Pub Date : 2017-08-08DOI: 10.1024/1662-9647/a000172
Andrea E. Gruenenfelder-Steiger, Marko Katana, Annika A. Martin, Damaris Aschwanden, J. Koska, Yvonne Kündig, Eliane Pfister-Lipp, Mathias Allemand
Empirical evidence suggests that physical activity is related to less depressive moods. However, little is known about this association in the everyday life of older adults, limiting the ecological validity of prior findings. This study examined within-person associations between physical activity and depressive mood in older adults across 7 days. Moreover, the study tested the extent to which need-fulfillment can explain this association. The sample consisted of 68 adults aged 65 to 93 years. Physical activity was assessed objectively with accelerometers, whereas need-fulfillment and depressive mood were assessed at the end of each day using self-reports. Results from multilevel analysis suggest that daily physical activity was negatively related to daily depressive mood within persons. Although need-fulfillment did not explain the association between physical activity and depressive mood, it was a statistically significant predictor of daily depressive mood and even attenuated the effect of physical activity on depressive mood to nonsignificance.
{"title":"Physical Activity and Depressive Mood in the Daily Life of Older Adults","authors":"Andrea E. Gruenenfelder-Steiger, Marko Katana, Annika A. Martin, Damaris Aschwanden, J. Koska, Yvonne Kündig, Eliane Pfister-Lipp, Mathias Allemand","doi":"10.1024/1662-9647/a000172","DOIUrl":"https://doi.org/10.1024/1662-9647/a000172","url":null,"abstract":"Empirical evidence suggests that physical activity is related to less depressive moods. However, little is known about this association in the everyday life of older adults, limiting the ecological validity of prior findings. This study examined within-person associations between physical activity and depressive mood in older adults across 7 days. Moreover, the study tested the extent to which need-fulfillment can explain this association. The sample consisted of 68 adults aged 65 to 93 years. Physical activity was assessed objectively with accelerometers, whereas need-fulfillment and depressive mood were assessed at the end of each day using self-reports. Results from multilevel analysis suggest that daily physical activity was negatively related to daily depressive mood within persons. Although need-fulfillment did not explain the association between physical activity and depressive mood, it was a statistically significant predictor of daily depressive mood and even attenuated the effect of physical activity on depressive mood to nonsignificance.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43210623","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}
Pub Date : 2017-08-08DOI: 10.1024/1662-9647/a000170
Laura N Semino, J. Marksteiner, G. Brauchle, Erik Danay
Objective: Applying the network approach to explore connections between depression and cognition in dependency on cognitive status. Methods: 264 patients from a ward for geriatric psychiatry with depressive symptoms and/or cognitive impairment were included in the study. Assessments of neuropsychological functioning (CERAD, TMT, Clock) and depression (Geriatric Depression Scale) were used. Results: “Hopelessness” and “loss of energy” are the most pivotal nodes in the depression network. Various connections were found when cognitive status differed. “Social withdrawal” connects depression and cognition in the noncognitively impaired group and “subjective memory complaints” and “anxiety” in the cognitively impaired group. Conclusions: Network analyses provide new insights into the complexity of associations. Practical implications for targeted clinical interventions on the connection points are discussed.
{"title":"Networks of Depression and Cognition in Elderly Psychiatric Patients","authors":"Laura N Semino, J. Marksteiner, G. Brauchle, Erik Danay","doi":"10.1024/1662-9647/a000170","DOIUrl":"https://doi.org/10.1024/1662-9647/a000170","url":null,"abstract":"Objective: Applying the network approach to explore connections between depression and cognition in dependency on cognitive status. Methods: 264 patients from a ward for geriatric psychiatry with depressive symptoms and/or cognitive impairment were included in the study. Assessments of neuropsychological functioning (CERAD, TMT, Clock) and depression (Geriatric Depression Scale) were used. Results: “Hopelessness” and “loss of energy” are the most pivotal nodes in the depression network. Various connections were found when cognitive status differed. “Social withdrawal” connects depression and cognition in the noncognitively impaired group and “subjective memory complaints” and “anxiety” in the cognitively impaired group. Conclusions: Network analyses provide new insights into the complexity of associations. Practical implications for targeted clinical interventions on the connection points are discussed.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49617844","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}
Pub Date : 2017-08-08DOI: 10.1024/1662-9647/a000169
Tanja R. Schatz, J. Haberstroh, Kerstin Bindel, F. Oswald, J. Pantel, Michael A. Paulitsch, N. Konopik, M. Knopf
Older adults are frequently required to undergo medical informed consent procedures. This study investigates the influence of four types of written language and visual support (Elaborated Plain Language, Easy-to-Read Language, Standard Version with additional picture, Easy-to-Read-Language with additional picture) on comprehension and affect, compared with the Standard Version alone. In an online survey, n = 87 younger participants aged 26–59 and n = 72 older participants aged 60–81 read a simulation of an informed consent form. Directly after reading it, we used the Understanding dimension of the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) to ask them about the information presented in the form. The results showed that, by reducing complexity and elaborating the provided information, comprehension of medical information could be improved in the older participant group. In the so-called Elaborated Plain Language groups, the results were the same for younger and older participants. This was not true for the groups that received the Standard Version, on which younger participants performed better. Variations in the language used had no influence on affect. Our conclusion is that Elaborated Plain Language can be recommended for use in medical informed consent procedures with older patients and should be taught to medical professionals.
