PREDICTORS OF DEPRESSION WITHIN THE CAREGIVERS

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "PREDICTORS OF DEPRESSION WITHIN THE CAREGIVERS"

Transcription

1 PREDICTORS OF DEPRESSION WITHIN THE CAREGIVERS OF DEMENTIA PATIENTS Melissa G. Sneed Faculty Co-Authors and Sponsors: Nancy H. Wrobel and Robert W. Hymes Department of Behavioral Sciences, University of Michigan-Dearborn Abstract The Aging, Demographics, and Memory Study (ADAMS) is the first population-based study of dementia in the United States to include subjects from all regions of the country. A sample of 856 individuals age 70 or older received an extensive in home clinical and neuropsychological assessment to determine a diagnosis of normal, cognitive impairment, not demented (CIND), or demented. Variables associated with patient s cognitive levels and the caregivers strains were assessed. Specific measures in this study included sociodemographic variables; patient s cognitive levels were measured using the short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), Mini-Mental State Exam (MMSE), Dementia Severity Rating Scale (DSRS) and activities of daily living from the Blessed Dementia Scale. Caregivers completed an abbreviated form of the Center for Epidemiologic Studies Depression Scale (CES-D), and questions on mental and emotional strain.

2 The National Institute on Aging (NIA) funded the Aging, Demographics, and Memory Study (ADAMS), which is a supplement to the Health and Retirement Study (HRS). The HRS is sponsored by the NIA (grant number NIA U01AG009740) and is conducted by the University of Michigan. ADAMS has provided an opportunity for conducting in-depth investigations related to the impact of dementia on formal health care utilization, informal caregiving, and the total societal costs of this care. ADAMS not only gathered information on the participants, but also on the caregivers (HRS, 2007). This study initially originated when the HRS formed a partnership with a research team from Duke University, led by Brenda Plassman, director of the Epidemiology of Dementia Program. This partnership was created to conduct in-person clinical assessments for dementia on selected HRS respondents. This research is the first of its kind to conduct in-home assessments of dementia in a national sample that is representative of the U.S. elderly population. The field work began in August 2001 and was completed by March 2005 (HRS, 2007). The study reported here focuses on caregivers of the elderly and possible predictors of depression in caregivers. Dementia occurs in 1% of people age and around 24% of people 85 or older (Alzheimer s disease International, 2000). Dementia patients may endure the loss of their functional and mental status. The decline in cognitive functioning, the ability to perform activities of daily living (ADLs) [such as bathing and dressing], and the instrumental activities of daily living (IADLs) [such as housework and paying bills] adds to the amount of work performed by the caregiver (Sherwood, Given, Given, & Von Eye, 2005). Caregivers play an important role in the life of people they care for. Studies have shown an increase of knowledge in the medical fields contribute to an increase in the lifespan of the elderly population. The demand for caregivers will also expand (Kang, 2006). Furthermore, the care for the caregiver is an essential factor in society and should be acknowledged since the population of the elderly is on the rise. It s also an important factor in society that caregivers receive care, since they are the ones maintaining the elderly community (Kang, 2006). Estimates show that between 46% and 83% of dementia caregivers experience depression (Alspaugh, 1999). Emotional stress is found to be a major factor among Dementia caregivers. This study seeks to identify the predicting factors of depression in caregivers of dementia patients. Previous research has found that caregivers depressive symptoms indicate a mood disturbance that results from the demands applied to the caregiver (Fortinsky, Kercher, & Burant, 2002). This study is unique in that it examines the

3 impact of actual cognitive and functional impairment in the care recipient on the caregiver, but also examines the impact of the caregivers perception of decline and reported strain. Participants Method The participants consisted of 1770 individuals that were a random sample taken from the national representative Health and Retirement Study (HRS) sample. Out of the 1770 participants, there were 856 subjects (a response rate of 56%) who completed the initial assessment. There were a total of 227 subjects (12.8%) who died before an initial assessment could be completed. There were 687 subjects (38.8%) who declined an assessment or did not participate for other reasons such as no informant or an illness. The sample was composed of participants within the U.S. Census Region. Participants were comprised of 501 females (59%) and 355 males (41%). Ethnicity was comprised of 84 Hispanic (10%), 159 Black, non Hispanic (19%), and 613 White, non Hispanic (72%). Their ages ranged from 70 to 110 (M = 81.78, SD = 7.22). The number of subjects participating included 120 from the Northeast (14%), 167 from the Midwest (19%), 239 from the South Atlantic (28%), 163 from the South Central (19%) and 167 from the West (19%). There are 763 participants (89%) who resided in the community and 93 participants (11%) resided in nursing homes. This study also included data on 746 informants. They were comprised of 189 males (25%) and 540 females (72%). The informants ages ranged from 20 to 95. There are 375 informants (50%) who live with the participants. Of the 746 informants, ethnicity was comprised of 548 White/Caucasian (74%), 129 Black/African American (17%) and 46 other (6%) with 23 missing data (3%). Measures Abbreviated Center for Epidemiologic Studies Depression Scale (CES-D): Developed by Radloff (1977). This scale contains 5 items, with 2 of the questions recoded in order for all responses to reflect scores consistent with depression. The responses were then totaled to determine their final score. It is a quick selftest and measures depressive feelings and behavior. Research by Radloff (1977) shows the Center of Epidemiologic Studies Depression (CES-D) Scale is the most frequently used to determine depression in caregivers. Findings have determined many patterns of depressive symptomology in caregivers as well as dementia patients (Alspaugh, 1999). Mini Mental State Exam (MMSE): Developed by Folstein, Folstein, and Fanjiang, (2001). The MMSE is a test that figures prominently in research on dementia (Teri, 1991). This scale was developed as a screening

