K. Anand, H. Goyal, A. Juneja, R. Mahajan, Mina Chandra
The newly discovered severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been isolated and identified from patients with unexplained pneumonia in Wuhan, China, in December 2019. SARS-CoV-2 mainly causes mild-to-severe respiratory tract symptoms. Elderly people, particularly those with underlying comorbidities, are likely to develop a more severe COVID-19 disease as compared to young people. Therefore, the Centers for Disease Control and Prevention has recommended that older people, living in community settings, should stay at home as much as possible. While all of this is challenging for older people living in the community and long-term facilities, it can also create enormous stress and challenges for their caregivers. It is challenging for caregivers to provide appropriate care while taking care of their own health and maintaining social distancing norms. This calls for the use of different types of caregiving support for elders living in community as well as long-term care centers including the use of novel approaches and technology. A formal approach needs to be framed, taking help from the social workers to attend to the concerns of caregiving during the crisis of COVID-19.
{"title":"Caregivers' concerns for older persons during COVID-19 pandemic","authors":"K. Anand, H. Goyal, A. Juneja, R. Mahajan, Mina Chandra","doi":"10.4103/jgmh.jgmh_25_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_25_20","url":null,"abstract":"The newly discovered severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been isolated and identified from patients with unexplained pneumonia in Wuhan, China, in December 2019. SARS-CoV-2 mainly causes mild-to-severe respiratory tract symptoms. Elderly people, particularly those with underlying comorbidities, are likely to develop a more severe COVID-19 disease as compared to young people. Therefore, the Centers for Disease Control and Prevention has recommended that older people, living in community settings, should stay at home as much as possible. While all of this is challenging for older people living in the community and long-term facilities, it can also create enormous stress and challenges for their caregivers. It is challenging for caregivers to provide appropriate care while taking care of their own health and maintaining social distancing norms. This calls for the use of different types of caregiving support for elders living in community as well as long-term care centers including the use of novel approaches and technology. A formal approach needs to be framed, taking help from the social workers to attend to the concerns of caregiving during the crisis of COVID-19.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"78 - 81"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47683161","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":"Mental disorders and noncommunicable diseases: A likeness, an overlap or an affiliation?","authors":"D. Dua, S. Grover","doi":"10.4103/jgmh.jgmh_49_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_49_20","url":null,"abstract":"","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"67 - 69"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41628915","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}
Objective: The present study was aimed at exploring the quality of life of parents whose children are settled abroad and the resultant changes in their quality of life. Methods: The research was designed primarily in the qualitative mode because the research caters to a subjective, personal, and experiential realm of parents. The total sample consisted of 30 couples (30 mothers and 30 fathers) working currently in Delhi. The tools used in the study were the General Health Questionnaire-12 (1992) and an Interview Schedule developed for the study. The results were analyzed using content analysis, frequency count, and narrative analysis. Results: The findings showed that few parents suffered from empty nest syndrome. All of them reported changes in their quality of life, but most of them seem to be satisfied with their lives. Conclusion: Understanding the life of such parents has counseling implications. There is a need to develop interventions to enable these parents to continue living their life with enthusiasm and contentment as well as challenge the popular negative connotations of the term empty nest.
