In older adults with chronic non-cancer pain, short-term use of opioids reduces pain and physical disability but does not benefit mental health, and 25% discontinue due to adverse effects

2011 ◽  
Vol 14 (4) ◽  
pp. 111-112
Author(s):  
C. Haigh
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Adverse Effects ◽  
Cancer Pain ◽  
Physical Disability ◽  
Short Term

scholarly journals Mental Health and Cognition in Older Cannabis Users: a Review

2020 ◽  
Vol 23 (3) ◽  
pp. 237-244
Author(s):  
Blanca E. Vacaflor ◽  
Olivier Beauchet ◽  
G. Eric Jarvis ◽  
Alessandra Schiavetto ◽  
Soham Rej
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Adverse Effects ◽  
Low Dose ◽  
Community Dwelling ◽  
Cannabis Use ◽  
Cognitive Effects ◽  
Medical Cannabis ◽  
Short Term ◽  
The Impact

Background The impact of cannabis use on mental health and cognition in older adults remains unclear. With the recent legalization of cannabis in Canada, physicians will need up-to-date infor­mation about the mental and cognitive effects of cannabis use in this specific population. Method A narrative review was conducted to summarize the literature on mental health and cognitive effects of cannabis use in older adults using Medline (OvidSP). Results A total of 16 studies were identified, including nine cross-sectional studies on mental health comorbidities reported by older cannabis users. The self-reported prevalence of mental and substance use disorders is approximately two to three times higher in older adults who report past-year cannabis use, compared to older adults who report using more than one year ago or never using. The remaining seven clinical trials found that short-term, low-dose medical cannabis was generally well-tolerated in older adults without prior serious mental illness. However, mental/cognitive adverse effects were not systematically assessed. Conclusion Although preliminary findings suggests that low-dose, short-term medical cannabis does not carry significant risk of serious mental health and cognitive adverse effects in older adults without prior psychiatric history, epidemiological studies find a correlation between past-year cannabis use and poor mental health outcomes in community-dwelling older adults. These findings may indicate that longer term cannabis use in this population is detrimental to their mental health, al­though a direct causal link has not been established. Larger, longitudinal studies on the safety of medical cannabis in older adults are needed.

Civil detentions of older adults under successive Scottish mental health legislation: a comparative analysis

2011 ◽  
Vol 23 (8) ◽  
pp. 1344-1353
Author(s):  
Gary S. Stevenson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Disorders ◽  
Working Hours ◽  
Fold Increase ◽  
Short Term ◽  
Legal Intervention ◽  
Mental Health Legislation ◽  
The Common ◽  
Health Legislation

ABSTRACTBackground:Many countries have adopted new mental health legislation, with the detention of adults for treatment of mental disorders remaining an integral part of such policies. However, there are relatively few publications on the use of mental health legislation in the detention of older adults. This paper examines the civil detention of older adults in one Scottish region under successive mental health legislation.Method:This prospective study collected data primarily by clinician-based interviews on all emergency detentions under the Mental Health (Scotland) Act 1984 of older adults in 1994 and compared these with all emergency and initial short-term detentions under the Mental Health (Care and Treatment) (Scotland) Act 2003 of older adults during 2008 in the same Scottish region.Results:There were a total of 124 detentions, with an initial rate of 68 increasing to 141 detentions per 100,000 of the respective over-65 year age populations, a two-fold increase. Compared to the 1994 patient cohort, the 2008 cohort had higher rates of over 85-year-olds (18.4% v 5.4%) and organic mental disorders (74.7% v 56.8%) and were significantly more likely to be detained by consultant psychiatrists (73.6% v 18.9%) during working hours (87.4% v 48.6%) and proceed to six-month detention orders (31% v 10.8%).Conclusion:The observed higher rates and longer periods of detention in the 2008 cohort may reflect changes in clinical attitudes and legal requirements from a previous reliance on the common law doctrine of necessity to the requirements of a more legalistic framework, and may signal future clinical requirements, given the aging population, pointing towards the need for earlier recognition and management of clinical issues in an attempt to minimize the “necessity” of clinico-legal intervention.

scholarly journals Does engagement in productive activities affect mental health and well-being in older adults with a chronic physical disability? Observational evidence from a Swiss cohort study

2019 ◽  
Vol 24 (5) ◽  
pp. 732-739 ◽  
Author(s):  
Christine Fekete ◽  
Johannes Siegrist ◽  
Marcel W. M. Post ◽  
Hannah Tough ◽  
Martin W. G. Brinkhof ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Cohort Study ◽  
Physical Disability ◽  
Well Being ◽  
Observational Evidence ◽  
Productive Activities ◽  
Health And Well Being

scholarly journals Short-term adverse effects of the apolipoprotein E ϵ4 allele over language function and executive function in healthy older adults

2019 ◽  
Vol Volume 15 ◽  
pp. 1855-1861
Author(s):  
Wei Li ◽  
Qi Qiu ◽  
Lin Sun ◽  
Xia Li ◽  
Shifu Xiao
Keyword(s):  
Older Adults ◽  
Executive Function ◽  
Adverse Effects ◽  
Apolipoprotein E ◽  
Language Function ◽  
Short Term ◽  
Healthy Older Adults

scholarly journals Prevalence of mental health conditions, sensory impairments and physical disability in people with co-occurring intellectual disabilities and autism compared with other people: a cross-sectional total population study in Scotland

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e035280 ◽  
Author(s):  
Kirsty Dunn ◽  
Ewelina Rydzewska ◽  
Michael Fleming ◽  
Sally-Ann Cooper
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Intellectual Disabilities ◽  
Visual Impairment ◽  
Hearing Impairment ◽  
Physical Disability ◽  
Health Conditions ◽  
Mental Health Conditions ◽  
Sensory Impairments

ObjectivesTo investigate prevalence of mental health conditions, sensory impairments and physical disability in children, adults and older adults with co-occurring intellectual disabilities and autism, given its frequent co-occurrence, compared with the general population.DesignWhole country cohort study.SettingGeneral community.Participants5709 people with co-occurring intellectual disabilities and autism, compared with 5 289 694 other people.Outcome measuresRates and ORs with 95% CIs for mental health conditions, visual impairment, hearing impairment and physical disability in people with co-occurring intellectual disabilities and autism compared with other people, adjusted for age, sex and interaction between age and co-occurring intellectual disabilities and autism.ResultsAll four long-term conditions were markedly more common in children, adults and older adults with co-occurring intellectual disabilities and autism compared with other people. For mental health, OR=130.8 (95% CI 117.1 to 146.1); visual impairment OR=65.9 (95% CI 58.7 to 73.9); hearing impairment OR=22.0 (95% CI 19.2 to 25.2); and physical disability OR=157.5 (95% CI 144.6 to 171.7). These ratios are also greater than previously reported for people witheitherintellectual disabilitiesorautism rather than co-occurring intellectual disabilities and autism.ConclusionsWe have quantified the more than double disadvantage for people with co-occurring intellectual disabilities and autism, in terms of additional long-term health conditions. This may well impact on quality of life. It raises challenges for staff working with these people in view of additional complexity in assessments, diagnoses and interventions of additional health conditions, as sensory impairments and mental health conditions in particular, compound with the persons pre-existing communication and cognitive problems in this context. Planning is important, with staff being trained, equipped, resourced and prepared to address the challenge of working for people with these conditions.

Review of Mental Health Assessment and Therapeutic Intervention With Older Adults.

1985 ◽  
Vol 30 (6) ◽  
pp. 504-504
Author(s):  
No authorship indicated
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Therapeutic Intervention ◽  
Health Assessment ◽  
Mental Health Assessment
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