scholarly journals Pseudobulbar Affect Symptoms in Nursing Home Patients with Neurocognitive Disorders

2021 ◽  
Vol 12 ◽  
pp. 117955732198969
Author(s):  
Ralph de Similien ◽  
Milania D Al-Jammaly ◽  
Iuliana Predescu ◽  
Louis Belzie
Keyword(s):  
Nursing Home ◽  
Depressive Symptoms ◽  
Mood Disorder ◽  
Short Form ◽  
Depression Scale ◽  
Neurocognitive Disorders ◽  
Screening Tools ◽  
Occurrence Rate ◽  
Pseudobulbar Affect ◽  
Nursing Home Patients

Background: Symptoms of pseudobulbar affect (PBA) often are misinterpreted as those of a mood disorder. Symptoms seen in patients with PBA can be influenced by a mood disorder and vice versa. Our aim in this study was to determine the occurrence rate of PBA symptoms and comorbid depressive symptoms in a cohort of nursing home patients with different subtypes of neurocognitive disorders (NCD)/dementia. Methods: Eighty patients were screened and 61 met the inclusion criteria. These individuals were divided into 5 groups according to NCD subtypes: Alzheimer’s disease, vascular, HIV, unspecified, or combined types. The Center for Neurologic Study–Lability Scale (CNS-LS) and the Geriatric Depression Scale–Short Form (GDS-SF) were used to screen for PBA and depressive symptoms, respectively. The Mini-Mental Status Exam (MMSE) was used to determine patients’ baseline functioning. Fifty-nine patients successfully completed the CNS-LS and 42 completed the GDS. Results: Forty-four percent of individuals screened positive for PBA symptoms. Depressive symptoms were found among 23% of these patients. Not only were PBA-symptoms positive patients common among this nursing home residents, the PBA-symptoms positive patients were found to cluster mostly among those with NCD due to HIV (66.0%). PBA symptom-positive patients often received psychotropics. Conclusion: Better awareness, screening tools, and treatment approaches for patients with NCD expressing PBA-symptoms—especially those with NCD due to HIV Infection—are needed.

Predictors of Depressive Symptoms Among Mid-Aged and Older Men With Diabetes in China

2019 ◽  
Vol 33 (1) ◽  
pp. 6-22 ◽  
Author(s):  
Ping He ◽  
Ying Hu ◽  
Changwei Li ◽  
Dongmei Wu ◽  
Song Ge ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Sleep Duration ◽  
Functional Impairment ◽  
Smoking Status ◽  
Short Form ◽  
Depression Scale ◽  
Secondary Data ◽  
Older Men ◽  
Screening Tools ◽  
Nighttime Sleep

Background and Purpose:Although mounting evidence has consistently shown that depressive symptoms are more common among diabetic women than among diabetic men, diabetic men are frequently overlooked in diabetes-related mental health studies, and research on predicators of depressive symptoms among diabetic men remains scarce. Therefore, the purpose of this study was to examine the gender-specific characteristics that predict depressive symptoms among mid-aged and elderly men with diabetes.Methods:A secondary data analysis was performed using the baseline data from the China and Health Retirement Longitudinal Study. A total of 824 men aged 45 years or older with diabetes were included in the analysis. Depressive symptoms were measured with the Center for Epidemiological Studies Depression Scale short form. Age, education level, marital status, nighttime sleep duration, smoking status, duration of diabetes, treatment with insulin, and pain were based on self-reports. Information on hemoglobin A1c (HbA1c), functional impairment, weight, height, and blood lipids was also collected.Results:The prevalence of depressive symptoms was 22.7%. Male-specific significant predictors of depressive symptoms included nighttime sleep duration (short sleepers [p = .019], normal sleepers [p = .001], and long sleepers [p = .000]), instrumental activities of daily living (p = .001), and pain (mild pain [p = .003], moderate pain [p = .024], and severe pain [p = .017]).Implications for Practice:This study provides important findings about nighttime sleep duration, pain, and functional impairment and their relationships with presence of depressive symptoms in mid-aged and older men with diabetes. Screening tools should include these items to enable early detection and depression treatment for vulnerable men who may be otherwise missed.