{"title":"Exploring the quality of life of couples whose children are settled abroad","authors":"A. Juneja, A. Juneja, Sarla Jawa","doi":"10.4103/jgmh.jgmh_13_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_13_20","url":null,"abstract":"Objective: The present study was aimed at exploring the quality of life of parents whose children are settled abroad and the resultant changes in their quality of life. Methods: The research was designed primarily in the qualitative mode because the research caters to a subjective, personal, and experiential realm of parents. The total sample consisted of 30 couples (30 mothers and 30 fathers) working currently in Delhi. The tools used in the study were the General Health Questionnaire-12 (1992) and an Interview Schedule developed for the study. The results were analyzed using content analysis, frequency count, and narrative analysis. Results: The findings showed that few parents suffered from empty nest syndrome. All of them reported changes in their quality of life, but most of them seem to be satisfied with their lives. Conclusion: Understanding the life of such parents has counseling implications. There is a need to develop interventions to enable these parents to continue living their life with enthusiasm and contentment as well as challenge the popular negative connotations of the term empty nest.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"94 - 99"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48367730","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}
Context: Acute confusional state can be predisposed by preexisting chronic health conditions and drug/substance abuse or can be precipitated by acute insults such as infections and electrolyte imbalance. It is more common in the elderly population, and adverse outcomes include prolonged hospital stay and increased risk of complication or mortality. Aims: The aim of this study was to find out the clinical profile of confusional state in western Rajasthan. Settings and Design: This was a cross-sectional prospective design. Materials and Methods: The study was conducted on 180 elderly patients presenting with acute confusional state diagnosed according to the Confusion Assessment Method Instrument. After a thorough history, all patients went through a complete physical examination and were monitored systematically every 12 h until discharge or death. Routine blood tests were done in all the patients and imaging done as indicated. Statistical Analysis: SPSS was used for statistical analysis. Results: Predominantly affected group in both the genders was 60–70 years. One hundred and fifty-one patients had a history of comorbid illnesses, 47.78' of the patients had a significant history of substance abuse, and 137 had psychosomatic disorders. Around one-third of the study population was socially isolated. The most common acute insults were metabolic encephalopathy, infection, and dehydration. Hypoactive delirium was found to be most common (72.77'). Almost half of the patients presenting with confusion (49.5') expired. Vasopressor and ventilator support were required in more than half of the patients. Most of the patients had multiple causes for confusion with only 10.5' of the patients having a single cause. Conclusion: Timely diagnosis and appropriate interventions are necessary to reduce hospital stay and further complications associated with it.
{"title":"Clinical profile of acute confusional state in elderly patients in a tertiary hospital in western Rajasthan","authors":"Dhruv Thakur, K. Agarwal, Alok Gupta, R. Gupta","doi":"10.4103/jgmh.jgmh_36_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_36_20","url":null,"abstract":"Context: Acute confusional state can be predisposed by preexisting chronic health conditions and drug/substance abuse or can be precipitated by acute insults such as infections and electrolyte imbalance. It is more common in the elderly population, and adverse outcomes include prolonged hospital stay and increased risk of complication or mortality. Aims: The aim of this study was to find out the clinical profile of confusional state in western Rajasthan. Settings and Design: This was a cross-sectional prospective design. Materials and Methods: The study was conducted on 180 elderly patients presenting with acute confusional state diagnosed according to the Confusion Assessment Method Instrument. After a thorough history, all patients went through a complete physical examination and were monitored systematically every 12 h until discharge or death. Routine blood tests were done in all the patients and imaging done as indicated. Statistical Analysis: SPSS was used for statistical analysis. Results: Predominantly affected group in both the genders was 60–70 years. One hundred and fifty-one patients had a history of comorbid illnesses, 47.78' of the patients had a significant history of substance abuse, and 137 had psychosomatic disorders. Around one-third of the study population was socially isolated. The most common acute insults were metabolic encephalopathy, infection, and dehydration. Hypoactive delirium was found to be most common (72.77'). Almost half of the patients presenting with confusion (49.5') expired. Vasopressor and ventilator support were required in more than half of the patients. Most of the patients had multiple causes for confusion with only 10.5' of the patients having a single cause. Conclusion: Timely diagnosis and appropriate interventions are necessary to reduce hospital stay and further complications associated with it.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"86 - 93"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42984172","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}
Introduction: Presumptive stressful life events scale (PSLES) is used widely in Indian life-event research. The use of PSLES in the elderly has been rather mechanistic, without giving due emphasis on the unique experiences of the elderly, particularly within the context of contemporary social change of family values in India. This research aimed to critically appraise the relevance of PSLES in the elderly. Methodology: The research was part of a larger project on stress, coping, and religiosity in (faith bases) ashram-dwelling elderly. A single consenting ashram for the elderly (for aged > 60 years) consented to the study. Participants were included if they had stayed for more than 6 months and had no impairment that compromised understanding of the research. We used the PSLES (a checklist method) for evaluating life events. We supplemented our exploration with open-ended interviews to evaluate the relevance and salience attributed to these life-events. Results: Ninety-four elderly participated (response rate was 70.15') with a mean (standard deviation) age of 74.56 (7.39) years, equally represented by either gender, with a mean duration of ashram stay of 10.85 years. Most frequent events reported were death in the family, going on a trip/pilgrimage, personal illness, and changes in biological functions. Discussion: PSLES was developed for adult Indians, and its use in the elderly may need modification due to qualitatively and quantitatively varying life events, such as the importance of nonegocentric stress (loss of job of one's child) versus egocentric stress (own hospitalization) or change of salience of events (e.g., lack of son versus daughter). Conclusion: To improve the relevance of PSLES for life-event research and capture the unique experiences of the elderly, suggested modifications are necessary.