{"title":"Improving Comprehension in Written Medical Informed Consent Procedures","authors":"Tanja R. Schatz, J. Haberstroh, Kerstin Bindel, F. Oswald, J. Pantel, Michael A. Paulitsch, N. Konopik, M. Knopf","doi":"10.1024/1662-9647/a000169","DOIUrl":"https://doi.org/10.1024/1662-9647/a000169","url":null,"abstract":"Older adults are frequently required to undergo medical informed consent procedures. This study investigates the influence of four types of written language and visual support (Elaborated Plain Language, Easy-to-Read Language, Standard Version with additional picture, Easy-to-Read-Language with additional picture) on comprehension and affect, compared with the Standard Version alone. In an online survey, n = 87 younger participants aged 26–59 and n = 72 older participants aged 60–81 read a simulation of an informed consent form. Directly after reading it, we used the Understanding dimension of the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) to ask them about the information presented in the form. The results showed that, by reducing complexity and elaborating the provided information, comprehension of medical information could be improved in the older participant group. In the so-called Elaborated Plain Language groups, the results were the same for younger and older participants. This was not true for the groups that received the Standard Version, on which younger participants performed better. Variations in the language used had no influence on affect. Our conclusion is that Elaborated Plain Language can be recommended for use in medical informed consent procedures with older patients and should be taught to medical professionals.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45234787","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}
Pub Date : 2017-05-31DOI: 10.1024/1662-9647/a000167
Bridget Burmester, J. Leathem, P. Merrick
Evidence regarding the relationship between subjective memory complaints (SMCs) and objective memory functioning remains mixed; assessment methods may underlie this inconsistency. In this study, 94 participants aged 40 and above completed two measures of SMCs (open-ended self-reports, and a questionnaire) and memory tests (Rey Auditory Verbal Learning Test and Rey Complex Figure Test). Canonical correlation analysis showed no significant associations between any measures of memory and SMCs, regardless of the assessment method employed. Possible explanations for this result and the influence of study limitations are discussed.
{"title":"Influence of Assessment Methods on Subjective and Objective Memory Impairment","authors":"Bridget Burmester, J. Leathem, P. Merrick","doi":"10.1024/1662-9647/a000167","DOIUrl":"https://doi.org/10.1024/1662-9647/a000167","url":null,"abstract":"Evidence regarding the relationship between subjective memory complaints (SMCs) and objective memory functioning remains mixed; assessment methods may underlie this inconsistency. In this study, 94 participants aged 40 and above completed two measures of SMCs (open-ended self-reports, and a questionnaire) and memory tests (Rey Auditory Verbal Learning Test and Rey Complex Figure Test). Canonical correlation analysis showed no significant associations between any measures of memory and SMCs, regardless of the assessment method employed. Possible explanations for this result and the influence of study limitations are discussed.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45957071","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}
Pub Date : 2017-05-31DOI: 10.1024/1662-9647/a000166
U. Wiesmann, M. Becker, H. Hannich
The main objective of nursing homes is to enable their residents a good life despite their existing physical, mental, and social health problems. In this cross-sectional study, we explored the mechanisms of positive aging in nursing-home residents from a salutogenic perspective. We interviewed 190 individuals (155 women) with a mean age of M = 84.3 years (SD = 7.60) and assessed selected resistance resources (subjective age, social network characteristics), the sense of coherence, and positive aging (psychological health and subjective well-being). The sense of coherence fully mediated perceived availability of social support and a younger age identification effects on positive aging. In line with salutogenic theory, it represents a superordinate concept which pools resource influences on positive aging.