scholarly journals Decomposing differences in depressive symptoms between older rural-to-urban migrant workers and their counterparts in mainland China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei Yang ◽  
Dan Li ◽  
Jianmin Gao ◽  
Xiaojuan Zhou ◽  
Fuzhen Li
Keyword(s):  
Depressive Symptoms ◽  
Migrant Workers ◽  
Short Form ◽  
Mainland China ◽  
Depression Scale ◽  
Decomposition Analysis ◽  
Urban Residents ◽  
Sleeping Time ◽  
Urban Migrant ◽  
Rural Dwellers

Abstract Background There has been an increase in older rural-to-urban migrant workers (aged 50 and above) in mainland China, little known about their depressive symptoms. The aim of this study was to identify depressive symptoms among older rural-to-urban migrant workers, as well as explored the factors leading to differences in depressive symptoms between older rural-to-urban migrant workers and their rural counterparts (older rural dwellers) and urban counterparts (older urban residents) in mainland China. The results provided a comprehensive understanding of the depressive symptoms of older rural-to-urban migrant workers, and had great significance for improving the depressive symptoms for this vulnerable group. Methods Data were derived from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2015, and coarsened exact matching (CEM) method was employed to control confounding factors. This study employed a Chinese version 10-item short form of the Center for Epidemiologic Studies-Depression Scale (CES-D 10) to measure depressive symptoms, and used the Social-Ecological Model as a framework to explore influential factors related to depressive symptoms. Specifically, the approach of Fairlie’s decomposition was used to parse out differences into observed and unobserved components. Results After matching, our findings indicated that the prevalence of depressive symptoms in older rural-to-urban migrant workers was lower than older rural dwellers; and the prevalence of depressive symptoms in older rural-to-urban migrant workers was higher than older urban residents. Fairlie’s decomposition analysis indicated that type of in-house shower, sleeping time at night and ill in the last month were proved to be major contributors to the differences in depressive symptoms between older rural-to-urban migrant workers and older rural dwellers; self-reported health and sleeping time at night were proved to be major contributors to the differences in depressive symptoms between older rural-to-urban migrant workers and older urban residents. Conclusions Differences in depressive symptoms between older rural-to-urban migrant workers and their rural and urban counterparts did exist. Our findings contributed to a more reliable understanding in depressive symptoms among older rural-to-urban migrant workers. Our findings would be of referential significance for improving older rural-to-urban migrant workers’ depressive symptoms.

The Pain Catastrophizing Scale—short form: psychometric properties and threshold for identifying high-risk individuals

2019 ◽  
Vol 31 (11) ◽  
pp. 1665-1674 ◽  
Author(s):  
Sheung-Tak Cheng ◽  
Phoon Ping Chen ◽  
Yu Fat Chow ◽  
Joanne W. Y. Chung ◽  
Alexander C. B. Law ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pain Catastrophizing ◽  
Short Form ◽  
Depression Scale ◽  
Full Scale ◽  
Three Dimensions ◽  
Short Version ◽  
Pain Catastrophizing Scale ◽  
Pain Disability ◽  
Clinically Significant

ABSTRACTObjective:The Pain Catastrophizing Scale (PCS) measures three aspects of catastrophic cognitions about pain—rumination, magnification, and helplessness. To facilitate assessment and clinical application, we aimed to (a) develop a short version on the basis of its factorial structure and the items’ correlations with key pain-related outcomes, and (b) identify the threshold on the short form indicative of risk for depression.Design:Cross-sectional survey.Setting:Social centers for older people.Participants:664 Chinese older adults with chronic pain.Measurements:Besides the PCS, pain intensity, pain disability, and depressive symptoms were assessed.Results:For the full scale, confirmatory factor analysis showed that the hypothesized 3-factor model fit the data moderately well. On the basis of the factor loadings, two items were selected from each of the three dimensions. An additional item significantly associated with pain disability and depressive symptoms, over and above these six items, was identified through regression analyses. A short-PCS composed of seven items was formed, which correlated at r=0.97 with the full scale. Subsequently, receiver operating characteristic (ROC) curves were plotted against clinically significant depressive symptoms, defined as a score of ≥12 on a 10-item version of the Center for Epidemiologic Studies-Depression Scale. This analysis showed a score of ≥7 to be the optimal cutoff for the short-PCS, with sensitivity = 81.6% and specificity = 78.3% when predicting clinically significant depressive symptoms.Conclusions:The short-PCS may be used in lieu of the full scale and as a brief screen to identify individuals with serious catastrophizing.

