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Neuropsychological correlates of early grief in bereaved older adults Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-03-11 Brianna M. Hoffmann, Nutta-on P. Blair, Timothy L. McAuliffe, Gyujoon Hwang, Eric Larson, Stacy A. Claesges, Abigail Webber, Charles F. Reynolds, Joseph S. Goveas
Prolonged grief disorder (PGD) is associated with impairments in cognitive functioning, but the neuropsychological correlates of early grief in older adults are poorly understood. This preliminary study cross-sectionally examined neuropsychological functioning in bereaved adults with high and low grief symptoms and a non-bereaved comparison sample and further explored the relationship between multidomain
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Validation of the Japanese version of the Social Functioning in Dementia scale and COVID-19 pandemic’s impact on social function in mild cognitive impairment and mild dementia Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-03-11 Sumiyo Umeda, Hideki Kanemoto, Maki Suzuki, Tamiki Wada, Takashi Suehiro, Kyosuke Kakeda, Yoshitaka Nakatani, Yuto Satake, Maki Yamakawa, Fuyuki Koizumi, Daiki Taomoto, Sakura Hikida, Natsuho Hirakawa, Andrew Sommerlad, Gill Livingston, Mamoru Hashimoto, Kenji Yoshiyama, Manabu Ikeda
Objectives: We aimed to psychometrically evaluate and validate a Japanese version of the Social Functioning in Dementia scale (SF-DEM-J) and investigate changes in social function in people with dementia during the coronavirus disease-19 (COVID-19) pandemic. Design: We interviewed people with mild cognitive impairment (MCI) and mild dementia and their caregivers during June 2020–March 2021 to validate
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Purpose in life and cognitive health: a 28-year prospective study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-03-08 Angelina R. Sutin, Martina Luchetti, Yannick Stephan, Antonio Terracciano
Objectives: To examine the prospective association between purpose in life measured at three points across middle and older adulthood and cognitive outcomes assessed 8–28 years later. Design: Prospective Study. Setting: Wisconsin Longitudinal Study of Aging (WLS). Participants: WLS participants who reported on their purpose in life at Round 4 (1992–1994; Mage = 52.58), Round 5 (2003–2007; Mage = 63
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Eating problems in people with dementia with Lewy bodies: Associations with various symptoms and the physician’s understanding Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-26 Shunichiro Shinagawa, Mamoru Hashimoto, Hajime Yamakage, Shunji Toya, Manabu Ikeda
Objectives: Eating problems frequently occur in people with dementia with Lewy bodies (DLB), but few studies have investigated the clinical background of this phenomenon. This study examined the relationship between eating problems and various symptoms of DLB and the relation between the treatment needs for DLB people with eating problems and the understanding of their eating problems by caregivers
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Early prediction of mastery of a computerized functional skills training program in participants with mild cognitive impairment Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-21 Philip D. Harvey, Courtney Dowell-Esquivel, Justin E. Macchiarelli, Alejandro Martinez, Peter Kallestrup, Sara J. Czaja
Background: Cognition in MCI has responded poorly to pharmacological interventions, leading to use of computerized training. Combining computerized cognitive training (CCT) and functional skills training software (FUNSAT) produced improvements in 6 functional skills in MCI, with effect sizes >0.75. However, 4% of HC and 35% of MCI participants failed to master all 6 tasks. We address early identification
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Efficacy and safety of transcranial magnetic stimulation on cognition in mild cognitive impairment, Alzheimer’s disease, Alzheimer’s disease-related dementias, and other cognitive disorders: a systematic review and meta-analysis Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-08 Sandeep R. Pagali, Rakesh Kumar, Allison M. LeMahieu, Michael R. Basso, Bradley F. Boeve, Paul E. Croarkin, Jennifer R. Geske, Leslie C. Hassett, John Huston, Simon Kung, Brian N. Lundstrom, Ronald C. Petersen, Erik K. St. Louis, Kirk M. Welker, Gregory A. Worrell, Alvaro Pascual-Leone, Maria I. Lapid
Objective: We aim to analyze the efficacy and safety of TMS on cognition in mild cognitive impairment (MCI), Alzheimer’s disease (AD), AD-related dementias, and nondementia conditions with comorbid cognitive impairment. Design: Systematic review, Meta-Analysis Setting: We searched MEDLINE, Embase, Cochrane database, APA PsycINFO, Web of Science, and Scopus from January 1, 2000, to February 9, 2023
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FC9: Ethno-racial identity and cognitive impairment: A population-based study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Mary Ganguli, Yingjin Zhang, Erin Jacobsen, Isabella Wood, Chung-Chou Chang
