnosed with depressive disorders diagnosed as per the International Classification of Diseases, 10th Revision, were reviewed and data of patients for fasting blood glucose levels, lipid profile, and anthropometry (height, weight, waist circumference, and blood pressure [BP]) were extracted. The diagnosis of MetS was made as per the consensus criteria. Results: Data of 93 patients were included in the study. The mean age of the study participants was 65.65 (standard deviation [SD]: 5.61) years and the mean number of years of education was 8.33 (SD: 6.65) years. The mean duration of illness was 70.93 (SD: 107.39) months, with the mean duration of the current episode at the time of collection of data as 5.38 (SD: 3.54) months. More than half (57%) of the patients fulfilled the criteria for MetS. Besides more than half of the patients fulfilling the criteria for MetS, about one-tenth (9.7%) fulfilled one criterion, and one-third (32.3%) fulfilled 2 criteria for the MetS. The most common criteria of MetS which was fulfilled included abnormal waist circumference, followed by raised blood pressure, abnormal triglyceride levels, and abnormal high-density lipoprotein. Fasting blood glucose level was the least common abnormality. The presence of MetS was associated with a higher level of education, higher income, and presence of physical comorbidity. Conclusions: Considering that more than half of elderly patients with depressive illness also suffer from MetS, it is important to monitor elderly with depression for MetS, to reduce the risk of future cardiovascular morbidity and mortality.
目的:评估代谢综合征(MetS)在老年抑郁症患者中的患病率。方法:采用回顾性研究设计,回顾所有根据《国际疾病分类》第10版诊断为抑郁症的老年患者(年龄≥60岁)的治疗记录,并提取人体测量(身高、体重、腰围和血压[BP])。MetS的诊断符合一致标准。结果:93例患者的数据被纳入研究。研究参与者的平均年龄为65.65岁(标准差[SD]:5.61),平均受教育年限为8.33年(标准差:6.65)。疾病的平均持续时间为70.93(SD:107.39)个月,收集数据时当前发作的平均持续期为5.38(SD:3.54)个月。超过一半(57%)的患者符合MetS的标准。除了超过一半的患者符合MetS标准外,约十分之一(9.7%)符合一项标准,三分之一(32.3%)符合两项标准。MetS最常见的标准包括腰围异常,其次是血压升高、甘油三酯水平异常和高密度脂蛋白异常。空腹血糖水平是最不常见的异常。MetS的存在与较高的教育水平、较高的收入和身体共病的存在有关。结论:考虑到超过一半的老年抑郁症患者也患有代谢综合征,对老年抑郁症患者进行代谢综合征监测以降低未来心血管疾病发病率和死亡率的风险很重要。
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引用次数: 0
Vortioxetine-induced switch - New drug with emerging old problems 沃替西汀诱导的开关-新药物与新出现的老问题
Pub Date : 2021-01-01 DOI: 10.4103/jgmh.jgmh_27_21
Shiva Shanker Reddy Mukku, R. Nadella
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引用次数: 1
Research on delirium: A scientometric assessment of publications from India during 2001 to 2020 谵妄研究:2001年至2020年印度出版物的科学计量学评估
Pub Date : 2021-01-01 DOI: 10.4103/jgmh.jgmh_26_21
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.
目的:分析其中一位来自印度的作者在2001-2020年间发表的关于谵妄的出版物的增长、国际合作、资金支持、引用影响和分布,该作者在Scopus数据库中进行了索引。方法论:Scopus数据库(http://www.scopus.com)与一位来自印度的作者一起搜索了2001-2002年间关于谵妄的出版物。已识别并检索到这些出版物。结果:最初的搜索包括定位全球出版物的输出,产生了22929条记录。当搜索仅限于来自印度的研究时,它产生了478份印度记录。印度的研究人员对世界谵妄研究的贡献率为2.08%,总体而言,印度的研究成果排名世界第十二。在源自印度的研究中,只有12.97%的出版物涉及国际合作。其中一位来自印度的作者关于谵妄的出版物数量从2001年的1份增加到2020年的47份,年平均增长率为33.61%,高于全球出版物关于该主题的出版物增长率的9.5%。10年累计出版物从2001-2000年的84份增加到2011-2020年的394份,绝对增长率为369%,远高于世界出版物的107.52%。结论:总之,本研究表明,世界上只有2%的谵妄研究来自印度,根据这一研究成果,印度在谵妄研究中排名第12。然而,在过去的几年里,印度对谵妄的研究有所增加。
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引用次数: 0
Peripheral edema associated with low dose of pregabalin in an older person 老年人低剂量普瑞巴林所致外周水肿
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_31_20
Shivanee Kumari, A. Mehra, S. Grover
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.
外周水肿是多种药物的不良反应,包括抗生素、非甾体类抗炎药、降压药、抗精神病药等,有少数病例报道高剂量普瑞巴林与外周水肿相关,但没有一例报道低剂量普瑞巴林与外周水肿相关。我们报告一例老年人表现为抑郁症,周围水肿与50毫克普瑞巴林。建议临床医生应注意这种关联。老年病医生在建议老年人使用普瑞巴林时应谨慎。
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引用次数: 0
Challenges in geriatric mental health delivery during the COVID-19 lockdown in India: Illustration using a case report 2019冠状病毒病封锁期间印度老年人精神卫生服务面临的挑战:用病例报告说明
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_28_20
M. D’cruz
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.