Diagnostic accuracy of the original 30-item and shortened versions of the Geriatric Depression Scale in nursing home patients

2005 ◽  
Vol 20 (11) ◽  
pp. 1067-1074 ◽  
Author(s):  
K. Jongenelis ◽  
A. M. Pot ◽  
A. M. H. Eisses ◽  
D. L. Gerritsen ◽  
M. Derksen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Diagnostic Accuracy ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression ◽  
Nursing Home Patients

Impact of a Peer-Delivered Telephone Intervention for Women Experiencing a Breast Cancer Recurrence

2007 ◽  
Vol 25 (15) ◽  
pp. 2093-2099 ◽  
Author(s):  
Carolyn Cook Gotay ◽  
Carol M. Moinpour ◽  
Joseph M. Unger ◽  
Caroline S. Jiang ◽  
Dorothy Coleman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Evaluation System ◽  
Short Form ◽  
Depression Scale ◽  
Cancer Recurrence ◽  
Psychosocial Distress ◽  
Breast Cancer Recurrence ◽  
Phase Iii ◽  
Telephone Intervention

Purpose A first breast cancer recurrence creates considerable distress, yet few psychosocial interventions directed at this population have been reported. The Southwest Oncology Group conducted a phase III randomized trial to evaluate the effectiveness of a brief telephone intervention. Patients and Methods Three hundred five women experiencing a first recurrence of breast cancer were randomly assigned to standard care or intervention. The intervention consisted of four to eight telephone calls delivered over a 1-month period. The calls were conducted by trained peer counselors at a breast cancer advocacy organization, the Y-ME National Breast Cancer Organization, and followed a standard curriculum. Psychosocial distress (Cancer Rehabilitation Evaluation System–Short Form [CARES-SF]) and depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D]) outcomes were assessed at baseline and 3 and 6 months. The 3-month assessment was the primary end point and is the focus of this article. Results Analysis revealed no differences in distress or depressive symptoms at 3 months between the intervention and control groups; at 3 months, 70% of control patients and 66% of intervention patients reported psychosocial distress, and 40% of control patients and 47% of intervention patients exhibited depressive symptoms. Conclusion Telephone peer counseling did not lead to better psychosocial outcomes. The persistent distress in these women supports the urgent need for the development and testing of more intensive or different supportive interventions for this group of patients.

Depressiveness in preoperative period and postoperative recovery of orthopedic patients - preliminary results of prospective study

2011 ◽  
Vol 26 (S2) ◽  
pp. 837-837
Author(s):  
D. Ignjatovic Ristic ◽  
V. Janjic ◽  
B. Ristic ◽  
B. Radmanovic
Keyword(s):  
Depressive Symptoms ◽  
Short Form ◽  
Age Groups ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Postoperative Recovery ◽  
Preoperative Period ◽  
Surgical Interventions ◽  
Preliminary Results ◽  
Orthopedic Patients

