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  • S. Karger AG  (6)
  • 2010-2014  (6)
  • 1
    Online Resource
    Online Resource
    S. Karger AG ; 2012
    In:  Dementia and Geriatric Cognitive Disorders Vol. 34, No. 3-4 ( 2012), p. 198-205
    In: Dementia and Geriatric Cognitive Disorders, S. Karger AG, Vol. 34, No. 3-4 ( 2012), p. 198-205
    Type of Medium: Online Resource
    ISSN: 1421-9824 , 1420-8008
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2012
    detail.hit.zdb_id: 1482186-2
    detail.hit.zdb_id: 1360843-5
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  • 2
    Online Resource
    Online Resource
    S. Karger AG ; 2011
    In:  Dementia and Geriatric Cognitive Disorders Vol. 31, No. 6 ( 2011), p. 435-442
    In: Dementia and Geriatric Cognitive Disorders, S. Karger AG, Vol. 31, No. 6 ( 2011), p. 435-442
    Abstract: 〈 i 〉 Aim: 〈 /i 〉 To study quality of life among the elderly with dementia in institutions. 〈 i 〉 Methods: 〈 /i 〉 Patients above 60 years with dementia, 82 in nursing home and 74 in departments of geriatric psychiatry, were included. They were assessed with the Quality of Life in Late-Stage Dementia (QUALID); the Self-Maintenance scale, Mini Mental State Examination (MMSE) and Clinical Dementia Rating scale. Patient’s age, gender, previous medical and psychiatric history were recorded. Dementia was diagnosed according to ICD-10 criteria for research. Based on information in an interview with the patient and a carer and information in the patient’s record, a geriatric psychiatrist made a diagnosis of major depression according to DSM-IV, if present. 〈 i 〉 Results: 〈 /i 〉 The patients’ mean (± SD) age was 82.9 ± 7.7 years, 103 (66%) were women. A factor analysis of the QUALID scale resulted in two factors: ‘discomfort’ and ‘comfort’. Three linear regression analyses were performed. Variables associated with lower quality of life (total QUALID score) were: a diagnosis of major depression (p 〈 0.001), lower score on MMSE (p = 0.032), impaired function in activities of daily living (p = 0.007) and female gender (p = 0.046). Variables associated with the ‘discomfort’ subscale score were: major depression (p 〈 0.001), lower score on MMSE (p = 0.006) and living in a department of geriatric psychiatry (p = 0.041). The ‘comfort’ subscale score was associated with impaired function in activities of daily living (p 〈 0.001). Explained variance for the three models was 34, 33 and 23%, respectively. 〈 i 〉 Conclusion: 〈 /i 〉 Quality of life is diminished among elderly patients in institutions and the most marked correlates were a diagnosis of major depression, worse performance in activities of daily living and worse cognitive function.
    Type of Medium: Online Resource
    ISSN: 1420-8008 , 1421-9824
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2011
    detail.hit.zdb_id: 1482186-2
    detail.hit.zdb_id: 1360843-5
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  • 3
    Online Resource
    Online Resource
    S. Karger AG ; 2013
    In:  Dementia and Geriatric Cognitive Disorders Vol. 35, No. 3-4 ( 2013), p. 121-154
    In: Dementia and Geriatric Cognitive Disorders, S. Karger AG, Vol. 35, No. 3-4 ( 2013), p. 121-154
    Abstract: 〈 b 〉 〈 i 〉 Background/Aims: 〈 /i 〉 〈 /b 〉 The interest in the relation between coping and depression in older persons is growing, but research on the concepts and instruments of coping in relation to depression among older persons is scarce and systematic reviews are lacking. With this background, we wanted to gain a systematic overview of this field by performing a systematic literature search. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A computer-aided search in MEDLINE, CINAHL, PsycINFO, Embase, PubMed and www.salutogenesis.fi was conducted. We systematically searched for studies including coping and depression among persons 60 years of age and above. The included studies were evaluated according to predefined quality criteria. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Seventy-five studies, 38 clinical and 37 community settings, were included. Of these, 44 were evaluated to be of higher quality. Studies recruiting samples of older persons with a major depressive disorder, moderate or severe cognitive impairment or those who were dependent on care were scarce, thus the research is not representative of such samples. We found a huge variety of instruments assessing resources and strategies of coping (55 inventories). Although we found the relation between resources and strategies of coping and depression to be strong in the majority of studies, i.e. a higher sense of control and internal locus of control, more active strategies and positive religious coping were significantly associated with fewer symptoms of depression both in longitudinal and cross-sectional studies in clinical and community settings. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 Resources and strategies of coping are significantly associated with depressive symptoms in late life, but more research to systematize the field of coping and to validate the instruments of resources and strategies of coping in older populations is required, especially among older persons suffering from major depression and cognitive decline.
