Article
Medicine, General & Internal
Jeffrey L. Jackson, Akira Kuriyama, Joanne Bernstein, Carley Demchuk
Summary: Depression is common in primary care, but screening frequency is low. The study suggests that practices should consider universal screening.
AMERICAN JOURNAL OF MEDICINE
(2022)
Article
Oncology
Christian Stephens, Dori Klemanski, Maryam B. Lustberg, Anne M. Noonan, Seuli Brill, Jessica L. Krok-Schoen
Summary: The study reveals that many primary care physicians lack confidence in providing survivorship care, which may be due to inadequate training, poor communication with oncologists, and underutilization of survivorship care plans.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Clinical Neurology
Gabriela A. Barber, Edmond D. Shenassa
Summary: Smoking can serve as a tacit screen for postpartum depression, with women who smoke during pregnancy, postpartum, or continuously during both periods being more likely to experience PPD, especially among unmarried women.
JOURNAL OF AFFECTIVE DISORDERS
(2021)
Article
Clinical Neurology
Zi-Ting Huang, Yan Luo, Ling Han, Kaipeng Wang, Shan-Shan Yao, He-Xuan Su, Sumin Chen, Gui-Ying Cao, Carson M. De Fries, Zi-Shuo Chen, Hui-Wen Xu, Yong-Hua Hu, Beibei Xu
Summary: This study examined the association between cardiometabolic multimorbidity and depressive symptoms among middle-aged and older Chinese. The results showed that stroke, heart disease, and diabetes had individual and additive effects on CMD combinations, while hypertension and dyslipidemia were only associated with depressive symptoms when combined with other CMDs.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Medicine, General & Internal
Gemma Lewis, Louise Marston, Larisa Duffy, Nick Freemantle, Simon Gilbody, Rachael Hunter, Tony Kendrick, David Kessler, Dee Mangin, Michael King, Paul Lanham, Michael Moore, Irwin Nazareth, Nicola Wiles, Faye Bacon, Molly Bird, Sally Brabyn, Alison Burns, Caroline S. Clarke, Anna Hunt, Jodi Pervin, Glyn Lewis
Summary: Patients with depression in primary care practices who chose to discontinue antidepressant therapy had a higher risk of relapse compared to those who maintained their current therapy after 1 year.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Article
Health Care Sciences & Services
Chelsea R. Perfect, J. Lindquist, V. A. Smith, C. Stanwyck, J. Seidenfeld, C. H. Van Houtven, S. N. Hastings
Summary: This study aimed to compare the new diagnosis rates of dementia/MCI in geriatrics-focused primary care clinics and traditional primary care clinics. The study found that the diagnosis rates were higher in geriatrics-focused clinics, but with considerable uncertainty. The study suggests that geriatrics-focused clinics may be a promising avenue for improving the detection of dementia in older adults, but further larger studies are needed to confirm this relationship.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Mohammad Rahanur Alam, Sushmita Karmokar, Sompa Reza, Md Ruhul Kabir, Susmita Ghosh, Md Abdullah Al Mamun
Summary: Malnutrition is the root cause of health issues like depression, with high rates of malnutrition and depression among the elderly. Maintaining physical health, a healthy lifestyle, and supportive family environment are key factors in reducing depression among the elderly population.
PREVENTIVE MEDICINE REPORTS
(2021)
Article
Pharmacology & Pharmacy
Luanna Gabriella Resende da Silva, Athos Wellington da Silva Pinto, Warlen Eduardo de Queiroz, Cleiton Claudio Coelho, Carine Raquel Blatt, Marcio Galvao Oliveira, Ana Cristina de Lima Pimentel, Monique Elseviers, Andre Oliveira Baldoni
Summary: This study evaluated the feasibility of a clonazepam deprescription protocol in elderly patients. The results showed a high rate of successful deprescription, but also highlighted the increase in blood pressure and worsening of sleep quality during the process.
INTERNATIONAL JOURNAL OF CLINICAL PHARMACY
(2022)
Article
Health Care Sciences & Services
Audrey L. Jones, Karen Chu, Danielle E. Rose, Lillian Gelberg, Stefan G. Kertesz, Adam J. Gordon, Kenneth B. Wells, Lucinda Leung
Summary: PEH in homeless-tailored primary care settings receive higher quality of depression care compared to PEH in usual VA primary care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Clinical Neurology
Collin Sakal, Juan Li, Yu -Tao Xiang, Xinyue Li
Summary: The study developed and externally validated the Chinese Geriatric Depression Risk calculator (CGD-Risk) using nationally representative survey data. The model showed good discrimination in identifying elderly Chinese at high risk of depression, while also addressing issues related to stigma surrounding emotional openness.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Health Policy & Services
Sara A. Romero, Andrew Rasmussen, Patrick J. Raue
Summary: Little research has examined the decision-making preferences of older, racially and ethnically diverse minority patients with untreated depression. This study found that majority of these patients preferred shared decision-making, and female gender was associated with a more active involvement in the decision-making process for depression treatment. The results suggest that physicians should consider the preferences of older, minority patients in order to improve communication and adherence to mental health care.
