Clinical utility of a rapid diagnostic test series for elderly psychiatric outpatients.

Abstract:

:Psychiatric evaluation of the elderly is especially difficult for several reasons, e.g., the presence of organic impairment, the effects of multiple drug therapy, and the tendency to confuse the normal concomitants of aging with neurotic symptoms. The authors have developed and evaluated a brief series of self-report assessment tests (GRDB) designed to assist the psychiatrist in the process of diagnosis. Coefficients of the internal consistency of the seven scales are presented. A comparison was make between 28 psychiatric patients attending a geriatric clinic and 48 well-functioning elderly persons matched for age and sex, and living in the same community. Results showed that the geriatric outpatients functioned at a lower level of adaptation than did the control group, on all seven scales - depression, daily living skills, social interaction, cognitive skills, number of illnesses, number of life problems, and the use of drugs and alcohol. These findings provide a measure of discriminant validity. The advantages of this brief assessment instrument are discussed.

journal_name

J Am Geriatr Soc

authors

Murkofsky C,Conte HR,Plutchik R,Karasu TB

doi

10.1111/j.1532-5415.1978.tb01950.x

subject

Has Abstract

pub_date

1978-01-01 00:00:00

pages

22-6

issue

1

eissn

0002-8614

issn

1532-5415

journal_volume

26

pub_type

杂志文章
  • Cognitive performance correlates with cerebrovascular impairments in multi-infarct dementia.

    abstract::Cerebral blood flow (CBF) was measured by the 133Xe inhalation method in patients with multi-infarct dementia (MID, N = 26), Alzheimer's dementia (AD, N = 19), and among age-matched, neurologically normal, healthy volunteers (N = 26). Cognitive performance was assessed in all subjects using the Cognitive Capacity Scre...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb04318.x

    authors: Judd BW,Meyer JS,Rogers RL,Gandhi S,Tanahashi N,Mortel KF,Tawaklna T

    更新日期:1986-05-01 00:00:00

  • The utilization of fecal occult blood testing in the institutionalized elderly.

    abstract:OBJECTIVE:To examine physician use of stool guaiac testing in order to determine indications for testing, how the test was used, and the consequences of a particular test result. DESIGN:Retrospective case series. SETTING:Large midwestern inpatient nursing home facility. PATIENTS:All patients with positive fecal occu...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1991.tb03569.x

    authors: Klos SE,Drinka P,Goodwin JS

    更新日期:1991-12-01 00:00:00

  • Treatment of an influenza A outbreak in a teaching nursing home. Effectiveness of a protocol for prevention and control.

    abstract::The safety and efficacy of current ACIP guidelines for the prevention and control of influenza in nursing home populations are uncertain. An outbreak of influenza A/Sichuan (H3N2) in a teaching nursing home during 1988 gave us the opportunity to evaluate the effectiveness of an influenza vaccination and amantadine pro...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1989.tb06809.x

    authors: Peters NL,Oboler S,Hair C,Laxson L,Kost J,Meiklejohn G

    更新日期:1989-03-01 00:00:00

  • Do-Not-Hospitalize Orders in Nursing Homes: "Call the Family Instead of Calling the Ambulance".

    abstract:OBJECTIVES:To determine how do-not-hospitalize (DNH) orders are interpreted and used in nursing homes (NHs) once they are in place. DESIGN:Qualitative study using in-depth semi-structured interviews performed from December 2013 to April 2014. SETTING:Eight skilled nursing facilities in Connecticut that ranked in the ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14879

    authors: Cohen AB,Knobf MT,Fried TR

    更新日期:2017-07-01 00:00:00

  • Walking and talking as predictors of falls in the general population: the Leiden 85-Plus Study.

    abstract:OBJECTIVES:To compare the value of dual tasking in predicting falling in the general population of oldest old with that of easy-to-administer single tasks. DESIGN:Prospective population-based follow-up study. SETTING:Municipality of Leiden, the Netherlands. PARTICIPANTS:Representative cohort of 380 individuals, all ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2003.51468.x

    authors: Bootsma-van der Wiel A,Gussekloo J,de Craen AJ,van Exel E,Bloem BR,Westendorp RG

    更新日期:2003-10-01 00:00:00

  • Sarcopenia Definition & Outcomes Consortium Defined Low Grip Strength in Two Cross-Sectional, Population-Based Cohorts.

    abstract:BACKGROUND/OBJECTIVES:The extent to which the prevalence of muscle weakness in the US population varies by different putative grip strength constructs developed by the Sarcopenia Definitions and Outcomes Consortium (SDOC) has not been described. DESIGN:Cross-sectional analysis. SETTING:Two nationally representative c...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16419

    authors: Patel SM,Duchowny KA,Kiel DP,Correa-de-Araujo R,Fielding RA,Travison T,Magaziner J,Manini T,Xue QL,Newman AB,Pencina KM,Santanasto AJ,Bhasin S,Cawthon PM