Objective:Health disparities between communities with greater and lesser advantages are a global concern. In the USA, self-identified race as African American (AA) is consistently associated with mild cognitive impairment (MCI) and dementia, compared to Americans of European descent. In a prospective population-based study, we sought to confirm this association and investigate potential explanatory
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P48: Underreporting of suicide in old age: accident or self-harm? Angela’s case Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Diego De Leo
:Deaths from suicide often incur a misclassification. Suicide is in fact subject to stigma and shame; in some countries it is even criminalized. Furthermore, there are situations in which the intentionality of the suicidal behavior is really equivocal or there was a desire to disguise the death by suicide, for example for insurance reasons. In many cases, it can be difficult to ascertain if death was
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P113: Psychosocial interventions for dementia grief- a systematic review Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Lena Rupp, Katja Seidel, Susanne Penger, Julia Haberstroh
Objective:Dementia grief can be described as a caregiver’s anticipatory grief experience due to losses occurring before the care recipient’s physical death. Among other things, these losses can include loss of memory, intimacy, communication, relationship resolution, and family identity. Psychosocial interventions have been developed to address and reduce these pre-loss grief reactions. The objective
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P169: IMPROVING THE MENTAL HEALTH CARE NEEDS OF OLDER ADULTS IN NEPAL. Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Sajeeka Jeyakumar, George T. Grossberg
Introduction:Average life expectancy in Nepal has been increasing annually (1991: 54 y/o, current: 72 y/o). The growth rate of the elderly population is faster than that of the total population in Nepal.Objective:With only one Geriatric Psychiatrist in Nepal, Dr. Nidesh Sapkota, who received fellowship training at Saint Louis University (SLU), there is a need to develop a Geriatric Mental Health Program
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S9: Green care farms and other innovative care environments for older people living with dementia: concept, mechanisms and impact on residents Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Hilde Verbeek
Key goals of the dementia care environment focus on increasing autonomy, supporting independence and trying to enable the own lifestyle of older people living with dementia for as long as possible. To meet these goals, innovative, small-scale and homelike care environments have been developed across the world that have radically changed of the physical, social and organizational aspects. This symposium
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Plenary Session 5: The role of social connectedness in the multifactorial demential syndrome. Does social life matter? - IPA/INTERDEM live webinar Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Sube Banerjee, Marjolein de Vugt
Overview: Dementia is influenced by multiple factors. It is crucial to learn more about the impact of these factors. Here we focus on the role of social health, that might have different faces around the world. Join us on July 2nd in Lisbon Portugal at our 2023 IPA International Congress for presentations and discussion on this exciting topic. Eminent dementia experts will present data on the role
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FC20: Prevalence, Incidence, and Clinical Features of Lewy Body Dementia in the South Eastern of Spain Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Marina Ruiz, Natalia Pérez
Background:Lewy body dementia (LBD) is the second most common degenerative dementia in people over 65 (1,2). LBD is underdiagnosed, with only one third of patients correctly diagnosed in daily clinical practice (3); data on the distribution of the disease are scarce. Our study was designed to measure the incidence, prevalence and clinical characteristics of LBD in south-eastern Spain. Healthcare system
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Identifying pre-agitation biometric signature in patients with dementia: A feasibility study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Samira Choudhury, Abeer Badawi, Khalid Elgazzar, Amer M. Burhan
Background:Agitation and aggression (AA) occur frequently in patients with dementia (PwD), and cause distress to PwD and caregivers. This study will investigate whether physiological parameters, such as actigraphy, heart rate variability, temperature, and electrodermal activity, measured via wearable sensors, correlate with AA in PwD. It will also explore whether these parameters could be compiled
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Factors associated with older adults’ quality of life Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 J. López, G. Pérez-Rojo