4 tool which assesses cognitive functioning. The MMSE consists of 22 items (orientation (10), language (8) and one item of each: registration, memory, spelling backward, and construction) with a maximal obtainable score of 30.. The MMSE score is obtained from the summed scores of all items. Any score over 27 is normal; scores of indicates some cognitive impairment; suggests moderate to severe cognitive impairment; below 10 indicates very severe cognitive impairment. The validity and reliability of the MMSE was originated when the scale was successful in separating 206 patients with a variety of psychiatric disorders such as depression, depression and cognitive impairment, and dementia (Folstein, Folstein, & McHugh, 1975). Blessed Dementia Rating Scale (BDRS): (Morris, Heyman, Mohs, Hughes, Van Belle, Gillenbaum, Mellits, Clark, & the CERAD investigators 1989; Blessed, Tomlinson, & Roth 1968). This scale characterizes the performance of Activities of Daily Living that are affected by dementia. This form is completed by the informant and determines the loss of abilities due to mental or physical reasons. The BDRS scale score ranges from 0-17 [mild dementia (score: 0-5), moderate dementia (score: 6-11), and severe dementia (score 12-17).]. The informant related whether the subject had no loss, some loss or severe loss of ability in areas of cognition and everyday activities. The ADLs were scored on the level of assistance the subject needed on a 3 point scale. For all items the informant noted the need for assistance due to mental or physical reasons. The BDRS has good validity, good test-retest reliability and internal consistency (Pena- Casanova, Monllau, Bohm, Aquilar, Sol, Hernandez, & Blesa, 2005). Dementia Severity Rating Scale (DSRS): (Clark & Ewbank, 1996). This is a 12 item scale that assesses domains that are affected by Alzheimer s disease. It is a multiple choice questionnaire completed by the informant. The DSRS total score is obtained from the summed scores across all items. Item 12 response is on a 10-point likert-type scale that is reflected as a percentage. It assesses the severity of cognitive functional impairment. The DSRS is high in both reliability and validity. It has ideal characteristics that are valuable in clinical trials (Clark & Ewbank, 1996). Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): Developed by Jorm (1994). The short form was used containing 16 questions that deal with the assessment of memory and cognitive functions compared to 2 years ago. The scores were summed then divided by 16. A score of 3 means that the subject is rated on average as having no change in functioning; a score of 4 means an average of a bit worse ; a score of 5 means an average of much worse. This form is filled out by the informant. It carries both high validity and reliability. Jorm reported test-retest reliability for over three days to be 0.96 and 0.75 for over one year. It also correlates with a full range of cognitive tests (Jorm, 2004).

5 Mental and Emotional Strain Scale: This is a 6 question scale taken form the Caregiver Health Effects Study and measures caregiver strain. The Mental and Emotional Strain answers were recoded to eliminate skipped or don t know responses. The Caregiver Health Effects Study was a secondary study to the Cardiovascular Health Study, which examined spousal caregivers. The Caregiver Health Effects Study revealed that only half of the providers reported mental or physical strain associated with caregiving: (Schulz, Newsom, Mittelmark, Burton, Hirsch & Jackson, 1997; Schulz & Beach, 1999). Procedure In order to gain access to the Aging and Demographics Memory Study (ADAMS) datasets, a Health and Retirement Study Sensitive Health Data Use Agreement form was submitted to the Health and Retirement Study DUA Review Committee. Once the authentication process was completed, authorization to access the ADAMS dataset was given. Results The stepwise regression revealed the IQCODE to be the highest predictor of caregiver depression. Variables not entering prediction included the DSRS, BDRS and MMSE. The IQCODE explained 6.3% of the variance (adjusted R² =.060) in Caregiver s Depression (F (1,320) = , p<.001) (See Table 1). TABLE 1 Stepwise Regression Predicting Caregiver Depression from Cognitive and ADL Data Step and Predictor B SE B Beta R square change F change IQCODE ** ** Note: IQCODE: R²=.063, (adj. R²=.060), F(1,320)=21.603, p<.001 **p<.001 In the block wise regression the first variable entered was the MMSE which assessed the care recipients cognitive status. Lower scores on the MMSE predicted depression in the caregivers. The second step entered both the BDRS and the DSRS variables which looked at the recipients functioning abilities. The addition of the ADL and IADL measures did not significantly improve upon prediction. The third step entered the IQCODE variable which deals with the caregivers perception of decline. The fourth and final step included entering the Mental and Emotional Strain variable. Adding in the perception of the care recipients decline in abilities (IQCODE) resulted in a significant F change (F (4,254) =6.983, p<.001). Providing an increment in the prediction of caregiver depression the mental and emotional strain revealed

6 (adjusted R² =.160), a relationship between feeling strained and becoming depressed (F (5,253) =10.830, p<.001), and also improved the prediction of depression when included along with the MMSE & IQCODE (See Table 2). TABLE 2 Block Wise Regression Demonstrating Incremental Prediction of Caregiver Depression by Cognitive Status, ADLs/IADLs, Perceived Decline, and Mental and Emotional Strain Step and Predictor B SE B Beta R square change F change Step 1: Cognitive Status * MMSE * Step 2: ADLs/IADLs MMSE * Blessed DSRS Step 3: Caregivers Perception of Decline ** MMSE * Blessed DSRS IQCODE ** Step 4: Mental and Emotional Strain ** MMSE Blessed DSRS IQCODE ME Strain ** Note: Step 3: R²=.099, (adj. R²=.085), F(4,254)=6.983, p<.001. Step 4: R²=.176, (adj. R²=.160), F(5,253)=10.830, p<.001. **p<.001 *p<.05 Discussion The IQCODE results reveal that including a strong relationship with caregiver depression, the more the caregiver perceives the person declining the more it depresses them. The overwhelming responsibilities one covers may play a role in their level of depression and anxiety (Ferrara, Langiano, Di Brango, De Vito, De Ciaoccio, & Bauco, 2008). The severity of Alzheimer s disease and the burden of responsibilities are determining factors of a caregiver s level of depression. This study supports this notion, but also provides information about the relative impact of various experiences on the caregiver. While lower

7 cognitive functioning of the care recipient predicted depression in the caregiver, the addition of problems in ADLs did not add to the prediction of depression. The caregivers perception of decline notably contributed to the caregivers depression. The reported experience of strain on the caregiver also significantly enhanced prediction. Thus, while low cognitive functioning in a care recipient may negatively impact mood, the caregivers perception of decline in the caregiver, and their self-reported level of strain are also strong contributors to the degree of depression experienced. In summary, this study has helped to gain insight into the predictors of caregivers depression. References Alspaugh, M.E., Stephens, M.A., Townsend, A.L., Greene, R., & Zarit, S.H (1999). Longitudinal patterns of risk for dementia caregivers: Objective and subjective primary stress as predictors. Psychology and Aging, 14, Alzheimer s Disease International Fact Sheet 9, (2000). Risk factors of dementia. Retrieved May 8, (2009). From Blessed, G., Tomlinson, B.E., & Roth, M. (1968). The association between quantitative Measures of dementia and of senile change in the cerebral grey matter of elderly Subjects. British Journal of Psychiatry, 114, Clark, C.M., & Ewbank, D.C. (1996). Performance of the Dementia Severity Rating Scale: A caregiver questionnaire for rating severity in Alzheimer s disease. Alzheimer Disease and Associated Disorders, 10, Ferrara, M., Langiano, E., Di Brango, T., De Vito, E., Di Cioccio, L., & Bauco, C. (2008). Prevalence of Stress, Anxiety and Depresión in with Alzheimer Caregivers. Health and Quality of Life Outcomes, 6, 93. Folstein, M.F., Folstein, S.E., & Fanjiang, G. (2001). Mini Mental State Examination: Clinical Guide and User s Guide. Lutz, FL: Psychological Assessment Resources. Folstein, M. F., Folstein, S. E., & McHugh, P. R (1975). Mini Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research 12, Fortinsky, R., Kercher, K., & Burant, C. (2002). Measurement and correlates of family caregiver self-efficacy for managing dementia. Aging and Mental Health, 6, Health and Retirement Study, ADAMS public use dataset. Produced and distributed by

