Late life depression and dementia: a mental health literacy survey of Australian general practitioners.

Abstract:

BACKGROUND:Whilst previous surveys of mental health literacy of general practitioners (GPs) have shown high rates of recognition of common mental disorders, few studies have been carried out into GPs' understanding of presentations in late life. This study aims to determine GPs' recognition of mental disorders in older people, their intentions regarding investigation, specialist referral and treatment, and their beliefs about prognosis. METHODS:Australian GPs who attended an educational seminar were administered questions based on clinical vignettes describing older people with depression, dementia and coronary heart disease. RESULTS:There was a high rate of recognition of all disorders amongst the 436 respondents. GPs demonstrated a high level of consistency about screening questionnaires, investigations and specialist referral in the dementia vignette. In contrast, less than half of GPs endorsed using a screening questionnaire or neuroimaging, and considered referral to a variety of medical specialties in the depression vignette. For both the depression and dementia vignettes, self-help treatments like walking, dietary advice or alcohol reduction were endorsed more frequently than an antidepressant or cholinesterase inhibitor respectively. Dementia tended to be viewed as having a poor prognosis, and late-life depression a moderate prognosis. CONCLUSIONS:Actual or intended rates of diagnostic recognition, specialist referral and benzodiazepine prescription found in this study may not translate into clinical practice for a number of reasons. Non-specific treatments without a clear evidence base were considered as often as those with a stronger evidence base. There is a need to improve the knowledge of GPs with regard to screening and investigating late life depression and managing dementia.

journal_name

Int Psychogeriatr

authors

Wijeratne C,Harris P

doi

10.1017/S1041610208008235

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

330-7

issue

2

eissn

1041-6102

issn

1741-203X

pii

S1041610208008235

journal_volume

21

pub_type

杂志文章
  • Design and evaluation protocol for 'DEALTS 2': a simulation-based dementia education intervention for acute care settings.

    abstract:BACKGROUND:There is a paucity of simulation-based dementia education programmes for acute care settings that support the development of interpersonal skills pertinent to good care. Moreover, few studies measure the effectiveness of such programmes by evaluating the persistence of practice change beyond the immediate ti...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218002193

    authors: Heward M,Board M,Spriggs A,Murphy J

    更新日期:2020-12-01 00:00:00

  • A randomized, placebo-controlled trial of the discontinuation of long-term antipsychotics in dementia.

    abstract::The objectives of this randomized clinical trial were to investigate the impact of the discontinuation of long-term antipsychotics in residents with dementia in chronic care institutions and to identify clinical predictors of safe discontinuation. Subjects included 34 residents with dementia who were on antipsychotics...

    journal_title:International psychogeriatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s1041610202008396

    authors: van Reekum R,Clarke D,Conn D,Herrmann N,Eryavec G,Cohen T,Ostrander L

    更新日期:2002-06-01 00:00:00

  • History and physical examination of elderly patients with dementia.

    abstract::The role of the physician is critical in the evaluation of cognitively impaired patients for two reasons: (a) The longitudinal relationship between the patient and physician provides a unique opportunity to observe changes over time, generating confidence that may encourage the patient and family to report any concern...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610297004729

    authors: Finkel SI,Woodson C

    更新日期:1997-01-01 00:00:00

  • Functional connectivity of the nucleus basalis of Meynert in Lewy body dementia and Alzheimer's disease.

    abstract::Cholinergic deficits are a hallmark of Alzheimer's disease (AD) and Lewy body dementia (LBD). The nucleus basalis of Meynert (NBM) provides the major source of cortical cholinergic input; studying its functional connectivity might, therefore, provide a tool for probing the cholinergic system and its degeneration in ne...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610220003944

    authors: Schumacher J,Thomas AJ,Peraza LR,Firbank M,O'Brien JT,Taylor JP

    更新日期:2021-01-08 00:00:00

  • Alcohol use disorder is a risk factor for mortality among older public housing residents.

    abstract::Epidemiologic survey data were used to examine relationships between alcohol use and abuse and the physical and mental health status of elderly public housing residents (weighted n = 865) and to determine the influence that drinking behavior had on mortality. Residents with a current alcohol disorder (4%) were more li...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610298005407

    authors: Black BS,Rabins PV,McGuire MH

    更新日期:1998-09-01 00:00:00

  • A five-year community-based longitudinal survival study of dementia in Beijing, China: a 10/66 Dementia Research Group population-based study.

