Abstract:
OBJECTIVES:Little is known about the patterns of psychotropic medication use in community-dwelling minority persons with dementia (PWD). The purpose of this study was to investigate racial/ethnic differences in psychotropic medication use across a diverse population of community-dwelling PWD and to examine the extent to which caregiver characteristics influence this use. METHOD:Data were drawn from the baseline assessment of the Resources for Enhancing Alzheimer's Caregiver Health II trial. Generalized linear models were used to identify racial/ethnic differences in psychotropic medication use. Akaike Information Criterion (AIC) model selection was used to evaluate possible explanations for observed differences across racial/ethnic group. RESULTS:Differences in anxiolytic and antipsychotic medication use were observed across racial/ethnic groups; however, race/ethnicity alone was not sufficient to explain those differences. Perceptions of caregiving and caregiver socioeconomic status were important predictors of anxiolytic use while PWD characteristics, including cognitive impairment, functional impairment, problem behavior frequency, pain, relationship to the caregiver, sex, and age were important for antipsychotic use. CONCLUSION:Racial/ethnic differences in psychotropic medication use among community-dwelling PWD cannot be explained by race/ethnicity alone. The importance of caregiver characteristics in predicting anxiolytic medication use suggest that interventions aimed at caregivers may hold promise as an effective alternative to pharmacotherapy.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Grace EL,Allen RS,Ivey K,Knapp SM,Burgio LDdoi
10.1080/13607863.2017.1286451subject
Has Abstractpub_date
2018-04-01 00:00:00pages
458-467issue
4eissn
1360-7863issn
1364-6915journal_volume
22pub_type
杂志文章abstract::This article provides a review of the literature on clinical correlates of awareness in dementia. Most inconsistencies were found with regard to an association between depression and higher levels of awareness. Dysthymia, but not major depression, is probably related to higher levels of awareness. Anxiety also appears...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607860500143075
更新日期:2005-09-01 00:00:00
abstract::Cognitive aging research suggests that environmental support can minimize memory failures in older adults. Similarly, designers of dwellings for frail and dementing older populations try to provide prosthetic environments to support greater independence. We review some of these research issues and design practices fro...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:In old age, the will-to-live (WTL) is one of the most important indicators of subjective well-being (SWB). However, few studies to date have focused on WTL. In these studies, WTL has mainly been evaluated via indirect questions concerning factors that may influence peoples' WTL, or by measures directed to pa...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1081149
更新日期:2017-03-01 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:OBJECTIVE:This study was carried out in an effort to determine the effect of music therapy on depression and physiological parameters in elderly people who were living in a nursing home. METHOD:The study was a randomized controlled trial. The study sample consisted of 64 elderly people who complied with the criteria o...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2016.1222348
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:To develop a questionnaire assessing vision-targeted health-related quality of life in older adults residing in nursing homes. METHODS:Using content previously identified through structured interviews with nursing home residents, the 57-item Nursing Home Vision-Targeted Health-Related Quality of Life questionn...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860701366186
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Assessment of personality changes in patients with dementia has received little systematic investigation, although caregivers report personality modifications in every phase of dementia. METHODS:A group of 52 patients with probable Alzheimer's disease (AD) vs. a group of fifteen control subjects were select...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860601086603
更新日期:2007-09-01 00:00:00
abstract::Objectives: Depression in older adults is a growing public health concern. However, limited research has focused on the issues of physical environments and depression in the elderly in Asia. The purpose of the study is to examine the relationship between the built environments and depressive symptoms in older adults u...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1755826
更新日期:2020-04-25 00:00:00
abstract:OBJECTIVES:Gerontopsychiatric nursing home residents are residents with a chronic mental condition (not dementia), in combination with one or more physical disorders. Psychiatric and behavioral problems are common within this population. The objective of this study is to examine these behaviors and their relationship t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1695738
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:The purpose of this research was to test the clinical use of the gerotranscendence (GT) theory and its influence on GT perspective, depression, and life satisfaction among a group of institutionalized elders. METHODS:An experimental study utilizing pre-post group design and random assignment of elders into i...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2010.543663
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:Finding meaning in life is often cited as an important outcome of reminiscence, but this theoretical claim has not been empirically tested until now. A new intervention combining integrative reminiscence and elements of narrative therapy was developed and the effects on meaning in life were studied. METHODS...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802343209
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:To investigate informal caregivers' psychological well-being and predicted increase in psychological well-being, when caring for persons with dementia (PwDs) living at home, related to caregiver, PwD and formal care (FC) factors. METHOD:A cohort study at baseline and 3 months' follow-up in eight European co...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1211621