8 The University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740). Ann Arbor, MI, (2009). Jorm, A. (1994). A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): development and cross-validation. Psychological Medicine, 24, Jorm, A. (2004). The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): a review. International Psychogeriatrics, 16, Kang, S.Y., (2006). Predictors of Emotional Strain among Spouse and Adult Child Caregivers. Journal of Gerontological Social Work, 47(1/2). Morris, J.C., Heyman, A., Mohs, R.C., Hughes, J.P., van Belle, G., Fillenbaum, G., Mellits, E.D., Clark, C., & the CERAD investigators (1989). The Consortium to Establish a Registry for Alzheimer s disease (CERAD). Part I. Clinical and Neuropsychological assessment of Alzheimer s disease. Neurology, 39, Pena-Casanova, J., Monllau, A., Bohm, P., Aquilar, M., Sol, J. M., Hernandez, G., & Blesa, R., (2005). Diagnostic value and test-retest reliability of the Blessed Dementia Rating Scale for Alzheimer s disease: from the NORMACODEM project. Neurología: publicación oficial de la Sociedad Española de Neurología. 20, Radloff, L.S (1977) The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement 1, Schulz, R., Newsom, J., Mittelmark, M., Burton, L., Hirsch, C., & Jackson, S. (1997). Health effects of caregiving: The Caregiver Health Effects Study: an ancillary Study of the Cardiovascular Health Study. Annals of Behavioral Medicine, 19, Schulz, R., & Beach, S.R. (1999). Caregiving as a risk factor for mortality: The Caregiver Health Effects Study. JAMA, 262, Sherwood, P.R., Given, C.W., Given, B.A., & Von Eye, A. (2005). Caregiver Burden and Depressive Symptoms: Analysis of Common Outcomes in Caregiver of Elderly Patients. Journal of Aging and Health, 17, 125. Teri, L., & Wagner, A. (1991). Assessment of depression in patients with Alzheimer s disease: Concordance among informants. Psychology and Aging, 6,

9 **Note: This analysis uses Early Release data from the Health and Retirement Study, ADAMS, sponsored by the National Institute of Aging (grant number NIA U01AG009740) and conducted by the University of Michigan. These data have not been cleaned and may contain errors that will be corrected in the Final Public Release version of the dataset.

Taking Care of Dementia Caregiver

Taking Care of Dementia Caregiver Date 15pts Author Name 15pts Author Title 15pts Title of Presentation Arial Regular 22pt Single line spacing Up to 3 lines long Taking Care of Dementia Caregiver Date 15pts Author Name 15pts Author Title

More information

The Independent In-Person Assessment Process

The Independent In-Person Assessment Process The Independent In-Person Assessment Process Jocelyn Gordon, Marc A. Cohen, and Jessica Miller Spring 2011 No. 4 The Community Living Assistance Services and Supports (CLASS) Plan a groundbreaking component

More information

The MetLife Study of Employed Caregivers: Does Long Term Care Insurance Make a Difference?

The MetLife Study of Employed Caregivers: Does Long Term Care Insurance Make a Difference? The MetLife Study of Employed Caregivers: Does Long Term Care Insurance Make a Difference? Findings from a National Study by the National Alliance for Caregiving and LifePlans, Inc. March, 2001 Mature

More information

20th Alzheimer Europe Conference 2 October 2010, Luxembourg Kristiina Karttunen, Finland

20th Alzheimer Europe Conference 2 October 2010, Luxembourg Kristiina Karttunen, Finland 20th Alzheimer Europe Conference 2 October 2010, Luxembourg Kristiina Karttunen, Finland Background neuropsychiatric symptoms (NPS) are common manifestations of Alzheimer`s disease (AD). These symptoms

More information

Executive function in self-neglecting adult protective services (APS) referrals compared with elder psychiatric outpatients.

Executive function in self-neglecting adult protective services (APS) referrals compared with elder psychiatric outpatients. Executive function in self-neglecting adult protective services (APS) referrals compared with elder psychiatric outpatients. Jason E. Schillerstrom, MD The University of Texas Health Science Center at

More information

Is the degree of cognitive impairment in patients with Alzheimer s disease related to their capacity to appoint an enduring power of attorney?

Is the degree of cognitive impairment in patients with Alzheimer s disease related to their capacity to appoint an enduring power of attorney? Age and Ageing 2007; 36: 527 531 doi:10.1093/ageing/afm104 The Author 2007. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please

More information

THE FEASIBILITY OF A COGNITIVE BEHAVIOURAL THERAPY GROUP FOR MEN WITH MILD MODERATE COGNITIVE IMPAIRMENT

THE FEASIBILITY OF A COGNITIVE BEHAVIOURAL THERAPY GROUP FOR MEN WITH MILD MODERATE COGNITIVE IMPAIRMENT Behavioural and Cognitive Psychotherapy, 1999, 27, 189 193 Cambridge University Press. Printed in the United Kingdom THE FEASIBILITY OF A COGNITIVE BEHAVIOURAL THERAPY GROUP FOR MEN WITH MILD MODERATE

More information

Patricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com

Patricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com Patricia Beldotti, Psy.D. Email: drbeldotti@aol.com Tel: 520-404-7553 Web: www.drbeldotti.com Assessment Costs I understand that assessment needs differ and that these assessments can be costly, especially

More information

Dementia: Delivering the Diagnosis

Dementia: Delivering the Diagnosis Dementia: Delivering the Diagnosis Daniel D. Christensen, M.D. Clinical Professor of Psychiatry Clinical Professor of Neurology Adjunct Professor of Pharmacology University of Utah Diagnosing Dementia

More information

Refinements in the Assessment of Dementia-Related Behaviors: Factor Structure of the Memory and Behavior Problem Checklist

Refinements in the Assessment of Dementia-Related Behaviors: Factor Structure of the Memory and Behavior Problem Checklist Psychological Assessment: Copyright 1990 by the American Psychological Associatkm, Inc. A Journal of Consulting and Clinical Psychology 1040-3590/90./$00.75 1990, VoL 2, No. 2, 129-133 Refinements in the

More information

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample

Running Head: INTERNET USE IN A COLLEGE SAMPLE. TITLE: Internet Use and Associated Risks in a College Sample Running Head: INTERNET USE IN A COLLEGE SAMPLE TITLE: Internet Use and Associated Risks in a College Sample AUTHORS: Katherine Derbyshire, B.S. Jon Grant, J.D., M.D., M.P.H. Katherine Lust, Ph.D., M.P.H.

