International Journal of Geriatric Psychiatry This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Debate article: Antipsychotic medications are clinically useful for the treatment of delirium
Prescribing of antipsychotic medications for patients with delirium remains controversial. Concerns exist that these vulnerable and frail patients may be prescribed antipsychotics inappropriately as a substitute for non ‐pharmacological approaches when identifiable causes are not found or they challenge ward processes. Moreover, recent evidence suggests that antipsychotics may cause more harm than good in the palliative care patient group with delirium. On the other hand, guidelines in the United Kingdom and the Netherlands support prescribing of antipsychotics in certain circumstances, and a large European survey has re...
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: David Meagher, Meera R. Agar, Andrew Teodorczuk Tags: Special Issue Paper Source Type: research

The neuropsychology of delirium: advancing the science of delirium assessment
ConclusionsDelirium diagnosis requires accurate testing for its features, but there is little neuropsychological research examining the nature of these features, or evaluating the reliability, validity and discriminatory power of existing assessment processes. More research using the neuropsychological approach has enormous potential to improve and standardise delirium assessment methods of the individual features of delirium, such as inattention, and in developing more robust reference standards to enable greater comparability between studies. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Zo ë Tieges, Jonathan J. Evans, Karin J. Neufeld, Alasdair M.J. MacLullich Tags: Special Issue Paper Source Type: research

Where next for delirium research?
Clinicians who manage delirium must do so without key information required for evidence ‐based practice, not least lack of any clearly effective treatment for established delirium. Both the nature of delirium and the methods used to research it contribute to difficulties. Delirium is heterogeneous, with respect to motor subtype, aetiology, setting and the co‐existence of dementia, and may be almost inevitable towards the end of life. Elements of assessment are subjective, so diagnosis can be uncertain or unreliable. Defining objectives of care and outcomes is sometimes unclear. Better identification and case definition...
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Rowan H. Harwood, Elizabeth Teale Tags: Special Issue Paper Source Type: research

Detection and management of hyperactive and hypoactive delirium in older patients during hospitalization: a retrospective cohort study evaluating daily practice
ConclusionThere was probably a strong under ‐recognition of delirium. Drugs were the main intervention of choice, especially for patients with hyperactive delirium. The two subtypes did not differ on non‐pharmacological management. The retrospective nature of this study sheds light on thestatus quo of recognition, management, and care as usual for the different delirium subtypes in daily hospital practice, which may help in forming new guidelines and protocols for the detection and treatment of delirium for older patients in hospitals. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Eveline L. Velthuijsen, Sandra M.G. Zwakhalen, Wubbo J. Mulder, Frans R.J. Verhey, Gertrudis I.J.M. Kempen Tags: Special Issue Paper Source Type: research

Validation of a European Cross ‐Cultural Neuropsychological Test Battery (CNTB) for evaluation of dementia
ConclusionsThe CNTB was found to have promising cross ‐cultural diagnostic properties for evaluation of dementia in the targeted minority and majority populations and could represent a valid cross‐cultural alternative to other well‐established neuropsychological test batteries when assessing patients from these populations. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: T. Rune Nielsen, Kurt Segers, Val érie Vanderaspoilden, Ulrike Beinhoff, Lennart Minthon, Anna Pissiota, Peter Bekkhus‐Wetterberg, Guro Hanevold Bjørkløf, Magda Tsolaki, Mara Gkioka, Gunhild Waldemar Tags: RESEARCH ARTICLE Source Type: research

Determinants of prescribing potentially inappropriate medications in a nationwide cohort of community dwellers with dementia receiving a comprehensive geriatric assessment
ConclusionWe found that PIMs are prescribed frequently in older adults with dementia. Comprehensive geriatric assessments can serve as a potential tool to decrease the occurrence of PIMs in vulnerable groups with poor functional and cognitive status. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Sharmin S. Bala, Hamish A. Jamieson, Prasad S. Nishtala Tags: RESEARCH ARTICLE Source Type: research