COMMUNITY MENTAL HEALTH JOURNAL
(2023)
Article
Psychiatry
Nebiyu Mulat, Hordofa Gutema, Gizachew Tadesse Wassie
Summary: The study revealed a high prevalence of depression among elderly people in Womberma District, Ethiopia, with factors such as older age, being female, marital loss, presence of known chronic disease, and poor social support significantly associated with depression. Strategies for early screening, managing co-morbidities, and providing adequate social support may help mitigate the suffering of elders with depression.
Article
Health Care Sciences & Services
Laura Kimmey, Andrea Wysocki, Lauren Vollmer Forrow, Michael Anderson, David J. Nyweide
Summary: This study found that home-based primary care (HBPC) for high-need, high-cost patients did not result in fewer total hospitalizations or lower inpatient spending. However, it may have led to lower rates of potentially avoidable hospitalizations after 2 years.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Jaime Barrio-Cortes, Almudena Castano-Reguillo, Maria Teresa Beca-Martinez, Mariana Bandeira-de Oliveira, Carmen Lopez-Rodriguez, Maria Angeles Jaime-Siso
Summary: In the population of elderly patients with chronic diseases, a significant number of patients with multimorbidity were identified, and they were classified into three different risk levels by AMG, showing variations in characteristics, morbidity, and use of PC services. The group that utilized services the most consisted of older patients, those with higher risk levels, greater complexity, and >=4 chronic diseases. Further research is needed to develop an intervention model tailored to the reality of the geriatric population based on risk levels by AMG.
Article
Cell Biology
Luigi Ferrucci, David M. Wilson, Stefano Donega, Monty Montano
Summary: Geroscience suggests that aging mechanisms contribute to chronic diseases and disabilities in old age, and interventions can modulate health span and longevity. Collaboration between gerontologists and geriatricians is key. Early life exposures affect the pace of aging and health trajectories. Tools measuring aging pace can identify individuals at higher risk of multimorbidity and disability. Translational Geroscience extends geriatric care to a life course perspective, targeting core aging mechanisms to treat patients with complex conditions.
Article
Geriatrics & Gerontology
Jinjiao Wang, Dexia Kong, Fang Yu, Yeates Conwell, Xinqi Dong
Summary: The study found that the presence of both cognitive deficit and physical frailty significantly increased the risk of hospitalization and ED visits compared to having either one alone. Cognitive deficit alone was not significantly associated with either outcome. While physical frailty alone did increase the risk of hospitalizations and ED visits, the increase was relatively smaller compared to having both cognitive deficit and physical frailty together.
AGING & MENTAL HEALTH
(2021)
Article
Geriatrics & Gerontology
Kimberly A. Van Orden, Emily Bower, Julie Lutz, Caroline Silva, Autumn M. Gallegos, Carol A. Podgorski, Elizabeth J. Santos, Yeates Conwell
Summary: Older age and medical comorbidity are associated with more severe illness and risk of death due to COVID-19 infection. Social distancing is crucial for controlling the spread of the virus but may lead to loneliness, increasing the risk of infection. Therefore, effective management of loneliness and social isolation in older patients is a priority for preventive intervention.
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2021)
Article
Geriatrics & Gerontology
Yeates Conwell, Kimberly A. Van Orden, Deborah M. Stone, Wendy LiKamWa McIntosh, Susan Messing, Jody Rowe, Carol Podgorski, Kimberly A. Kaukeinen, Xin Tu
Summary: This study aimed to investigate the impact of peer companionship provided by an aging services agency on the mental health of socially-disconnected older patients. The results showed that subjects in the TSC group had greater improvements in depression, while there were no significant differences in suicidal ideation and feelings of belonging.
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2021)
Article
Nursing
Jinjiao Wang, Todd B. Monroe, Adam Simning, Yeates Conwell, Thomas Caprio, Xueya Cai, Helena Temkin-Greener, Ulrike Muench, Fang Yu, Song Ge, Yue Li
Summary: Older Medicare home health patients with Alzheimer's disease and related dementias may have under-recognized pain, and severe pain is a significant independent predictor of unplanned facility admissions among this population.