More information

Evaluation of Cognitive Status and Dementia in OCTO Twin

Evaluation of Cognitive Status and Dementia in OCTO Twin Evaluation of Cognitive Status and Dementia in OCTO Twin Boo Johansson The memory and cognitive battery encompassed the following questions and tests: 1. Orientation to own person (Full Name, Year of birth,

More information

Rates and Predictors of Progression from Mild Cognitive Impairment to Dementia: The Mayo Clinic Study of Aging

Rates and Predictors of Progression from Mild Cognitive Impairment to Dementia: The Mayo Clinic Study of Aging Rates and Predictors of Progression from Mild Cognitive Impairment to Dementia: The Mayo Clinic Study of Aging 11 th Annual Mild Cognitive Impairment Symposium January 19th, 2013 Rosebud Roberts, M.B.

More information

Montreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych.

Montreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych. Montreal Cognitive Assessment (MoCA) Debbie Froese, B.M.R.-O.T., B.A. Christine Knight, Ph.D.,R.Psych. Community Geriatric Mental Health Model of Continuum of Cognition with Aging Normal Mild cognitive

More information

Cognitive Assessment and Mini Mental Status Exam for Nurses. Sarah Krieger-Frost RN MN/ Heather Rea MSW RSW Seniors Mental Health Capital District

Cognitive Assessment and Mini Mental Status Exam for Nurses. Sarah Krieger-Frost RN MN/ Heather Rea MSW RSW Seniors Mental Health Capital District Cognitive Assessment and Mini Mental Status Exam for Nurses Sarah Krieger-Frost RN MN/ Heather Rea MSW RSW Seniors Mental Health Capital District Objectives An understanding of what makes up a cognitive

More information

Q10: For carers of people with dementia, does respite care when compared to care as usual, produce benefits/harm in the specified outcomes?

Q10: For carers of people with dementia, does respite care when compared to care as usual, produce benefits/harm in the specified outcomes? updated 2012 Respite care for carers of people with dementia Q10: For carers of people with dementia, does respite care when compared to care as usual, produce benefits/harm in the specified outcomes?

More information

Prediction of the MoCA and the MMSE in Out-patients with the risks of cognitive impairment

Prediction of the MoCA and the MMSE in Out-patients with the risks of cognitive impairment Prediction of the MoCA and the MMSE in Out-patients with the risks of cognitive impairment Teresa Leung Therapist Prince of Wales Hospital 7 th May, 2012 Outline of Presentation Introduction Study Objectives,

More information

The NYU Caregiver Intervention

The NYU Caregiver Intervention The NYU Caregiver Intervention Translating an Evidence-based Intervention for Spouse-Caregivers into Community Settings Mary S. Mittelman, DrPH Center of Excellence for Brain Aging and Dementia NYU Langone

More information

Geriatric Assessment Tools. Dr. Hermes

Geriatric Assessment Tools. Dr. Hermes Geriatric Assessment Tools Dr. Hermes Geriatric Assessment Learning Objectives 1. Identify factors contributing to the need for specialized assessment of the frail older adult 2. Discuss the benefits of

More information

When is Memory Loss Significant? David Williamson, PhD (ABPP-Cn), MBA

When is Memory Loss Significant? David Williamson, PhD (ABPP-Cn), MBA When is Memory Loss Significant? David Williamson, PhD (ABPP-Cn), MBA Third Annual Neuroscience Symposium Orange Beach, AL April 2016 Disclosures Dr. Williamson is an employee of Janssen Scientific Affairs,

More information

Update on Alzheimer s Disease. Samir F. Atweh Professor and Chairman Department of Neurology American University of Beirut

Update on Alzheimer s Disease. Samir F. Atweh Professor and Chairman Department of Neurology American University of Beirut Update on Alzheimer s Disease Samir F. Atweh Professor and Chairman Department of Neurology American University of Beirut Alzheimer s Disease The most common form of dementia in the elderly Age related

More information

Summary chapter 2 chapter 2

Summary chapter 2 chapter 2 Summary Multiple Sclerosis (MS) is a chronic disease of the brain and the spinal cord. The cause of MS is unknown. MS usually starts in young adulthood. In the course of the disease progression of neurological

More information

Cognitive Impairment. Patient Information Sheet

Cognitive Impairment. Patient Information Sheet Cognitive Impairment Patient Information Sheet What is dementia? Dementia is a term used to describe the loss of mental function. Memory loss is its most common symptom. Patients can have problems with

More information

Jeanine Penzo, MSW, LICSW VA Boston Healthcare System PVA Summit August 27, 2013

Jeanine Penzo, MSW, LICSW VA Boston Healthcare System PVA Summit August 27, 2013 Jeanine Penzo, MSW, LICSW VA Boston Healthcare System PVA Summit August 27, 2013 Objectives 1.To discuss the benefits of recognizing and assessing levels of caregiver stress/burden. This will include discussion

More information

Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults

Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults Professional Reference Series Depression and Anxiety, Volume 1 Depression and Anxiety Prevention for Older Adults TA C M I S S I O N The mission of the Older Americans Substance Abuse and Mental Health

More information

A review of available translated cognitive assessment tools to assess older people from culturally and linguistically diverse (CALD) backgrounds

A review of available translated cognitive assessment tools to assess older people from culturally and linguistically diverse (CALD) backgrounds A review of available translated cognitive assessment tools to assess older people from culturally and linguistically diverse (CALD) backgrounds F Vrantsidis, Dr D LoGiudice, Dr B Dow V Rayner, Dr S Runci

More information

Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease.

Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Memory loss and changes in mood and behavior are some signs that you or a family member may have Alzheimer s disease. If you have

More information

WHODAS 2.0 World Health Organization Disability Assessment Schedule 2.0 36-item version, self-administered

WHODAS 2.0 World Health Organization Disability Assessment Schedule 2.0 36-item version, self-administered The APA is offering a number of emerging measures for further research and clinical evaluation. These patient assessment measures were developed to be administered at the initial patient interview and

More information

ASSESSMENT OF DECISION MAKING CAPACITY IN ADULTS PARTICIPATING IN A RESEARCH STUDY 3/3/2016

ASSESSMENT OF DECISION MAKING CAPACITY IN ADULTS PARTICIPATING IN A RESEARCH STUDY 3/3/2016 DUKE UNIVERSITY HEALTH SYSTEM Human Research Protection Program ASSESSMENT OF DECISION MAKING CAPACITY IN ADULTS PARTICIPATING IN A RESEARCH STUDY 3/3/2016 Based on the ethical principle of respect for

More information

The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia

The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia Laura N. Gitlin, Ph.D. Director, Jefferson Center for Applied

More information

DATA ANALYSIS AND REPORT. Melissa Lehmann Work Solutions. Abstract

DATA ANALYSIS AND REPORT. Melissa Lehmann Work Solutions. Abstract PO Box 12499 A Beckett Melbourne VIC 8006 t 03 9224 8800 f 03 9224 8801 DATA ANALYSIS AND REPORT Melissa Lehmann Work Solutions Abstract The role of work and work-life balance in contributing to stress

More information

1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136. Days and Hours: Monday Friday 8:30a.m. 6:00p.m. (305) 355 9028 (JMH, Downtown)

1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136. Days and Hours: Monday Friday 8:30a.m. 6:00p.m. (305) 355 9028 (JMH, Downtown) UNIVERSITY OF MIAMI, LEONARD M. MILLER SCHOOL OF MEDICINE CLINICAL NEUROPSYCHOLOGY UHEALTH PSYCHIATRY AT MENTAL HEALTH HOSPITAL CENTER 1695 N.W. 9th Avenue, Suite 3302H Miami, FL. 33136 Days and Hours:

More information

Staging and Treatment of Dementia

Staging and Treatment of Dementia Staging and Treatment of Dementia Ami Hall DO 10/25/14 1 Objectives What are the two most common types of dementias seen in a primary care office How are they staged What treatments are available Definition

More information

Caregiving Impact on Depressive Symptoms for Family Caregivers of Terminally Ill Cancer Patients in Taiwan

Caregiving Impact on Depressive Symptoms for Family Caregivers of Terminally Ill Cancer Patients in Taiwan Caregiving Impact on Depressive Symptoms for Family Caregivers of Terminally Ill Cancer Patients in Taiwan Siew Tzuh Tang, RN, DNSc Associate Professor, School of Nursing Chang Gung University, Taiwan

More information

Critical Review: Does music therapy have a positive impact on language functioning in adults with dementia?

Critical Review: Does music therapy have a positive impact on language functioning in adults with dementia? Critical Review: Does music therapy have a positive impact on language functioning in adults with dementia? Ingram, A. M.Cl.Sc (SLP) Candidate University of Western Ontario: School of Communication Sciences

More information

Normal ranges of neuropsychological tests for the diagnosis of Alzheimer s disease

Normal ranges of neuropsychological tests for the diagnosis of Alzheimer s disease Berres M, Monsch AU, Bernasconi F, Thalmann B, Stahelin H (2000)Normal ranges of neuropsychological tests for the diagnosis of Alzheimer's disease. Stud Health Technol Inform.;77:195-9. Normal ranges of

More information

A Profile of Ontario s Home Care Clients with Alzheimer s Disease or Other Dementias

A Profile of Ontario s Home Care Clients with Alzheimer s Disease or Other Dementias A Profile of Ontario s Home Care Clients with Alzheimer s Disease or Other Dementias Drawn from RAI-HC Assessments, 2005 Preface The following report was prepared at the request of the Alzheimer Society

More information

Appropriate Use of CPT Coding in Treatment of Persons with Memory Impairment

Appropriate Use of CPT Coding in Treatment of Persons with Memory Impairment Appropriate Use of CPT Coding in Treatment of Persons with Memory Impairment Cameron J. Camp, Ph.D. Director of Research and Development Center for Applied Research in Dementia Cameron@CEN4ard.com www.cen4ard.com

More information

Margaret L. Longacre, PhD Director, Research Cancer Support Community. March 4, 2016

Margaret L. Longacre, PhD Director, Research Cancer Support Community. March 4, 2016 Innovation in Developing Evidence-Based Programs that Identify and Address the Social and Emotional Needs of Cancer Caregivers: Distress Screening and Referral for Caregivers Margaret L. Longacre, PhD

More information

Running head: GENDER EFFECT 1. Gender Effect of Parent-Child Relationships on Parental Health. Jazmine V. Powell

Running head: GENDER EFFECT 1. Gender Effect of Parent-Child Relationships on Parental Health. Jazmine V. Powell Running head: GENDER EFFECT 1 Gender Effect of Parent-Child Relationships on Parental Health by Jazmine V. Powell A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Bachelor

More information

Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment

Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment Primary Care Update January 28 & 29, 2016 Alzheimer s Disease and Mild Cognitive Impairment Kinga Szigeti, MD Associate Professor UBMD Neurology UB Department of Neurology Questions How do we differentiate

More information

FAMILY CAREGIVER SUPPORT PROGRAM LITERATURE REVIEW

FAMILY CAREGIVER SUPPORT PROGRAM LITERATURE REVIEW FAMILY CAREGIVER SUPPORT PROGRAM LITERATURE REVIEW Seattle Human Services Department Aging and Disability Services OVERVIEW Introduction Caregiver s needs Effective interventions Culture/Race/Ethnicity

More information

GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS

GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS GUIDELINES GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS Preamble The American Society of Consultant Pharmacists has developed these guidelines for use of psychotherapeutic medications

More information

Insight and mood disorder. Dr. Daniel Mograbi

Insight and mood disorder. Dr. Daniel Mograbi Insight and mood disorder Dr. Daniel Mograbi Definition of insight Aubrey Lewis (1934) A correct attitude to a morbid change in oneself In psychiatry, the term most commonly used is loss of insight In

More information

The Relationship Between Empowerment Care and Quality of Life Among Members of Assisted Living Facilities

The Relationship Between Empowerment Care and Quality of Life Among Members of Assisted Living Facilities The Relationship Between Empowerment Care and Quality of Life Among Members of Assisted Living Facilities Kirsten Kranz Faculty Sponsor: Dung Ngo, Department of Psychology ABSTRACT The purpose of this

More information

Evaluations. Viewer Call-In. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. Geriatric Mental Health. Thanks to our Sponsors: Guest Speaker