Noninvasive brain stimulation for behavioural and psychological symptoms of dementia: A systematic review and meta ‐analysis
ConclusionsOur results establish a tendency for efficacy of rTMS protocols on BPSD, while corroborating their safety and tolerability, suggesting the need for further research. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Sara M. Vacas, Florindo Stella, Julia C. Loureiro, Frederico Sim ões Couto, Albino J. Oliveira‐Maia, Orestes V. Forlenza Tags: SPECIAL ISSUE PAPER Source Type: research

Regional brain volume reductions in major depressive disorder and bipolar disorder: An analysis by voxel ‐based morphometry
International Journal of Geriatric Psychiatry,Volume 0, Issue ja, -Not available-. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Richi Niida, Bun Yamagata, Hiroshi Matsuda, Akira Niida, Akihiko Uechi, Shinsuke Kito, Masaru Mimura Source Type: research

Associations of white matter hyperintensities with poststroke depression: A 1 ‐year longitudinal study
International Journal of Geriatric Psychiatry, EarlyView. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Kyung ‐Yeol Bae, Hee‐Ju Kang, Ju‐Wan Kim, Sung‐Wan Kim, Joon‐Tae Kim, Man‐Seok Park, Ki‐Hyun Cho, Jae‐Min Kim Source Type: research

Issue Information
International Journal of Geriatric Psychiatry,Volume 33, Issue 11, Page 1415-1416, November 2018. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Source Type: research

Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults
International Journal of Geriatric Psychiatry, EarlyView. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 17, 2018 Category: Geriatrics Authors: Ty S. Schepis, Linda Simoni ‐Wastila, Sean Esteban McCabe Source Type: research

Prescription opioid and benzodiazepine misuse is associated with suicidal ideation in older adults
ConclusionsBoth past ‐year prescription opioid and benzodiazepine misuse are associated with past‐year suicidal ideation in US older adults. Clinicians encountering older adult patients at‐risk for or engaged in prescription medication misuse also should screen for suicidality. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 16, 2018 Category: Geriatrics Authors: Ty S. Schepis, Linda Simoni ‐Wastila, Sean Esteban McCabe Tags: RESEARCH ARTICLE Source Type: research

Dementia in older people admitted to hospital: An analysis of length of stay and associated costs
ConclusionsThe results challenge the basis for estimating the costs of dementia in the acute setting using LOS data from only those patients with a formal dementia diagnosis identified by routinely collected hospital discharge data. Accurate disease prevalence data, encompassing all stages of disease severity, are required to enable an estimation of the true costs of dementia in the acute setting based on LOS. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 12, 2018 Category: Geriatrics Authors: Susan Ahern, Jodi Cronin, Noel Woods, Noeleen M. Brady, Niamh A. O'Regan, Steven Trawley, Suzanne Timmons Tags: RESEARCH ARTICLE Source Type: research

Napping characteristics and cognitive performance in older adults
ConclusionsAmong older adults, distinct aspects of napping are associated with cognitive performance. Prospective research, with objective measures of napping, is needed to elucidate the link between napping and cognitive trajectories. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 12, 2018 Category: Geriatrics Authors: Jocelynn T. Owusu, Alexandra M.V. Wennberg, Calliope B. Holingue, Marian Tzuang, Kylie D. Abeson, Adam P. Spira Tags: RESEARCH ARTICLE Source Type: research

Resource use and its association to cognitive impairment, ADL functions, and behavior in residents of Swedish nursing homes: Results from the U ‐Age program (SWENIS study)
ConclusionBeing cognitively impaired as well as functionally dependent increases the resource use significantly in nursing homes. This has implications for differentiation of costs in institutional settings in health economic evaluations. (Source: International Journal of Geriatric Psychiatry)
Source: International Journal of Geriatric Psychiatry - October 12, 2018 Category: Geriatrics Authors: Anders Sk öldunger, Anders Wimo, Karin Sjögren, Sabine Björk, Annica Backman, Per‐Olof Sandman, David Edvardsson Tags: RESEARCH ARTICLE Source Type: research