scholarly journals Sir Martin Roth. 6 November 1917 — 26 September 2006

2010 ◽  
Vol 56 ◽  
pp. 377-389
Author(s):  
Michael Rutter ◽  
Aaron Klug
Keyword(s):  
Mental Disorders ◽  
Alzheimer Disease ◽  
Psychiatric Disorders ◽  
Old Age ◽  
Social Problem ◽  
The Elderly ◽  
Pathological Process ◽  
Molecular Studies ◽  
Normal Ageing

Martin Roth was distinguished for his major contributions to the understanding and classification of mental disorders in the elderly. These led to a new discipline, psychogeriatrics, as the problems of late life became recognized as constituting a major medical and social problem. His pioneering investigations led to the crucial demonstration of the differences between the dementias and the affective and other mental disorders of old age. The quantitative neuropathological and psychological studies undertaken by Roth and his colleagues established the pathology of Alzheimer disease as indicative of a disease separate from normal ageing and from other psychiatric disorders. These early studies led to collaborative molecular studies that pointed to a possibly causal pathological process.

Destination of Mental Disorders Through Biochemical and Neuropathological Analysis?

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Falkai
Keyword(s):  
Positron Emission Tomography ◽  
Mental Disorders ◽  
Psychiatric Disorders ◽  
Clinical Symptoms ◽  
Emission Tomography ◽  
Imaging Findings ◽  
Severe Mental Disorders ◽  
Positron Emission ◽  
Dopamine Hypothesis

In the first half of the last century researchers believed that severe mental disorders like schizophrenia have a neuropathological basis. Up to now it has been difficult to prove any consistent core finding for this disorder. Reason for this might be that it is a network disorder and therefore regional specific findings will unlikely be found. Parallel to that describing the dopamine hypothesis of schizophrenia and the catechol amine deficit hypothesis of depression were very helpful for understanding the mechanisms of antipsychotics and antidepressants working in these disorders. Especially the introduction of the positron emission tomography has helped to link symptoms with the transmitter systems. However, none of these findings are specific for schizophrenia or depression. During the talk it will be discussed when the combination of core clinical symptoms, imaging findings and genetic variables are helpful for a future classification of psychiatric disorders.

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.

Keine Königswege bei der Verhinderung von Altersarmut

2012 ◽  
Vol 61 (2) ◽  
Author(s):  
Bert Rürup
Keyword(s):  
Old Age ◽  
Social Problem ◽  
Equivalence Principle ◽  
The Elderly ◽  
Pension Scheme ◽  
The Future ◽  
Silver Bullet

AbstractPoverty in old age is, up to now, not a relevant social problem in Germany.Nevertheless, there are clear indications that poverty among the elderly will increase in the future due to a bundle of reasons. Because of this there is no silver bullet to solve this problem. In the conception of an adequate strategy to reduce and to prevent a rise of poverty in old age, however, the equivalence principle as the basic principal the German statutory pension scheme has to be questioned critically.

Psychiatry of the elderly

2017 ◽  
pp. 539-562
Author(s):  
Paul Harrison ◽  
Philip Cowen ◽  
Tom Burns ◽  
Mina Fazel
Keyword(s):  
Older People ◽  
Psychiatric Disorders ◽  
Age Groups ◽  
The Elderly ◽  
Behavioural Interventions ◽  
Younger Age ◽  
Normal Ageing

‘Psychiatry of the elderly’ covers the disorders which most affect older people. After an introduction to normal ageing and its psychological and biological correlates, the epidemiology of psychiatric disorders in the elderly is outlined. The principles and practice of psychiatry of the elderly are then described, focusing on the major disorders (other than dementia, which was covered in Chapter 14). We summarise the main features of assessments, services, and treatments, and how these differ from younger age groups. The treatment and management of dementia is an important aspect of psychiatry in the elderly, and both pharmacological and behavioural interventions are covered in detail.

scholarly journals Age differences in major depression: results from the National Comorbidity Survey Replication (NCS-R)

2009 ◽  
Vol 40 (2) ◽  
pp. 225-237 ◽  
Author(s):  
R. C. Kessler ◽  
H. Birnbaum ◽  
E. Bromet ◽  
I. Hwang ◽  
N. Sampson ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Old Age ◽  
Age Differences ◽  
Late Life ◽  
The Elderly ◽  
National Comorbidity Survey Replication ◽  
National Comorbidity Survey ◽  
Co Morbidity ◽  
Physical Disorders ◽  
Dsm Iv

BackgroundAlthough depression appears to decrease in late life, this could be due to misattribution of depressive symptom to physical disorders that increase in late life.MethodWe studied age differences in major depressive episodes (MDE) in the National Comorbidity Survey Replication, a national survey of the US household population. DSM-IV MDE was defined without organic exclusions or diagnostic hierarchy rules to facilitate analysis of co-morbidity. Physical disorders were assessed with a standard chronic conditions checklist and mental disorders with the WHO Composite International Diagnostic Interview (CIDI) version 3.0.ResultsLifetime and recent DSM-IV/CIDI MDE were significantly less prevalent among respondents aged ⩾65 years than among younger adults. Recent episode severity, but not duration, was also lower among the elderly. Despite prevalence of mental disorders decreasing with age, co-morbidity of hierarchy-free MDE with these disorders was either highest among the elderly or unrelated to age. Co-morbidity of MDE with physical disorders, in comparison, generally decreased with age despite prevalence of co-morbid physical disorders usually increasing. Somewhat more than half of respondents with 12-month MDE received past-year treatment, but the percentage in treatment was lowest and most concentrated in the general medical sector among the elderly.ConclusionsGiven that physical disorders increase with age independent of depression, their lower associations with MDE in old age argue that causal effects of physical disorders on MDE weaken in old age. This result argues against the suggestion that the low estimated prevalence of MDE among the elderly is due to increased confounding with physical disorders.

Ageing-ethical Issues and Stigma

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
N. Tataru ◽  
A. Dicker
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Old Age ◽  
Ethical Issues ◽  
Developed Countries ◽  
Individual Development ◽  
Ageing Process ◽  
Old People ◽  
Clinical Disorder ◽  
Normal Ageing

During the twentieth century, many behavioural and biological theories of aging have been advanced that ageing is a multidimensional phenomenon. Ageing is a progressive decline in function and performance, which accompanies advancing years. Cicero noticed that the old people preserved their intellects if they maintained their interests.To the social, economical and medical problems that old age arises to the society, one may add the continue increase of old people proportion in the general population. The ageing of population is becoming a reality in developed and in less developed countries too. We talk about a conceptual definition of normal ageing and also about successful and morbid ageing. Normal ageing is an ageing process without any clinical somatic or mental disorder and a morbid ageing is characterized by a process presenting clinical disorders which affects the somatic and mental health, the successful ageing being an ageing process in a favourable environmental conditions to promote individual development. We can consider not only the presence/absence of a disorder but also its impact in someone's life. The functioning capacity loss could be considered as a marker of the presence of a clinical disorder.Stigma remains a major obstacle to ensuring access to good care for elderly with mental disorders, these patients suffers of a double jeopardy (old age and mental disorders). Both stigma and discrimination against these old persons depend on the type of mental disorder and we have to protect them against discrimination and improve their quality of life.

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