    abstract:BACKGROUND:Despite the magnitude of dementia, little research on survival duration and prognosis of dementia has been reported in developing countries. This study was conducted to investigate survival times, identify related prognostic factors and construct a prognostic index (PI) for community-based dementia patients ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610210000669

    authors: Wang Y,Huang Y,Liu Z,Zhuo C,Li S,Prince M

    更新日期:2010-08-01 00:00:00

  • Associations between modifiable lifestyle factors and multidimensional cognitive health among community-dwelling old adults: stratified by educational level.

    abstract::ABSTRACTBackground:Cognition is multidimensional, and each domain plays a unique and crucial part in successful daily life engagement. However, less attention has been paid to multi-domain cognitive health for the elderly, and the role of lifestyle factors in each domain remains unclear. METHODS:We conducted a cross-...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217003076

    authors: Yuan M,Chen J,Han Y,Wei X,Ye Z,Zhang L,Hong YA,Fang Y

    更新日期:2018-10-01 00:00:00

  • The measuring, meaning and importance of activities of daily living (ADLs) as an outcome.

    abstract::Dementia is defined as global cognitive impairment that interferes with function; however, function has been less well measured than cognition in anti-dementia drug trials. In the modern era of anti-dementia clinical trials, measurement of function has improved by differentiating between the aspects of function that h...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610207004966

    authors: Rockwood K

    更新日期:2007-06-01 00:00:00

  • Dementia clinical trial implications of mild behavioral impairment.

    abstract::The World Alzheimer Report 2016 estimated that 47 million people are living with dementia worldwide (Alzheimer's Disease International, 2016). In the inaugural World Health Organization Ministerial Conference on Global Action against Dementia, six of the top ten research priorities were focused on prevention, identifi...

    journal_title:International psychogeriatrics

    pub_type: 评论,杂志文章

    doi:10.1017/S1041610218000042

    authors: Mortby ME,Black SE,Gauthier S,Miller D,Porsteinsson A,Smith EE,Ismail Z

    更新日期:2018-02-01 00:00:00

  • Distinct age-related associations for body mass index and cognition in cognitively healthy very old veterans.

    abstract::ABSTRACTAssociations between high body mass index (BMI) and subsequent cognitive decline, reported in elderly averaging below age 75, become less consistent at older ages. We compared the associations of BMI with cognition in moderately old (ages 75-84, N = 154) and oldest-old (85+, N = 93) samples. BMI and cognition ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218001412

    authors: Schmeidler J,Mastrogiacomo CN,Beeri MS,Rosendorff C,Silverman JM

    更新日期:2019-06-01 00:00:00

  • The impact of diagnostic disclosure in dementia: a qualitative case analysis.

    abstract:OBJECTIVE:The aim of this study was to give an in-depth description of the impact of disclosure of the diagnosis of dementia on a patient and the patient's partner. METHODS:Grounded theory interview study. RESULTS:Analysis of the interviews revealed that disclosure had an impact on three key domains: awareness of dem...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610205001316

    authors: Derksen E,Vernooij-Dassen M,Gillissen F,Olde-Rikkert M,Scheltens P

    更新日期:2005-06-01 00:00:00

  • Trauma and post-traumatic stress symptoms in former German child soldiers of World War II.

    abstract:BACKGROUND:The aim of the study was to determine the amount of trauma impact and significant post-traumatic stress symptoms, which can indicate a possible post-traumatic stress disorder (PTSD), in a sample of former German child soldiers of World War II. METHODS:103 participants were recruited through the press, then ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610208007035

    authors: Kuwert P,Spitzer C,Rosenthal J,Freyberger HJ

    更新日期:2008-10-01 00:00:00

  • Efficacy of donepezil on behavioral symptoms in patients with moderate to severe Alzheimer's disease.

    abstract:OBJECTIVE:This subanalysis of a large, double-blind, placebo-controlled trial examined the prevalence of behavioral symptoms in moderate to severe Alzheimer's disease (AD), and the effect of treatment with donepezil. METHODS:Two hundred ninety patients with moderate to severe AD (standardized Mini-Mental State Examina...

    journal_title:International psychogeriatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1017/s104161020200858x

    authors: Gauthier S,Feldman H,Hecker J,Vellas B,Ames D,Subbiah P,Whalen E,Emir B,Donepezil MSAD Study Investigators Group.

