{"title":"Corrigendum to the Effect of Diagnostic Criteria on Dementia Prevalence—A Population-Based Study From Gothenburg, Sweden The American Journal of Geriatric Psychiatry, 2023, 230-243/32:2","authors":"Hanna Wetterberg Ph.D., Jenna Najar M.D. Ph.D., Therese Rydberg Sterner Ph.D., Silke Kern M.D. Ph.D., Ingmar Skoog M.D. Ph.D.","doi":"10.1016/j.jagp.2024.09.001","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.09.001","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263664","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 : 2024-09-04DOI: 10.1016/j.jagp.2024.08.010
Jo Anne Sirey Ph.D., Dimitris Kiosses Ph.D., Sara Czaja Ph.D., Samprit Banerjee Ph.D., Faith Gunning Ph.D.
{"title":"Weill Cornell Alacrity for Late- and Mid-Life Depression 2.0: From Simplified Psychosocial Interventions Based on Brain Theories of Aging to Implementation Based on the Socio-Ecological Model","authors":"Jo Anne Sirey Ph.D., Dimitris Kiosses Ph.D., Sara Czaja Ph.D., Samprit Banerjee Ph.D., Faith Gunning Ph.D.","doi":"10.1016/j.jagp.2024.08.010","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.010","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263442","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 : 2024-09-03DOI: 10.1016/j.jagp.2024.08.014
Daniel Shalev,Maureen Ekwebelem,Lilla Brody,Karolina Sadowska,Sanam Bhatia,Dania Alvarez,Catherine Riffin,M Carrington Reid
OBJECTIVESApproximately 5.5% of the population live with serious mental illnesses (SMI). Older adults with SMI experience a high burden of serious medical illnesses and disparities in advance care planning, symptom management, and caregiver support. The objectives of this study are to explore interdisciplinary clinician perspectives on the palliative care needs of older adults with SMI and serious medical illnesses.DESIGN, SETTING, AND PARTICIPANTSThis qualitative study utilized thematic analysis of semi-structured interviews of interdisciplinary clinicians practicing palliative care, geriatrics, or geriatric/consultation-liaison psychiatry at four hospitals within an urban health system.MEASUREMENTSThemes related to care of older adults with serious mental illness and serious medical illness with respect to clinician experiences, challenges in care, and opportunities to improve care.RESULTSThe authors interviewed 45 clinicians. Major themes identified were: (1) Current paradigms of palliative care do not meet the needs of patients with SMI; (2) Clinicians are motivated to care for this population but require more training and interdisciplinary practice; (3) There is a need for structural integration of psychiatric and palliative care services.CONCLUSIONSThe study underscores the inadequacy of current palliative care models in meeting the unique needs of older adults with SMI. Models of integrated psychiatric and serious illness care and enhanced training are needed to improve the delivery of palliative care. Integrated care models and workforce development at the interface of serious illness care and psychiatric have the potential to improve outcomes for this vulnerable population.
{"title":"Clinician Perspectives on Palliative Care for Older Adults With Serious Mental Illnesses: A Multisite Qualitative Study.","authors":"Daniel Shalev,Maureen Ekwebelem,Lilla Brody,Karolina Sadowska,Sanam Bhatia,Dania Alvarez,Catherine Riffin,M Carrington Reid","doi":"10.1016/j.jagp.2024.08.014","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.014","url":null,"abstract":"OBJECTIVESApproximately 5.5% of the population live with serious mental illnesses (SMI). Older adults with SMI experience a high burden of serious medical illnesses and disparities in advance care planning, symptom management, and caregiver support. The objectives of this study are to explore interdisciplinary clinician perspectives on the palliative care needs of older adults with SMI and serious medical illnesses.DESIGN, SETTING, AND PARTICIPANTSThis qualitative study utilized thematic analysis of semi-structured interviews of interdisciplinary clinicians practicing palliative care, geriatrics, or geriatric/consultation-liaison psychiatry at four hospitals within an urban health system.MEASUREMENTSThemes related to care of older adults with serious mental illness and serious medical illness with respect to clinician experiences, challenges in care, and opportunities to improve care.RESULTSThe authors interviewed 45 clinicians. Major themes identified were: (1) Current paradigms of palliative care do not meet the needs of patients with SMI; (2) Clinicians are motivated to care for this population but require more training and interdisciplinary practice; (3) There is a need for structural integration of psychiatric and palliative care services.CONCLUSIONSThe study underscores the inadequacy of current palliative care models in meeting the unique needs of older adults with SMI. Models of integrated psychiatric and serious illness care and enhanced training are needed to improve the delivery of palliative care. Integrated care models and workforce development at the interface of serious illness care and psychiatric have the potential to improve outcomes for this vulnerable population.","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263444","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 : 2024-09-02DOI: 10.1016/j.jagp.2024.08.012
Kristina F. Zdanys M.D. F.A.A.G.P.
