scholarly journals The neuropsychiatric burden of neurological diseases in the elderly

2005 ◽  
Vol 17 (3) ◽  
pp. 341-351 ◽  
Author(s):  
JEFFREY L. CUMMINGS
Keyword(s):  
Substance Abuse ◽  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Late Onset ◽  
Neurological Diseases ◽  
The Elderly ◽  
Behavioral Disturbances ◽  
High Prevalence ◽  
Substance Abuse Disorders ◽  
History Of

Psychogeriatrics began as an extension of psychiatry, with an emphasis on the unique manifestation of psychiatric disorders in the elderly. Early in the history of psychogeriatrics there was an emphasis on late-onset or late-enduring depression; paraphrenia and late-onset psychotic disorders; the late-life phases of schizophrenia; and anxiety and substance abuse disorders in the elderly. Growing recognition of the increasing frequency of Alzheimer's disease (AD) in the course of aging and the high prevalence of behavioral disturbances in patients with AD led psychogeriatricians to study the diagnosis and management of this disorder.

Treatment of psychoses in the elderly

1996 ◽  
Vol 2 (3) ◽  
pp. 133-139
Author(s):  
A. Phanjoo
Keyword(s):  
Old Age ◽  
Psychotic Disorders ◽  
De Novo ◽  
Late Onset ◽  
Late Life ◽  
The Elderly ◽  
Functional Psychoses ◽  
First Time ◽  
Paranoid Psychosis

Psychotic disorders in the elderly can be divided into three types: disorders that have started in earlier life and persist into old age; disorders that start de novo after the age of 60, and psychoses associated with brain disease, including the dementias. The classification of psychoses in late life has provoked controversy for nearly a century. The debate concerns whether schizophrenia can present at any stage of life or whether functional psychoses, arising for the first time in late life, represent different illnesses. The nomenclature of such disorders consists of numerous terms including late onset schizophrenia, late paraphrenia, paranoid psychosis of late life and schizophreniform psychosis. This plethora of terms has made research difficult to interpret.

scholarly journals Valproic Acid-Induced Myoclonus in a Demented Patient: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Tina M. Gardner ◽  
Rehan Aziz ◽  
Sunanda Muralee ◽  
Rajesh R. Tampi
Keyword(s):  
Valproic Acid ◽  
Case Report ◽  
Elderly Patients ◽  
Psychiatric Disorders ◽  
Early Onset ◽  
The Elderly ◽  
Demented Patient ◽  
Behavioral Disturbances ◽  
Neuropsychiatric Complications

Valproic acid and its derivatives are now commonly used to treat various psychiatric disorders in the elderly. Data indicates that the elderly patients are more susceptible to developing neuropsychiatric complications when treated with these medications. In this report, we describe the case of a 66-year-old woman with early-onset, Alzheimer's type dementia, who developed myoclonus when treated with a valproic acid preparation for behavioral disturbances associated with the dementia.

scholarly journals Pattern of morbidity among elders attending general practice: health needs assessment of geriatric patients in Oman

2018 ◽  
Vol 4 (4) ◽  
Author(s):  
Shaikh Muhammad Naeem ◽  
Firdous Jahan ◽  
Muhammad Asadullah Siddiqui ◽  
Muhammad Moazzam Khan
Keyword(s):  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Male Predominance ◽  
Face To Face ◽  
High Prevalence ◽  
History Of ◽  
Walking Difficulty ◽  
Outpatient Settings

The main purpose of this study was to identify specific problems and pattern of morbidities that is common in the elderly. A cross sectional study surveying the health status and needs of targeted population was conducted in selected primary health care (PHC) outpatient settings. All consenting individuals aged 60 years and above who visited the selected PHC clinics were interviewed. Information was collected using face-to-face interviews based on a structured, pre-tested questionnaire. A total of 185 people were evaluated in this study. About 75% of participants were age 60-70 years. Overall, male predominance was noted with 137 (74.1%) males and among all participant’s 80% were married. The mean BMI was 26.47±4.98 kg/m2 and mean waist circumference was 90.16±12.97 cm. The prevalence of smoking, DM, HTN, dyslipidaemia and history of IHD among participants were 7.6%, 37.8%, 49.7%, 27.6% and 8.1%, respectively and males showed a significantly higher prevalence than females in smoking and HTN (p<0.05). Hypertension was common comorbid ailment with 29.2% of stage I and 19.5% of stage II hypertension among 60-70 age groups. The majority of the participants were taking shower; using toilet, feeding and get dressed independently, 88.6%, 87.6%, 87% and 87.6% respectively. These findings provide important information on high prevalence of overweight, hypertension, diabetes, smoking and dyslipidaemia among elders. The other common morbidities were impaired vision, walking difficulty, and hearing problems. The activity of daily living (bathing dressing toileting feeding) is preserved in most of older people.

Impulsive-aggressive behaviours and completed suicide across the life cycle: a predisposition for younger age of suicide

2007 ◽  
Vol 38 (3) ◽  
pp. 407-417 ◽  
Author(s):  
A. McGirr ◽  
J. Renaud ◽  
A. Bureau ◽  
M. Seguin ◽  
A. Lesage ◽  
...  
Keyword(s):  
Depressive Disorders ◽  
Psychotic Disorders ◽  
Novelty Seeking ◽  
Psychological Autopsy ◽  
Age Related ◽  
Younger Age ◽  
Cluster B Personality Disorders ◽  
Substance Abuse Disorders ◽  
History Of ◽  
Aggressive Behaviours