    更新日期:2002-12-01 00:00:00

  • Statistical analysis, trial design and duration in Alzheimer's disease clinical trials: a review.

    abstract:BACKGROUND:The social and economic burden of Alzheimer's disease (AD) and its increasing prevalence has led to much work on new treatment strategies and clinical trials. The search for surrogate markers of disease progression continues but traditional parallel group trial designs that use well-established, but often in...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/S1041610211001116

    authors: Thompson PA,Wright DE,Counsell CE,Zajicek J

    更新日期:2012-05-01 00:00:00

  • A morphometric examination of neuronal and glial cell pathology in the orbitofrontal cortex in late-life depression.

    abstract:BACKGROUND:The orbitofrontal cortex has been implicated as a key component in depression by several imaging studies. This study aims to examine morphometrically glial cell and neuronal density and neuronal volume in the orbitofrontal cortex of late-life major depression patients. METHODS:Post mortem tissue from 13 pat...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610210000700

    authors: Khundakar A,Morris C,Oakley A,Thomas AJ

    更新日期:2011-02-01 00:00:00

  • What would help me stop abusing? The family carer's perspective.

    abstract:BACKGROUND:A third of family members caring for people with dementia report acting abusively towards them, but there are currently no evidence-based interventions to reduce or prevent such behavior. Family carers who act abusively have not previously been consulted about what may help to reduce abuse. METHOD:We prospe...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161020800834X

    authors: Selwood A,Cooper C,Owens C,Blanchard M,Livingston G

    更新日期:2009-04-01 00:00:00

  • Benzodiazepine use among older adults with schizophrenia spectrum disorder: prevalence and associated factors in a multicenter study.

    abstract:OBJECTIVES:Data on psychotropic medications of older patients with schizophrenia spectrum disorder are scarce. Specifically, information about the use of benzodiazepines among older patients with schizophrenia spectrum disorder is very limited. Because benzodiazepine use in older patients has been associated with many ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610219000358

    authors: Schuster JP,Hoertel N,von Gunten A,Seigneurie AS,Limosin F,CSA Study group.

    更新日期:2020-04-01 00:00:00

  • Suicidal ideation in elderly Korean population: a two-year longitudinal study.

    abstract:BACKGROUND:This study aimed to assess the prevalence, incidence, and persistence of suicidal ideation (SI), and to investigate the psychosocial factors associated with these. METHODS:A total of 1,204 community dwelling elderly adults aged 65 years or older were evaluated at baseline, 909 (75%) of whom were followed tw...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610213001634

    authors: Kang HJ,Stewart R,Jeong BO,Kim SY,Bae KY,Kim SW,Kim JM,Shin IS,Yoon JS

    更新日期:2014-01-01 00:00:00

  • Spirituality and religion in older adults with dementia: a systematic review.

    abstract:BACKGROUND:Religious and spiritual issues are clearly important to the older adult population and may play a positive role in maintaining health and recovering from illness. This study systematically reviewed the literature examining the effects of religion and spirituality on health outcomes such as cognitive function...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/S1041610214001665

    authors: Agli O,Bailly N,Ferrand C

    更新日期:2015-05-01 00:00:00

  • Educational effects on ascertain dementia 8-item informant questionnaire to detect dementia in the Taiwanese population.

    abstract::ABSTRACTBackground:Dementia screening is a public health priority in Taiwan, where the prevalence of dementia is increasing because of an aging population. However, the reasons affect community-dwelling people to accept a referral to memory specialist clinic after dementia screening was still unclear. To investigate t...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217002733

    authors: Chen SF,Liu MH,Chen NC,Horng HD,Tsao WL,Chang CC,Chang YT

    更新日期:2018-08-01 00:00:00

  • The mediating role of cardiovascular risk factors in the relationship between symptoms of apathy and incident cardiovascular disease in community-dwelling older individuals.

    abstract:BACKGROUND:In old age, both apathy and depression have been associated with an increased cardiovascular disease (CVD) risk. This study evaluated the mediating role of cardiovascular risk factors in the relationship of apathy and mood symptoms with incident CVD. METHODS:Prospective cohort study of 1,790 community-dwell...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610215001751

    authors: Eurelings LS,Jaccard J,Moll van Charante EP,Eikelenboom P,Ligthart SA,van Gool WA,Richard E

