There has been an expanding role for the new generation atypical antipsychotic
agents (clozapine, risperidone, olanzapine, and quetiapine) in elderly patients.
Their efficacy in the treatment of psychoses associated with schizophrenia is
now well established. But psychoses occur in other conditions. This paper will
review the current research examining the use of the atypical agents in the
treatme... hiện toàn bộ
Dylan G. Harwood, Raymond L. Ownby, Kent Burnett, Warren W. Barker, Ranjan Duara
The objective of this study was to test a model of stress, appraisal, and
adaptation in 114 family caregivers of patients diagnosed with dementia of the
Alzheimer's type (white non-Hispanic, N = 64; Hispanic-American, N = 50).
Results of structural equation analysis show that appraised caregiver burden
played a central role in determining the psychological well-being of family
caregivers. The find... hiện toàn bộ
H. Florence Seung Kim, Ursula Braun, Mark E. Kunik
Anxiety and depression are extremely common in the elderly with medical
problems. They can manifest not only as symptoms of a primary psychiatric
illness, but also as physiologic sequelae of medical illnesses and medical
treatments. Recognition and treatment of depression and anxiety in the medically
ill is especially difficult. If these states go untreated, they result in higher
morbidity and mor... hiện toàn bộ
This descriptive study examined patterns and correlates of family involvement
during a short-term geropsychiatric hospitalization. Participants were 32 family
members who completed the Brief Symptom Inventory (BSI) and a prehospitalization
involvement measure. Involvement data included frequency of family member
visits, ratings of family members' overall involvement, and eight measures of
family m... hiện toàn bộ
This investigation examined whether characteristics of elders and their
caregivers and facets of the nursing home decision-making context were
associated with recalled levels of stress during nursing home decision-making.
Employing a conceptual framework based upon the literature on caregiver stress
and nursing home decision-making, we considered a number of factors that might
influence sponsors' ... hiện toàn bộ
Although much has been written about therapeutic interventions with caregivers,
little is known about the counseling services that are available for victims of
dementia. The present study was designed to explore community mental health
center (CMHC) services and therapists' experiences in providing psychotherapy to
this population in Massachusetts. Only 27 of the 36 CMHCs in the state reported
pro... hiện toàn bộ
Suzanne Meeks, Martin W. Jones, Vladimir Tikhtman, Tammi R. La Tourette
National surveys have shown that mental health problems are prevalent in
long-term care and suggest that these settings are largely underserved by mental
health services. Nursing home administrators are gatekeepers for mental health
services in nursing homes. Administrators of Kentucky nursing homes were
surveyed regarding their perceptions of mental health problems, current and
future services us... hiện toàn bộ
This study deals with late paraphrenia from a psychological coping perspective.
Analyses of coping behavior in relation to paraphrenic delusions and
hallucinations revealed rational choices of coping efforts and generally
consistent emotional reactions to the subjectively perceived problem. The
majority of the patients did not display evidence of premorbid abnormal
personalities or life courses. T... hiện toàn bộ
Rebecca Allen-Burge, Louis D. Burgio, Michelle S. Bourgeois, Richard Sims, Jennifer Nunnikhoven
In this preliminary, intrasubject study (N = 8), we examined the effects of
communication skills training and the use of memory books by Nursing Assistants
(NAs) on the social ecology of a nursing home. Through inservice and on-the-job
training, NAs were taught to use communication skills and memory books during
their interactions with residents with mild to moderate cognitive impairment
(Mini Men... hiện toàn bộ
Greg J. Lamberty, Kerri J. Lamberty, Maureen J. Winger, Craig S. Holt
The performance of Alzheimer's disease (AD) and neuropsychiatric patients was
examined using the Logical Memory (LM) subtest of the WMS-R, utilizing a levels
of importance methodology described by Haut et al. (1990). Although patient
groups were matched for dementia severity, we found the expected differences
between groups in terms of absolute level of performance. There was considerable
variabil... hiện toàn bộ
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