更新日期:2017-11-01 00:00:00
abstract::This study explores the associations of loneliness with depressive symptoms in a five-year follow-up and describes how the six dimensions of perceived togetherness explain loneliness and depressive symptoms at baseline. The data were collected on 207 residents of Jyväskylä, central Finland, who at baseline in 1990 wer...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500193138
更新日期:2005-11-01 00:00:00
abstract:INTRODUCTION:We examined the psychometric properties of the CD-RISC, including factor structure. Secondly, we examined if resilience factors moderate the association between negative affect and hazardous alcohol use. METHOD:The sample population consisted of 1,368 community-dwelling older adults. We used standardized ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1870211
更新日期:2021-01-15 00:00:00
abstract::Objectives: This study investigated the association between healthy lifestyle comprised of multiple domains, gender, and cognitive function in older Chinese people in Hong Kong.Methods: We conducted a cross-sectional analysis with data from 1,831 community-dwellers aged 65 years and above. Participants' basic demograp...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1539833
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:To investigate the characteristics of the caregiving experience according to age at onset of dementia to adapt support programs. METHOD:Fifty-seven spouse caregivers of persons with early-onset dementia (PEOD) and 93 spouse caregivers of persons with late-onset dementia (PLOD) participated. The characterist...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1339777
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:Little is known about the factors associated with depression among elderly Nigerians despite research evidence suggesting that some correlates of depression may be important in early detection, treatment and prognosis. This study aimed to determine the correlates of depression among a community based elderly...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.843156
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:The primary purposes of the present study were (1) to assess the living arrangements among urban Chinese elders, (2) to examine the relationship between household living arrangement and elders' mental health, and (3) to investigate how individuals' neighborhood identity affects their mental health. METHOD:T...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.837142
更新日期:2014-01-01 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::While it is clear that families remain involved in the lives of loved ones following placement in a nursing home, little research has examined whether visiting and the provision of care has effects on the emotional stress and psychological well-being of family members. Utilizing pre-placement and post-placement data f...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860310001613356
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:Illness representations shape responses to illness experienced by the self or by others. The illness representations held by family members of those with long-term conditions such as dementia influence their understanding of what is happening to the person and how they respond and provide support. The aim of...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1128882
更新日期:2017-05-01 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:OBJECTIVES:The aim of this population-based study was to investigate the usefulness of the Geriatric Depression Scale 15-item version (GDS-15) to assess depressive symptoms among very old people with differing levels of cognitive function. METHODS:The 834 participants were aged 85 and over. Feasibility of GDS-15 was e...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.758231
更新日期:2013-01-01 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:OBJECTIVES:Prior integrative reminiscence interventions have had a limited focus on attachment themes. The attachment-focused integrative reminiscence (AFIR) intervention differs from these in its central emphasis on attachment themes. The wide range of health benefits resulting from integrative reminiscence may be due...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1023764
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:The aim of the analysis is to assess the impact of privately employed migrant care workers (MCWs) on the burden of Italian family members who care for a disabled older person. METHODS:EUROFAMCARE is a one-year prospective survey carried out to provide evidence on the availability and use of support services ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.765830
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Approximately 32.7% of people living with HIV/AIDS (PLWHA) in the USA are now over the age of 50. Women comprise a significant percentage of the US HIV epidemic and the percentage of women diagnosed with HIV continues to grow; however, little is known about women's experiences living and coping with HIV over...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.917608
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We examined the prospective effects of an evidence-based exercise intervention on depressive symptoms in older Hispanics/Latinos and the potential synergistic effects (if any) of an attribution-retraining component to counter negative ascriptions to the aging process. METHOD:We analyzed baseline, 1-, 12-, 2...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/13607863.2018.1450833
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:In the UK and elsewhere, specialist community mental health teams (CMHTs) are central to the provision of comprehensive services for older people with mental ill health. Recent guidance documents suggest a core set of attributes that such teams should encompass. This article reports on a systematic literatur...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607863.2011.651431
更新日期:2012-01-01 00:00:00
abstract::Objectives: Although numerous studies have documented that negative age stereotypes and perceived age discrimination are related to older adults' lower well-being, few studies have investigated the mechanisms underlying these relationships. In this study, we tested whether self-perceptions of aging and subjective age ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1514487
更新日期:2019-12-01 00:00:00