新冠肺炎大流行及其全球/地方应对措施使老年人的心理健康面临不成比例的风险。我们使用病例报告说明了新冠肺炎封锁期间印度老年精神卫生保健面临的挑战。S先生是一名65岁的男子,于2020年1月患上了迟发性精神分裂症样精神病。虽然他的病并不新鲜,但新冠疫情加剧了他的痛苦,并导致了获得选择性心理健康护理的障碍。包括经济差距和数字素养在内的社会不平等加剧了获得护理的障碍。与此同时,他产生了自杀念头,并试图自残,这一想法得以避免。S先生终于能够在2020年6月获得政府补贴的心理健康护理,目前正在康复中。然而,我们认为,在新冠疫情背景下,治疗障碍和随之而来的护理延误值得解决。
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引用次数: 0
Smoking and tobacco use cessation in the elderly 老年人吸烟和戒烟
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_23_20
S. Sarkar, Nishtha Chawla, Prabhoo Dayal
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.
吸烟和烟草使用是全球使用最多的精神活性物质,估计全球人口超过10亿。它是一个重大的公共卫生问题,与许多不利的健康后果有关,尤其是在老年人中,如各种类型的肿瘤、心血管和呼吸系统疾病、伤口愈合延迟和认知缺陷。已经发现,与活跃的吸烟者/使用者相比,过去吸烟者/烟草使用者最终戒了烟的不良后果有所减少。有效的治疗策略可用于帮助个人戒烟或戒烟。这对老年人来说尤其重要,因为他们的流动性降低,戒烟的动机也降低,主要是因为与年轻人相比,吸烟的持续时间更长,对其不良影响的了解不足。了解评估和治疗对改善老年人健康状况的影响以及措施是值得的。这篇综述旨在介绍老年人吸烟和吸烟的临床相关方面,包括流行病学、预测因素和风险因素、对身体健康的不利影响,以及烟草使用和吸烟的评估和管理。
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引用次数: 2
A rare co occurrence of Cervical Dystonia and Pathological Laughter in an elderly female 老年女性颈肌张力障碍合并病理性笑声一例
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_30_20
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.
肌张力障碍是一种运动障碍,其主要特征是持续或间歇的肌肉收缩,引起异常,通常是重复的运动。颈肌张力障碍(CD)是一种局灶性肌张力障碍,影响颈部肌肉,导致头部、颈部和肩部的异常姿势和运动。病理性笑和哭是一种以无法控制的笑和哭的发作为特征的状态。它在没有任何明显的触发刺激的情况下发生,或者是对刺激的反应,这种刺激在发病前没有导致哭泣或大笑。它的特征是情绪表达的紊乱,而不是感觉的紊乱。这个病例报告的目的是这个病人表现为病理性大笑和乳糜泻没有任何其他神经系统并发症这是非常罕见和不寻常的表现。
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引用次数: 0
Improving the mental health of older adults in the era of COVID-19 pandemic through home-based physical activity 通过家庭身体活动改善COVID-19大流行时期老年人的心理健康
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_45_20
C. Okechukwu
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引用次数: 0
Six decades of natural opiate use in a nonagenarian 一个90多岁的人60年的天然鸦片使用
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_29_20
Saumya Mishra, S. Sarkar
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.
老年天然阿片类药物使用者在无法使用阿片类时往往被迫寻求治疗。我们在这里介绍一个案例,一位98岁的男性来找我们,他以生鸦片和罂粟壳的形式使用了60年的天然鸦片。患者使用曲马多和地西泮进行了约6个月的症状治疗。该案例强调了近60年来天然阿片类药物的长期使用,其在心理社会功能方面的影响和结果,以及在门诊环境中成功管理使用天然阿片的老年患者。
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引用次数: 0
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 中老年人群中与COVID-19疫情相关的心理健康问题:来自印度北部哈里亚纳邦的一项基于网络的横断面调查
Pub Date : 2020-07-01 DOI: 10.4103/jgmh.jgmh_22_20
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.
背景:2019冠状病毒病(新冠肺炎)大流行是一场全球卫生紧急事件,可能对包括心理健康在内的公共健康产生严重影响。老年人更容易受到与新冠肺炎疫情相关的压力,而且缺乏有关这一问题的流行病学数据。目的:我们进行了一项基于网络的调查,以评估与印度哈里亚纳邦新冠肺炎疫情有关的中老年人群的心理健康问题。材料和方法:2020年4月17日至5月1日,采用滚雪球招聘技术的原理进行了一项在线调查。使用印地语版的患者健康问卷-9(PHQ-9)和一般焦虑障碍-7(GAD-7)量表评估潜在研究参与者的心理健康问题。结果:共有1006份回复,其中266份被排除在分析之外。参与者的平均年龄为58.68岁(标准差[SD]=8.05),约36'的受访者是年龄在60-79岁之间的老年人。GAD和PHQ的平均值和SD分别为2.51(3.69)和2.80(4.86)。焦虑和抑郁症状的总患病率分别为19.7’和21.5’(GAD-7和PHQ-9的截止得分超过05)。我们发现,在封锁期间,心理健康结果与共病的存在和身体活动之间存在显著关联。结论:本研究是关于新型冠状病毒疫情对印度中老年社区心理影响的初步报告。这些发现可以作为进行更大规模纵向研究的初步证据,以指导决策者对新冠肺炎相关心理健康问题的后续研究和临床干预策略。
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引用次数: 2
期刊
Journal of Geriatric Mental Health
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