Tuesday, November 12, 2019

Medical Conditions in the Elderly Often Misdiagnosed as Psychiatric

27 (24%) of 112 geriatric patients admitted consecutively to an inpatient psychiatric unit had delirium from underlying medical conditions that was misdiagnosed as a psychiatric...

Policies to Reduce Antipsychotic use Among Elderly are Failing

Research reveals that rates of antipsychotic prescribing to the elderly in the UK have not dropped despite national recommendations.

Inappropriate Use of Antipsychotics on Adults with Intellectual and Developmental Disabilities

One-third of adults with an intellectual or developmental disability are dispensed antipsychotics, despite having no existing psychiatric diagnosis.

ECT for Agitation and Aggression in Dementia

The International Journal of Geriatric Psychiatry published an article titled Safety and utility of acute electroconvulsive therapy for agitation and aggression in dementia,  which concludes "Electroconvulsive therapy may be a safe treatment option to reduce symptoms of agitation and aggression in patients with dementia whose behaviors are refractory to medication management." But the participants were not a random selection of people taking the drugs in question. Rather, they were individuals selected because of aggressive behavior, most of whom had been taking some or all of these drugs on admission. So it is a distinct possibility that the aggression was a drug effect for many, or even most, of the study participants.

No Evidence For Antidepressants in Depression With Dementia

In a review and meta-analysis of double-blind, placebo-controlled, randomly-assigned trials of antidepressants marketed in the U.S., researchers at the University of California failed to...

How Do Comprehensive Lifestyle Changes Influence Dementia?

In his Scientific American blog, Gary Stix reviews the latest investigations into the impacts of comprehensive lifestyle change approaches to preventing dementia. "Results of...

Centers For Medicare & Medicaid Keep Pushing To Reduce Antipsychotic Use In Elderly

-"The push for long-term care facilities to abandon the use of off-label use of antipsychotic medications for residents with dementia will intensify over the next two years."

Antidepressant Use May Increase Risk of Hip Fractures in Older Adults

Study finds antidepressant use is linked to increase in hip fractures in community-dwelling older adults with and without Alzheimer’s disease.

The Foods That Can Help and Harm Your Brain

From The Guardian: Nutrition can have a major impact on the health of our brains, including our risk for dementia and cognitive decline. Here is...

The Hidden Costs of Paying Physicians More to Diagnose Dementia

A plan from the British government to pay doctors for every diagnosis of dementia that they make is an act of "folly," writes physician...

PTSD and Psychiatric Medication Linked to Dementia in Older Veterans

Veterans diagnosed with PTSD and taking SSRIs, novel antidepressants, or atypical antipsychotics are more likely to develop dementia.

Cognitive Enhancement With Yoga

From Psychiatric Times: A recent study suggests that Kundalini yoga may be at least as effective as memory training in improving cognitive resilience in older adults with...

Care Homes Over-Prescribing Drugs for Residents with Dementia

From The Guardian: According to a new Human Rights Watch report, U.S. nursing homes are inappropriately prescribing antipsychotics to an estimated 179,000 residents with dementia each...

Pharma-linked Panel Advises Wider Use of Statins Even as Drugs’ Links to Dementia Re-affirmed

People who take statins are at “significantly greater” risk of memory impairment than those who don’t take the popular cholesterol-lowering drugs, according to research...

Antidepressant Use Associated with Brain Atrophy and Lesions in Elderly

In a study of 630 elderly Manhattanites without dementia, researchers from the Netherlands found that antidepressant use was associated with significantly more brain atrophy,...

Fewer Antipsychotics, More Nurses Will Improve Care and Save Money in Nursing Homes

The Center for Medicare Advocacy advised yesterday that nursing facilities could realize huge savings by eliminating "inappropriate and life-threatening" antipsychotic drugs. The statement added...

Can Cultural Engagement Protect Against Depression?

A new study examines the preventative effects of cultural engagement has on depression among older adults.

Benzos Raise Dementia Risk 50%

A 15-year prospective study, in the British Medical Journal this week, of 1063 subjects by researchers from the University of Bordeaux and Harvard University...

Lack of Face-to-Face Contact Doubles Depression Risk for Older Adults

New research suggests that more frequent in-person contact lessens the risk of depression in older adults. The study, published in this month’s issue of the Journal of the American Geriatric Society, found that in Americans over fifty the more face-to-face contact they had with children, family and friends, the less likely they were to develop depressive symptoms.

Lower Education Linked to Higher Antipsychotic Use in Swedish Elderly

Elderly people in Sweden are five times more likely to be taking antipsychotics if they have a diagnosis of dementia, according to research published in Acta Psychiatrica Scandinavica. And among those people with dementia, the lower their education the higher the likelihood they’re taking antipsychotics.

Antidepressant Use Linked to Dementia

A new study finds that elderly individuals using antidepressants are at significantly higher risk for dementia compared to depressed individuals who did not take the drugs.

New Medications Fail to Show Efficacy for Alzheimer’s Disease

Three phase III clinical trials assessing the efficacy of Lundbeck’s investigational drug idalopirdine for Alzheimer’s disease have failed

Patients on Antipsychotics at High Risk for Cardiovascular Issues, Study Finds

Antipsychotics present a known risk for major side effects. A new study suggests that certain antipsychotics may present a greater risk for cardiovascular disease than others.

Review Reinforces Social Connection as Protective Health Factor

Is a lack of social connection in the US harmful to health? In a review of social connection and health literature, researcher calls for a societal shift in values towards interdependence.

People With Dementia Press for More Rights

From STAT: People with dementia are coming together to fight for the right to make their own decisions, to have a voice in public policy, and to...

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