scholarly journals Telemedicine in Geriatric Psychiatry: Relevance in India

2021 ◽  
pp. 025371762110330
Author(s):  
Rakesh Chander Kalaivanan ◽  
Patley Rahul ◽  
Narayana Manjunatha ◽  
Channaveerachari Naveen Kumar ◽  
Palanimuthu Thangaraju Sivakumar ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Multidisciplinary Approach ◽  
Modern World ◽  
Health Issues ◽  
Aging Study ◽  
Mental Health Interventions ◽  
Longitudinal Aging Study ◽  
Risk And Benefit ◽  
Case Basis

Telemedicine has evolved as a novel tool in delivering health care in the modern world. With the advancement in video conferencing technology at an affordable price and innovative digital medical instruments, it has grown from guiding paramedics in managing patients to aiding physicians in providing direct consultation. Delivering care for older adults has always been challenging due to comorbidities that may warrant a multidisciplinary approach leading to frequent visits across specialties. As per the preliminary reports of the Longitudinal Aging Study in India, 55% of this population suffers from any chronic illness, of which 40% have some form of disability and 20% deal with mental health issues. Over the years, telepsychiatry care for older adults has received increasing acceptability. Videoconferencing with improved connectivity and transmission rates has aided in evaluating, assessing, and providing mental health interventions at ease. The recent regulation of telemedicine practice in the country by rolling out the Telemedicine Practice Guidelines 2020 and Telepsychiatry Operational Guidelines 2020 has fast-tracked its utility during the COVID-19 pandemic. Concerns of physical examination, psychological satisfaction of consulting physician in person, confidentiality, and security of information shared are points that need better addressing in the future. However, Telemedicine is recommended to be used judiciously, taking the risk and benefit of older adults on a case basis as it can significantly bring down the financial and emotional burden.

scholarly journals Older adults report cancellation or avoidance of medical care during the COVID-19 pandemic: results from the Longitudinal Aging Study Amsterdam

2021 ◽  
Author(s):  
Noah A. Schuster ◽  
Sascha de Breij ◽  
Laura A. Schaap ◽  
Natasja M. van Schoor ◽  
Mike J. L. Peters ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Medical Care ◽  
Help Seeking ◽  
Community Dwelling ◽  
Multiple Chronic Conditions ◽  
Hospital Outpatient ◽  
Longitudinal Aging Study Amsterdam ◽  
Aging Study ◽  
Longitudinal Aging Study

Abstract Purpose Delay of routine medical care during the COVID-19 pandemic may have serious consequences for the health and functioning of older adults. The aim of this study was to investigate whether older adults reported cancellation or avoidance of medical care during the first months of the COVID-19 pandemic, and to explore associations with health and socio-demographic characteristics. Methods Cross-sectional data of 880 older adults aged ≥ 62 years (mean age 73.4 years, 50.3% female) were used from the COVID-19 questionnaire of the Longitudinal Aging Study Amsterdam, a cohort study among community-dwelling older adults in the Netherlands. Cancellation and avoidance of care were assessed by self-report, and covered questions on cancellation of primary care (general practitioner), cancellation of hospital outpatient care, and postponed help-seeking. Respondent characteristics included age, sex, educational level, loneliness, depression, anxiety, frailty, multimorbidity and information on quarantine. Results 35% of the sample reported cancellations due to the COVID-19 situation, either initiated by the respondent (12%) or by healthcare professionals (29%). Postponed help-seeking was reported by 8% of the sample. Multimorbidity was associated with healthcare-initiated cancellations (primary care OR = 1.92, 95% CI = 1.09–3.50; hospital OR = 1.86, 95% CI = 1.28–2.74) and respondent-initiated hospital outpatient cancellations (OR = 2.02, 95% CI = 1.04–4.12). Depressive symptoms were associated with postponed help-seeking (OR = 1.15, 95% CI = 1.06–1.24). Conclusion About one third of the study sample reported cancellation or avoidance of medical care during the first months of the pandemic, and this was more common among those with multiple chronic conditions. How this impacts outcomes in the long term should be investigated in future research.

scholarly journals Attitude toward Aging Mediates the Relationship between Personality and Mental Health in Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 594
Author(s):  
Teshome Sirak Bedaso ◽  
Buxin Han
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Life Satisfaction ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Personality Factors ◽  
Health Issues ◽  
Cross Sectional ◽  
Potential Mediator ◽  
The Relationship

This study aimed to examine attitude toward aging as a potential mediator of the relationship between personality factors and mental health in terms of depression and life satisfaction among older adults. A cross-sectional study was conducted with 438 Ethiopian elderly individuals aged 60 to 69. The results of the regression-based path analysis showed that after adjusting for demographic data, the relationship between agreeableness and depression in older adults was partially mediated by attitude toward aging. Likewise, attitude toward physical change due to aging and psychological growth subscales jointly mediated the correlation between neuroticism and depression. However, a significant direct path between neuroticism and depression persisted. On the contrary, openness had no significant direct association with depression apart from an indirect through psychosocial loss. The link between life satisfaction and agreeableness as well as openness to experience were partially mediated by psychosocial loss. Therefore, a person’s attitude toward aging and personality characteristics should be taken into consideration while designing interventions for managing mental health issues among older adults.

scholarly journals Predictors in starting and stopping Internet use between 2002 and 2012 by Dutch adults 65 years and older