IntroductionDepression is often occurred after surgical interventions and may have serious consequences on postoperative recovery. The treatment of early discovered depressive symptoms may have strong influence on the recovery of operated orthopedic patients.Simple and quick instrument for detection and evaluation of depressive symptoms could be of great use to doctors.Work objectives are1) determine the prevalence of depressiveness in preoperative period in patients with scheduled surgical interventions, and2) validation of Geriatric Depression Scale - short form (GDS-SF) in detection of depressiveness.MethodA sample of 120 orthopedic patients is the part of larger sample in prospective research of depressiveness in patients in preoperative period with scheduled surgical interventions (except cardio-surgical). For estimation of depressiveness we used battery of tests (GDS-SF, BDI - Beck's depression scale, MDI - major depressive disorder questionnaire), and patients were tested 3 times: to 14 days prior the surgery, 7 and 90 days after the surgery. Validation of GDS-SF was examined compared to BDI according to age and gender of examinees.ResultsIn preliminary sample of 120 orthopedic patients with scheduled orthopedic interventions, prevalence of depressiveness is greater than prevalence of depressiveness in general population (p < 0.001). Depressiveness is much more present in women than in men (p < 0.001). Correlation of depressive scores in BDI and in GDS-SF is satisfactory for all age groups.ConclusionPreliminary results indicate on further research of depressiveness in preoperative period in order to confirm validation of GDS-SF as simpler alternative for early detection of depressiveness.

scholarly journals Depressive symptoms and chronotypes of elderly nursing home residentes: A case management study

2020 ◽  
Vol 14 (2) ◽  
pp. 165-170
Author(s):  
Evany Bettine de Almeida ◽  
Thais Bento Lima-Silva ◽  
Luiz Menna-Barreto
Keyword(s):  
Nursing Home ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Sleep Disturbances ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Sleep Diary ◽  
Low Educated

ABSTRACT. Institutionalization potentiates the tendency for specific sleep disturbances which occur with aging, besides negative health consequences such as increased rate of depressive symptoms. Objective: To compare sleep profile and depressive symptoms in elderly nursing home residents, highlighting gender differences. Methods: A quantitative descriptive study of 29 elderly from two different nursing homes was conducted. A sociodemographics questionnaire, Sleep Diary, Morningness-Eveningness Questionnaire and the 15-item Geriatric Depression Scale were applied. Data were analyzed using descriptive statistics, Student’s t-test and the Mann-Whitney U-test. Results: The sample comprised individuals that were predominantly female (72%), aged 80-90 years (48%), widowed (66%) and low-educated (83%). The women were found to sleep and awake later than the men. Regarding chronotypes, the women were classified as evening types and men as intermediate/indifferent types. Most of the elderly exhibited symptoms of major depression (48%). Compared to men, women had more depressive symptoms in both dysthymia and major depression categories. Conclusion: No significant differences were evident on comparisons of sleep profile and depressive symptoms, but elderly with the intermediate chronotype scored lower on the depressive symptoms scale.

scholarly journals Comparing Assessment Tools as Candidates for Personalized Nutritional Evaluation of Senior Citizens in a Nursing Home

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4160
Author(s):  
Diogo Sousa-Catita ◽  
Maria Alexandra Bernardo ◽  
Carla Adriana Santos ◽  
Maria Leonor Silva ◽  
Paulo Mascarenhas ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Assessment Tools ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Risk Status ◽  
Home Setting ◽  
Nursing Home Setting

Nutrition is an important health issue for seniors. In nursing homes, simple, inexpensive, fast, and validated tools to assess nutritional risk/status are indispensable. A multisurvey cross-sectional study with a convenient sample was created, comparing five nutritional screening/assessment tools and the time required for each, in order to identify the most useful instrument for a nursing home setting. Nutrition risk/status was evaluated using the following tools: Subjective Global Assessment (SGA), Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening 2002 (NRS 2002), and calf girth (CG). The time spent completing each tool was recorded. Eighty-three subjects were included. MNA-SF and CG were the screening tools that ranked highest with regards to malnutrition identification. CG failed to identify nutritional risk/malnutrition in seniors with lower limb edema. CG was the fastest tool while SGA was the slowest. This was the first study comparing non-invasive nutritional tools with time expended as a consideration in the implementation. CG is responsive, fast, and reliable in elders without edema. MNA-SF was more efficient at detecting malnutrition cases in the elderly population. Both MNA-SF and CG are considered the most suitable for the nursing home setting.

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