{"title":"Elderly population and the presumptive stressful life events scale: An empirical appraisal","authors":"Anindya Das, A. Chaudhary, Lakshay Tyagi","doi":"10.4103/jgmh.jgmh_38_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_38_20","url":null,"abstract":"Introduction: Presumptive stressful life events scale (PSLES) is used widely in Indian life-event research. The use of PSLES in the elderly has been rather mechanistic, without giving due emphasis on the unique experiences of the elderly, particularly within the context of contemporary social change of family values in India. This research aimed to critically appraise the relevance of PSLES in the elderly. Methodology: The research was part of a larger project on stress, coping, and religiosity in (faith bases) ashram-dwelling elderly. A single consenting ashram for the elderly (for aged > 60 years) consented to the study. Participants were included if they had stayed for more than 6 months and had no impairment that compromised understanding of the research. We used the PSLES (a checklist method) for evaluating life events. We supplemented our exploration with open-ended interviews to evaluate the relevance and salience attributed to these life-events. Results: Ninety-four elderly participated (response rate was 70.15') with a mean (standard deviation) age of 74.56 (7.39) years, equally represented by either gender, with a mean duration of ashram stay of 10.85 years. Most frequent events reported were death in the family, going on a trip/pilgrimage, personal illness, and changes in biological functions. Discussion: PSLES was developed for adult Indians, and its use in the elderly may need modification due to qualitatively and quantitatively varying life events, such as the importance of nonegocentric stress (loss of job of one's child) versus egocentric stress (own hospitalization) or change of salience of events (e.g., lack of son versus daughter). Conclusion: To improve the relevance of PSLES for life-event research and capture the unique experiences of the elderly, suggested modifications are necessary.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"7 1","pages":"82 - 85"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43177442","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}
Shiva Shanker Reddy Mukku, Naga S. Gorthi, V. Harbishettar, P. Sivakumar, M. Varghese
Background: Early-onset dementia (EOD) defined as dementia with clinical onset before the age of 65 years, has estimated proportion ranging up to 45.3%. Although EOD leads to severe psychosocial consequences that affect people in their latter part of working age, the literature from India is limited. Objective: The aim of this study is to investigate the profile of patients with EOD attending Geriatric Clinic and Services, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India. Materials and Methodology: All records of patients attending the Geriatric Clinic and Services, diagnosed with EOD between January 2017 and June 2018 with their details pertaining to sociodemographic, clinical, risk factors, and behavioral problems were examined. Results: Of the 320 patients with cognitive complaints seen during the period of 18 months, 108 (33.75%) patients had a diagnosis of EOD. The mean age at onset of illness was 55.38 (Standard deviation - 6.53) years (range - 34–65 years). Of these 58 (53.6%) patients found to have Alzheimer's dementia (AD), 31 (28.7%) have fronto-temporal dementia (FTD), 6 (5.5%) have vascular dementia (VaD), 3 (2.7%) patients have Parkinson's disease-related dementia, and 6 (5.5%) have unspecified dementia. Discussion: During the 18 months, the EOD patients constituted one-third of all dementia patients visiting Geriatric Clinic. Degenerative etiology was the main diagnostic cluster. The most common type was AD, similar to senile type of dementia, was followed by FTD and VaD. The study showed a delay of 3.18 years in seeking consultation. Conclusion: EODs seems to have higher degenerative etiology and with higher associated behavioral and psychological symptoms. There is a need for setting up specialized memory clinics.
