Limitations in the current classification systems for dementia.

Abstract:

:A brief review of classification in psychiatry from Kraepelin to ICD-10 and DSM-IV reveals that the categorical paradigm inherent in these nosological systems has certain inadequacies when applied to dementia specifically and cognitive impairment in general. There are "outcasts" from these two systems that, with the rapid advances in an understanding of cognitive disorders, expose significant limitations in them. As and when they are revised, serious consideration of a different view, accepting a dimensional paradigm, would contribute to a more inclusive and clinically relevant nosology for dementia and cognitive disorders.

journal_name

Int Psychogeriatr

authors

Chiu E

doi

10.1017/s1041610205001924

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

S17-26

eissn

1041-6102

issn

1741-203X

journal_volume

17 Suppl 1

pub_type

杂志文章,评审
  • Neuropathology of vascular cognitive impairment and vascular dementia.

    abstract::Understanding of vascular substrates of cognitive decline in the elderly is evolving to include a major emphasis on the impact of small vessel disease (SVD). While existing concepts of multi-infarct dementia and strategic infarct dementia remain valid, they present difficulty in generalizing clinicopathological correl...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610203008998

    authors: Ince PG,Fernando MS

    更新日期:2003-01-01 00:00:00

  • Economic outcomes and levers: impacts for individuals and society.

    abstract::The pervasive scarcity of resources relative to the demands upon them makes it necessary for decision makers to think carefully about choices. Evidence from economics can help to inform such choices, particularly as it relates to costs, outcomes, the efficiency with which resources are used, the distribution of benefi...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610207005157

    authors: Knapp M

    更新日期:2007-06-01 00:00:00

  • Behavioral symptoms in vascular cognitive impairment and vascular dementia.

    abstract::Noncognitive or behavioral and psychological symptoms (BPSD) are common in vascular dementia. Many occur with the same frequency as in Alzheimer's disease, though depression, emotional lability, and apathy may be more common and psychosis less so. There is a particularly strong relationship between cerebrovascular dis...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610203009098

    authors: O'Brien J

    更新日期:2003-01-01 00:00:00

  • Use of antipsychotic medications for the management of delirium: an audit of current practice in the acute care setting.

    abstract:OBJECTIVE:Despite delirium being common in older hospitalized people, little is known about its management. The aims of this study are (1) to describe the pharmacological management of delirium in an acute care setting as a baseline measure prior to the implementation of newly developed Australian guidelines; and (2) t...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610208008028

    authors: Tropea J,Slee J,Holmes AC,Gorelik A,Brand CA

    更新日期:2009-02-01 00:00:00

  • Nature and determinants of out-of-pocket health expenditure among older people in a rural Indian community.

    abstract:BACKGROUND:Increasing out-of-pocket health expenditure among older people worsens the inequitable access to essential health services in low and middle-income countries (LMIC). We investigated various socioeconomic and health factors associated with out-of-pocket and catastrophic health expenditures among rural older p...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161021200083X

    authors: Brinda EM,Rajkumar AP,Enemark U,Prince M,Jacob KS

    更新日期:2012-10-01 00:00:00

  • Spirituality, social support, and flexibility among older adults: a five-year longitudinal study.

    abstract::ABSTRACTObjectives:The objectives of the study were to examine the trajectory of spirituality among older adults, to investigate the roles of gender and religion on the developmental trajectory of spirituality, and to explore whether the linear growth of spirituality accelerated or decelerated at time points at which ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218000029

    authors: Bailly N,Martinent G,Ferrand C,Agli O,Giraudeau C,Gana K,Roussiau N

    更新日期:2018-12-01 00:00:00

  • The concept of quality of life in dementia in the different stages of the disease.

    abstract::In order to conceptually define quality of life (QOL) in dementia, the literature on QOL in the elderly population, in chronic disease and in dementia was studied. Dementia is a progressive, age-related, chronic condition and to avoid omissions within the dementia-specific concept of QOL, a broad orientation was the p...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610205002073

    authors: Ettema TP,Dröes RM,de Lange J,Ooms ME,Mellenbergh GJ,Ribbe MW

    更新日期:2005-09-01 00:00:00

  • Patient populations in clinical studies of donepezil in vascular dementia.

