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Results for “Geriatric psychiatry”

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At least 19 recordsLinked to original sources
PubMed2026

Short-term aerobic exercise as an adjunct treatment for depression in acute geriatric psychiatry: Results of a randomized controlled trial.

BACKGROUND: This randomized controlled trial examined whether short-term aerobic exercise provided additional clinical benefit over an active control in older inpatients with depression in geriatric psychiatry. METHODS: 100 patients (mean age 76&#xa0;years) were randomized to 2-week supervised aerobic ergometer training (intervention group, IG) or a flexibility program (control group, CG), both delivered in addition to treatment as usual (TAU). Adherence, training exposure and adverse events were recorded to assess feasibility. The primary outcome was clinical improvement measured with the Clinical Global Impression of Change (CGI). Secondary outcomes included depressive symptom severity assessed by the Beck Depression Inventory-II (BDI-II) and clinician-rated Hamilton Rating Scale for Depression (HAMD), physical activity, 6-min walk test (6MWT) performance, and fluoxetine-equivalent antidepressant dose (FLX). RESULTS: Thirty-nine participants attended at least 80% of sessions, with lower adherence in the IG. Weekly training duration differed between groups (74.0&#xa0;&#xb1;&#xa0;31.9 vs. 95.0&#xa0;&#xb1;&#xa0;25.3&#xa0;min/week, p&#xa0;=&#xa0;.003). CGI did not differ between groups (IG: MD -0.31, 95% CI -0.67 to 0.05; p&#xa0;=&#xa0;.069). Depressive symptom severity decreased over time in both groups (p&#xa0;<&#xa0;.001), without significant between-group differences for HAMD (MD -0.22, 95% CI -2.55 to 2.12) or BDI-II (MD -0.62, 95% CI -3.68 to 2.45). 6MWT and FLX increased over time (both p&#xa0;<&#xa0;.001), without group differences (6MWT: MD -1.08&#xa0;m, 95% CI -20.04 to 17.89; FLX: MD 5.69&#xa0;mg/day, 95% CI -2.40 to 13.77). CONCLUSION: Short-term aerobic exercise was deliverable, but showed no additional clinical benefit over low-intensity flexibility during TAU. Further research should determine dose, duration and adherence for clinically relevant effects.

Humans↗
PubMedDate not supplied

[Management of sleep disorders from the geriatric psychiatry aspect].

Sleep disorders are a common phenomenon in patients of all age groups and often are not easy to influence. In geriatric patients sleep disorders are even more common and often are the main complaint. In addition to pharmacotherapeutic approach with a number of different psychotropic drugs non-drug procedures should also be used in the treatment of geriatric and psychogeriatric patients and combinations of different therapeutic approaches can be indicated. With every patient complaining of disturbed sleep a careful exploration of the origin of the sleep disorder is imperative prior to treatment.

Age Factors↗
PubMed1978

Geriatric psychiatry training for the general psychiatric resident.

Although there is a real need in variety of settings for psychiatrists trained in working with older people, a large proportion of psychiatric residency programs do not offer the opportunity for clinical experience with this age group. The author stresses the need to include this subject in the curriculum of residency training programs. He describes the features of one program that offers comprehensive training in this area.

Aged↗
PubMed1979

A geriatric psychiatry day hospital service: a five-year review.

Psychiatric day hospitals for the elderly have been regarded either as an alternative to in-patient care or as a long-term supportive facility for patients with chronic psychiatric disabilities. In a five-year review of such a unit it was found that the unit's main function had become that of providing an immediate short-term supportive facility to demented patients, mainly in the 75-years-and-over age group, and to their relatives, until such time as beds in the long-stay psychogeriatric wards of the hospital became available. The implications of this change in role of day hospitals are discussed in the light of present facilities and the predicted increase in the size of this section of the population.

Aged↗
PubMed1975

Day care in geriatric psychiatry.

Psychiatric day care for the ederly is still in its relative infancy in this country, and we can expect a great increase in demand. Treatment may be less prominent among the functions of a psychogeriatric day hospital than supportive care and tolerance of odd and confused behaviour. Psychogeriatric day patients tend to become permanent, their attendance being more often terminated by inpatient admission than by discharge; in demented patients this is because their needs are unlikely to abate, and these patients often need to come daily; in many functional patients it is because they become dependent on the day hospital, and manage quite well provided they can come once a week. Thus it is only rarely that short-term day hospital attendance provides an alternative to short-term hospitalisation; more commonly it is an extension of long-term care, or an alternative to long-term hospitalisation. Some practicalities are considered, and some still open issues.

Aged↗
PubMed1978

Designing a comprehensive service for a health care group: a framework for planning.

This article describes an exercise which was designed by a multidisciplinary group, including a community physician, health economist, clinician and operational research practitioner, to explore the essential nature of planning services for a particular health care group. The first programme, described in the article, was concerned with psychogeriatric services, including both community and hospital provision, but it is indicated that the exercise can be adapted to all other services, and has already been used to evolve a comprehensive accident and emergency service in a particular health area. Participants came from a wide variety of disciplines, including community medicine, psychiatry, geriatrics, hospital and community nursing and non-medical administration. The tutors to the course were those who had been involved in its planning and they spent the time working with the participants to explore the concepts involved and to produce some practical solutions that could be used in the field.

Decision Making↗
PubMed1979

Geropsychiatry in Indian culture.

Geriatric psychiatry will be increasingly important in years to come as the care of the elderly becomes a health problem in India. Those aged 60 and over contribute to 6% of the country's population at present. The life expectancy of an average Indian has increased from 24 years in 1900 to 53 in 1971. Improved health care promises longevity, but social and economic conditions like poverty, breakup of the joint family system and poor services, specifically for the aged, pose a psychiatric threat to them. Organic diseases and effective disorders form the bulk of psychiatric illness in the aged. Suggestions for research in areas such as social, cultural and changing attitudes, and national economics, have been suggested as a promising field for preventive geriatric services. Adding life to years is more important than adding years to life. The paper offers some references to the studies on geriatric psychiatry in India and discusses cultural factors affecting the aged.

Aged↗
PubMed1979

Prevention of psychiatric recidivism: a model service.

This article describes the patient-care activities of a medical school multidisciplinary section on geriatric psychiatry. The main treatment goal is the prevention of psychiatric recidivism. An index of this prevention is the re-admission rate, since the risks of institutionalization and recidivism tend to rise with each successive admission. The Section reported a re-admission rate of 4 percent for the first year of operation, a rate significantly less than that reported in the literature. The Section's achievement is predicated upon compliance with the requirements for optimal mental health care of the elderly. The protocol is presented in the hope that it may help others who wish to start such a service.

Aged↗
PubMed1979

Central-nervous-system stimulants: appraisal of use in geropsychiatric patients.

CNS stimulants such as methylphenidate and pentylenetetrazol are currently prescribed for the treatment of aged persons with symptoms of senility. A review of clinical studies conducted with these compounds indicates that firm evidence of efficacy is lacking. Because of the risks associated with high doses of such stimulants in the aged, it would seem that these compounds are of limited utility in geriatric psychiatry.

Aged↗