{"title":"Clinical profile of early-onset dementia from a geriatric clinic in South India","authors":"Shiva Shanker Reddy Mukku, Naga S. Gorthi, V. Harbishettar, P. Sivakumar, M. Varghese","doi":"10.4103/jgmh.jgmh_16_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_16_19","url":null,"abstract":"Background: Early-onset dementia (EOD) defined as dementia with clinical onset before the age of 65 years, has estimated proportion ranging up to 45.3%. Although EOD leads to severe psychosocial consequences that affect people in their latter part of working age, the literature from India is limited. Objective: The aim of this study is to investigate the profile of patients with EOD attending Geriatric Clinic and Services, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India. Materials and Methodology: All records of patients attending the Geriatric Clinic and Services, diagnosed with EOD between January 2017 and June 2018 with their details pertaining to sociodemographic, clinical, risk factors, and behavioral problems were examined. Results: Of the 320 patients with cognitive complaints seen during the period of 18 months, 108 (33.75%) patients had a diagnosis of EOD. The mean age at onset of illness was 55.38 (Standard deviation - 6.53) years (range - 34–65 years). Of these 58 (53.6%) patients found to have Alzheimer's dementia (AD), 31 (28.7%) have fronto-temporal dementia (FTD), 6 (5.5%) have vascular dementia (VaD), 3 (2.7%) patients have Parkinson's disease-related dementia, and 6 (5.5%) have unspecified dementia. Discussion: During the 18 months, the EOD patients constituted one-third of all dementia patients visiting Geriatric Clinic. Degenerative etiology was the main diagnostic cluster. The most common type was AD, similar to senile type of dementia, was followed by FTD and VaD. The study showed a delay of 3.18 years in seeking consultation. Conclusion: EODs seems to have higher degenerative etiology and with higher associated behavioral and psychological symptoms. There is a need for setting up specialized memory clinics.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"71 - 77"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42757649","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}
Depression in the elderly population can be a manifestation of underlying neurological and systemic disorder. It can be harbinger in many neurological illnesses such as Parkinson's disease and Alzheimer's dementia. It can present as early as 10 years before the onset of clinical neurological signs in dementia. Brain tumors can present with varying psychiatric symptoms such as depression, anxiety, cognitive or personality changes, or schizophrenia. Olfactory groove meningioma is uncommon benign brain tumor which accounts for <10% of all intracranial meningiomas. Olfactory meningioma, which occurs in the anterior cranial fossa, can compress the frontal lobe, thereby rarely present only as depressive symptoms in the absence of neurological symptoms. The present case report illustrates depression with hyposmia in elderly women, which unmasked the giant olfactory groove meningioma and significant improvement in depressive symptoms following surgical resection.
{"title":"Hyposmia in geriatric depression can be a meningioma","authors":"M. Partheeban, S. Mathivanan","doi":"10.4103/jgmh.jgmh_25_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_25_19","url":null,"abstract":"Depression in the elderly population can be a manifestation of underlying neurological and systemic disorder. It can be harbinger in many neurological illnesses such as Parkinson's disease and Alzheimer's dementia. It can present as early as 10 years before the onset of clinical neurological signs in dementia. Brain tumors can present with varying psychiatric symptoms such as depression, anxiety, cognitive or personality changes, or schizophrenia. Olfactory groove meningioma is uncommon benign brain tumor which accounts for <10% of all intracranial meningiomas. Olfactory meningioma, which occurs in the anterior cranial fossa, can compress the frontal lobe, thereby rarely present only as depressive symptoms in the absence of neurological symptoms. The present case report illustrates depression with hyposmia in elderly women, which unmasked the giant olfactory groove meningioma and significant improvement in depressive symptoms following surgical resection.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"104 - 105"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42152195","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}
was 5/10, category fluency was 4, and phonemic fluency was nil. Attention testing showed significant distractibility, but she could be interviewed. Recent memory was severely affected, and remote was moderately affected. In visuospatial testing, the patient could not draw even simple diagrams, but no definite agnosias were identified. Probable frontotemporal dementia was considered applying the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Criteria. Cardiac evaluation showed a pacemaker rhythm. Echo showed a pacemaker seen through the right atrium and right ventricle. Echo cardiography revealed left ventricular diastolic dysfunction with Ejection fraction of 58%. PET scan showed frontotemporal hypometabolism, and magnetic resonance imaging showed frontotemporal atrophy [Figure 1]. However, we could not do voxel‐based morphometry to demonstrate any specific insular region volume loss. Her father, aunt, sister, brother, and herself were on pacemaker at ages from 49 to 53 years for heart block [Figure 2]. They all in addition had memory and behavior problems as informed by her husband, but the affected members were not available for detailed evaluation. One sister had sepsis and died at 55 years. This suggests a strong association of frontotemporal dementia (FTD) and heart block in a dominantly inherited pattern in this family. This family might point to a new genotype of FTD.