    abstract:BACKGROUND:There are difficulties in accurately defining patients with vascular dementia (VaD) and, therefore, little is known about the characteristics of this population. OBJECTIVE:To examine the population characteristics in patients with VaD enrolled in two randomized, double-blind, placebo-controlled, 24-week cli...

    journal_title:International psychogeriatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/S1041610203009190

    authors: Pratt RD

    更新日期:2003-01-01 00:00:00

  • Genome-wide screen to identify genetic loci associated with cognitive decline in late-life depression.

    abstract:OBJECTIVE:This study sought to conduct a comprehensive search for genetic risk of cognitive decline in the context of geriatric depression. DESIGN:A genome-wide association study (GWAS) analysis in the Neurocognitive Outcomes of Depression in the Elderly (NCODE) study. SETTING:Longitudinal, naturalistic follow-up stu...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610220001143

    authors: Steffens DC,Garrett ME,Soldano KL,McQuoid DR,Ashley-Koch AE,Potter GG

    更新日期:2020-07-09 00:00:00

  • Depressive symptoms and depressive episodes in recently widowed older men.

    abstract::Older widowers have high rates of completed suicide but have rarely been the subject of systematic inquiry. We investigated the prevalence of depressive symptoms and major depressive episodes (MDEs) in recently widowed older men over the first 13 months after bereavement. We employed a matched-pair longitudinal design...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610299005591

    authors: Byrne GJ,Raphael B

    更新日期:1999-03-01 00:00:00

  • The impact of a visual arts program on quality of life, communication, and well-being of people living with dementia: a mixed-methods longitudinal investigation.

    abstract::ABSTRACTBackground:Research reviews highlight methodological limitations and gaps in the evidence base for the arts in dementia care. In response, we developed a 12-week visual art program and evaluated the impact on people living with dementia through a mixed-methods longitudinal investigation. METHODS:One hundred a...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217002162

    authors: Windle G,Joling KJ,Howson-Griffiths T,Woods B,Jones CH,van de Ven PM,Newman A,Parkinson C

    更新日期:2018-03-01 00:00:00

  • Neuropsychiatric symptom clusters of Alzheimer's disease in Hong Kong Chinese: prevalence and confirmatory factor analysis of the Neuropsychiatric Inventory.

    abstract:BACKGROUND:The aim of this study was to investigate the clustering of symptoms on the Neuropsychiatric Inventory (NPI) and the relative prevalence of symptom clusters in mild and moderate Alzheimer's disease (AD). METHODS:Confirmatory factor analysis (CFA) was performed on the polychoric correlation matrix of 12 NPI i...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610212000609

    authors: Cheng ST,Kwok T,Lam LC

    更新日期:2012-09-01 00:00:00

  • Suicide and deliberate self harm in older Irish adults.

    abstract:BACKGROUND:Hospital-treated deliberate self harm and suicide among older adults have rarely been examined at a national level. METHODS:The Irish Central Statistics Office provided suicide and undetermined death data for 1980-2006. The National Registry of Deliberate Self Harm collected data relating to deliberate self...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610210001377

    authors: Corcoran P,Reulbach U,Perry IJ,Arensman E

    更新日期:2010-12-01 00:00:00

  • Contribution of self-reported health ratings to predicting frailty, institutionalization, and death over a 5-year period.

    abstract::Cross-sectional data from Phase 1 of the Canadian Study of Health and Aging was used to examine the relationship between two self-report health measures: "How would you say your health is these days?"(HEALTH) and "How much do your health troubles stand in the way of your doing the things you want to do?"(TROUBLE). The...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1017/s1041610202008165

    authors: Gutman GM,Stark A,Donald A,Beattie BL

    更新日期:2001-01-01 00:00:00

  • The quality of the relationship perceived by spouses of people with young-onset dementia.