PAIN MANAGEMENT NURSING
(2021)
Article
Health Care Sciences & Services
Lianlian Lei, Orna Intrator, Yeates Conwell, Richard H. Fortinsky, Shubing Cai
Summary: The study found that continuity of care has a significant impact on reducing total costs for older veterans with dementia, by supporting noninstitutional care and reducing institutional care costs. However, it had no impact on short-term nursing home costs.
HEALTH SERVICES RESEARCH
(2021)
Article
Geriatrics & Gerontology
Annette Erlangsen, Emily Banks, Grace Joshy, Alison L. Calear, Jennifer Welsh, Philip J. Batterham, Yeates Conwell, Luis Salvador-Carulla
Summary: In older adults, health issues, psychological distress, and social support are associated with suicidal behavior. Participants with small social networks had elevated rates of subsequent self-harm and suicide.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2021)
Editorial Material
Geriatrics & Gerontology
Melissa J. Armstrong, Jennifer L. Sullivan, Katherine Amodeo, Angela Lunde, Debby W. Tsuang, Mark A. Reger, Yeates Conwell, Aaron Ritter, Jee Bang, Chiadi U. Onyike, Zoltan Mari, Pamela Corsentino, Angela Taylor
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2021)
Article
Psychology, Developmental
Catherine R. Glenn, Evan M. Kleiman, Jaclyn C. Kearns, Anne E. Boatman, Yeates Conwell, Linda J. Alpert-Gillis, Wilfred Pigeon
Summary: Sleep problems, especially specific indices assessed via sleep diary, were found to be short-term risk factors for suicidal thinking in high-risk adolescents. Objecive sleep indices assessed through actigraphy did not show a significant relationship with suicidal thinking.
DEVELOPMENT AND PSYCHOPATHOLOGY
(2021)
Article
Gerontology
Lianlian Lei, Shubing Cai, Yeates Conwell, Richard H. Fortinsky, Orna Intrator
Summary: This study suggests that better continuity of care may have an impact on improving successful direct community discharge among patients with dementia, although the effect is small and the statistical significance rate is 6%.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Medicine, Research & Experimental
Kimberly A. Van Orden, Yeates Conwell, Benjamin P. Chapman, April Buttaccio, Alexandra VanBergen, Ellen Beckwith, Angela Santee, Jody Rowe, Deborah Palumbos, Geoffrey Williams, Susan Messing, Silvia Sorensen, Xin Tu
Summary: The HOPE study aims to examine the social-emotional benefits of a social volunteering program for lonely older adults. The study randomly assigns adults aged 60 or older who report loneliness to participate in either the AmeriCorps Seniors volunteering program or a self-guided life review. The outcomes, including loneliness and quality of life, will be assessed through self-report measures. The study's findings may inform the dissemination and scaling up of volunteering efforts for reducing loneliness among primary care patients.
CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS
(2022)
Article
Psychology, Clinical
Catherine R. Glenn, Evan M. Kleiman, Jaclyn C. Kearns, Angela C. Santee, Erika C. Esposito, Yeates Conwell, Linda J. Alpert-Gillis
Summary: This study demonstrates the feasibility and acceptability of intensive ecological momentary assessment (EMA) among high-risk suicidal youth following acute psychiatric care. The results show that adolescents and their parents had a positive overall experience in the study, the surveys were minimally burdensome, and the study procedures did not result in adverse outcomes.
JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY
(2022)
Article
Gerontology
Adam Simning, Thomas V. Caprio, Yue Li, Yeates Conwell
Summary: The study found that older adults with near vision loss were less likely to report having a usual source of health care. Therefore, it is necessary to examine the barriers to accessing healthcare services related to sensory loss in order to intervene effectively.
JOURNAL OF AGING AND HEALTH
(2021)
Meeting Abstract
Geriatrics & Gerontology
A. Simning, T. V. Caprio, Y. Li, Y. Conwell
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Meeting Abstract
Geriatrics & Gerontology
Adam Simning, Jessica Orth, Helena Temkin-Greener, Yue Li, Kelsey Simons, Yeates Conwell
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
(2021)
Article
Psychiatry
Kenneth R. Conner, Benjamin P. Chapman, Annette L. Beautrais, David A. Brent, Jeffrey A. Bridge, Yeates Conwell, Tyler Falter, Amanda Holbrook, Barbara Schneider
Summary: The objective of this study was to develop a reliable checklist for assessing the methodological quality of case-control psychological autopsy studies. The results showed high inter-rater reliability for the overall checklist, but low internal consistency. This novel checklist provides detailed guidance for planning such studies, although its utility as a summary measure of study quality may be limited due to the lower internal consistency.
SUICIDE AND LIFE-THREATENING BEHAVIOR
(2021)