    更新日期:2020-07-01 00:00:00

  • Team-Based Interprofessional Competency Training for Dementia Screening and Management.

    abstract::As many as 50% of people satisfying diagnostic criteria for dementia are undiagnosed. A team-based training program for dementia screening and management was developed targeting four professions (medicine, nursing, pharmacy, social work) whose scope of practice involves dementia care. An interprofessional group of 10 ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14540

    authors: Tan ZS,Damron-Rodriguez J,Cadogan M,Gans D,Price RM,Merkin SS,Jennings L,Schickedanz H,Shimomura S,Osterweil D,Chodosh J

    更新日期:2017-01-01 00:00:00

  • Creating a teaching geriatric service: ten important lessons.

    abstract::The restructuring of The Medical Service at the Weill/Cornell campus of the New York Presbyterian Hospital, coupled with funding from the Donald W. Reynolds Foundation to strengthen physicians' training in geriatrics, enabled the creation of a geriatrics inpatient team and a 17-bed Acute Care for Elders unit. It has a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.53122.x

    authors: Siegler EL,Capello CF

    更新日期:2005-02-01 00:00:00

  • Subclinical hypothyroidism in a biethnic, urban community.

    abstract:OBJECTIVES:To evaluate the association between hypothyroidism, and the health status of older Hispanic and non-Hispanic white (NHW) men and women. To accomplish this, we determined the prevalences of the treated and untreated conditions and examined the associations between an elevated serum thyroid stimulating hormone...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1999.tb01593.x

    authors: Lindeman RD,Schade DS,LaRue A,Romero LJ,Liang HC,Baumgartner RN,Koehler KM,Garry PJ

    更新日期:1999-06-01 00:00:00

  • An evaluation of an adapted U.S. model of pharmaceutical care to improve psychoactive prescribing for nursing home residents in northern ireland (fleetwood northern ireland study).

    abstract:OBJECTIVES:To test the effect of an adapted U.S. model of pharmaceutical care on prescribing of inappropriate psychoactive (anxiolytic, hypnotic, and antipsychotic) medications and falls in nursing homes for older people in Northern Ireland (NI). DESIGN:Cluster randomized controlled trial. SETTING:Nursing homes rando...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2009.02617.x

    authors: Patterson SM,Hughes CM,Crealey G,Cardwell C,Lapane KL

    更新日期:2010-01-01 00:00:00

  • The prevalence of diabetes and associated coronary risk factors in urban and rural older Mexican populations.

    abstract:OBJECTIVE:To determine the prevalence of diabetes and examine its association with food intake, anthropometric and metabolic variables, and other coronary risk factors in urban and rural older Mexican populations. DESIGN:A cross-sectional study. SETTING:Three Mexican communities (urban areas of medium and low income ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb06005.x

    authors: Lerman IG,Villa AR,Martinez CL,Cervantes Turrubiatez L,Aguilar Salinas CA,Wong B,Gómez Pérez FJ,Gutierrez Robledo LM

    更新日期:1998-11-01 00:00:00

  • Nurse Practitioners and Physician Assistants: An Underestimated Workforce for Older Adults with Cancer.

    abstract:OBJECTIVES:To describe the composition of the US provider workforce for adults with cancer older than 65 years and to determine whether there were differences in patients who received care from different providers (eg, nurse practitioners [NPs], physician assistants [PAs], and specialty physicians). DESIGN:Observation...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15931

    authors: Coombs LA,Max W,Kolevska T,Tonner C,Stephens C

    更新日期:2019-07-01 00:00:00

  • Age-related differences in the utilization of therapies post acute myocardial infarction.

    abstract:OBJECTIVE:To describe the effect of age on the care of patients hospitalized with acute myocardial infarction (MI). DESIGN:Retrospective chart review of all cases with a primary or secondary discharge diagnosis of acute MI. SETTING:Two large community hospitals in Milwaukee, Wisconsin, from July 1, 1990 to June 30, 1...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1995.tb07196.x

    authors: Malone ML,Sial SH,Battiola RJ,Nachodsky JP,Solomon DJ,Goodwin JS

    更新日期:1995-06-01 00:00:00

  • Comparison of outcomes and the use of multimodality therapy in young and elderly people undergoing surgical resection of pancreatic cancer.

    abstract:OBJECTIVES:To compare outcomes and the use of multimodality therapy in young and elderly people with pancreatic cancer undergoing surgical resection. DESIGN:Retrospective, single-institution study. SETTING:National Cancer Institute/National Comprehensive Cancer Network cancer center. PARTICIPANTS:Two hundred three i...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03785.x

    authors: Barbas AS,Turley RS,Ceppa EP,Reddy SK,Blazer DG 3rd,Clary BM,Pappas TN,Tyler DS,White RR,Lagoo SA

