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FPOP Bulletin: Psychology of Older People最新文献

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Evidence-based interventions for people with mild cognitive impairment (MCI): Where are we now? 轻度认知障碍(MCI)患者的循证干预:我们现在在哪里?
Pub Date : 2023-02-01 DOI: 10.53841/bpsfpop.2023.1.161.42
L. Piggin, C. Patterson
As increasing attention is focused on the experiences of people living with mild cognitive impairment (MCI), this paper reviews where we stand regarding evidence-based interventions. From simpler offers of information, psychoeducation, and ‘living well’ programmes, to more structured approaches that include cognitive stimulation, rehabilitation, and training, mindfulness, and mind-body exercise. Amongst studies of varying quality, there are notable trends emerging: evidence supports cognitive stimulation and combined mind-body programmes to improve neurocognitive function, yet there is still no clear picture regarding the efficacy of rehabilitation, cognitive training, or mindfulness-based approaches. Increasingly, it is multi-component interventions that are currently associated with more positive outcomes for cognitive health and wellbeing. However, it remains challenging to know what will work for whom when implementing these interventions in clinical practice.
随着人们越来越多地关注轻度认知障碍(MCI)患者的经历,本文综述了我们在循证干预方面的立场。从简单的提供信息、心理教育和“健康生活”计划,到更有条理的方法,包括认知刺激、康复和训练、正念和身心锻炼。在不同质量的研究中,出现了一些值得注意的趋势:证据支持认知刺激和身心结合方案来改善神经认知功能,但关于康复、认知训练或基于正念的方法的功效,仍然没有明确的图景。目前,越来越多的多组分干预措施与认知健康和福祉的更积极结果相关联。然而,在临床实践中实施这些干预措施时,知道什么对谁有效仍然具有挑战性。
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引用次数: 1
The North East Essex MCI practitioner role and service pathway: A description 东北艾塞克斯MCI从业者角色和服务路径:描述
Pub Date : 2023-02-01 DOI: 10.53841/bpsfpop.2023.1.161.30
Sheamus Galvin, Elizabeth Stephens, Andrea Hewitt, Jennifer Needham
Routine clinical investigations in the memory clinic may identify a degree of cognitive impairment that does not reach threshold criteria for a dementia diagnosis. A mild cognitive impairment may be the beginnings of a progressive decline for some people. How should services respond to those people, for whom a MCI is the beginning of a progressive decline and ensure a timely diagnosis is ultimately provided? This article describes our attempt at a solution.
记忆诊所的常规临床调查可能会确定某种程度的认知障碍,但未达到痴呆诊断的阈值标准。对一些人来说,轻微的认知障碍可能是逐渐衰退的开始。对这些人来说,轻度认知损伤是病情逐渐恶化的开始,服务机构应如何应对这些人,并确保最终得到及时诊断?本文描述了我们对解决方案的尝试。
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引用次数: 0
A summation of the collective workstream membership thinking at this point 这是对集体工作流程成员思想的总结
Pub Date : 2023-02-01 DOI: 10.53841/bpsfpop.2023.1.161.51
Angela Smith
This article gives the reader an insight into the quandaries and task list ahead with the ongoing work of the FPOP MCI workstream.
本文让读者深入了解FPOP MCI工作流正在进行的工作所面临的困境和任务列表。
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引用次数: 0
Preview of key themes in the new DCP/BPS guidelines for the management of behaviours that challenge 预览新的DCP/BPS指南中的关键主题,以管理具有挑战性的行为
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.12
I. James, E. Moniz-Cook
This article previews some of the content of the new DCP/BPS guidelines on the management of Behaviours that Challenge (BtC). A number of the main themes in the guidance are outlined, such as: the nature of BtC; unmet needs; the evidence-base across settings; training; caregiver communication; the role of formulation; and management strategies.Since the publication of the previous DCP/BPS guidance. (Brechin et al., 2013) large randomised controlled trials (RCTs) have been conducted. There is also greater acknowledgement of the relevance of ‘good’ carer communication skills and acceptance of the potential benefits of the positive behavioural support approaches. Further, there is a call for psychologists to assist with the management of high levels of stress and distress in people living with dementia, and assisting caregivers to feel more confident and competent in dealing with such presentations. It is noteworthy that the management of high of levels arousal is frequently the reason for calling on the assistance of psychologists. Hence, it is essential that we have the skills in this area to provide appropriate support and guidance; otherwise psychotropics will be deployed unnecessarily.The paper discusses these new perspectives and concludes with an important with a request to heighten our focus on the implementation of existing knowledge and good practice. Indeed, psychologists have recognised the features of good practice for many years, yet have often struggled to embed the concepts in their clinical settings.
本文概述了DCP/BPS关于挑战行为(BtC)管理的新指南的一些内容。指南中概述了一些主题,例如:比特币的性质;未满足的需求;跨环境的证据基础;培训;护理沟通;制定的作用;以及管理策略。自之前的DCP/BPS指南发布以来。(Brechin et al., 2013)进行了大型随机对照试验(rct)。人们也更加认识到“良好”的护理沟通技巧的相关性,并接受积极行为支持方法的潜在好处。此外,还呼吁心理学家协助管理痴呆症患者的高水平压力和痛苦,并帮助护理人员在处理此类演讲时感到更自信和更有能力。值得注意的是,对高水平觉醒的管理经常是要求心理学家帮助的原因。因此,我们必须具备这方面的技能,提供适当的支持和指导;否则就会不必要地使用精神药物。本文讨论了这些新的观点,并在结论中提出了一个重要的要求,即加强我们对现有知识和良好实践的实施的关注。事实上,心理学家多年前就已经认识到良好实践的特征,但他们常常难以将这些概念融入到临床环境中。
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引用次数: 1
The big discussion – dementia, death and dying 大讨论-痴呆,死亡和临终
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.55
Catherine Wood
The topic of death and dying is rarely discussed within normal society, but discussions with people living with dementia almost never happen. This leaves family members and carers having to make decisions on behalf of those they care for without understanding the wishes of the person with dementia. If these discussions could happen early enough then the level of burden would decrease and the person dying with dementia would be more likely to have a dignified death.Death cafes are a unique way of holding conversations about death and dying. This style of approach encourages informal group discussions rather than individual discussions between a patient and a heath professional. My study considers whether this approach will improve the ability to have these conversations with people living with dementia.