Evaluations. Viewer Call-In. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. Geriatric Mental Health. Thanks to our Sponsors: Guest Speaker Geriatric Mental Health June 1, 7 Guest Speaker Michael B. Friedman, LMSW Chairperson Geriatric Mental Health Alliance of New York Thanks to our Sponsors: School of Public Health, University at Albany

More information

The Psychological Effects of a Cardiovascular Accident on a Patient

The Psychological Effects of a Cardiovascular Accident on a Patient The Psychological Effects of a Cardiovascular Accident on a Patient A Case Study X.Y.. College Month, Year Our patient, Peter, is 42 years old. He is married and has two children, a daughter, who is 13

More information

HEALTH OF INFORMAL CAREGIVERS: EFFECTS OF GENDER, EMPLOYMENT, AND USE OF HOME CARE SERVICES

HEALTH OF INFORMAL CAREGIVERS: EFFECTS OF GENDER, EMPLOYMENT, AND USE OF HOME CARE SERVICES HEALTH OF INFORMAL CAREGIVERS: EFFECTS OF GENDER, EMPLOYMENT, AND USE OF HOME CARE SERVICES Report Prepared by: Pamela G. Hawranik, PhD and Laurel A. Strain, PhD University of Manitoba Winnipeg, Manitoba

More information

The Hellenic Longitudinal Investigation of Aging and Diet (HELIAD): study description and preliminary data

The Hellenic Longitudinal Investigation of Aging and Diet (HELIAD): study description and preliminary data The Hellenic Longitudinal Investigation of Aging and Diet (HELIAD): study description and preliminary data Margioti E 1,5, Sakka P 1, Dardiotis E 2, Kosmidis MH 5, Yannakoulia M 4, Hadjigeorgiou GM 2,

More information

National Mental Health Survey of Doctors and Medical Students Executive summary

National Mental Health Survey of Doctors and Medical Students Executive summary National Mental Health Survey of Doctors and Medical Students Executive summary www.beyondblue.org.au 13 22 4636 October 213 Acknowledgements The National Mental Health Survey of Doctors and Medical Students

More information

Depression often coexists with other chronic conditions

Depression often coexists with other chronic conditions Depression A treatable disease PROPORTION OF PATIENTS WHO ARE DEPRESSED, BY CHRONIC CONDITION Diabetes 33% Parkinson s Disease % Recent Stroke % Hospitalized with Cancer 42% Recent Heart Attack 45% SOURCE:

More information

Department of Psychiatry, The University of Melbourne

Department of Psychiatry, The University of Melbourne Azlina Wati Nikmat 1,2 Graeme Hawthorne 1, Sam Korn 1 1 Department of Psychiatry, The University of Melbourne 2 Department of Psychiatry, University Teknologi MARA Worldwide: Predicted 2 billion people

More information

Eighth Family Research Network (FRN) Forum: Caregiving in Singapore: Insights, Highlights and Experiences

Eighth Family Research Network (FRN) Forum: Caregiving in Singapore: Insights, Highlights and Experiences Eighth Family Research Network (FRN) Forum: Caregiving in Singapore: Insights, Highlights and Experiences Tuesday, 7 August 2012 Auditorium, Level 1, Civil Service College The 8 th Family Research Network

More information

Studies on race bias, social class bias, and gender. bias are reviewed. Previous misconceptions about the presence

Studies on race bias, social class bias, and gender. bias are reviewed. Previous misconceptions about the presence 1 Garb, H. N. (1997). Race bias, social class bias, and gender bias in clinical judgment. Clinical Psychology: Science and Practice, 4(2), 99-120. (1 student) Karen Savary Zimmerman 1 st Year Doctoral

More information

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics

Identifying High-Risk Medicare Beneficiaries with Predictive Analytics Identifying High-Risk Medicare Beneficiaries with Predictive Analytics September 2014 Until recently, with the passage of the Affordable Care Act (ACA), Medicare Fee-for-Service (FFS) providers had little

More information

Cognitive Rehabilitation for Executive Dysfunction in Parkinson s Disease

Cognitive Rehabilitation for Executive Dysfunction in Parkinson s Disease Calleo, J., Burrows, C., Levin, H., Marsh, L., Lai, E., York, M. (2012). Cognitive rehabilitation for executive dysfunction in Parkinson s disease: application and current directions., vol. 2012, Article

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions Business Office: 598 Airport Boulevard Suite 1400 Morrisville NC 27560 Contact: support@cognitrax.com Phone: 888.750.6941 Fax: 888.650.6795 www.cognitrax.com Diseases of the

More information

Practice Redesign for Dementia: The UCLA Alzheimer's and Dementia Care Program

Practice Redesign for Dementia: The UCLA Alzheimer's and Dementia Care Program Practice Redesign for Dementia: The UCLA Alzheimer's and Dementia Care Program Zaldy S. Tan, MD, MPH Medical Director, UCLA Alzheimer s and Dementia Care Program Director, California Geriatric Education

More information

Responses progress from no impairment to severely impaired. Consider the degree of impairment.

Responses progress from no impairment to severely impaired. Consider the degree of impairment. (M1700) Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands. 0 - Alert/oriented, able to

More information

Prevention and Reactivation Care Program (PReCaP)

Prevention and Reactivation Care Program (PReCaP) Prevention and Reactivation Care Program (PReCaP) An integrated approach to prevent functional decline in hospitalized elderly Annemarie JBM de Vos Kirsten JE Asmus-Szepesi Ton JEM Bakker Paul L de Vreede

More information

CRITICALLY APPRAISED PAPER (CAP)

CRITICALLY APPRAISED PAPER (CAP) CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION What is the effect of life review through writing on depressive symptoms in older adults residing in senior residences? Chippendale, T., & Bear-Lehman,

More information

RHODE ISLAND SERVICES FOR THE BLIND AND VISUALLY IMPAIRED ORS/DHS THE INDEPENDENT LIVING FOR OLDER BLIND PROGRAM

RHODE ISLAND SERVICES FOR THE BLIND AND VISUALLY IMPAIRED ORS/DHS THE INDEPENDENT LIVING FOR OLDER BLIND PROGRAM RHODE ISLAND SERVICES FOR THE BLIND AND VISUALLY IMPAIRED ORS/DHS THE INDEPENDENT LIVING FOR OLDER BLIND PROGRAM FINAL EVALUATION REPORT OCTOBER 1, 2005 - SEPTEMBER 30, 2006 Prepared by Kristine L. Chadwick,

More information

Dr. Maissa Eid Afifi. Consultant of Psychiatry.Institute of Psychiatry Ain Shams University