    更新日期:2012-02-01 00:00:00

  • Physicians' and Public Attitudes Toward Euthanasia in People with Advanced Dementia.

    abstract:BACKGROUND/OBJECTIVES:To explore the opinion of the Dutch general public and of physicians regarding euthanasia in patients with advanced dementia. DESIGN:A cross-sectional survey. SETTING:The Netherlands. PARTICIPANTS:Random samples of 1,965 citizens (response = 1,965/2,641 [75%]) and 1,147 physicians (response = 1...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16692

    authors: Brinkman-Stoppelenburg A,Evenblij K,Pasman HRW,van Delden JJM,Onwuteaka-Philipsen BD,van der Heide A

    更新日期:2020-10-01 00:00:00

  • Multimorbidity and Risk of Mild Cognitive Impairment.

    abstract:OBJECTIVES:To determine the association between multiple chronic conditions and risk of incident mild cognitive impairment (MCI) and dementia. DESIGN:Prospective cohort study. SETTING:Olmsted County, Minnesota. PARTICIPANTS:Cognitively normal individuals (N = 2,176) enrolled in the Mayo Clinic Study of Aging (MCSA)....

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13612

    authors: Vassilaki M,Aakre JA,Cha RH,Kremers WK,St Sauver JL,Mielke MM,Geda YE,Machulda MM,Knopman DS,Petersen RC,Roberts RO

    更新日期:2015-09-01 00:00:00

  • An examination of histamine-2 receptor antagonist use by Medicaid recipients in Wisconsin long-term care facilities.

    abstract::The Wisconsin Drug Utilization Review Project used Medicaid claims data to examine the use of long-term, full doses histamine-2 receptor antagonists (H2RAs) among long-term care facility (LTCF) residents, ie, doses exceeding 800 mg per day of cimetidine or 150 mg per day of ranitidine for 12 weeks or more. Additional ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1988.tb04024.x

    authors: Lipowski EE,Bauwens SF,Collins TM

    更新日期:1988-06-01 00:00:00

  • Cognitive impairment and risk of stroke in the older population.

    abstract:OBJECTIVE:Recent studies have suggested that vascular dementia in older persons is more common than previously hypothesized. A substantial proportion of dementia in old age may be an early manifestation of cerebrovascular disease (CVD), that eventually becomes clinically evident as an acute cerebrovascular accident. Th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb00908.x

    authors: Ferrucci L,Guralnik JM,Salive ME,Pahor M,Corti MC,Baroni A,Havlik RJ

    更新日期:1996-03-01 00:00:00

  • Geriatric sweet tooth. A problem with tricyclics.

    abstract::Ninety-three consecutive outpatients receiving tricyclic antidepressants for at least one month were asked about medication side effects, including excessive appetite and craving for sweets. Prevalence of these side effects and their relationship (Pearson r) to type of medication, dosage, patient characteristics, diag...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1985.tb01777.x

    authors: Stein EM,Stein S,Linn MW

    更新日期:1985-10-01 00:00:00

  • Physical activity over the life course and its association with cognitive performance and impairment in old age.

    abstract:OBJECTIVE:To determine how physical activity at various ages over the life course is associated with cognitive impairment in late life. DESIGN:Cross-sectional study. SETTING:Four U.S. sites. PARTICIPANTS:Nine thousand three hundred forty-four women aged 65 and older (mean 71.6) who self-reported teenage, age 30, age...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2010.02903.x

    authors: Middleton LE,Barnes DE,Lui LY,Yaffe K

    更新日期:2010-07-01 00:00:00

  • Use of Antiepileptic Drugs and Dementia Risk-an Analysis of Finnish Health Register and German Health Insurance Data.

    abstract:OBJECTIVES:To evaluate the association between regular antiepileptic drug (AED) use and incident dementia. DESIGN:Case-control analysis. SETTING:Finnish public health register and German health insurance data. PARTICIPANTS:Individuals with dementia of any type (German data, N=20,325) and Alzheimer's disease (AD; Fin...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15358

    authors: Taipale H,Gomm W,Broich K,Maier W,Tolppanen AM,Tanskanen A,Tiihonen J,Hartikainen S,Haenisch B

    更新日期:2018-07-01 00:00:00

  • The Prevention of Infections in Older Adults: Vaccination.

    abstract::All living beings are at risk for experiencing infections; humans are no exception. The prestige and credibility of modern medicine is built in large part on achievements in preventing and treating infectious diseases. For most of human history, there was little that could be done to prevent and treat infections. Mill...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/jgs.16205

    authors: Coll PP,Costello VW,Kuchel GA,Bartley J,McElhaney JE

    更新日期:2020-01-01 00:00:00

  • Risks and Benefits of Screening for Dementia in Primary Care: The Indiana University Cognitive Health Outcomes Investigation of the Comparative Effectiveness of Dementia Screening (IU CHOICE)Trial.