在正常社会中很少讨论死亡和临终的话题,但与痴呆症患者的讨论几乎从未发生过。这使得家庭成员和护理人员不得不在不了解痴呆症患者意愿的情况下代表他们所照顾的人做出决定。如果这些讨论能够尽早进行,那么负担水平将会降低,死于痴呆症的人将更有可能有尊严地死去。死亡咖啡馆是一种独特的谈论死亡和临终的方式。这种方式鼓励非正式的小组讨论,而不是病人和健康专家之间的个人讨论。我的研究考虑了这种方法是否会提高与痴呆症患者进行这些对话的能力。
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引用次数: 0
Working psychologically with an older person from a traveller community background 与来自旅行者社区背景的老年人进行心理治疗
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.58
Joanna L. Mitchell, Christen M. Allen
People with a traveller community background have poorer health outcomes compared with the general population, face barriers gaining access to mental health services, and can hold beliefs that hinder getting help. This paper presents a case which leads to suggestions for adapting cognitive behaviour therapy (CBT) and recommendations for working psychologically with older people from the traveller community.
与一般人群相比,具有旅行者社区背景的人的健康状况较差,在获得精神卫生服务方面面临障碍,并且可能持有阻碍获得帮助的信念。本文提出了一个案例,导致适应认知行为疗法(CBT)的建议,并建议与来自旅行者社区的老年人进行心理工作。
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引用次数: 0
Guest Editorial: Yorkshire and Humber FPOP Geographical Group Sub-Committee 嘉宾评论:约克郡和亨伯FPOP地理小组小组委员会
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.2
Ian Asquith
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引用次数: 0
An exploration of the psychological and emotional experiences of people with Parkinson’s and the potential barriers to accessing support 探索帕金森氏症患者的心理和情感经历以及获得支持的潜在障碍
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.47
Ruth Lewis Morton, Molly Tong, S. Montgomery, Siana Fflur
This service evaluation aims to understand the psychological and emotional impact of Parkinson’s and the ways in which these experiences may generate potential barriers to accessing psychological support. Semi-structured interviews were conducted with people with Parkinson’s (pwP). The predominant psychological and emotional impact of Parkinson’s reported from this exploration included the following; anxiety and panic, low mood, loss of confidence and cognitive change. There were three dominant themes identified: (i) Making comparisons; (ii) Minimising and dismissing one’s own psychological needs; and (iii) A concern of burdening others. Further research is required to support our understanding of how to improve access to services for pwP.
这项服务评估旨在了解帕金森病对心理和情感的影响,以及这些经历可能对获得心理支持产生潜在障碍的方式。半结构化访谈是对帕金森病患者(pwP)进行的。从这一探索中报告的帕金森病的主要心理和情感影响包括:焦虑和恐慌,情绪低落,失去信心和认知变化。确定了三个主要主题:(i)进行比较;尽量减少和忽视自己的心理需要;(三)担心给他人造成负担。需要进一步的研究来支持我们对如何改善残疾人获得服务的理解。
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引用次数: 0
MBT and older adults: A learning journey and some reflections MBT和老年人:一次学习之旅和一些思考
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.26
G. Beldon, Felicity Caryer, Uzma Meraj
As group of psychologists across the UK who have found one another through our shared journey and struggles in training and using Mentalisation-Based Treatment (MBT) with Older Adults we hoped to share some of our thoughts, reflections and challenges at the Faculty of Psychology of Older People conference 2022 and within this summary. We hope that it may be of some help for clinicians interested in MBT and for those who may be considering integrating MBT into their treatment pathways. And if you are interested in any way – we also love you to join our special interest group! You can email us on the addresses provided at the end of article. Keywords: MBT; older people; complex emotional; relational needs.
作为一群来自英国的心理学家,他们通过我们在老年人培训和使用基于心理的治疗(MBT)方面的共同旅程和斗争找到了彼此,我们希望在2022年老年人心理学学院会议和本总结中分享我们的一些想法、反思和挑战。我们希望这可能对对MBT感兴趣的临床医生和那些可能考虑将MBT纳入其治疗途径的人有所帮助。如果你有任何兴趣,我们也欢迎你加入我们的特殊兴趣小组!您可以通过文章末尾提供的地址给我们发电子邮件。关键词:MBT;老年人;复杂的情感;关系的需要。
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引用次数: 0
Reflections from the Una Holden Award winner for 2022 2022年尤纳霍尔顿奖得主的感想
Pub Date : 2022-10-01 DOI: 10.53841/bpsfpop.2022.1.160.65
R. Dunning
Upon winning the Una Holden Award for Contributions to the field of older people’s psychology in early career, Bec was invited to reflect on her career so far.
在获得尤娜·霍尔顿早期职业生涯中对老年人心理学领域的贡献奖后,贝克被邀请反思她迄今为止的职业生涯。
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引用次数: 0
期刊
FPOP Bulletin: Psychology of Older People
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