ISSN:0885-6230    

DOI:10.1002/gps.930090602

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe mortality rates of a national sample of 505 elderly people who were widowed in 1979 were analysed. Over the 13 1/4‐year period analysed, 62% of the sample had died. Although earlier analyses had indicated excess mortality in the first 6 months of bereavement for men aged 75+, there were no other significant excess mortality rates over the 13 1/4‐year period. Mortality was analysed in relation to the demographic characteristics of the whole sample and in relation to the inerview data on physical, social and psychological characteristics of the responders in 1979. Logistic regression analysis showed that age, sex and functional ability were the strongest predictors of mortality, and frequency of telephone contacts was only significant for the younger wido

ISSN:0885-6230    

DOI:10.1002/gps.930090603

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractAs part of a prevalence and recognition study of 336 elderly attenders at GP surgeries, 65 with high depression scores (who had not been referred for specialist psychiatric services) were randomly allocated either to 9 months' treatment by a multidisciplinary community psychogeriatric team or to continued management by their GP. At follow‐up, elderly men treated by the team had done better than those cared for by their GP, but this was not statistically significant. There was no difference in outcome for elderly women, nor for the group as a whole. It is suggested that while larger studies are awaited, elderly depressed men might profitably be referred to specialist services more often than at presen

ISSN:0885-6230    

DOI:10.1002/gps.930090604

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractConsultants in old age psychiatry were sent a questionnaire concerning their practice in informing dementia patients and their carers about the diagnosis and prognosis. The results showed a wide variation in practice. Carers almost invariably were told of the diagnosis. Patients with severe dementia were almost never told. There was more of a tendency to tell moderately affected sufferers but for patients with mild dementia practice was variable. There was a significant difference between all categories of dementia and the carer category for both diagnosis and prognosis giving. Informing patients of diagnosis differed from informing of prognosis only in the mild dementia category, with the tendency to give diagnosis more frequently than prognosis. Carers were also given diagnosis more frequently than prognosis. The article discusses some of the issues involved in giving information on diagnosis and prognosis to patients with dementia.

ISSN:0885-6230    

DOI:10.1002/gps.930090605

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe diagnosis of dementia in people with Down syndrome (DS) remains controversial. In this study DS patients who had a diagnosis of clinical dementia according to modified DSM‐III‐R criteria were assessed using the flash (P2) and pattern‐reversal (P100) visual evoked potential (VEP). Abnormal VEP recordings were apparent in both demented and non‐demented subjects. None of the demented subjects had the characteristic (P2–P100 latency difference) VEP changes reported in adults in the general population suffering from dementia. The VEP is unlikely to be a useful tool in the diagnosis of dementia in peopl

ISSN:0885-6230    

DOI:10.1002/gps.930090606

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractCosts of dementia care and its relation to cognitive capacity, activities of daily living (ADL) and behavioural disturbances were studied in a prospective, non‐randomized concurrent control study. The participants consisted of 173 demented patients who at inclusion were cared for in four caring alternatives: 45 in home care, 55 in day care (DC), 49 in group living (GL) and 24 institutionalized patients in Sundsvall, an industrial city in northern Sweden. The use of institutional care and costs were constant for the GL patients, independently of cognitive capacity, ADL capacity and behavioural disturbances, while institutional care and costs of the home care patients and the DC patients increased when cognitive capacity and the ADL capacity deteriorated and behavioural disturbances increased. The main conclusion is that care in GL seems to be a caring alternative in which institutionalization figures and costs are independent of measurements of the degree of dementia. The costs for the municipality and the county council regarding the DC group were lower than GL, particularly in relation to impaired cognitive function. In the sensitivity analysis, however, where ‘hotel costs’ and the value of the families' informal work were included, the costs of the DC and the home care group increased conside

ISSN:0885-6230    

DOI:10.1002/gps.930090607

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractThe psychiatric files of the 57 consecutive defendants aged 60+ referred by court for psychiatric examination at the Forensic Psychiatry Unit at the Y. Abarbanel Mental Health Center in the period 1982–1992 were retrospectively evaluated. The objectives were as follows: (a) to compare some assessment aspects of dementia patients with those of psychotics and personality disorders; (b) to compare how the questions of competency to stand trial, legal responsibility and competency to be sentenced were differentially approached. Of the 57 elderly patients surveyed, 17 (30%) suffered from dementia, 14 (25%) from a functional psychosis and 16 (28%) from a personality disorder. These three groups of psychiatric patients were found to be quite similar regarding the demographic and criminal variables studied. However, dementia patients occupied an intermediate position between the psychotics and personality disorders when assessment characteristics, psychiatric and legal recommendations to the court were considere

ISSN:0885-6230    

DOI:10.1002/gps.930090608

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractIn general hospitals the psychiatric morbidity in the old and frail is at least 40%. Two models for the provision of a psychiatric service to hospitalized geriatric patients were evaluated in order to identify which model most effectively fulfilled the aims of liaison psychiatry. At present, consultation type services predominate and there is some concern that an active liaison service could increase the referral rate of cases more appropriately dealt with by physicians. In this study an active liaison model was not associated with a marked increase in the referral rate, and when compared to a service with an emphasis on consultation, there was a higher degree of diagnostic accuracy by referring doctors in the liaison type model.

ISSN:0885-6230    

DOI:10.1002/gps.930090609

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

摘要:

AbstractSeventy‐five consecutive patients admitted to a hospital geriatric psychiatry unit had their medication reviewed on admission and at discharge. Use of benzodiazepines declined significantly from 40% to 20% of patients, but use of other therapeutic groups showed no significant change. The number of patients taking drug combinations with potentially adverse side‐effects decreased significantly between admission (21) and discharge (7). The use of relatively contraindicated drugs also declined. Drug utilization review is a valuable technique for drawing attention to potential problems of prescribing for elderly peo

ISSN:0885-6230    

DOI:10.1002/gps.930090610

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY

ISSN:0885-6230    

DOI:10.1002/gps.930090611

出版商:John Wiley&Sons, Ltd.    

年代:1994

数据来源: WILEY