    abstract:BACKGROUND:Young-onset dementia (YOD) has a profound impact on spouses. However, little is known on how the quality of the relationship changes over time in YOD. This study aims to determine how the quality of the relationship changes over time and identify predictors of this change. METHODS:This study used data from ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610220000332

    authors: Bruinsma J,Peetoom K,Millenaar J,Köhler S,Bakker C,Koopmans R,Pijnenburg Y,Verhey F,de Vugt M

    更新日期:2020-03-10 00:00:00

  • Incidence and predictors of excess disability in walking among nursing home residents with middle-stage dementia: a prospective cohort study.

    abstract:BACKGROUND:Inability to walk compromises the well-being of the growing number of nursing home residents with dementia. The purpose of this study was to estimate the incidence and identify predictors of walking disability that may be remediable. METHODS:A cohort was followed fortnightly for a year in 15 nursing homes i...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1041610210000116

    authors: Slaughter SE,Eliasziw M,Morgan D,Drummond N

    更新日期:2011-02-01 00:00:00

  • Is a dedicated specialist social worker working exclusively with psychogeriatric inpatients and an associated dedicated domiciliary care package cost-effective?

    abstract:BACKGROUND:The length of stay and bed usage on acute psychogeriatric admission wards are influenced by several factors. The impact of a dedicated specialist social worker working exclusively with acutely ill psychogeriatric inpatients and with a dedicated budget for domiciliary care packages on the length of stay, bed ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610201007724

    authors: Shah A,Wuntakal B,Fehler J,Sullivan P

    更新日期:2001-09-01 00:00:00

  • Reconceptualizing models of delirium education: findings of a Grounded Theory study.

    abstract:BACKGROUND:Effectiveness of educational interventions targeted at improving delirium care is limited by implementation barriers. Studying factors which shape learning needs can overcome these knowledge transfer barriers. This in-depth qualitative study explores learning needs of hospital staff relating to care needs of...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610212002074

    authors: Teodorczuk A,Mukaetova-Ladinska E,Corbett S,Welfare M

    更新日期:2013-04-01 00:00:00

  • Perspectives of the community-based dementia care workforce: "occupational communion" a key finding from the Work 4 Dementia Project.

    abstract:BACKGROUND:Community care workers' experience of delivering support to people with dementia is less researched than that of residential workers. The purpose of the study is to explore community-based dementia care workers' perspectives about their roles and the contextual variables that impact upon their work experienc...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610212002323

    authors: Elliott KE,Stirling CM,Martin AJ,Robinson AL,Scott JL

    更新日期:2013-05-01 00:00:00

  • A brief measure of predeath grief in dementia caregivers: the Caregiver Grief Questionnaire.

    abstract:OBJECTIVE:The study of predeath grief is hampered by measures that are often lengthy and not clearly differentiated from other caregiving outcomes, most notably burden. We aimed to validate a new 11-item Caregiver Grief Questionnaire (CGQ) assessing two dimensions of predeath grief, namely relational deprivation and em...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610219000309

    authors: Cheng ST,Ma DY,Lam LCW

    更新日期:2019-08-01 00:00:00

  • Attachment anxiety, depression, and perceived social support: a moderated mediation model of suicide ideation among the elderly.

    abstract:OBJECTIVES:Issues concerning the association among attachment anxiety, depression and suicidal ideation among the elderly have rarely been explored. The present study investigated the relationship among attachment anxiety, depression and perceived support concerning suicidal ideation among older people. DESIGN:Cross-s...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161022000054X

    authors: Oonarom A,Wongpakaran T,Kuntawong P,Wongpakaran N

    更新日期:2020-05-07 00:00:00

  • The ABC of Alzheimer's disease: cognitive changes and their management in Alzheimer's disease and related dementias.

    abstract::Cognitive decline, commonly first recognized as memory impairment, is a typical feature of Alzheimer's disease (AD). Neuropathological changes in the cerebral cortex and limbic system lead to deficits in learning, memory, language, and visuospatial skills. The precise nature of cognitive dysfunction reflects the distr...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610203008664

    authors: Corey-Bloom J

    更新日期:2002-01-01 00:00:00

  • Night-time activity forecast by season and weather in a longitudinal design - natural light effects on three years' rest-activity cycles in nursing home residents with dementia.

