scholarly journals Mental Disorders in Patients at Geriatrician Attendance : Basic Variants and Influence on Social Functioning (The Experience in Russia)

2021 ◽  
Vol 16 (1) ◽  
pp. 53-63
Author(s):  
Nikolay Grigorievich Neznanov ◽  
Lev Savvich Kruglov ◽  
Vladimir Yuryevich Serpov ◽  
Ismayil Hikmat Atayev ◽  
Inna Valentinovna Kiseleva ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Social Functioning ◽  
Elderly Population ◽  
The Elderly ◽  
Wide Range

Data exists showing a significant prevalence of mental disorders in the growing elderly population, but indices have a fairly wide range. This study’s aim was to analyze the frequency and variants of such disorders of the elderly in geriatrician attendance and their influence on social functioning.

scholarly journals A SYSTEMATIC REVIEW OF DIGITAL INTERVENTIONS ADDRESSING MENTAL DISORDERS AMONG THE ELDERLY POPULATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S513-S514
Author(s):  
Md Mahbub Hossain ◽  
Samia Tasnim ◽  
Abida Sultana ◽  
Nishat Tasnim Hasan ◽  
Hoimonty Mazumder ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Elderly Population ◽  
Randomized Study ◽  
The Elderly ◽  
Geriatric Population ◽  
Widespread Application ◽  
Digital Platforms ◽  
Digital Interventions ◽  
Wide Range

Abstract Background: Many studies have reported the widespread application of digital technologies in improving mental health. However, little is known about how these technological advancements can help the geriatric population who suffer from a wide range of mental disorders. There is no extensive review of evidence which can guide effective policy-making and implementation of such interventions. Objectives: To identify digital interventions addressing mental disorders among elderly people and evaluate the outcomes of these interventions. Methodology: According to the PRISMA guidelines, we searched six major health databases and screened the literature using these criteria: 1) journal articles reporting an intervention delivered using any of the digital platforms, 2) the interventions aimed to improve at least one mental disorder among geriatric population, 3) articles published in English language, 4) studies conducted in in any settings and time frame reporting any of the mental health-related outcomes. Results: Among 4870 articles found in the preliminary literature search, only 19 studies met our criteria. Most of the studies (n=14) described digital interventions addressing depressive illness among the elderly population. However, many interventions targeted multiple mental conditions including dementia, stress, anxiety, mood disorders, phobia, and functional disabilities. These interventions used internet-based therapies, mindfulness, digital assistants, and applications improving mental health behavior and practices. Most of the interventions (n=12) were evaluated using randomized study designs. Reported outcomes included improved symptoms, better quality of living, emotional and functional advancements, and decreased cost of treatment. This evidence necessitates further research and application of such technologies to improve geriatric mental health.

scholarly journals Ageing and Quality of Life - New Responses from the Real Estate Sector in Portugal (1)

2011 ◽  
Vol 15 (15) ◽  
pp. 57-69
Author(s):  
Fátima De Matos
Keyword(s):  
Quality Of Life ◽  
Real Estate ◽  
Elderly Population ◽  
The Elderly ◽  
Real Estate Market ◽  
The Real ◽  
The Real Estate ◽  
Real Estate Sector ◽  
Wide Range

Ageing and Quality of Life - New Responses from the Real Estate Sector in Portugal (1) In the second half of the 20th century, the history of European demography is associated with a pronounced and widespread process of ageing. The 21st century will have to cater to the needs of an elderly population in transformation. Portugal is also part of this process and in efforts to improve the quality of life of the elderly, a wide range of facilities, services and social responses have been established by a variety of promoters, targeting several social levels. This paper will analyze a specific segment directed at an exclusive niche of the elderly population, the Senior Residential Condominiums. This is a very recent segment of the housing market, with high levels of comfort, quality, sanitation, health, and recreation, essential to full well-being. The paper intends to characterize this real estate market niche so as to identify its distinctive features, the promoting agents and how they can contribute to residents' quality of life.

Effects of education, literacy, and dementia on the Clock Drawing Test performance

2010 ◽  
Vol 16 (6) ◽  
pp. 1138-1146 ◽  
Author(s):  
HOYOUNG KIM ◽  
JEANYUNG CHEY
Keyword(s):  
Older People ◽  
Test Performance ◽  
Elderly Population ◽  
The Elderly ◽  
Educational Background ◽  
Clock Drawing Test ◽  
Korean People ◽  
Clock Drawing ◽  
Drawing Test ◽  
Wide Range

AbstractThe Clock Drawing Test (CDT) has been recognized as an effective tool for dementia detection. This study investigated the clock drawing performance of 240 non-demented elderly Korean people with a wide-range of educational levels and 28 patients with mild dementia of the Alzheimer’s type (DAT). We examined the effects of demographic factors, including education, and established norms for the elderly population. We found that the educational attainment and literacy status of older people influenced performance on the CDT significantly (p < .001). Furthermore, qualitative error analysis revealed that normal participants with low educational background committed errors similar to errors of the DAT patients. The DAT patients performed significantly worse than the non-demented participants in the CDT Total score (p < .001). However, the CDT has better criterion validity in participants with more than 6 years of education. In conclusion, the CDT performance in older people who are either illiterate or with 6 or less years of education should be interpreted with caution. Conceptual errors in the CDT can be the result of not only dementia but also lack of education. (JINS, 2010, 16, 1138–1146.)

