Abstract:
:When diagnosis of dementia occurs earlier in the disease process, more time is available for treatment aimed at maintaining patient function and delaying decline, and for family education about the disease and its management. Primary care providers often, however, face challenges in making timely diagnoses. Nineteen practitioners in mostly rural areas of a mid-western state were interviewed about their experiences in diagnosis and treatment, to develop a more comprehensive understanding of barriers encountered by providers in non-metropolitan areas. Participants estimated that the time from symptom onset to diagnosis ranged from several months to one year, largely dependant upon family recognition. Limitations in access to consultants and limited or non-existent community support and education resources were major impediments to diagnosis and treatment, respectively. Like their colleagues in more urban communities, denial among family members, or families who were absent or uncooperative, created additional challenges for providers in making and communicating diagnoses and in supporting home-based or institutional care. Conversely, supportive and motivated families played a central role in positive patient care experiences. Participants agreed that support and education services were important for family caregivers, but generally had few resources to offer families, which constrained their ability to provide optimal care. Identifying challenges faced by rural practitioners is essential to planning appropriate interventions for consultative support and educational outreach.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Teel CSdoi
10.1080/13607860410001725018subject
Has Abstractpub_date
2004-09-01 00:00:00pages
422-9issue
5eissn
1360-7863issn
1364-6915pii
QJTKRDYR9VJ96D5Bjournal_volume
8pub_type
杂志文章abstract:OBJECTIVES:This study reports on the psychometric properties and the factorial structure of the Reminiscence Functions Scale (RFS), a 43-item self-report instrument used to assess the frequencies of reminiscence for distinct functions. METHOD:The factorial validity (exploratory factor analysis, n = 453; confirmatory f...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860903167820
更新日期:2010-03-01 00:00:00
abstract::The Mini Mental State Examination (MMSE) is used widely internationally. Data on population age and gender distribution of MMSE scores outside of the US is rare. The Composite International Diagnostic Interview (CIDI), which incorporates the MMSE, was administered to a household sample of 2978 individuals age 15 and o...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860701529999
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Similarities exist in behavioral expression of autism spectrum disorder (ASD) and Alzheimer's disease and related dementias (ADRD). The purpose of this study was to assess presence of behavioral and psychiatric symptoms of dementia (BPSD) and ASD-like behaviors in adults with ADRD. METHODS:Using a cross-sec...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1849025
更新日期:2020-11-23 00:00:00
abstract::Objectives: The relationship between body satisfaction and self-esteem among older women is understudied, in particular the potential mechanisms underlying the relationship. The purpose of this study was to investigate social and temporal comparisons and self-objectification, their relationship to body satisfaction an...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1544222
更新日期:2020-05-01 00:00:00
abstract::Objectives: Home dwelling people with dementia and their informal carers often do not receive the formal care services they need. This study examined and mapped the research regarding interventions to improve access and use of formal community care services.Method: This is a scoping review with searches in PubMed, CIN...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607863.2018.1523876
更新日期:2020-02-01 00:00:00
abstract::Objectives: Explorations of relationships between loneliness and depression have focused on loneliness as a uni-dimensional construct. We hypothesised that reciprocal relationships may exist between depressive symptomatology and social and emotional subtypes of loneliness.Methods: Using data from 373 adults aged over ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1517728
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:Financial debt held by older adults in the U.S. has grown over the past two decades. This study examines the extent to which credit cards, other consumer debts, and mortgage debt increase financial stress. Outcome measures of financial stress include the material domain ("bill-paying difficulty") and psychol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1843000
更新日期:2020-11-10 00:00:00
abstract::Objective: We examined: 1. depression rates among senior center clients; and 2. the acceptability of a lay-delivered intervention for depression ("Do More, Feel Better") from the perspective of key stakeholders prior to its implementation.Method: We conducted cross-sectional surveys at four Seattle-area senior centers...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1698515
更新日期:2019-12-04 00:00:00
abstract:OBJECTIVES:Most research on learning in the field of dementia has studied teaching approaches, while little is known about learning as experienced and enacted by the people with dementia. The aim was to explore the lived experience of learning and maintaining knowledge related to technology among people with mild to mo...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1222347
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:Given the chronically painful, incurable nature of osteoarthritis, effective cognitive and behavioral coping strategies may be critical for older adults with the disease. Little is known about how and why coping changes over time, nor about stability of coping strategies in persons with osteoarthritis. The a...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.1003286
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To explore the key components representative of measures of psychosocial functioning with a focus on identifying the constituents of psychological distress in an Irish sample of community-dwelling older adults and to examine the relationship between these components and health outcomes such as frailty. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.604024
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Elder abuse and neglect is an increasing concern that adversely affects the health and well-being of older people in most societies. The purpose of this paper is to describe the psycho-social impact of elder mistreatment on the health and well-being of older Korean people living in New Zealand. METHOD:Data ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.814103
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:Demonstrations of the effectiveness of interventions requires evidence that the model can be implemented with fidelity. Caregiving interventions that are tailored to the individual or family require flexibility, which adds some challenges to the assessment of fidelity. This paper outlines the components nece...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1647134
