The Reliability of a Survey Psychiatric Assessment Schedule for the Elderly

1980 ◽  
Vol 137 (2) ◽  
pp. 148-162 ◽  
Author(s):  
John Bond ◽  
Patrick Brooks ◽  
Vera Carstairs ◽  
Louise Giles

SummaryThe Survey Psychiatric Assessment Schedule (SPAS) was used in a survey of elderly people living at home and in institutions to examine its reliability in determining mental state. A psychiatrist assessed the same subjects using the Geriatric Mental State Schedule (GMSS) and classified psychiatric disorder into three broad groups: organic disorders, schizophrenia and paranoid disorders, and affective disorders and psychoneuroses. The agreement between the psychiatrist's classification of mental state and the classification derived from SPAS was found to be satisfactory for organic disorders and less satisfactory for functional disorders. The limitations of this method of identifying psychiatric illness are examined.

Author(s):  
Malek Alaoui ◽  
Myriam Lewkowicz

Encouraging elderly people to stay at home as long as possible is associated with a higher risk of social isolation. Nowadays, aging well at home cannot be reduced to the management of physical and cognitive frailties and technologies should also tackle the quality of life of the elderly by fostering their social interactions. However, designing appropriate services and ensuring their adoption remain open questions, to which we try to provide answers at the methodological and instrumental levels. The authors present here a Living Lab approach to design communication services for elderly people at home. They illustrate this approach by describing their participation in a European project aiming at developing and evaluating Social TV services and they conclude with recommendations for the successful socio-technical design of services that foster the social engagement of elderly people.


10.32698/0672 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. 76
Author(s):  
Alvi Rahmi ◽  
Daharnis Daharnis ◽  
Syahniar Syahniar

This study was conducted based on the lamentations of the old people about the existence of themselves. The old people cannot accept their changes both physical and psychological.This study aims to describe the self-acceptance of the elderly in terms of gender and place of residence. The study sample consisted of 116 elderly people, 67 elderly people who lived at home and 49 elderly people who lived in the Affectionate Home of Mother Batusangkar. The instrument used is the elderly self-acceptance questionnaire with reliability of 0.840. The results of this study are the self-acceptance of the elderly differs significantly in terms of gender and place of residence and there is an interaction between sex and residence in explaining the self-acceptance of the elderly.


Author(s):  
Hideaki Kanai ◽  
◽  
Akinori Kumazawa ◽  

Currently, Japan is rapidly aging. Japanese government agencies report that the percentage of elderly people whose ages are at least 65 years will increase by up to about 30 percent in 2025. As one of the measures towards this situation, the community-based integrated healthcare system will be introduced in Japan. The system aims to provide elderly people living at home with appropriate health, medical, and welfare services. We focus on the burden of sharing information on the situation of the elderly at home among health, medical, welfare staffs, and neighbors. We have been developing a supporting system for sharing information on the situation of the elderly at home and conducted a field test around one year. We consider that various stakeholders involved in the community comprehensive health care system could recognize the importance of information sharing and collaboration with them through this kind of social implementation


1989 ◽  
Vol 155 (5) ◽  
pp. 686-691 ◽  
Author(s):  
S. C. Wessely ◽  
G. H. Lewis

Of a random sample of new attenders at a dermatology out-patient clinic, 40% were classified as suffering from a psychiatric disorder. There was no correlation between psychiatric morbidity and the severity or site of skin disease. Self-report measures of the behavioural impact of skin disease and attitudes to appearance were related to psychological morbidity. Except in subjects without visible skin pathology (5%) there was no evidence that psychiatric illness was an aetiological factor in the development of skin disease. Self-report measures were used to distinguish between those patients in whom psychiatric morbidity was closely related to skin disease (75%), and those in whom it may be coincidental (20%). Psychological care for the former group is most appropriately provided by physicians, who should be encouraged to improve their detection and management of psychiatric morbidity.


2016 ◽  
Vol 7 (01) ◽  
pp. 168-170
Author(s):  
Sunil Kumar Raina ◽  
Vishav Chander

ABSTRACT Introduction: Routine screening of high-risk elderly people for early cognitive impairment using mini-mental state examination (MMSE) and its modifications may be constrained by demographic and other variables. Warning signs (as reported by family/caregivers) may be a useful alternative. The present data analysis was carried out with the aim to identify the role of 10 warning signs screen as an alternative tool for screening for cognitive impairment among elderly. Materials and Methods: For the purpose of this analysis (correlation), data available with us from a study conducted on the elderly population (60 years and above) from selected geographical areas (Migrant, Urban, Rural, and Tribal) of Himachal Pradesh was used. Results: A high statistically significant was found between scores on 10 warning signs screen and Hindi mental state examination/Bharmouri mental state examination (modifications of MMSE). Conclusions: Ten warning signs screen can be an important screening total for assessment of cognitive impairment in the elderly Indians.


2000 ◽  
Vol 176 (6) ◽  
pp. 568-575 ◽  
Author(s):  
M. I. Geerlings ◽  
L. M. Bouter ◽  
R. A. Schoevers ◽  
A. T. F. Beekman ◽  
C. Jonker ◽  
...  

BackgroundDepression may be associated with cognitive decline in elderly people with impaired cognition.AimsTo investigate whether depressed elderly people with normal cognition are at increased risk of cognitive decline and Alzheimer's disease.MethodsTwo independent samples of older people with normal cognition were selected from the community-based Amsterdam Study of the Elderly (AMSTEL) and the Longitudinal Aging Study Amsterdam (LASA). In AMSTEL, depression was assessed by means of the Geriatric Mental State Schedule. Clinical diagnoses of incident Alzheimer's disease were made using a two-step procedure. In LASA, depression was assessed with the Center for Epidemiologic Studies Depression Scale. Cognitive decline was defined as a drop of ⩾ 3 on the Mini-Mental State Examination at follow-up.ResultsBoth in the AMSTEL and the LASA sample, depression was associated with an increased risk of Alzheimer's disease and cognitive decline, respectively, but only in subjects with higher levels of education.ConclusionsIn a subgroup of more highly educated elderly people, depression may be an early manifestation of Alzheimer's disease before cognitive symptoms become apparent.


2012 ◽  
Vol 18 (6) ◽  
pp. 400-407 ◽  
Author(s):  
Bradley Ng ◽  
Martin Atkins

SummaryAn initial psychiatric assessment of elderly people at home is an important component of many old age psychiatry services. This article explores the clinical aspects of conducting such assessments and the skills required in addition to those brought to a standard psychiatric interview. Safety considerations and risk management when conducting home assessments are also discussed.


1999 ◽  
Vol 5 (2) ◽  
pp. 247-254
Author(s):  
F. Al Nasir ◽  
M. K. Al Haddad

We compared the levels of disability between the elderly admitted to an institution and those cared for at home. Of the 74 elderly people in this study, 56 were institutionalized and 18 were living at home. The Clifton Assessment Procedure for the Elderly [CAPE]was used to assess and compare the behavioural disabilities between the two groups. In addition to their younger age, the home-cared elderly were less incontinent, more social, better communicators and less confused than the institutionalized group, despite the fact that they had more physical disabilities with regard to bathing and walking


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