{"title":"Positive Aging in Nursing Home Residents: A Salutogenic Analysis","authors":"U. Wiesmann, M. Becker, H. Hannich","doi":"10.1024/1662-9647/a000166","DOIUrl":"https://doi.org/10.1024/1662-9647/a000166","url":null,"abstract":"The main objective of nursing homes is to enable their residents a good life despite their existing physical, mental, and social health problems. In this cross-sectional study, we explored the mechanisms of positive aging in nursing-home residents from a salutogenic perspective. We interviewed 190 individuals (155 women) with a mean age of M = 84.3 years (SD = 7.60) and assessed selected resistance resources (subjective age, social network characteristics), the sense of coherence, and positive aging (psychological health and subjective well-being). The sense of coherence fully mediated perceived availability of social support and a younger age identification effects on positive aging. In line with salutogenic theory, it represents a superordinate concept which pools resource influences on positive aging.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49055727","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}
Pub Date : 2017-05-31DOI: 10.1024/1662-9647/a000168
Lia Oberhauser, Andreas B. Neubauer, Eva-Marie Kessler
Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs (Sheldon, 2011). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.
{"title":"Conflict Avoidance in Old Age: The Role of Anticipated Loneliness","authors":"Lia Oberhauser, Andreas B. Neubauer, Eva-Marie Kessler","doi":"10.1024/1662-9647/a000168","DOIUrl":"https://doi.org/10.1024/1662-9647/a000168","url":null,"abstract":"Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs (Sheldon, 2011). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48280599","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}
Pub Date : 2017-03-01DOI: 10.1024/1662-9647/a000154
J. Hessler, M. Stemmler, H. Bickel
New regression-based norms for the SKT Short Cognitive Performance Test were introduced but have not been cross-validated for the detection of mild cognitive impairment (MCI) and dementia. We examined 562 (59.6% female) community-dwelling persons (mean age = 75.8, SD = 5.5) at baseline and followed up with up to three annual visits. Participants were classified as being healthy, with MCI, or with dementia according to the Clinical Dementia Rating (CDR) and the SKT. Overall congruency between the ratings was 57.8%. The correlation between SKT and MMSE scores reached r = –0.67. Sensitivity and specificity for MCI and dementia were 0.89 and 0.60 as well as 0.83 and 0.84, respectively. The SKT detected cognitive decline at early stages but produced increased rates of false positives.
{"title":"Cross-Validation of the Newly-Normed SKT for the Detection of MCI and Dementia","authors":"J. Hessler, M. Stemmler, H. Bickel","doi":"10.1024/1662-9647/a000154","DOIUrl":"https://doi.org/10.1024/1662-9647/a000154","url":null,"abstract":"New regression-based norms for the SKT Short Cognitive Performance Test were introduced but have not been cross-validated for the detection of mild cognitive impairment (MCI) and dementia. We examined 562 (59.6% female) community-dwelling persons (mean age = 75.8, SD = 5.5) at baseline and followed up with up to three annual visits. Participants were classified as being healthy, with MCI, or with dementia according to the Clinical Dementia Rating (CDR) and the SKT. Overall congruency between the ratings was 57.8%. The correlation between SKT and MMSE scores reached r = –0.67. Sensitivity and specificity for MCI and dementia were 0.89 and 0.60 as well as 0.83 and 0.84, respectively. The SKT detected cognitive decline at early stages but produced increased rates of false positives.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45415202","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}
Pub Date : 2017-03-01DOI: 10.1024/1662-9647/a000162
M. Wettstein, Benjamin Tauber, H. Wahl, C. Frankenberg
We examined longitudinal associations between personality, objective (physician-rated) and self-rated health over 12 years in two German cohorts (midlife cohort, born 1950/52, nT0 = 502; late-life cohort, born 1930/32, nT0 = 500) from the Interdisciplinary Longitudinal Study of Adult Development (ILSE). Based on cross-lagged panel design analyses controlling for sex, education, depression, and cognitive abilities, we found that after 12 years better baseline objective health predicted lower Neuroticism and higher Agreeableness, whereas baseline Extraversion and Conscientiousness were positive predictors of later self-rated health. Our findings thus illustrate that the direction of longitudinal personality-health associations is dependent on whether objective or self-rated health is considered, whereas relations do not seem to be considerably different in midlife vs. in old age.