2017 ◽  
Vol 25 (3) ◽  
pp. 715-730 ◽  
Author(s):  
Jessica Berner ◽  
Marja Aartsen ◽  
Dorly Deeg
Keyword(s):  
Older Adults ◽  
Psychological Health ◽  
Internet Use ◽  
Cox Regression ◽  
Demographic Predictors ◽  
Longitudinal Aging Study Amsterdam ◽  
Aging Study ◽  
Longitudinal Aging Study ◽  
Normal Cognition ◽  
High Sense

Research has indicated the need to consider the ageing process with technology adoption by older adults. This study examined psychological, health, social and demographic predictors with starting and stopping Internet use by older adults (2002–2012). Data were used from the Longitudinal Aging Study Amsterdam, and Cox regression analyses were done to test predictors over time with starting or stopping Internet use. The results indicated that older adults starting to use the Internet (11.6%) outnumbered those who stopped (3.1%). Psychological, health, social and demographic predictors separately predicted starting and stopping Internet use. Starting use was predicted by lower age, higher education, normal cognition and living alone. The predictors in stopping use were being younger, having a high sense of mastery and being higher educated. The results need to be interpreted as indicative due to the small number of stoppers. Suggestions are made on how to improve usability.

scholarly journals The impact of COVID-19 restriction measures on loneliness among older adults in Austria

2020 ◽  
Author(s):  
Erwin Stolz ◽  
Hannes Mayerl ◽  
Wolfgang Freidl
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Positive Association ◽  
Health Issues ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Social Contacts ◽  
Mental Health Issues ◽  
The Impact ◽  
Opening Phase

Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ’lockdown’ in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (2) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020), and (3) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel). Results We found (1) increased loneliness in 2020 compared with previous years, (2) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness, and (3) that loneliness was higher during ’lockdown’ compared to the subsequent re-opening phase, particularly among those who live alone. Conclusion We provide evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults’ mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, might be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.

A brief exploratory synthesis of portrayal of mental health issues in the script and characters of TV series Wallander (Swedish Version)

2016 ◽  
Vol 33 (S1) ◽  
pp. S154-S154
Author(s):  
S. Kumar
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Social Issues ◽  
International Classification Of Diseases ◽  
Industrial Society ◽  
Modern World ◽  
Health Issues ◽  
Swedish Version ◽  
Mental Health Issues ◽  
Individual Character

IntroductionThe modern Swedish crime drama series Wallander by Henning Mankell presents a good portrayal of mental health issues in 21st century post modern world, including the contribution of biological, psychological and social issues in predisposing, perpetuating and maintaining them.AimThe aim of the exploratory synthesis is to study the characters in Wallander focusing on the portrayal of their mental health with a view on formulating biological, psychological and social factors that play a role in their development. Furthermore, mental health is reviewed in first world culture acclimatizing itself to the themes emerging from post-modern globalised world.MethodThe episodes of Wallander (Swedish Version) are reviewed focusing on the characters and the plots for each episode matching them with mental health diagnoses offered in International classification of diseases.DiscussionThe results are collated and a general commentary is offered on the observations and motifs revealed in the portrayal. The focus will be on individual character formulations (both recurring main characters as well other side characters). In addition, there is a commentary on contributing to mental health problems in a post-modern industrial society.Disclosure of interestThe author has not supplied his declaration of competing interest.

Older Adults’ Narratives of Seeking Mental Health Treatment: Making Sense of Mental Health Challenges and “Muddling Through” to Care

2020 ◽  
Vol 30 (10) ◽  
pp. 1517-1528 ◽  
Author(s):  
Kristin Reynolds ◽  
Maria Medved ◽  
Corey S. Mackenzie ◽  
Laura Megan Funk ◽  
Lesley Koven
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Problems ◽  
Meaning Making ◽  
Systems Of Care ◽  
Psychological Treatment ◽  
Emotional Reactions ◽  
System Level ◽  
Health Issues ◽  
Mental Health Issues

Older adults who experience challenges related to mental health are unlikely to seek professional help. The voices of older adults who have navigated through mental health issues and systems of care to arrive at psychological treatment are less well understood. We conducted individual interviews with 15 adults aged 61 to 86 who sought psychological treatment. Interviews were audio-recorded, transcribed, and analyzed using narrative methods. We identified several main storylines that describe the meaning-making and treatment-seeking journeys of older adults: resistance to being labeled with mental health problems (telling stories of resistance, defining mental health issues in mysterious and uncontrollable terms, and experiencing internal role conflict); muddling through the help-seeking process (manifestations of chaos and system-level barriers); and emotional reactions to psychological treatment (hope, fear, and mistrust). Findings add to the literature base in the area of narrative gerontology, and highlight the complex experiences that older adults face when seeking psychological treatment.

Adverse effects of frailty on social functioning in older adults: Results from the Longitudinal Aging Study Amsterdam

Maturitas ◽  
2016 ◽  
Vol 83 ◽  
pp. 45-50 ◽  
Author(s):  
Emiel O. Hoogendijk ◽  
Bianca Suanet ◽  
Elsa Dent ◽  
Dorly J.H. Deeg ◽  
Marja J. Aartsen
Keyword(s):  
Older Adults ◽  
Adverse Effects ◽  
Social Functioning ◽  
Longitudinal Aging Study Amsterdam ◽  
Aging Study ◽  
Longitudinal Aging Study
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