Background:The COVID-19 situation could be considered as an uncontrollable stressful life event. It may exert an impact on their quality of life (QoL). Not only COVID related variables, sociodemographic characteristics, health and appraisal but also personal resources could have an impact on QoL.Research Objective:This study aims to assess the association between QoL and sociodemographic characteristics
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Mild Behavioral impairment (MBI) and late-life psychiatric disorders: Differential clinical features and outcomes. Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Camilla Elefante, Giulio Emilio Brancati, Filippo Baldacci, Lorenzo Lattanzi, Roberto Ceravolo, Giulio Perugi
Mild Behavioral Impairment (MBI) refers to a late-onset neurobehavioral syndrome in which neuropsychiatric symptoms (NPS) represent early markers of dementia. Though being a promising diagnostic category for neurobiological research, in daily clinical practice, the boundaries and relationships between MBI and late-life psychiatric disorders are yet to be established. Particularly, no studies have been
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FC21: Loose functional connectivity within the striatum in behavioral variant frontotemporal dementia Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Huizi Li, Huali Wang
Objective:Previous studies have reported that the structure and function of the striatum are important in bvFTD, and the striatum can be divided into more subregions. Changes within brain regions has recently attracted increasing attention, but most studies have explored the relationship between the striatum and other brain regions. Therefore, the aim of this study was to explore the changes in the
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“I think the rose-tinted glasses do just sort of slowly come off”: a grounded theory study on the development of empathy towards people with dementia in healthcare student education. Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Yvonne Feeney
Background:Globally, dementia prevalence is rising. In the UK, over a million people are expected to be impacted by dementia by 2050. One in four hospital beds are occupied by a person with dementia, and it is inevitable that healthcare professionals will work with people with dementia during their career and across a variety of settings. To deliver effective person-centered care, healthcare professionals
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P85: Risks of suicide among family members of suicide victims: A nationwide sample of South Korea Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 JH Yoo, J Jang, SY Park, YY Kim, EJ Kim, G Lee, J Seo, EJ Na, JY Park, HJ Jeon
Objective:Identifying the risks of completed suicide in suicide survivors is essential for policies supporting family members of suicide victims. We aimed to determine the suicide risk of suicide survivors and identify the number of suicides per 100,000 population of suicide survivors, bereaved families of traffic accident victims, and bereaved families with non-suicide deaths.Methods:This was a nationwide
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Workshop 2: Humanitarian Crisis and Old Age Mental Health Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Carlos Augusto de Mendonca Lima, Debanjan Banerjee, Liat Ayalon, Kiran Rabheru
In 2020 there were 727 million persons aged 65 years or over in the world and this number is expected to reach over 1.5 billion in 2050. Of these, 20% suffer of a mental health condition and 60% live in low- and middle-income countries where barriers (stigma, poor access to social and health care systems) present issues even during stable times. A humanitarian crisis is defined as a singular event
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P129: Buiding a telepsychiatry program for older people in rural Portugal Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Maria Mousinho, Vasco Nogueira, Marisa Constantino, Paula Colaço
The geriatric psychiatry team at the Local Health Unit of Baixo Alentejo (ULSBA) serves the largest district of Portugal, the district of Beja, covering 10,4% of Portugal area. Baixo Alentejo is predominantly rural and a relatively poor area, with a high percentage of older adults (28% of its population being over 65 years old), a declining population due to unremitting exodus, an underdeveloped public
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Meeting IPA Shared Interest Forum on Young-onset Dementia Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Raymond Koopmans
With the rising prevalence of dementia, numbers of people with Young Onset Dementia will probably increase too. Young onset dementia is increasingly being recognized as an important psychosocial and medical health problem with serious consequences for both patients and their families. In several countries it is acknowledged that this group of people, in which dementia started before the age of 65 years
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P66: A systematic review of measures of social connection for people living in long-term care homes Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Hannah Chapman, Neha Dewan, Jennifer Bethell, Madalena Liougas, Gill Livingston, Katherine S. McGilton, Andrew Sommerlad
