摘要:

AbstractExisting research demonstrates that nursing homes are the modern mental institutions for the elderly in the United States, but that training of staff and physicians, processes of care, and the recognition and treatment of mental disorders lag behind the current state of scientific knowledge. The prevalence of diagnosable psychiatric disorders has been estimated to be 80% or higher. The most common of these disorders are the dementias, primarily Alzheimer's or vascular, that can be uncomplicated or complicated by the presence of hallucinations, delusions, depression or behavioral symptoms. Other common disorders include depression and delirium. Problems currently under investigation include the effectiveness of special care units for patients with dementia, the characterization and treatment of the non‐cognitive, psychiatric symptoms of dementia, including consideration of the appropriate use of psychotropic medications, and the recognition, diagnosis, and treatment of depression. Although there is a clear need for more research, the available data already demonstrate the need for augmented psychiatric input into nursing home car

ISSN:0885-6230    

DOI:10.1002/gps.930080112

出版商:John Wiley&Sons, Ltd.    

年代:1993

数据来源: WILEY

摘要:

AbstractThe two main areas of geriatric clinical psychopharmacology research, depression and dementia, are reviewed. The issues for depression research include pharmacokinetics in the geriatric population and the relationship to efficacy and side‐effects; the treatment of the medically ill and the very old; and maintenance and continuation treatments. In particular, the recommendations from the recently convened NIH Consensus Development Conference for the Diagnosis and Treatment of Depression in Late Life are discussed. The issues in dementia research include effective treatment of behavioral symptoms as well as severe and mild cognitive impairment; the development of better cholinesterase inhibitors; the application of other drugs; and the use of appropriate clinical trials methodolog

ISSN:0885-6230    

DOI:10.1002/gps.930080113

出版商:John Wiley&Sons, Ltd.    

年代:1993

数据来源: WILEY

摘要:

AbstractAlthough clinicians believe strongly in the efficacy of various psychotherapeutic approaches to the geropsychiatric patient, to date there have been relatively few studies to validate these claims. We will selectively review some of the more clinically relevant studies concerning individual psychodynamic, cognitive, and behavioral psychotherapy, focusing on treatment of the depressed geriatric patient. Also reviewed are studies about the cost‐effectiveness of psychiatric intervention, as well as innovative hospital‐based treatment modalities. Although progress has been made, Rechtschaffen's succinct summary of the psychotherapy literature in 1959 is still pertinent today; ‘As is true for psychotherapy as a whole, systematic, controlled studies of the effectiveness of various treatments of older people are still lacking. Ultimately, there must be empirical grounds for predicting which type of treatment will work best for which type of patient’ (Rechtschaffen

ISSN:0885-6230    

DOI:10.1002/gps.930080114

出版商:John Wiley&Sons, Ltd.    

年代:1993

数据来源: WILEY

ISSN:0885-6230    

DOI:10.1002/gps.930080115

出版商:John Wiley&Sons, Ltd.    

年代:1993

数据来源: WILEY

ISSN:0885-6230    

DOI:10.1002/gps.930080116

出版商:John Wiley&Sons, Ltd.    

年代:1993

数据来源: WILEY

ISSN:0885-6230    

DOI:10.1002/gps.930080101

出版商:John Wiley&Sons, Ltd.    

年代:1993

数据来源: WILEY