更新日期:2020-12-01 00:00:00
abstract::Objectives: There is an association between depression and diminished social support; indeed, interpersonal dysfunction is often a central feature of depression. The purpose of this study is to examine the role that an emotion regulation (ER) strategy, cognitive reappraisal, plays in influencing the association betwee...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1698516
更新日期:2019-12-26 00:00:00
abstract:OBJECTIVE:This study aims to identify the relationship among social functioning, polypharmacy and depression among older patients in Hong Kong. METHOD:Three out of 18 elderly health centres were selected using the cluster sampling method. 457 elders were randomly selected from all the patients aged 65 and over attendi...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/13607863.2011.562174
更新日期:2011-08-01 00:00:00
abstract::Objectives: Preventing the onset of depression among older people in Japan requires clarifying the social determinants of depression by using longitudinal data, while also taking biological and psychological factors into account. Identification of such determinants may enable more active intervention through social po...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1496225
更新日期:2019-10-01 00:00:00
abstract::In many countries there is a concern to improve assessment procedures for older people to avoid misplacement in nursing homes and ensure that rehabilitation takes place where possible. The study examined assessment documentation in 126 care homes in North West England. On a set of core domains for assessing need, the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600637794
更新日期:2006-09-01 00:00:00
abstract::Objectives: Survivors of the Holocaust have reached an age during which it is common for them to look back on their lives. Previous research has shown that reminiscence can take on either adaptive ('self-positive') or detrimental ('self-negative') forms, which in turn are differently linked to psychological well-being...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1525608
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVES:The current research explores how family caregivers (1) make sense of caregiving and (2) cope with their circumstance. METHOD:We analysed semistructured interviews of 13 caregivers of people with either stroke (n = 5) or dementia (n = 8) and used photographs that caregivers took exemplifying their caregivin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.860425
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:Effects of two mentally stimulating art interventions on processing speed and visuo-spatial cognition were compared in three samples. METHOD:In a randomized 10-week art intervention study with a pre-post follow-up design, 113 adults (27 healthy older adults with subjective memory complaints, 50 healthy olde...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1114587
更新日期:2017-04-01 00:00:00
abstract::This study investigates general and social self-efficacy as possible mediators of the relationship between quantity and quality of social relations and depressive symptomatology. Mediation models were examined using a regionally representative sample of middle-aged (35-59) and older adults (60+). Hierarchical regressi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500310690
更新日期:2006-05-01 00:00:00
abstract::Background: Research shows that formal and informal social support can facilitate resilience in carers. There is a paucity of research exploring social support and resilience amongst recently bereaved informal carers. Aim: To examine how the presence or absence of distinct dimensions of social support facilitate or hi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1484886
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:The aims of the study were to report on the development and evaluation of a staff training intervention in dementia care designed for use in the general hospital setting: the 'Getting to Know Me' training programme. The study also aimed to undertake initial psychometric analysis on two new outcome scales desi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.856860
更新日期:2014-05-01 00:00:00
abstract::This paper reviews the proposals from the Lord Chancellor's Department for new Mental Incapacity law for England and Wales as they may impact on older people with dementia. Various concerns and issues are raised, particularly from the perspective of health care professionals, and the focus is the interface between suc...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860120080279
更新日期:2001-11-01 00:00:00
abstract::Objectives: The study used data from the Canadian Longitudinal Study on Aging to investigate the relationships among social support (measured as affectionate support, emotional/informational support, positive social interaction, tangible support), social participation and depression in caregivers and non-caregivers.Me...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1544223
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:Despite being identified as a significant clinical phenomenon, wandering of persons with dementia (PWDs) has not been studied in Korea. As an initial trial, various factors chosen from the literature for their predictive relationships to wandering of Korean PWDs were evaluated in this study. METHOD:A total ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802120821
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:There have been few studies examining the relationship between chronic obstructive pulmonary disease (COPD) and psychiatric morbidity in Hong Kong. This study aimed to examine the prevalence of depressive disorders (major depression, dysthymia and adjustment disorder with depressed mood) in Chinese patients w...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.856862
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:To examine the effect of personal (coping strategies and locus of control) and social resources (family and friendship support) on adjustment to chronic vision impairment in older adults at baseline (rehabilitation service application), 6 months, and 18 months later. METHOD:313 community dwelling, English s...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860902860912
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:Although sexuality is valued throughout the lifespan, older women's sexual expression can be influenced by physical, mental and social factors, including attitudes and stereotypes held by younger generations. By gaining an understanding of what influences negative attitudes toward sexuality and beliefs about...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802342243
更新日期:2009-03-01 00:00:00
abstract::The purpose of the present investigation was to examine the impact of speed of processing training on the cognitive and everyday abilities of older adults with initial processing speed or processing difficulty. Participants were randomized to either a speed of processing intervention or a social- and computer-contact ...
journal_title:Aging & mental health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/13607860412331336788
更新日期:2005-05-01 00:00:00