Background:Social connection is important for health, quality of life and care in long-term care (LTC) homes. However, research on how to improve social connection in LTC has been limited by lack of consensus on best approaches to measurement.Research Objective:We will present a systematic review of measures of social connection developed for use in LTC residents, which aims to identify all existing
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P208: The activities of Initial- phase Intensive Support Team for Dementia (IPIST) in Japan Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Yuto Satake, Daiki Taomoto, Maki Suzuki, Kazue Shigenobu, Hideki Kanemoto, Kenji Yoshiyama, Manabu Ikeda
Objective:The Intensive Initial Support Team for Dementia (IPIST) is a multidisciplinary outreach team that provides intensive initial assessment and support for dementia in Japan, introduced based on the Memory Service in the UK. All municipalities are required to establish at least one team, which consists of at least one physician and two professional staffs such as public health nurses and care
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P192: The Unmet Needs of People with Mild to Moderate Dementia During COVID-19 Pandemic in East Jakarta Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Tiur Sihombing
Background:The number of elderly populations continues to increase as the advancement in healthcare grows, which is shown by the increase of life expectancy, the declining mortality rates, and the surge of people with dementia (PwD). This mental health issue is barely identifiable by health workers and the elderly themselves especially during COVID-19 pandemic. Therefore, it is important to evaluate
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P7: Institutionalization and Psychotropics Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Ana Sofia Pozo Vico, Debora Moral Cuesta, Maria Belen Gonzalez Glaria, Francesca Soler Parets, Beatriz Echarte Archanco, Karmele Garaioa Aranburu, Angela Zulema Hernandez Amador, Marina Sanchez Latorre, Chenhui Chen, Rodrigo Molero De Avila Garcia, Marta Lorente Escudero
Introduction:Psychobehavioral symptoms are one of the main causes of institutionalization. After the first months of institutionalization, it could be a good opportunity to consider deprescribing psychotropics, at the same time person-centered non-pharmacological measures should be implemented. Also, if dementia stage is moderate or advanced, acetylcholinesterase- olyph-inhibitor (AchEI) should be
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Virtual reality to provide caregiver skill development and problem solving Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Mary Chiu, Amer M. Burhan
Background:Caring for persons with dementia (PWD) leads to disproportionate vulnerability to physical, mental, and social adverse health consequences among caregivers (CGs). The VR-SIMS CARERS Initiative aims to engage Knowledge Users (KUs), older adults and community stakeholders in the co-design of a Virtual Reality (VR) simulation training environment for dementia caregivers, and to explore end-user’s
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P31: Prescribing patterns for older age bipolar disorder patients discharged from two public mental hospitals in Taiwan, 2006-2019 Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Ching-Hua Lin, Fu-Chiang Wang, Hung-Chi Wu, Li-Shiu Chou
Objective:Older age bipolar disorder (OABD) is commonly defined as bipolar disorder in individuals aged 60 or more. General principles of pharmacotherapy in guidelines for treating OABD are greatly like those for younger adults. We aimed to investigate prescription changes among OABD patients discharged from two public mental hospitals in Taiwan from 2006 to 2019.Methods:OABD patients discharged from
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P176: Efficacy of Melatonin in Delayed Sleep Phase Disorder: An Umbrella Review Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 CT Tang, SM Tan
Objective:The most recent treatment guidelines on delayed sleep phase disorder recommend the use of melatonin. However, these guidelines are in need of an update. Numerous systematic reviews and meta-analyses have since been conducted. This research aims to summarize all systematic reviews and meta-analyses investigating the efficacy of melatonin in delayed sleep phase disorder.Methods:We performed
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P15: Esketamine in the elderly-is it efficient and safe? Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02
Background:elderly patients are significantly impacted by MDD and are less responsive to treatment. ECT is used more often in older patients but has its drawbacks. There is a need for for novel antidepressants. Esketamine, is a FDA approved novel treatment to treatment resistant depression(TRD). Studies of esketamine nasal spray administered with a newly initiated oral antidepressant in TRD aged patients
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P149: Chronic fatigue syndrome and its response to the use of a multimodal antidepressant Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Nora Burca, Miguel Ángel Monferrer, Jordi Valls, Alejandro Tenorio