{"title":"12-Year Associations of Health with Personality in the Second Half of Life: Being versus Feeling Healthy","authors":"M. Wettstein, Benjamin Tauber, H. Wahl, C. Frankenberg","doi":"10.1024/1662-9647/a000162","DOIUrl":"https://doi.org/10.1024/1662-9647/a000162","url":null,"abstract":"We examined longitudinal associations between personality, objective (physician-rated) and self-rated health over 12 years in two German cohorts (midlife cohort, born 1950/52, nT0 = 502; late-life cohort, born 1930/32, nT0 = 500) from the Interdisciplinary Longitudinal Study of Adult Development (ILSE). Based on cross-lagged panel design analyses controlling for sex, education, depression, and cognitive abilities, we found that after 12 years better baseline objective health predicted lower Neuroticism and higher Agreeableness, whereas baseline Extraversion and Conscientiousness were positive predictors of later self-rated health. Our findings thus illustrate that the direction of longitudinal personality-health associations is dependent on whether objective or self-rated health is considered, whereas relations do not seem to be considerably different in midlife vs. in old age.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45714959","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}
Pub Date : 2017-03-01DOI: 10.1024/1662-9647/a000164
Christina J. Herold, L. Schmid, M. Lässer, U. Seidl, J. Schröder
Chronic schizophrenia involves neuropsychological deficits that primarily strike executive functions and episodic memory. Our study investigated these deficits throughout the lifespan in patients with chronic schizophrenia and in healthy controls. Important neuropsychological functions were tested in 94 patients and 66 healthy controls, who were assigned to three age groups. Compared with the healthy controls, patients performed significantly poorer on all tests applied. Significant age effects occurred on all tests except the digit span forward, with older subjects scoring well below the younger ones. With respect to cognitive flexibility, age effects were more pronounced in the patients. These findings underline the importance of cognitive deficits in chronic schizophrenia and indicate that diminished cognitive flexibility shows age-associated differences.
{"title":"Cognitive Performance in Patients with Chronic Schizophrenia Across the Lifespan","authors":"Christina J. Herold, L. Schmid, M. Lässer, U. Seidl, J. Schröder","doi":"10.1024/1662-9647/a000164","DOIUrl":"https://doi.org/10.1024/1662-9647/a000164","url":null,"abstract":"Chronic schizophrenia involves neuropsychological deficits that primarily strike executive functions and episodic memory. Our study investigated these deficits throughout the lifespan in patients with chronic schizophrenia and in healthy controls. Important neuropsychological functions were tested in 94 patients and 66 healthy controls, who were assigned to three age groups. Compared with the healthy controls, patients performed significantly poorer on all tests applied. Significant age effects occurred on all tests except the digit span forward, with older subjects scoring well below the younger ones. With respect to cognitive flexibility, age effects were more pronounced in the patients. These findings underline the importance of cognitive deficits in chronic schizophrenia and indicate that diminished cognitive flexibility shows age-associated differences.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47378785","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}
Pub Date : 2017-03-01DOI: 10.1024/1662-9647/a000163
F. Godemann, C. Wolff-Menzler, M. Löhr, H. Wiegand
Complications in the course of dementia are one of the leading reasons for treatment in German psychiatric hospitals. One way to assess treatment quality with a moderate effort is to analyze existing routine data. A large routine dataset exists for psychiatric hospitals in Germany. This work reports on the indicators of inpatient treatment of patients with dementia and compares them to those found with old-age depression. Among other results it was shown that no specific dementia diagnosis was defined in more than 15% of all cases, and that the readmission rate within 30 days was more than 25%. Depressed people, on the other hand, showed lower readmission rates: They got more specific diagnoses and more therapeutic contacts. In conclusion, several aspects of diagnosis and treatment demand improvement among patients with dementia.
{"title":"Routine Data Indicators of Treatment for Dementia and Old-Age Depression","authors":"F. Godemann, C. Wolff-Menzler, M. Löhr, H. Wiegand","doi":"10.1024/1662-9647/a000163","DOIUrl":"https://doi.org/10.1024/1662-9647/a000163","url":null,"abstract":"Complications in the course of dementia are one of the leading reasons for treatment in German psychiatric hospitals. One way to assess treatment quality with a moderate effort is to analyze existing routine data. A large routine dataset exists for psychiatric hospitals in Germany. This work reports on the indicators of inpatient treatment of patients with dementia and compares them to those found with old-age depression. Among other results it was shown that no specific dementia diagnosis was defined in more than 15% of all cases, and that the readmission rate within 30 days was more than 25%. Depressed people, on the other hand, showed lower readmission rates: They got more specific diagnoses and more therapeutic contacts. In conclusion, several aspects of diagnosis and treatment demand improvement among patients with dementia.","PeriodicalId":45525,"journal":{"name":"GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42119448","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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