Dr. Maissa Eid Afifi. Consultant of Psychiatry.Institute of Psychiatry Ain Shams University Dr. Maissa Eid Afifi Consultant of Psychiatry.Institute of Psychiatry Ain Shams University 1-History. 2-Prevalence. 3-Types of Dementia. 4-Aim of Education programs. 5-Common problems of behavior. 6-The

More information

Accessing Web Based Health care and Resources for Mental Health: Interface Design Considerations for People Experiencing Mental Illness

Accessing Web Based Health care and Resources for Mental Health: Interface Design Considerations for People Experiencing Mental Illness Accessing Web Based Health care and Resources for Mental Health: Interface Design Considerations for People Experiencing Mental Illness Alice Good & Arunasalam Sambhanthan School of Computing University

More information

Exploring Mild Cognitive Impairment

Exploring Mild Cognitive Impairment Exploring Mild Cognitive Impairment Kelly Murphy, PhD Angela Troyer, PhD Neuropsychology & Cognitive Health, Baycrest Health Sciences Alzheimer Society of Canada September 25, 2013 CDRAKE webinar Objectives

More information

Alzheimer s Impact on the American People and the Economy

Alzheimer s Impact on the American People and the Economy www.alz.org Public Policy Office 202 393 7737 p 1212 New York Avenue, NW 866 865 0270 f Suite 800 Washington, DC 20005-6105 Testimony of Harry Johns, President and CEO of the Alzheimer s Association Fiscal

More information

Instructor s Guide: Geriatric EMR Templates

Instructor s Guide: Geriatric EMR Templates Instructor s Guide: Geriatric EMR Templates Mariana B. Dangiolo MD, Shalu Gillum JD MLS, Nancy Clark MEd, Andrea Berry MPA Background The aging of America will uniquely impact the type of care our students

More information

VIRTUAL UNIVERSITY OF PAKISTAN FORMAT OF THE INTERNSHIP REPORT FOR BS Psychology (Clinical Setting)

VIRTUAL UNIVERSITY OF PAKISTAN FORMAT OF THE INTERNSHIP REPORT FOR BS Psychology (Clinical Setting) VIRTUAL UNIVERSITY OF PAKISTAN FORMAT OF THE INTERNSHIP REPORT FOR BS Psychology (Clinical Setting) 1. Title page The title page of the report will include: Clinical Case Studies The name of the internee,

More information

NURSING PRACTICE & SKILL

NURSING PRACTICE & SKILL NURSING PRACTICE & SKILL ICD-9 294.20 ICD-10 F03.90 Authors Hillary Mennella, DNP, MSN, ANCC-BC Helle Heering, RN, CRRN Reviewers Eliza Schub, RN, BSN Darlene Strayer, RN, MBA Nursing Practice Council

More information

Health Anxiety and Hypochondriasis in Older Adults: Overlooked Conditions in a Susceptible Population

Health Anxiety and Hypochondriasis in Older Adults: Overlooked Conditions in a Susceptible Population Health Anxiety and Hypochondriasis in Older Adults: Overlooked Conditions in a Susceptible Population Presented by: Renée El-Gabalawy, M.A., Ph.D Candidate Collaborators Dr. Corey Mackenzie Associate Professor

More information

SCREENING FOR DEMENTIA AND THE IMPACT ON MORTALITY AND MORBIDITY IN LONG TERM CARE INSURANCE MARC A. COHEN, PH.D. NOVEMBER TORONTO, CANADA

SCREENING FOR DEMENTIA AND THE IMPACT ON MORTALITY AND MORBIDITY IN LONG TERM CARE INSURANCE MARC A. COHEN, PH.D. NOVEMBER TORONTO, CANADA SCREENING FOR DEMENTIA AND THE IMPACT ON MORTALITY AND MORBIDITY IN LONG TERM CARE INSURANCE MARC A. COHEN, PH.D. 8 TH GENEVA ASSOCIATION HEALTH AND AGEING CONFERENCE NOVEMBER 14-15 2011 TORONTO, CANADA

More information

Follow this and additional works at: Part of the Educational Methods Commons

Follow this and additional works at:  Part of the Educational Methods Commons Johnson & Wales University ScholarsArchive@JWU Research Methodology Center for Research and Evaluation 4-1-2013 Construct Validity: An Illustration of Examining Validity Evidence Based on Relationships

More information

Capacity to Care: Building Competency in Geriatric Mental Health Care Evidence Based Practices & Psychosocial Interventions

Capacity to Care: Building Competency in Geriatric Mental Health Care Evidence Based Practices & Psychosocial Interventions Capacity to Care: Building Competency in Geriatric Mental Health Care Evidence Based Practices & Psychosocial Interventions Nancy P. Kropf School of Social Work Georgia State University Define Evidence

More information

Extended Abstract. Evaluation of satisfaction with treatment for chronic pain in Canada. Marguerite L. Sagna, Ph.D. and Donald Schopflocher, Ph.D.

Extended Abstract. Evaluation of satisfaction with treatment for chronic pain in Canada. Marguerite L. Sagna, Ph.D. and Donald Schopflocher, Ph.D. Extended Abstract Evaluation of satisfaction with treatment for chronic pain in Canada Marguerite L. Sagna, Ph.D. and Donald Schopflocher, Ph.D. University of Alberta Introduction For millions of people

More information

Nebraska Health Data Reporter

Nebraska Health Data Reporter Nebraska Health Data Reporter Volume 3, Number 1 May 2000 Demographic, health, and functional status characteristics of new residents to Nebraska nursing homes: A summary Joan Penrod, Ph.D. Jami Fletcher,

More information

APATHY INVENTORY IA. General principle. Results analysis

APATHY INVENTORY IA. General principle. Results analysis 1 APATHY INVENTORY IA The principle of the Apathy Inventory (IA) is to obtain information on the presence of apathy in patients with brain disorders. The Apathy Inventory is composed of 3 versions: Caregiver

More information

Identifying and Understanding High Risk Caregivers

Identifying and Understanding High Risk Caregivers Identifying and Understanding High Risk Caregivers Rhonda Feldman PhD, CPsych The Cyril & Dorothy, Joel & Jill Reitman Centre for Alzheimer s Support and Training Mount Sinai Hospital, Toronto, ON Sept.

More information

Adult children provide the majority of care

Adult children provide the majority of care Caregiving Helping the elderly with activity limitations Number 7 May 2000 NATIONAL ACADEMY ON AN AGING SOCIETY Two of five people over age 70 need help with one or more daily activities. Yet many do not

More information

Alzheimer s and Depression: What is the Connection?