Objective:We present a case that shows a very favourable response of the antidepressant vortioxetine in the functional and cognitive recovery in a patient with Chronic Fatigue Syndrome and its role as a pain modulator.Methods:This is an observational study using a clinical case. An 80-year-old female patient admitted to the Postacute care unit for recovering her functional baseline following surgical
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P75: Using music to reduce depressive symptoms among nursing home residents: Preliminary results of a Bayesian Network Meta-Analysis of Randomized Controlled Trials Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 I.J.N. Declercq, D.L. Gerritsen, P. De Vriendt, S. Van Hooren, R. Leontjevas
Objective:Reviews show that music interventions may be effective in reducing depressive symptoms among nursing home residents. Since interventions use various ways to include music, results on the effectiveness on depressive symptoms are often inconsistent. A previous review found that receptive music interventions (e.g., music listening) are more effective than active music interventions to reduce
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Euthanasia and Ageism Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Manuel Martín-Carrasco
It is clear that old people do not necessarily lose their autonomy as they age and nor should they lose their rights to make their own decisions, including the right to request euthanasia or assisted suicide, if the Law of the jurisdiction allows it. However, there are also vulnerable elderly and there is a concern that frail older people could be coerced into ending their lives because of their fears
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P158: Efficacy of a self-help cognitive-behavioral therapy (GSH-CBT) guided by lay providers for generalized anxiety disorder (GAD) in older adults: preliminary results Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Sébastien Grenier, Philippe Landreville, Patrick Gosselin, Pierre-Hugues Carmichael
Background:Only a small proportion of older adults with generalized anxiety disorder (GAD) seek professional help. One reason is the lack of access to mental health professionals licensed to provide psychotherapy. One way to improve access to psychotherapy is through guided self- help (GSH). GSH based on the principles of cognitive-behavior therapy (GSH-CBT) can be guided by trained lay providers (LPs)
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P108: Relational aspects in dementia family caregiving: exploring caregivers ́ self-perceived caring style and its correlates in the caregiving stress and coping process Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Maria Marquez-González, Isabel Cabrera, Laura Mérida-Herrera, Inés García-Batalloso, Laura Gallego-Alberto, Andrés Losada-Baltar
Most research in dementia family caregiving field has been guided by the stress and coping model, which holds a caregiver-centered perspective look at the family caregiving scenario. This individualistic approach of mainstream caregiving research does not allow to explain the relational aspects and variables related to the interaction between caregivers and the person with dementia (PWD), which have
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P163: Closing the gap: Funded psychology in residential aged care in Australia. Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Romy Engelbrecht
Objective:Historically, older adults in residential aged care facilities (RACF) in Australia had no access to government funded psychology services despite high rates of anxiety and depression. Change Futures is a registered charity that provides funded psychology to more than 220 RACFs in south-east Queensland and northern New South Wales, Australia, and since 2015 has been providing free psychology
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Impairment in Awareness and its Domains Vary According to the Age at Onset of Dementia Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Marcia Cristina Nascimento Dourado, Maria Alice Tourinho Baptista, Felipe de Oliveira Silva
Introduction:Awareness is the recognition of changes caused by deficits related to the dementia process. Awareness is related to a given object, like memory functioning or functional status. Objects of awareness can be grouped into a range of domains, including cognition, functional ability, emotional and social functioning, and behavioral difficulties. Preserved awareness in people with young onset
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P87: A Case of Very-Late-Onset Obsessive Compulsive Disorder (OCD) comprising Religious and Somatic Obsessions... is the latter a distinct and overlooked phenotypic subtype of OCD? Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Joana Regala, João Reis
Background:Very-late-onset obsessive-compulsive disorder (VLO-OCD) is rather rare. Although VLO-OCD should prompt a thorough workup, most cases do not evidence an underlying medical illness nor structural brain abnormality. A subset manifests somatic obsessions, bringing about diagnostic challenges.Objective:Critical literature review based on a case study.Case presentation:A 73-year-old male patient