    Type of Medium: Online Resource
    ISSN: 1420-8008 , 1421-9824
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2013
    detail.hit.zdb_id: 1482186-2
    detail.hit.zdb_id: 1360843-5
    Location Call Number Limitation Availability
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  • 4
    Online Resource
    Online Resource
    S. Karger AG ; 2010
    In:  Dementia and Geriatric Cognitive Disorders Vol. 29, No. 5 ( 2010), p. 438-447
    In: Dementia and Geriatric Cognitive Disorders, S. Karger AG, Vol. 29, No. 5 ( 2010), p. 438-447
    Abstract: 〈 i 〉 Background: 〈 /i 〉 The validity of the Cornell Scale for Depression in Dementia is seldom studied in institutions. 〈 i 〉 Method: 〈 /i 〉 Two reliability studies, with 103 and 32 patients, and a validity study with 231 patients in nursing homes and in hospital were performed. They were assessed by the Cornell Scale, Clinical Dementia Rating scale and Self-Maintenance scale. A psychiatrist ‘blind’ to the Cornell assessment diagnosed depression according to the ICD-10, DSM-IV-TR and the Provisional Criteria for Depression in Alzheimer’s Disease (PCD-dAD). 〈 i 〉 Results: 〈 /i 〉 Cronbach’s α values were 0.81 and 0.95, and the mean ĸ for the Cornell items were 0.91 and 0.57, respectively. In the validity study, 164 subjects had dementia; 105 (45.5%) had depression according to the ICD-10, 68 (29.9%) according to the DSM-IV-TR and 88 (53.3%) of the demented patients had depression according to the PCD-dAD. In the receiver operating characteristic analysis, the DSM-IV-TR criteria produced the highest area under the curve, i.e. 0.81 (95% CI: 0.75–0.87). A range of cutoff points for a depressive disorder was found for the various clinical criteria. 〈 i 〉 Conclusion: 〈 /i 〉 The Cornell Scale is reliable and a range of cutoff points should be used for various clinical criteria of depression.
    Type of Medium: Online Resource
    ISSN: 1420-8008 , 1421-9824
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2010
    detail.hit.zdb_id: 1482186-2
    detail.hit.zdb_id: 1360843-5
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  • 5
    In: Dementia and Geriatric Cognitive Disorders, S. Karger AG, Vol. 36, No. 5-6 ( 2013), p. 340-353
    Abstract: 〈 b 〉 〈 i 〉 Aims: 〈 /i 〉 〈 /b 〉 We examined whether Dementia Care Mapping (DCM) or the VIPS practice model (VPM) is more effective than education of the nursing home staff about dementia (control group) in reducing agitation and other neuropsychiatric symptoms as well as in enhancing the quality of life among nursing home patients. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A 10-month three-armed cluster-randomized controlled trial compared DCM and VPM with control. Of 624 nursing home patients with dementia, 446 completed follow-up assessments. The primary outcome was the change on the Brief Agitation Rating Scale (BARS). Secondary outcomes were changes on the 10-item version of the Neuropsychiatric Inventory Questionnaire (NPI-Q), the Cornell Scale for Depression in Dementia (CSDD) and the Quality of Life in Late-Stage Dementia (QUALID) scale. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Changes in the BARS score did not differ significantly between the DCM and the control group or between the VPM and the control group after 10 months. Positive differences were found for changes in the secondary outcomes: the NPI-Q sum score as well as the subscales NPI-Q agitation and NPI-Q psychosis were in favour of both interventions versus control, the QUALID score was in favour of DCM versus control and the CSDD score was in favour of VPM versus control. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 This study failed to find a significant effect of both interventions on the primary outcome. Positive effects on the secondary outcomes indicate that the methods merit further investigation.
    Type of Medium: Online Resource
    ISSN: 1420-8008 , 1421-9824
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2013
    detail.hit.zdb_id: 1482186-2
    detail.hit.zdb_id: 1360843-5
    Location Call Number Limitation Availability
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  • 6
    Online Resource
    Online Resource
    S. Karger AG ; 2012
    In:  Dementia and Geriatric Cognitive Disorders Extra Vol. 2, No. 1 ( 2012-2-3), p. 19-28
    In: Dementia and Geriatric Cognitive Disorders Extra, S. Karger AG, Vol. 2, No. 1 ( 2012-2-3), p. 19-28
    Abstract: 〈 i 〉 Background: 〈 /i 〉 This study explores factors associated with depression in Alzheimer’s disease (AD) compared with mild cognitive impairment (MCI) and other dementia disorders. 〈 i 〉 Method: 〈 /i 〉 In a prospective study we included 195 patients: 31 with MCI, 112 with AD and 52 with other dementias. 〈 i 〉 Results: 〈 /i 〉 According to the ICD-10 and the DSM-IV criteria, 88 (44.1%) and 59 (30.3%), respectively, had a depressive disorder. An adjusted multiple regression analysis showed that previous depression (p 〈 0.05) was significantly associated with depression in AD patients. Severity of dementia (p 〈 0.05) was significantly associated with a depressive disorder in a group of patients with frontotemporal dementia, vascular dementia, or dementia due to Lewy Body disease or Parkinson’s disease. 〈 i 〉 Conclusion: 〈 /i 〉 We found different factors associated with a depressive disorder in AD compared to those found for other dementia disorders.
    Type of Medium: Online Resource
    ISSN: 1664-5464
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2012
    detail.hit.zdb_id: 2621464-7
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