    abstract::Backround: Night-time agitation is a frequent symptom of dementia. It often causes nursing home admission and has been linked to circadian rhythm disturbances. A positive influence of light interventions on night-time agitation was shown in several studies. The aim of our study was to investigate whether there is a lo...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217001235

    authors: Wahnschaffe A,Nowozin C,Rath A,Floessner T,Appelhoff S,Münch M,Kunz D

    更新日期:2017-12-01 00:00:00

  • Association between childhood socioeconomic status and subjective memory complaints among older adults: results from the Japan Gerontological Evaluation Study 2010.

    abstract:BACKGROUND:Subjective memory complaints (SMC) have been suggested as an early marker of mild cognitive impairment and dementia. However, there is a paucity of evidence on the effects of early life conditions on the development of SMC in old age. This study is aimed at investigating the association between childhood soc...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610219000814

    authors: Nishizawa T,Morita A,Fujiwara T,Kondo K

    更新日期:2019-12-01 00:00:00

  • Neurologic markers of the progression of Alzheimer's disease.

    abstract::This article describes the results of studies conducted to determine the usefulness of reflex changes as markers of disease severity in Alzheimer's disease (AD). Standardized and quantified muscle stretch reflexes, cutaneous reflexes, and developmental (primitive) reflexes were studied in normal older adults, in indiv...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610297005036

    authors: Franssen EH,Reisberg B

    更新日期:1997-01-01 00:00:00

  • Sense of community in long-term care: the views of family caregivers of elderly military veterans.

    abstract:BACKGROUND:Family involvement in long-term care (LTC) is important but it can prove challenging and result in conflict with staff if families do not feel connected to the LTC facility or if they believe that their contributions are undervalued. According to McMillan & Chavis (1986), sense of community (SOC) refers to a...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610212001524

    authors: Petrovic-Poljak A,Konnert C

    更新日期:2013-03-01 00:00:00

  • "Just another piece of paperwork": perceptions of clinicians on delirium screening following hip fracture repair elicited in focus groups.

    abstract::ABSTRACTBackground:Delirium is a complex clinical syndrome characterized by disturbed consciousness, cognitive function, or perception and associated with serious adverse outcomes such as death, dementia, and the need for long-term care. However, recognition and management of delirium is poorly prioritized even though...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218001369

    authors: Oberai T,Killington M,Laver K,Crotty M,Jaarsma R

    更新日期:2019-06-01 00:00:00

  • Five-year trajectories of social networks and social support in older adults with major depression.

    abstract:BACKGROUND:Research with nondepressed adults suggests that social networks and social support are stable over the life course until very late age. This may not hold true for older adults with depression. We examined baseline status and trajectories of social networks and social support at the group and individual level...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610207005303

    authors: Voils CI,Allaire JC,Olsen MK,Steffens DC,Hoyle RH,Bosworth HB

    更新日期:2007-12-01 00:00:00

  • A subtest analysis of The Montreal Cognitive Assessment (MoCA): which subtests can best discriminate between healthy controls, mild cognitive impairment and Alzheimer's disease?

    abstract::The authors would like to apologise for a typographical error in the discussion of the above mentioned article. In the discussion on page 830 of the article, paragraph 'In the present sample, when we tested the accuracy of the MoCA to discriminate between MCI and healthy participants using ROC curves, the best cut-off...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161021600212X

    authors: Cecato JF,Martinelli JE,Izbicki R,Yassuda MS,Aprahamian I

    更新日期:2017-04-01 00:00:00

  • Prevalence of and risk factors for minor and major depression among community-dwelling older adults in Taiwan.

    abstract:BACKGROUND:This study was conducted to estimate prevalence rates and risk factors for late-life depression in a large nationwide representative sample from Taiwan. METHODS:A total of 5,664, randomly sampled individuals aged ≥55 years were enrolled. Clinically, relevant depressive symptoms were classified using the Cen...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217000199

    authors: Wu CS,Yu SH,Lee CY,Tseng HY,Chiu YF,Hsiung CA

    更新日期:2017-07-01 00:00:00