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P45: Not all days were created equal – better day orientation following the weekend in MMSE Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Daphna Shefet, Ido Lurie
Background:The Min-Mental State Exam (MMSE) is the most common exam for screening and follow-up of cognitive impairment. One of 30 points is allocated to correct orientation to the weekday (“day orientation”).Objective:The purpose of this study is to assess whether day orientation correlates with the weekday in which the exam was conducted, hypothesis being that orientation would be better on the work
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P61: The use of the errorless learning method in the rehabilitation of activities of daily living and instrumental activities of daily living Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Gabriela Początek, Natalia Segiet, Aleksandra Klimkowicz-Mrowiec, Agnieszka Gorzkowska
Objective:The aim of this review was to describe the usage and effectiveness of errorless learning in activities of daily living (ADL) and instrumental activities of daily living (IADL) rehabilitation methods reported in the literature over the past 10 years.Methods:Two databases were searched (PubMed, EMBASE) using the key words “errorless learning and ADL and IADL”. Articles published in the last
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P162: Ageism among Lebanese Healthcare Workers and Students Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Rita Khoury, Sabine Allam, Alondra Barakat, Sara Moussa
Objective:Ageism, defined as stereotyping, prejudice, or discrimination against older people, is an emerging public health concern [1]. Ageist attitudes and behaviors in health care are found to negatively affect the physical and mental well-being of older individuals [2]. This study is the first to investigate ageism and its determinants in Lebanese healthcare settings.Methods:We diffused an online
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P160: Electroconvulsive therapy for neuropsychiatric symptoms in dementia: survey among Dutch physicians Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Annette O.A. Plouvier, Julia Revet, Raymond T.C.M. Koopmans, Maria I. Lapid, Rob M. Kok, Debby L. Gerritsen
Objective:Neuropsychiatric symptoms (NPS) are common in people with dementia and have a negative effect. Commonly used pharmacological and psychosocial interventions are not always effective and NPS can become refractory. Electroconvulsive therapy (ECT) may be effective for (severe) agitation and aggression and is well tolerated. Nevertheless, its application seems limited in the Netherlands. We explored
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FC27: Golden Angels: The impact of volunteer support for patients with dementia and delirium in Australian rural hospitals Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Annaliese Blair, Catherine Bateman, Katrina Anderson
Objectives:evaluate the clinical outcomes for acute hospital patients with dementia, delirium or at risk for delirium supported by the person-centred volunteer program in australian rural hospitals.Design:a non-randomised, mixed methods, controlled trial.Participants:older adults admitted to 7 rural acute hospitals. Intervention (n=270) patients were >65 years with a diagnosis of dementia and/or delirium
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P143: New therapies for Alzheimer’s dementia and its implications on healthcare system: are we ready? Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 M. A. Pão-Trigo, J. Sá Couto, B. Luz, M. Mota Oliveira
Objective:The amyloid hypothesis suggests that errors in production, accumulation, or disposal of beta-amyloid are the primary causes of Alzheimer's disease (AD). Since this was hypothesized, there has been significant effort in developing treatments that prevent the build-up of amyloid beta (Aβ) plaques in the brain. A disease modifying therapy (DMT) changes the clinical progression of AD by interfering
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S18: Newcomers to euthanasia and assisted suicide: challenges for Psychogeriatrics with a focus on Spain and Portugal Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Manuel Martín-Carrasco, Manuel Gonçalves-Pereira
Euthanasia or assisted suicide are now legal in several European countries. Spain has approved related legislation in 2022, and in Portugal the subject is currently under debate after preliminary ratification. This remains a controversial topic, raising passionate discussions that sometimes hamper the need to consider, in depth, the ethical, clinical, and operational difficulties of processes of this
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FC10: Telehealth for Older Adults: Developing telehealth competencies to ensure access, quality and equity across the lifespan Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Melanie T. Gentry, Allison Beito, Donad M. Hilty
