Problem-solving therapy beats supportive therapy at reducing disability in old people with depression and executive dysfunction

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Older people who suffer from depression and executive dysfunction experience significant levels of disability and often don’t respond well to conventional drug treatments. This randomised controlled trial conducted by researchers from Weill Cornell Medical College in New York State, attempted to find out if problem-solving therapy is better than supportive therapy for reducing disability in older [read the full story…]

Treating pain in dementia reduces agitation and may help reduce unnecessary prescriptions of antipsychotics

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Many people with dementia experience pain, but often find it difficult to communicate this to their carers and the pain is therefore manifested as agitation instead. A randomised controlled trial published in the British Medical Journal looks at a systematic approach to the treatment of pain, to see if it can reduce agitation in people with [read the full story…]

Oestrogen receptor variations linked with depression in later life

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The hormone oestrogen could play an important role in late-life depression, according to new research published in the August issue of the British Journal of Psychiatry. Oestrogen is best known as one of the significant hormones in reproduction. It is also believed to have a part to play in mood and mental health, because of [read the full story…]

Dementia commissioning pack launched by Department of Health

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The Dementia Commissioning Pack provides practical resources for health and social care commissioners to work together to improve the quality of both specialist dementia services and general health and care services for people with dementia and their carers. The pack has been developed in consultation with a range of health and social care experts, including [read the full story…]

Bright light treatment helps elderly people with non-seasonal depression

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Major depressive disorder is a prevalent and debilitating condition in elderly patients. It is accompanied by circadian rhythm disturbances associated with impaired functioning of the suprachiasmatic nucleus, the biological clock of the brain. Circadian rhythm disturbances are common in the elderly. Suprachiasmatic nucleus stimulation using bright light treatment may, therefore, improve mood, sleep, and hormonal [read the full story…]

Are people with low levels of education at greater risk of dementia?

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The purpose of this systematic review was to explore the relationship between education and dementia. The authors from the University of Southern California searched PubMed and PsycInfo for published studies examining the relationship between education and dementia listed from January 1985 to July 2010. The inclusion criteria were a measure of education and a dementia [read the full story…]

Benzodiazepines associated with an increase in falls and fractures in older adults

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This rapid response report from the Canadian Agency for Drugs and Technologies in Health set out to answer four questions: 1. What is the evidence on the safety of using benzodiazepines in older adults to manage disruptive behaviour or treat anxiety? 2. What is the effectiveness of benzodiazepines compared with that of antidepressants in older [read the full story…]

GPs find it difficult to identify mild cognitive impairment and mild dementia, and are poor at recording diagnoses

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This meta-analysis looked at the ability of general practitioners (GPs) to recognize a spectrum of cognitive impairment from mild cognitive impairment to severe dementia in routine practice using their own clinical judgment. The authors found 15 studies reporting on dementia, seven studies that examined recognition of broadly defined cognitive impairment, and eight regarding mild cognitive impairment. By [read the full story…]

Route map for dementia research published by the Department of Health

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The Ministerial Advisory Group on Dementia Research, chaired by Paul Burstow, M.P., Minister of State for Care Services, has been working over the last 18 months on proposals to increase the volume, quality and impact of dementia research. The Advisory Group has now completed its work and produced its final Headline Report, with a detailed [read the full story…]

Invisible addicts: new report highlights drug and alcohol misuse among older people

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The NHS must wise up to the “growing problem” of drug and alcohol misuse among older people, according to a new report published today by the Royal College of Psychiatrists. The report, written by the Older People’s Substance Misuse Working Group of the Royal College of Psychiatrists, warns that not enough is being done to [read the full story…]