PREVALENCE, STRUCTURE, AND RISK FACTORS FOR MENTAL DISORDERS IN OLDER ADULTS

2021 ◽  
pp. 152-159
Author(s):  
Н.Н. Петрова ◽  
Д.А. Хвостикова
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Mental Disorders ◽  
Elderly Population ◽  
Psychotic Disorders ◽  
Nursing Home Residents ◽  
Cognitive Disorders ◽  
The Elderly ◽  
The Past ◽  
Significant Incidence

Обзор посвящен оценке распространенности и факторов риска психических расстройств у людей старшего возраста на современном этапе, включая пандемию COVID-19. Проведен систематический обзор литературы за последние 10 лет в PubMed, Elsevier, Google с использованием ключевых слов. Показано, что данные о распространенности психических расстройств у пожилых лиц существенно расходятся. Подчеркивается значительная встречаемость психических расстройств у жителей домов престарелых. Продемонстрирована актуальность непсихотических расстройств депрессивного и тревожного круга у лиц старшего возраста, трудность диагностики психических расстройств, ассоциированных с соматической патологией, а также с когнитивными нарушениями. Факторами риска психических расстройств старшего возраста являются как социально-демографические, так и экономические, психологические и соматические факторы. Дана характеристика проблемы психического здоровья пожилых людей в условиях пандемии COVID-19, ассоциированной со специфическими факторами риска психических расстройств. Отмечен дефицит доказательных исследований лечения психических расстройств в старшем возрасте и актуальность совершенствования организации психиатрической помощи таким пациентам. Понимание структуры и распространённости психических расстройств у пожилых людей позволит оптимизировать работу системы здравоохранения. This review focuses on assessing the prevalence and risk factors of mental disorders in older adults in the current era, including the COVID-19 pandemic. A systematic review of the literature in PubMed, Elsevier, Google, using keywords over the past 10 years was conducted. It is shown that data on the prevalence of psychiatric disorders in the elderly population, including in comparison with young adults, diverge significantly. The significant incidence of mental disorders among nursing home residents is highlighted. The relevance of non-psychotic disorders of the depressive and anxiety spectrum in older adults is demonstrated. The difficulty of diagnosing mental disorders associated with somatic pathology as well as cognitive disorders in elderly patients is demonstrated. Risk factors for mental disorders in older adults are socio-demographic as well as economic, psychological and somatic factors. The problem of mental health of the elderly under the COVID-19 pandemic associated with specific risk factors for mental disorders is characterized. The shortage of evidence-based research in the treatment of mental disorders in old age and the urgency to improve the organization of psychiatric care for such patients are noted. Understanding the structure and prevalence of mental disorders among the elderly will allow to optimize the work of the healthcare system.

Prevalence of Mental Disorders in the Elderly Population of Moscow

1997 ◽  
Vol 12 (S2) ◽  
pp. 193s-193s ◽  
Author(s):  
S. Gavrilova ◽  
Y. Kalyn
Keyword(s):  
Mental Disorders ◽  
Elderly Population ◽  
The Elderly

THE MANY FACES OF MELAS

2015 ◽  
Vol 86 (11) ◽  
pp. e4.71-e4
Author(s):  
Omar AlMasri ◽  
Tom Massey ◽  
Diptarup Mukhopadhyay ◽  
R Jon Walters
Keyword(s):  
Mitochondrial Dna ◽  
Lactic Acidosis ◽  
Vitamin K ◽  
Elderly Population ◽  
Age Of Onset ◽  
The Elderly ◽  
Melas Syndrome ◽  
Clinical Presentations ◽  
Wide Range ◽  
The Many

Mitochondrial encephalomyelitis, lactic acidosis and stroke-like episodes (MELAS) syndrome is the most common of the rare mitochondrial disorders. It frequently is secondary to a point mutation in mitochondrial DNA m.3243 A to G. The main features of the disease include myopathy, encephalopathy, lactic acidosis, stroke-like episodes, seizures and migraine however the clinical presentations can vary widely. Age of onset of the disease has a wide range but patients are typically under 40 years of age, nonetheless cases have been reported in the elderly population. A number of drugs have been used for the management of patients with MELAS including CoEnzyme Q10, Vitamin K-3, Vitamin K-1, Ascorbate and Riboflavin. It is also important to note that seizures in MELAS can be difficult to manage often requiring a combination of antiepileptic drugs. We report the case of a 76-year-old man (the second oldest diagnosed case to the authors' knowledge) whose case exemplifies the complexity of diagnosing and managing these patients including the complications of the disease.

scholarly journals Polypharmacy in elderly people: epidemiology, consequences and prevention strategies