    更新日期:2016-04-01 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

  • Structural validity and internal consistency of the Qualidem in people with severe dementia.

    abstract:BACKGROUND:Since its development, the Qualidem has had items that were considered unsuited for people with very severe dementia. This study attempted to investigate the applicability of all Qualidem items in people with all stages of dementia severity. METHODS:Four data sets that contained Qualidem observations on peo...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217001405

    authors: Arons AMM,Wetzels RB,Zwijsen S,Verbeek H,van de Ven G,Ettema TP,Koopmans RTCM,Gerritsen DL

    更新日期:2017-09-04 00:00:00

  • Psychological well-being of older Chinese immigrants living in Australia: a comparison with older Caucasians.

    abstract:BACKGROUND:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a compr...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610216001010

    authors: Lin X,Bryant C,Boldero J,Dow B

    更新日期:2016-10-01 00:00:00

  • Do people become more apathetic as they grow older? A longitudinal study in healthy individuals.

    abstract:BACKGROUND:The aim of this study was to determine levels, rates and progression of apathy in healthy older persons and to investigate factors associated with its progression. METHODS:Seventy-six healthy elderly subjects, aged 58-85 years (mean 69.9), who were recruited by general advertisement and through local commun...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610209991335

    authors: Brodaty H,Altendorf A,Withall A,Sachdev P

    更新日期:2010-05-01 00:00:00

  • Association of joint replacement surgery with incident dementia diagnosis in German claims data.

    abstract::ABSTRACTBackground:Cognitive decline is an important complication of joint replacement surgeries in senior people. METHODS:We determined incidence rates of dementia diagnosis following endoprosthetic joint replacement surgery (upper and lower extremities). The observation period covered up to 28 quarters using German...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217002976

    authors: Teipel SJ,Fritze T,Ellenrieder M,Haenisch B,Mittelmeier W,Doblhammer G

    更新日期:2018-09-01 00:00:00

  • Epidemiology of delirium: an overview of research issues and findings.

    abstract::This paper provides a review of research issues and findings on the epidemiology of delirium. Despite the fact that research on this important geriatric syndrome has been conducted for many decades, several methodological issues make it difficult to compare findings across studies. In this paper we first discuss broad...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610291000625

    authors: Levkoff S,Cleary P,Liptzin B,Evans DA

    更新日期:1991-01-01 00:00:00

  • Family group conferencing in dementia care: an exploration of opportunities and challenges.

    abstract:BACKGROUND:The Family Group Conference (FGC) is an approach to partnership working which brings together service users, their support network and care professionals in a family-led decision making forum. Evidence, though limited, indicates that that FGC can enhance outcomes for service providers and their users. This s...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610215001507

    authors: Górska S,Forsyth K,Prior S,Irvine L,Haughey P

    更新日期:2016-02-01 00:00:00

  • Progression of Alzheimer's disease during a three-year follow-up using the CERAD-NB total score: Kuopio ALSOVA study.

    abstract:BACKGROUND:We studied the suitability of The Consortium to Establish a Registry for Alzheimer's Disease Neuropsychological Battery (CERAD-NB) total score for monitoring Alzheimer's disease (AD) progression in early-diagnosed medicated patients. We also investigated possible differences in progression between patients w...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610213000653

    authors: Hallikainen I,Hänninen T,Fraunberg M,Hongisto K,Välimäki T,Hiltunen A,Karppi P,Sivenius J,Soininen H,Koivisto AM,ALSOVA study group.

    更新日期:2013-08-01 00:00:00

  • Donepezil for negative signs in elderly patients with schizophrenia: an add-on, double-blind, crossover, placebo-controlled study.

    abstract:OBJECTIVE:Cognitive impairment and negative signs are common in patients with schizophrenia. Up to 35% of elderly patients with schizophrenia fulfill the diagnostic criteria of dementia. Donepezil inhibits cholinesterase, thus enhancing cholinergic neurotransmission. We tested the efficacy of donepezil in elderly patie...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1041610205003017

    authors: Mazeh D,Zemishlani H,Barak Y,Mirecki I,Paleacu D

    更新日期:2006-09-01 00:00:00