Background:Telehealth has been an important method of health care delivery during the pandemic, particularly for older adults who have been more vulnerable to the physical and psychosocial impacts of the pandemic and associated isolation. Older adults have specific medical and mental health care needs that would benefit from having access to geriatric speciality services, however these services may
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P107: Paranoid Ideation Without Psychosis Is Associated With Depression, Anxiety, and Suicide Attempts in General Population Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Kyoungae Kim, Eun Jin Na, Kwan Woo Choi, Jin Pyo Hong, Maeng Je Cho, Maurizio Fava, David Mischoulon, Hong Jin Jeon
This study aimed to characterize the association between paranoid ideation without psychosis (PIP) and suicide attempts in a general population. A total of 12,532 adults were randomly selected as the study sample through one-person-per-household method. Subjects completed a face-to-face interview. Among 12,532 subjects, 471 (3.76%) met criteria for the PIP group. The PIP group was younger with more
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FC46: The effectiveness of a multicomponent intervention on caregiver burden and informal care time in home-dwelling people with dementia and their caregivers. Results from the stepped wedge randomized controlled LIVE@Home.Path tria Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 LI Berge, RA Angeles, H Allore, M Vislapuu, MH Gedde, N Puaschitz, C Ballard, D Aarsland, G Selbæk, I Vahia, C Tzoulis, R Nouchi, BS Husebo
Background:Deinstitutionalization of nursing care in European counties relies profoundly on the mobilization of the caregivers and municipal homecare services. Yet, caring for home-dwelling people with dementia (PwD) can be stressful and resource demanding. The LIVE@Home.Path trial tailored, implemented, and evaluated the multicomponent LIVE intervention on informal caregivers’ burden in dyads of home-dwelling
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P147: Internet-delivered guided self-help Acceptance and Commitment Therapy for family carers of people with dementia (iACT4CARERS) Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Naoko Kishita
Background and objective:Despite the high prevalence of anxiety and depression, many family carers of people living with dementia are not able to access timely psychological support due to various barriers such as lack of respite care and a shortage of skilled therapists. Online treatments have the potential to improve access, and also scalability, reducing inequalities in access to care. This uncontrolled
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Mild behavioral impairment in prodromal Alzheimer´s disease and its association with APOE and BDNF risk genetic polymorphisms Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Veronika Matuskova, Katerina Veverova, Dylan Jester, Vaclav Matoska, Zahinoor Ismail, Katerina Sheardova, Hana Horakova, Jan Laczó, Jakub Hort, Martin Vyhnalek
Objective:We aimed to examine the profile and severity of mild behavioral impairment (MBI) in a sample of β-amyloid positive individuals with amnestic mild cognitive impairment (aMCI)compared to cognitively normal older adults (CN). Within aMCI, we further examined the potential influence of APOE and BDN Frisk genetic polymorphisms on MBI severity.Methods:We included 64 β-amyloid positive aMCI participants
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FC23: Dementia and Triadic (Doctor-Patient-Carer) Interactions in Primary Care Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 C. Balsinha, F. Barreiros, M.J. Marques, S. Dias, S. Iliffe, M. Gonçalves-Pereira
Objective:Primary care visits of persons with dementia often bring together triads composed of patients, family carers and general practitioners (GPs), as previously discussed (1). Communication dynamics potentially affect dementia outcomes, not least because primary care is a health setting where these triad encounters often occur naturally. Our aim is to present further data from Portuguese primary
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P43: Hormone therapy and the decreased risk of dementia in women with depression: a population-based cohort study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Dahae Kim
Background:The literature has shown depression to be associated with an increased risk of dementia. In addition, hormone therapy can be a responsive treatment option for a certain type of depression. In this study, we examined the association between hormone therapy, including lifetime oral contraceptive (OC) use, and hormone replacement therapy (HRT) after menopause with the occurrence of dementia
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Euthanasia on their mind: a qualitative analysis of spontaneous expressions of people with young-onset dementia and their family caregivers. Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Romy Van Rickstal, Aline De Vleminck, Kenneth Chambaere, Lieve Van den Block