2021 ◽  
Vol 17 (1) ◽  
pp. 56-62
Author(s):  
Eirini Kotsalou
Keyword(s):  
General Practitioner ◽  
Elderly People ◽  
Elderly Population ◽  
The Elderly ◽  
Pharmacokinetics And Pharmacodynamics ◽  
Multicenter Studies ◽  
Cross Sectional ◽  
Risks And Benefits ◽  
Wide Range ◽  
Reduced Adherence

Aging is a status often associated with multiple comorbidities which require pharmacologic intervention and complex medication regimens. Aging population results to the increase of chronic diseases and subsequent comorbidities that require concomitant multiple medications. It is reported that about 80 % of elderly have at least one chronic condition, and about half of them have at least two (such as heart disease, hypertension, diabetes mellitus, arthritis, and cancer). According the literature the worldwide polypharmacy prevalence has a wide range (between 5 to 78 %) due to different definitions on the number of medications taken (ranging between 2 and 9) and the different samples studied. In most studies polypharmacy was more common between women and in more elderly people. Many multicenter studies have been performed to define the term of polypharmacy and its prevalence in the elderly population. Polypharmacy is of growing concern for the older adults, because it can be very dangerous for this population due to altered absorption, distribution, metabolism and excretion of the drugs within their body reflecting unexpected pharmacokinetics and pharmacodynamics of various medications. This fact can lead to adverse drug reactions (ADR), drug interactions, noncompliance and reduced adherence, reduced functional status, geriatric syndromes, high risk of hospitalization and possible death. Over the last decade, there are several evaluation tools which can help the General Practitioner prevent the polypharmacy in the elderly. As prescribing for this group of individuals is a very challenging procedure, the General Practitioner should balance between under-treatment, over-treatment and risks and benefits. This review concluded that we need more cross-sectional clinical studies on practical preventive interventions to be applied not only on the population which is already exposed to polypharmacy, but also to the general population.

scholarly journals Maintaining compliance at home: Helping the elderly with their medications

Curationis ◽  
2000 ◽  
Vol 23 (4) ◽  
Author(s):  
E Mokgele ◽  
PP Du Rand
Keyword(s):  
Chronic Conditions ◽  
Elderly Population ◽  
The Elderly ◽  
Age Group ◽  
Wide Range ◽  
Areas Of Concern ◽  
At Home

The elderly population consumes more drugs for their chronic conditions compared to any age group. In this study it was indicated that the average elderly takes two to four drugs per day. The high quantity and wide range of drugs used by the elderly can lead to significant risks. Adding to the risks is the problem of compliance. Areas of concern regarding safety in administering medications to the elderly are the need for increased awareness of the effects of drugs in their systems.

scholarly journals Stigma for mental disorders among the elderly population in a rural setting

2020 ◽  
Vol 36 (3) ◽  
pp. 184 ◽  
Author(s):  
Aseem Mehra ◽  
Himanshu Singla ◽  
Sandeep Grover ◽  
Ajit Avasthi
Keyword(s):  
Mental Disorders ◽  
Elderly Population ◽  
The Elderly ◽  
Rural Setting

scholarly journals The weak ring of COVID-19: Elderly population

2020 ◽  
Author(s):  
AISDL
Keyword(s):  
Elderly Population ◽  
Linear Regression Analysis ◽  
The Elderly ◽  
Developed Countries ◽  
Mortality Rates ◽  
Death Rates ◽  
Outbreak Management ◽  
Wide Range ◽  
International Comparative ◽  
The Relationship

The epidemic, which first appeared in Wuhan, China in December 2019 and spread to all continents in a short time, affected every nation in different dimensions. Although Covid-19 does not discriminate between individuals, it poses a heavy burden in the disadvantaged group in terms of the course of the disease and causes of death. Deaths in those with additional diseases and intensifying the age of 65 show that the epidemic is targeting a specific population. Therefore, pandemic-based elderly mortality rates are aimed to be seen more clearly with an international comparative table by considering a wide range of old age and other indicators. In this context, 85 countries with more than 5000 cases until September 25 were selected to the sample group. Cluster analysis was used to understand whether there is a relationship between Covid-19 case / death rates and the aging processes of countries. The relationship of the 5 clusters that emerged as a result of this, with the elderly mortality rates caused by Covid-19, was taken into the center and the relationship between Covid-19/Elderly-Death was understood more clearly when international comparisons were made. It was determined that elderly deaths from Covid-19 decreased from the oldest first cluster to the youngest cluster. In addition, elderly deaths from Covid-19 were higher in developed countries than in undeveloped countries. Potential support rate was low where deaths associated with Covid-19 were concentrated. Access to clean water, healthcare spending, and the proportion of female cabinet representatives were found to be weakly associated with deaths from Covid-19. Multiple Linear Regression Analysis was conducted to examine the relationship between epidemic mortality rate of the elderly and 11 factors consisting of socio-economic, health and political indicators. As a result, it was found to have a positive intermediate variance between Covid-19-related elderly mortality and other data. In the last part of the study, the Covid-19 outbreak in the capture and death rates of the elderly population in Turkey compared to other countries and assessed the current outbreak management.

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