Alzheimer s and Depression: What is the Connection? Alzheimer s and Depression: What is the Connection? Ladson Hinton MD Professor and Director of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Director, Education Core, Alzheimer

More information

COURSE INFORMATION FORM

COURSE INFORMATION FORM DATE SUBMITTED CATALOG NO. PSYC 270 DATE DICC APPROVED DATE LAST REVIEWED COURSE INFORMATION FORM DISCIPLINE Psychology COURSE TITLE Social Psychology of Aging CR.HR 3 LECT HR. 3 LAB HR. CLIN/INTERN HR.

More information

Adolescent Depression and Attachment Ima G. Student Purdue University

Adolescent Depression and Attachment Ima G. Student Purdue University Heading (on all pages): running head plus page number Adolescent Depression 1 Running Head: ADOLESCENT DEPRESSION Running head (a shortened version of the title is defined on the title page and used in

More information

Participating in Alzheimer s Disease Clinical Trials and Studies

Participating in Alzheimer s Disease Clinical Trials and Studies Participating in Alzheimer s Disease Clinical Trials and Studies FACT SHEET When Margaret was diagnosed with earlystage Alzheimer s disease at age 68, she wanted to do everything possible to combat the

More information

The relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy.

The relationship between socioeconomic status and healthy behaviors: A mediational analysis. Jenn Risch Ashley Papoy. Running head: SOCIOECONOMIC STATUS AND HEALTHY BEHAVIORS The relationship between socioeconomic status and healthy behaviors: A mediational analysis Jenn Risch Ashley Papoy Hanover College Prior research

More information

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

TECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management

TECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management TECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management WHY IS THIS IMPORTANT? Depression causes fluctuations in mood, low self esteem and loss of interest or pleasure in normally

More information

HERO Industry Research Review

HERO Industry Research Review HERO Industry Research Review Perceived workplace health support is an important element in better understanding the relationship between health and productivity. Study Title: Perceived Workplace Health

More information

Early detection of dementia and the Initial-phase intensive support team for preventing BPSD.

Early detection of dementia and the Initial-phase intensive support team for preventing BPSD. Early detection of dementia and the Initial-phase intensive support team for preventing BPSD. Haruyasu Yamaguchi, MD Gunma University Graduate School of Health Sciences Japanese cat is now doing weight

More information

Preventing the Unnecessary Losses of Alzheimer's Disease

Preventing the Unnecessary Losses of Alzheimer's Disease Virginia Commonwealth University VCU Scholars Compass Case Studies from Age in Action Virginia Center on Aging 1998 Preventing the Unnecessary Losses of Alzheimer's Disease Lin E. Noyes Family Respite

More information

Validation of Malay version of Montreal cognitive assessment in patients with cognitive impairment

Validation of Malay version of Montreal cognitive assessment in patients with cognitive impairment Clinical Medicine Research 2014; 3(3): 56-60 Published online April 30, 2014 (http://www.sciencepublishinggroup.com/j/cmr) doi: 10.11648/j.cmr.20140303.11 Validation of Malay version of Montreal cognitive

More information

Cognitive Behaviour Therapy (CBT) for family carers

Cognitive Behaviour Therapy (CBT) for family carers Dementia Action Alliance 16 th September 2014 Cognitive Behaviour Therapy (CBT) for family carers Georgina Charlesworth UCL and NEFLT with thanks to Penny Rapaport Overview of presentation What is CBT?

More information

Memory Disorders Clinic New Patient Questionnaire

Memory Disorders Clinic New Patient Questionnaire Memory Disorders Clinic New Patient Questionnaire Dear Patient: We are pleased that you have chosen the USF Health Memory Disorders Clinic. Please be reminded that the clinic is part of the academic program

More information

General Symptom Measures

General Symptom Measures General Symptom Measures SCL-90-R, BSI, MMSE, CBCL, & BASC-2 Symptom Checklist 90 - Revised SCL-90-R 90 item, single page, self-administered questionnaire. Can usually be completed in 10-15 minutes Intended

More information

on a daily basis. On the whole, however, those with heart disease are more limited in their activities, including work.

on a daily basis. On the whole, however, those with heart disease are more limited in their activities, including work. Heart Disease A disabling yet preventable condition Number 3 January 2 NATIONAL ACADEMY ON AN AGING SOCIETY Almost 18 million people 7 percent of all Americans have heart disease. More than half of the

More information

The population with diabetes is less healthy than the population without it.

The population with diabetes is less healthy than the population without it. Diabetes A drain on U.S. resources Some people with diabetes are able to control their condition and lead an active life. On the whole, however, people with diabetes are faced with many challenges. The

More information

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization)

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization) UNUM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring

More information

Soyeon Cho, Ph.D. Assistant Professor

Soyeon Cho, Ph.D. Assistant Professor Soyeon Cho, Ph.D. Assistant Professor Department of Human Services CUNY/NYC College of Technology Namm 401bldg. 300 Jay Street Brooklyn, NY 11201 Office: (718) 260-5787 Fax: (718) 974-1968 Email: scho@citytech.cuny.edu

More information

Supplemental Table 1 Studies Considered in Our Review Study Sample Follow up assessments Domains and tests Main results

Supplemental Table 1 Studies Considered in Our Review Study Sample Follow up assessments Domains and tests Main results Supplemental Table 1 Studies Considered in Our Review Study Sample Follow up assessments Domains and tests Main results Moorhead 20 BD I Performance IQ: Wechsler et al. (2007) 7 & follow up after 4 Abbreviated

More information

DEMENTIA SCREENING. James E. Galvin, MD, MPH Alzheimer Disease Research Center Washington University School of Medicine

DEMENTIA SCREENING. James E. Galvin, MD, MPH Alzheimer Disease Research Center Washington University School of Medicine DEMENTIA SCREENING James E. Galvin, MD, MPH Alzheimer Disease Research Center Washington University School of Medicine Disclosures and Acknowledgements This study was funded by the Longer Life Foundation

More information

Caregiving Issues for those with dementia and other cognitive challenges.

Caregiving Issues for those with dementia and other cognitive challenges. Caregiving Issues for those with dementia and other cognitive challenges. Sue Maxwell, MSW Director of Gerontology Lee Memorial Health System Fort Myers, Florida August 2009 Goals & Objectives Understand

More information

Understanding People with Alzheimer s disease: A Bio-Psycho-Social Approach

Understanding People with Alzheimer s disease: A Bio-Psycho-Social Approach Understanding People with Alzheimer s disease: A Bio-Psycho-Social Approach Steven R. Sabat, PhD Department of Psychology Georgetown University Washington, D.C. USA Ways to Understand Dementia/Alzheimer

More information