Constituents of effective support for homecare workers providing care to people with dementia at end of life.
ConclusionsPeer and manager support are essential and effective in coping with work pressures. There is a need to develop models of effective support to alleviate staff's practical, emotional and interpersonal pressures. However, due to the isolating nature of homecare work, managers may not recognise early signs of their staff finding stress unmanageable and miss the opportunity to mitigate these negative effects. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 14, 2018 Category: Geriatrics Authors: I ‐Ling Yeh, Kritika Samsi, Tushna Vandrevala, Jill Manthorpe Tags: RESEARCH ARTICLE Source Type: research

The use of direct care in nursing home residents: a longitudinal cohort study over three years.
ConclusionIn Norwegian NHs, high use of direct care time was associated with younger age, more severe dementia and severe neuropsychiatric symptoms. By identifying factors that impact on direct care time, preventive measures might be put in place to the benefit of the residents and possibly to improve resource use. Further research should explore the association between direct care time, quality of care and the residents ’ quality of life. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 14, 2018 Category: Geriatrics Authors: C. Vossius, G. Selb æk, J. Šaltytė Benth, A. Wimo, S. Bergh Tags: RESEARCH ARTICLE Source Type: research

Hearing loss and incident psychosis in later life: the Health In Men Study (HIMS)
ConclusionsHearing loss is associated with double the risk of incident psychosis in older men. Available evidence suggests that this link could be causal, although conclusive evidence is still missing from randomised controlled trials designed to test the effect of correction of hearing loss on the prevalence and incidence of psychosis. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 14, 2018 Category: Geriatrics Authors: Osvaldo P. Almeida, Andrew H. Ford, Graeme J. Hankey, Bu B. Yeap, Jonathan Golledge, Leon Flicker Tags: RESEARCH ARTICLE Source Type: research

Using electronic health records to estimate the prevalence of agitation in Alzheimer's disease/dementia
ConclusionsAgitation prevalence was 44.6% overall and 61.3% among patients with staged AD/dementia. Behavioral disturbance appeared to be underdiagnosed. While agitation has previously been shown to be highly prevalent in the long ‐term care setting, this study indicates that it is also common among community‐dwelling patients. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 14, 2018 Category: Geriatrics Authors: Rachel Halpern, Jerry Seare, Junliang Tong, Ann Hartry, Anthony Olaoye, Myrlene Sanon Aigbogun Tags: RESEARCH ARTICLE Source Type: research

An Integrative Review of Acupressure Interventions for Older people: A focus on sleep quality, depression, anxiety and agitation
ConclusionThis review found some emerging evidences that acupressure can be beneficial for older people who suffer from sleep problems and depression. Use of specific acupressure points, with standardised acupressure treatment protocols, may improve sleep quality and possibly psychological wellbeing of older people. Future research with well ‐designed mixed method studies are required to produce stronger evidence, as well as in‐depth understanding of acupressure intervention in aged care context. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 14, 2018 Category: Geriatrics Authors: Nant Thin Thin Hmwe, Graeme Browne, Lyndall Mollart, Viv Allanson, Sally Wai ‐Chi Chan Tags: REVIEW ARTICLE Source Type: research

The recency ratio is related to CSF Amyloid Beta 1 ‐42 levels in MCI‐AD
ConclusionsThis study shows that Rr is a sensitive cognitive index of underlying Amyloid β pathology in MCI‐AD. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 14, 2018 Category: Geriatrics Authors: Davide Bruno, Carey E. Gleason, Rebecca L. Koscik, Nunzio Pomara, Henrik Zetterberg, Kaj Blennow, Sterling C. Johnson Tags: RESEARCH ARTICLE Source Type: research

Six ‐month prevalence and correlates of Generalized Anxiety Disorder among primary care patients aged 70 years and over: Results from the ESA‐services study
ConclusionsGAD has a high prevalence in primary care patients aged 70 years and over. Clinicians working in primary care settings should screen for GAD, since it remains underdiagnosed. In addition, it may be associated with depression and life dissatisfaction. Screening tools for late ‐life GAD should include worry themes that are specific to aging. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 12, 2018 Category: Geriatrics Authors: S ébastien Grenier, Frédérique Desjardins, Béatrice Raymond, Marie‐Christine Payette, Marie‐Ève Rioux, Philippe Landreville, Patrick Gosselin, Marie‐Josée Richer, Bruno Gunther, Mélanie Fournel, Helen‐Maria Vasiliadis Tags: RESEARCH ARTICLE Source Type: research