    abstract:BACKGROUND/OBJECTIVE:The benefits and harms of screening of Alzheimer disease and related dementias (ADRDs) are unknown. This study addressed the question of whether the benefits outweigh the harms of screening for ADRDs among older adults in primary care. DESIGN, SETTING, AND PARTICIPANTS:Single-blinded, two-arm, ran...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jgs.16247

    authors: Fowler NR,Perkins AJ,Gao S,Sachs GA,Boustani MA

    更新日期:2020-03-01 00:00:00

  • Stroke prophylaxis in institutionalized elderly patients with atrial fibrillation.

    abstract:OBJECTIVES:To identify patterns and predictors of antithrombotic use and to evaluate the appropriateness of antithrombotic therapy for stroke prophylaxis in institutionalized elderly patients with atrial fibrillation. DESIGN:Retrospective study. SETTING:Seventeen long-term care institutions in Edmonton, Alberta. SUB...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2004.52117.x

    authors: Lau E,Bungard TJ,Tsuyuki RT

    更新日期:2004-03-01 00:00:00

  • Effects of dehydroepiandrosterone supplementation on cognitive function and quality of life: the DHEA and Well-Ness (DAWN) Trial.

    abstract:OBJECTIVES:To examine the effects of dehydroepiandrosterone (DHEA) supplementation on cognitive function and quality of life in healthy older adults. DESIGN:Double-blind, randomized, controlled clinical trial. SETTING:Clinical research facility. PARTICIPANTS:One hundred ten men and 115 women aged 55 to 85 (mean +/- ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2008.01768.x

    authors: Kritz-Silverstein D,von Mühlen D,Laughlin GA,Bettencourt R

    更新日期:2008-07-01 00:00:00

  • Fighting against age discrimination in clinical trials.

    abstract::At the American Geriatrics Society 2008 Annual Meeting, representatives of two geriatric societies, the European Union Geriatric Medicine Societies and the American Geriatrics Society, and two regulatory agencies, the U.S. Food and Drug Administration and the European Medicine Agency, conducted a roundtable discussion...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2010.03032.x

    authors: Cherubini A,Del Signore S,Ouslander J,Semla T,Michel JP

    更新日期:2010-09-01 00:00:00

  • Long-term care facility policies on life-sustaining treatments and advance directives in Canada.

    abstract:OBJECTIVE:To describe the prevalence and content of long-term care facility policies regarding the use of life-sustaining treatments (cardiopulmonary resuscitation (CPR), artificial hydration and nutrition, dialysis, antibiotics for life-threatening infections, transfer to acute care hospital) and advance directives in...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1994.tb06980.x

    authors: Choudhry NK,Ma J,Rasooly I,Singer PA

    更新日期:1994-11-01 00:00:00

  • Silent ischemia during voluntary detraining and future cardiac events in master athletes.

    abstract:OBJECTIVES:To determine whether exercise-induced silent ischemia in older master athletes following a 3-month period of deconditioning is a predictor of future cardiovascular events. DESIGN:A longitudinal study of a cohort of master athletes. SETTING:The Geriatric Research Education and Clinical Center (GRECC), Balti...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb04722.x

    authors: Begum S,Katzel LI

    更新日期:2000-06-01 00:00:00

  • Effectiveness of tai chi as a community-based falls prevention intervention: a randomized controlled trial.

    abstract:OBJECTIVES:To compare the effectiveness of tai chi and low-level exercise in reducing falls in older adults; to determine whether mobility, balance, and lower limb strength improved and whether higher doses of tai chi resulted in greater effect. DESIGN:Randomized controlled trial. SETTING:Eleven sites throughout New ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1532-5415.2012.03928.x

    authors: Taylor D,Hale L,Schluter P,Waters DL,Binns EE,McCracken H,McPherson K,Wolf SL

    更新日期:2012-05-01 00:00:00

  • The cost-effectiveness of a behavior intervention with caregivers of patients with Alzheimer's disease.

    abstract:OBJECTIVES:To examine the cost-effectiveness of a randomized, clinical trial of a home-based intervention for caregivers of people with dementia. DESIGN:This cost-effectiveness analysis examined Resources for Enhancing Alzheimer's Caregivers Health (REACH II), a multisite, randomized, clinical trial, from June 2002 th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2007.01569.x

    authors: Nichols LO,Chang C,Lummus A,Burns R,Martindale-Adams J,Graney MJ,Coon DW,Czaja S,Resources for Enhancing Alzheimer's Caregivers Health II Investigators.

    更新日期:2008-03-01 00:00:00