{"title":"“We Don't Really Do That in Geriatrics” Commentary on Long-Acting Injectable Antipsychotics in the Geriatric Population: A Longitudinal Study","authors":"Kristina F. Zdanys M.D. F.A.A.G.P.","doi":"10.1016/j.jagp.2024.08.012","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.012","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263443","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 : 2024-09-02DOI: 10.1016/j.jagp.2024.08.011
Jo Anne Sirey Ph.D., Dimitris Kiosses Ph.D.
{"title":"Community Delivery of Problem Adaptation Therapy (PATH)","authors":"Jo Anne Sirey Ph.D., Dimitris Kiosses Ph.D.","doi":"10.1016/j.jagp.2024.08.011","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.011","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263445","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 : 2024-08-24DOI: 10.1016/j.jagp.2024.08.008
Russell J. Chander Ph.D., Katya Numbers Ph.D., Sarah A. Grainger B.Psy.Sc. (Hons) Ph.D., Rhiagh Cleary M.Sc., Karen A. Mather Ph.D., Nicole A. Kochan M.Clin.Neuropsych. Ph.D., Henry Brodaty M.B.B.S. M.D. D.Sc., Julie D. Henry M.A. Ph.D., Perminder S. Sachdev M.D. Ph.D.
To study general and subdomain performance in measures of social cognition in individuals with mild cognitive impairment (MCI), and dementia, and to explore associations between social cognitive and neuropsychological subdomains. Cross-sectional study of participants from the Sydney Memory and Ageing Study (MAS). Current data was collected in 2016–2018. Community-dwelling older adults (n=321) aged 80 years and above, with no history of neurological or psychiatric conditions. Participants had dementia, MCI, or no cognitive impairment (NCI). Social cognition was indexed using the Reading the Mind in the Eyes Test (RMET), the Interpersonal Reactivity Index – Perspective Taking (IRI-PT) and Empathic Concern (IRI-EC) subscales, and the Emotion Recognition Task (ERT). These subdomain scores were used to make a composite social cognition score. Apathy was measured via the Apathy Evaluation Scale (AES). Neurocognitive function was indexed using the Addenbrooke Cognitive Examination v3 (ACE-3). Dementia was associated with poorer overall social cognitive composite performance. MCI and dementia participants performed poorer on RMET and recognition of anger, disgust and happiness on ERT. RMET and ERT disgust remaining significant after controlling for relevant covariates. Dementia participants performed poorer than MCI and NCI on the IRI-PT, IRI-EC, and AES. AES remained significant after regression. RMET was correlated with ACE-3 Fluency and/or Language in all study groups. MCI is associated with poorer scores in specific social cognitive assessments. Dementia is somewhat associated with poorer scores in informant-rated social cognition scales, though this is no longer significant after accounting for apathy.