{"title":"Heart and brain: A new association – Report of a family with “probable frontotemporal dementia and heart block”","authors":"S. Chandra, P. Mailankody, Manisha Gupta","doi":"10.4103/jgmh.jgmh_31_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_31_19","url":null,"abstract":"was 5/10, category fluency was 4, and phonemic fluency was nil. Attention testing showed significant distractibility, but she could be interviewed. Recent memory was severely affected, and remote was moderately affected. In visuospatial testing, the patient could not draw even simple diagrams, but no definite agnosias were identified. Probable frontotemporal dementia was considered applying the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Criteria. Cardiac evaluation showed a pacemaker rhythm. Echo showed a pacemaker seen through the right atrium and right ventricle. Echo cardiography revealed left ventricular diastolic dysfunction with Ejection fraction of 58%. PET scan showed frontotemporal hypometabolism, and magnetic resonance imaging showed frontotemporal atrophy [Figure 1]. However, we could not do voxel‐based morphometry to demonstrate any specific insular region volume loss. Her father, aunt, sister, brother, and herself were on pacemaker at ages from 49 to 53 years for heart block [Figure 2]. They all in addition had memory and behavior problems as informed by her husband, but the affected members were not available for detailed evaluation. One sister had sepsis and died at 55 years. This suggests a strong association of frontotemporal dementia (FTD) and heart block in a dominantly inherited pattern in this family. This family might point to a new genotype of FTD.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"106 - 107"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43864779","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 term “incubus syndrome” is proposed to describe patients suffering from the delusion that they have been sexually approached at night by an unseen lover. This phenomenon has been rarely described in patients with schizophrenia. However, it is rarely been described in elderly patients with late-onset schizophrenia. In this report, we present a patient with late-onset schizophrenia, who had a phenomenon of incubus syndrome, in addition to other psychopathology.
{"title":"Incubus syndrome in late-onset schizophrenia","authors":"Y. Malik, S. Grover","doi":"10.4103/jgmh.jgmh_21_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_21_19","url":null,"abstract":"The term “incubus syndrome” is proposed to describe patients suffering from the delusion that they have been sexually approached at night by an unseen lover. This phenomenon has been rarely described in patients with schizophrenia. However, it is rarely been described in elderly patients with late-onset schizophrenia. In this report, we present a patient with late-onset schizophrenia, who had a phenomenon of incubus syndrome, in addition to other psychopathology.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"99 - 100"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43123742","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}
Catatonia is a neuropsychiatric syndrome with multifactorial etiopathogenesis. It can be seen in patients with alcohol dependence in the context of withdrawal in the presence of comorbid psychiatric disorders (substance induced or independent) or as a consequence of medications used to treat dependence. This is a case of an elderly patient with alcohol dependence, and a prior episode of psychosis, who developed acute psychosis with catatonia following the concurrent use of disulfiram and baclofen.
{"title":"An interesting presentation of psychotic catatonia in an elderly patient with alcohol dependence","authors":"Migita Dcruz, J. Mahadevan, P. Chand, P. Murthy","doi":"10.4103/jgmh.jgmh_33_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_33_19","url":null,"abstract":"Catatonia is a neuropsychiatric syndrome with multifactorial etiopathogenesis. It can be seen in patients with alcohol dependence in the context of withdrawal in the presence of comorbid psychiatric disorders (substance induced or independent) or as a consequence of medications used to treat dependence. This is a case of an elderly patient with alcohol dependence, and a prior episode of psychosis, who developed acute psychosis with catatonia following the concurrent use of disulfiram and baclofen.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"101 - 103"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45032315","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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