BackgroundIt is unclear whether the association between impulsive-aggressive behaviours and suicide exists across different ages.MethodVia psychological autopsy, we examined a total of 645 subjects aged 11–87 years who died by suicide. Proxy-based interviews were conducted using the SCID-I & SCID-II or K-SADS interviews and a series of behavioural and personality-trait assessments. Secondarily, 246 living controls were similarly assessed.ResultsHigher levels of impulsivity, lifetime history of aggression, and novelty seeking were associated with younger age of death by suicide, while increasing levels of harm avoidance were associated with increasing age of suicide. This effect was observed after accounting for age-related psychopathology (current and lifetime depressive disorders, lifetime anxiety disorders, current and lifetime substance abuse disorders, psychotic disorders and cluster B personality disorders). Age effects were not due to the characteristics of informants, and such effects were not observed among living controls. When directly controlling for major psychopathology, the interaction between age, levels of impulsivity, aggression and novelty seeking predicted suicide status while controlling for the independent contributions of age and these traits.ConclusionsHigher levels of impulsive-aggressive traits play a greater role in suicide occurring among younger individuals, with decreasing importance with increasing age.

Are BSW Students Prepared to Address Substance Abuse in Clients?

2013 ◽  
Vol 18 (1) ◽  
pp. 1-20
Author(s):  
David Beimers ◽  
Tristann Carter ◽  
Christine Black Hughes
Keyword(s):  
Substance Abuse ◽  
Social Work ◽  
Social Workers ◽  
Core Curriculum ◽  
Social Work Students ◽  
Academic Preparation ◽  
State University ◽  
The Core ◽  
Substance Abuse Disorders ◽  
History Of

Social work has a long history of working with clients with substance abuse issues, yet minimal attention has been given to academic preparation at the BSW level to work with this population. This study examines the competence of undergraduate social work students to successfully identify and respond to substance abuse issues in future clients. Perceived competence was examined in 50 senior BSW completed students at a midsize state university. Findings suggest that the undergraduate social work academic core curriculum does not adequately prepare future social workers to work with clients with substance abuse disorders. This study brings awareness to the academic arena for the need to have substance abuse content infused into the core social work curriculum to adequately prepare undergraduate social work students to feel confident and able to successfully identify, assess, and treat substance abuse issues in practice.

Late-onset affective and psychotic disorders: The challenge of disentangling neurodegenerative diseases from primary psychiatric disorders

2021 ◽  
Vol 429 ◽  
pp. 119067
Author(s):  
Giovanni Zorzi ◽  
Cinzia Bussè ◽  
Diego Cecchin ◽  
Beatrice Roiter ◽  
Giulia Perini ◽  
...  
Keyword(s):  
Neurodegenerative Diseases ◽  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Late Onset

Electroconvulsive therapy (ECT) treatments in late-onset schizophrenia: Report of a case

2016 ◽  
Vol 33 (S1) ◽  
pp. S556-S556
Author(s):  
M. Valverde Barea ◽  
F. Cartas Moreno ◽  
M.E. Ortigosa Luque
Keyword(s):  
Behavioral Disorders ◽  
Electroconvulsive Therapy ◽  
Psychotic Disorders ◽  
Late Onset ◽  
Personal History ◽  
Psychotic Symptoms ◽  
Sexual Content ◽  
History Of ◽  
Competing Interest ◽  
Effective Result

Female patient, 66 years old, who goes to the doctor because of behavioral disorders and delusional injury 8 months of evolution. She showed no personal history of psychiatric disorders. In the psychopathological examination some relevant symptoms are seen delusions of prejudice with their immediate surroundings, self-referential regarding neighbors and walls. Delusional interpretations of sexual content. Punitive pseudo hallucinations hearing which are identifies with her daughters and sex with her son-in-law. Behavioral disorders consisting of going out naked into the street overnight and rebuking pedestrians; furthermore, she showed heteroaggressivity towards objects. Logical psychotropic treatment is initiated as indicated by the guidelines having no effect. Electroconvulsive therapy being tested an effective result. The late-onset schizophrenia symptoms should be taken into account in people with psychotic symptoms start at an advanced age, but is most prevalent at younger ages. Electroconvulsive therapy (ECT) may be used as an adjunct to drug therapy or as second-line treatment in patients with affective or psychotic disorders resistant to treatment with psychotropic drugs. It is essential a differential diagnosis with dementia symptoms previously established, given that part of the late-onset schizophrenia evolves to dementia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Depression in Later Life

1995 ◽  
Vol 167 (5) ◽  
pp. 649-652 ◽  
Author(s):  
R. C. Baldwin ◽  
Barbara Tomenson
Keyword(s):  
Vascular Disease ◽  
Early Onset ◽  
Rating Scale ◽  
Late Onset ◽  
Later Life ◽  
The Elderly ◽  
Course Of Illness ◽  
Anxiety Item ◽  
History Of ◽  
Item Scores

BackgroundDepression in later life is often thought to differ from that at other times of adulthood. The evidence for this is controversial but is important to any proposed organic model of depression in the elderly. Here, early- and late-onset depressions in later life are compared.MethodFifty-seven depressed patients with a mean age of 74 were studied, 21 with an early onset (aged 59 or less) and 36 with a late onset. All were suffering from major depression according to DSM–III–R. The measures at entry included severity and symptoms, cognitive function, antecedent life events, physical health and vascular risk factors and/or vascular disease. We also recorded any family history of mood disorders, as well as the course of illness.ResultsThe anxiety item scores of the Hamilton Depression Rating Scale were significantly higher in those with an early onset, but otherwise symptoms differed little. Heritability was greater in the early-onset group. There was a striking association of vascular disease and/or risk with late-onset patients.ConclusionsVascular disease is associated with late-onset depression. This is consistent with the hypothesis that depression in later life is a more ‘biological’ disorder.

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