Introduction:Previous research showed that people with young-onset dementia and their family caregivers spontaneously addressed the topic of euthanasia when talking about the broader topic of advance care planning. A better understanding of what people address and why may provide innovative insights to inform the evolving physician assisted dying legislation worldwide. This study aimed to identify
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P182: Effects of Physical Environment on Quality of Life of Residents in Dementia Facilities in Canada & South Korea: A Longitudinal Observational Study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Sook Young Lee, Lillian Hung, Habib Chaudhury
Approximately 44% of new residents of care facilities in Korea were diagnosed with dementia (Song, Park & Kim, 2013), and in Canada, about one-third of older adults younger than 80 who have been diagnosed with dementia live in long-term care facilities (Canadian Institute for Health Information, 2018). Due to the rapid increase of these figures in the future, continuing to provide assistance services
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P51: Correlation between skin conductance and anxiety in virtual reality Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Dongjun Kim, Hyewon Kim, Kiwon Kim, Minji Kim, Hong Jin Jeon
Introduction:Despite the advantages of Virtual Reality (VR), the increase in anxiety caused by motion sickness makes it difficult to apply to patients with depression and anxiety. We studied correlation between skin conductance and anxiety in VR.Methods:We conducted a clinical study of 81 healthy volunteers with high stress, which was defined as a score of 20 or more on the Perceived Stress Scale-10
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P177: Motoric cognitive risk syndrome is associated with MRI-derived brain age: the Arakawa Geriatric Cohort Study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Shogyoku Bun, Daichi Sone, Ryo Shikimoto, Hisashi Kida, Shinichiro Nakajima, Yoshihiro Noda, Hidehito Niimura, Masaru Mimura
Objective:Motoric cognitive risk (MCR) syndrome is characterized by slow gait speed and subjective cognitive decline, which could predict future dementia. Previous research reported the associations between MCR and gray matter volume reduction in total and specific cortical regions and increased white matter hyperintensities in the brain. However, knowledge is scarce on the relationship between MCR
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P159: Low Cognitive Reserve as a Risk Factor for Delirium in Elderly: A Case-Control Study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Profitasari Kusumaningrum, Martina W.S. Nasrun
Objective:Cognitive Reserve (CR) developed from observation that several individuals show fewer cognitive impairment compared to others with the same brain injuries or neuropathology. Cognitive reserve is a potentially modifiable characteristic. Most of studies on cognitive reserve were conducted on chronic progressive diseases such as dementia. This study aims to define the role of cognitive reserve
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P105: Measuring clinically relevant change in apathy symptoms in ADMET 2 Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 S Tuma, N Herrmann, J Perin, PB Rosenberg, AJ Lerner, PR Padala, O Brawman-Mintzer, CH van Dyck, A Porsteinsson, S CraG, A Levey, D Shade, JE Mintzer, KL Lanctôt
Objective:Treatments trials for apathy in Alzheimer’s disease assess change scores on widely used assessment scales. Here, we aimed to determine whether such change scores on the Neuropsychiatric Inventory - Apathy (NPI-A) scale indicate clinically meaningful change.Methods:Participants completing the Apathy in Dementia Methylphenidate Trial 2 (ADMET 2) were included. Participants in this randomized
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User experience and analytics inform the development of an innovative telehealth curriculum: ROAD MAP (Recovery-Oriented Approach to Dementia through Meaningful Activity Participation) Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Lesley Garcia, Martin Orrell, Justine Schneider
Objective:To user-test a recovery-oriented, clinician-facilitated, web-based, self-management intervention accessible via mobile device: ROAD MAP. The initial programme theory underlying this research is that supporting the experiences of CHIME (connectedness, hope and optimism, identity, meaning in life and empowerment), in persons living with dementia (PLWD) will have health-promoting benefits for
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The influence of the social environment on the functioning and well-being of the person with dementia: a qualitative study Int. Psychogeriatr. (IF 7.0) Pub Date : 2024-02-02 Marieke Perry, Eline Verspoor, Rene Melis, Myrra Vernooij-Dassen
Objective:Dementia negatively affects the interaction with the social environment by changes in cognition and behavior. On the other hand, the social network may be an important enabler for persons with dementia to make use of their remaining capacities. Mechanisms driving and explaining these interactions are unknown. We aimed to explore how the social environment impacts the functioning and well-being