{"title":"Differential Social Cognitive Performance in Older Adults With Mild Cognitive Impairment and Dementia","authors":"Russell J. Chander Ph.D., Katya Numbers Ph.D., Sarah A. Grainger B.Psy.Sc. (Hons) Ph.D., Rhiagh Cleary M.Sc., Karen A. Mather Ph.D., Nicole A. Kochan M.Clin.Neuropsych. Ph.D., Henry Brodaty M.B.B.S. M.D. D.Sc., Julie D. Henry M.A. Ph.D., Perminder S. Sachdev M.D. Ph.D.","doi":"10.1016/j.jagp.2024.08.008","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.008","url":null,"abstract":"To study general and subdomain performance in measures of social cognition in individuals with mild cognitive impairment (MCI), and dementia, and to explore associations between social cognitive and neuropsychological subdomains. Cross-sectional study of participants from the Sydney Memory and Ageing Study (MAS). Current data was collected in 2016–2018. Community-dwelling older adults (n=321) aged 80 years and above, with no history of neurological or psychiatric conditions. Participants had dementia, MCI, or no cognitive impairment (NCI). Social cognition was indexed using the Reading the Mind in the Eyes Test (RMET), the Interpersonal Reactivity Index – Perspective Taking (IRI-PT) and Empathic Concern (IRI-EC) subscales, and the Emotion Recognition Task (ERT). These subdomain scores were used to make a composite social cognition score. Apathy was measured via the Apathy Evaluation Scale (AES). Neurocognitive function was indexed using the Addenbrooke Cognitive Examination v3 (ACE-3). Dementia was associated with poorer overall social cognitive composite performance. MCI and dementia participants performed poorer on RMET and recognition of anger, disgust and happiness on ERT. RMET and ERT disgust remaining significant after controlling for relevant covariates. Dementia participants performed poorer than MCI and NCI on the IRI-PT, IRI-EC, and AES. AES remained significant after regression. RMET was correlated with ACE-3 Fluency and/or Language in all study groups. MCI is associated with poorer scores in specific social cognitive assessments. Dementia is somewhat associated with poorer scores in informant-rated social cognition scales, though this is no longer significant after accounting for apathy.","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196846","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 : 2024-08-22DOI: 10.1016/j.jagp.2024.08.003
Lena Rupp
{"title":"Invited Perspective on “Caregiving experiences as mediators Between Caregiving Stressors and anticipatory Grief in Severe Dementia: Findings From Longitudinal Path Analysis”","authors":"Lena Rupp","doi":"10.1016/j.jagp.2024.08.003","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.08.003","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196847","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 : 2024-07-25DOI: 10.1016/j.jagp.2024.07.009
Dilip V. Jeste M.D., Mei-Hua Hall Ph.D.
{"title":"Guest Editorial: Wisdom-Focused Intervention Reduces Loneliness: Proposing an Evolutionary Basis for Wisdom and Social Cooperation to Reduce Loneliness in the Homo sapiens","authors":"Dilip V. Jeste M.D., Mei-Hua Hall Ph.D.","doi":"10.1016/j.jagp.2024.07.009","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.07.009","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141969726","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 : 2024-07-01DOI: 10.1016/j.jagp.2024.07.013
Che-Sheng Chu, Shu-Li Cheng, Ya-Mei Bai, T. Su, S. Tsai, Tzeng-Ji Chen, Fu-Chi Yang, Mu-Hong Chen, Chih-Sung Liang
{"title":"Risk of dementia in different types of cancer survivors: A nationwide cohort study","authors":"Che-Sheng Chu, Shu-Li Cheng, Ya-Mei Bai, T. Su, S. Tsai, Tzeng-Ji Chen, Fu-Chi Yang, Mu-Hong Chen, Chih-Sung Liang","doi":"10.1016/j.jagp.2024.07.013","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.07.013","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845956","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 : 2024-07-01DOI: 10.1016/j.jagp.2024.07.010
Christine E. Gould, Rachel VanPutten, Eve Z. Root
{"title":"Caregiver Contributions to Older Veterans’ Mental Health Utilization: New Opportunities for Exploring Caregiving Roles and Impacts","authors":"Christine E. Gould, Rachel VanPutten, Eve Z. Root","doi":"10.1016/j.jagp.2024.07.010","DOIUrl":"https://doi.org/10.1016/j.jagp.2024.07.010","url":null,"abstract":"","PeriodicalId":501507,"journal":{"name":"The American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842624","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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