Neuropsychiatric symptoms among older adults living in two countries in Central Africa (EPIDEMCA study)
ConclusionNeuropsychiatric symptoms are common among older people with neurocognitive disorders in CAR and ROC. Our results confirm those from previous studies in Nigeria and Tanzania. Nevertheless, knowledge of these symptoms remains limited in sub ‐Saharan Africa, hampering their appropriate management. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 9, 2018 Category: Geriatrics Authors: In ès Yoro‐Zohoun, Philippe Nubukpo, Dismand Houinato, Pascal Mbelesso, Bébène Ndamba‐Bandzouzi, Jean‐Pierre Clément, Jean‐Francois Dartigues, Pierre‐Marie Preux, Maëlenn Guerchet, for the EPIDEMCA Group Tags: RESEARCH ARTICLE Source Type: research

Regional brain volume reductions in major depressive disorder and bipolar disorder: An analysis by voxel ‐based morphometry
ConclusionsOur findings suggest that VBM evaluation of GMV reduction in the sgACC may be useful as an objective adjunctive tool to distinguish between MDD and BD. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 9, 2018 Category: Geriatrics Authors: Richi Niida, Bun Yamagata, Hiroshi Matsuda, Akira Niida, Akihiko Uechi, Shinsuke Kito, Masaru Mimura Tags: RESEARCH ARTICLE Source Type: research

Is function in instrumental activities of daily living a useful feature in predicting Alzheimer's disease dementia in subjective cognitive decline?
ConclusionsConsistent with the SCD concept, IADL function was largely well preserved in the majority of individuals with SCD. However, if difficulties in IADL were present, risk for AD dementia was increased. Therefore, screening for IADL impairment could serve as an economically viable indicator to assess AD dementia risk above and beyond SCD. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 9, 2018 Category: Geriatrics Authors: Susanne Roehr, Steffi G. Riedel ‐Heller, Hanna Kaduszkiewicz, Michael Wagner, Angela Fuchs, Carolin Leeden, Birgitt Wiese, Jochen Werle, Horst Bickel, Hans‐Helmut König, Steffen Wolfsgruber, Michael Pentzek, Dagmar Weeg, Silke Mamone, S Tags: RESEARCH ARTICLE Source Type: research

Impact of time spent walking on incident dementia in elderly Japanese
ConclusionsOur results suggest that the daily time spent walking has a considerable preventive impact on incident dementia in Japan. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 8, 2018 Category: Geriatrics Authors: Yasutake Tomata, Shu Zhang, Yumi Sugawara, Ichiro Tsuji Tags: RESEARCH ARTICLE Source Type: research

Prominent physical inactivity in acute dementia care: Psychopathology seems to be more important than the dose of sedative medication
DiscussionThe results reveal that most of the patients in acute dementia care had very low levels of physical activity. Their physical inactivity may be due to the severity of their neuropsychiatric symptoms, especially apathy. Antipsychotic and benzodiazepine medication appeared to have less impact on patients ’ physical activity. Dementia care should pay more attention to prevent physical inactivity in patients. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - November 7, 2018 Category: Geriatrics Authors: Tim Fleiner, Marleen Gersie, Sayantan Ghosh, Sabato Mellone, Wiebren Zijlstra, Peter Haeussermann Tags: RESEARCH ARTICLE Source Type: research

Positive and negative religious coping as predictors of distress among minority older adults
ConclusionsThe findings of this study are consistent with prior work showing that negative religious coping is associated with greater psychological distress. This study replicates previous findings that positive religious coping may buffer the harmful effects of negative religious coping and extends understandings of the specific psychological impacts that positive and negative religious coping may have on older, minority adults. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 30, 2018 Category: Geriatrics Authors: Brittany O'Brien, Srijana Shrestha, Melinda A. Stanley, Kenneth I. Pargament, Jeremy Cummings, Mark E. Kunik, Terri L. Fletcher, Jose Cortes, David Ramsey, Amber B. Amspoker Tags: RESEARCH ARTICLE Source Type: research