Depression Treatment of Psychiatric Disorders with Cognitive-Behavioral Interventions

Depression Treatment of Psychiatric Disorders
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is no higher than in the general population, the risk increases significantly with medical illness or institutionalization. Depression is probably the best researched of the psychiatric disorders in the elderly, with epidemiological evidence indicating that older adults have the highest suicide rate of any age group (one-fourth of all suicides are carried out by persons age 60 or older by taking sleeping pills suicide). (more…)

Cognitive-Behavioral Interventions Effectiveness with Older Adults

cognitive behavioral older adults
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psychological problems of older adults is encouraging. Cognitive-Behavioral Interventions has been shown to reduce symptoms of depression, anxiety, and somatic complaints (e.g., chronic pain elderly, insomnia) in multiple controlled studies. However, research also has indicated that there may be multiple variables to consider in determining whether Cognitive-Behavioral Interventions is the best approach to use with a specific patient and a specific problem. For example, differential effectiveness of Cognitive-Behavioral Interventions compared to other forms of psychotherapy is less certain. (more…)

Geriatric Rehabilitation: Physical Therapy and Principles of Rehabilitation


” class=”index-image” width=”120″ />

The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events resulting in functional deficits and disability. An increase in the number of activities with which an elder has difficulty increases linearly with comorbidity, that is, coexistent medical conditions that further complicate not only the genesis of a functional deficit but also its treatment. For example, rehabilitation for a stroke for an individual who also has painful, degenerative changes in the foot and a low tolerance for stressful activity secondary to angina with exertion would present a particular rehabilitation challenge. Yet, this example encapsulates geriatric rehabilitation specialist’s emphasis on care and function, not cure and disease. (more…)

Longevity Factors and Lifestyle Survey

Other reliable surveys combine factors of family history and your lifestyle to arrive at an estimate of longevity. This survey (below) may make you feel better if, like Richard’s and mine, your family history is not filled with 100-year feats of aging. It focuses on activities over which you have some control. When I applied for life and disability insurance, the agent asked me if I participated in high-risk activities such as piloting aircraft, scuba diving, sky diving, unprotected sex, or intravenous drug use. (more…)

Cancer Occurrence Rates Based on Gender and Ages

Cancer occurrence rates in a period of time for a given population is expressed in various ways. The incidence rate is a direct measure of the probability of developing cancer and is usually expressed per year. Incidence rates may be crude (all ages) or age specific. Since cancer is very age dependent, age specific rates are usually more informative. Cancer in elderly is more prevalent compare to cancer in younger age. When comparing population groups with different age distributions (such as the United States vs. China), the incidence rate should be age adjusted by multiplying each age-specific rate by the percent of individuals in a population with the same ages and then summing these to produce a single value. For etiological studies, incidence rates tend to be more informative than mortality rates, as they identify all diagnosed cases. (more…)

What Causes Obesity in Elderly?

Obesity results from an imbalance between caloric consumption and caloric expenditure over a prolonged period. Weight gain occurs when there is a greater consumption of calories than expenditure. The expenditure of calories is complex and results from likely combinations of metabolic, genetic, and individual factors. Genetics and environment may predispose to weight gain, but it is only the consumption of calories in excess of utilization that can cause weight gain. (more…)

Aging and Work Productivity

Common beliefs about older workers include beliefs that they are physically unable to do their job; have a high rate of absenteeism; have a high rate of accidents; are less productive, less motivated, and less receptive to innovations than younger people; and are unable to learn. While these are rather commonly held beliefs, there are few actual data to support these assumptions; in fact, most research studies indicate that these stereotypes are inaccurate. (more…)

Normal Aging of the Cardiovascular System

First the blood vessels. The walls of the arteries stiffen with age. And the largest blood vessel in the body, the aorta, gets longer and dilates as you get older. These developments can occur just from aging and in the absence of significant atherosclerosis in the vessels. They are secondary to changes that are happening to collagen and elastin and to deposits of calcium. The actual tonus (or tension) of the arteries also increases with the progressive thickening of the layer of the arterial wall that is present under the inside lining. These changes may contribute to high blood pressure and damage to the arteries, which encourage atherosclerosis. (more…)

Anti-Aging The Practitioner’s and Medical’s View

For trained physicians, aging is often defined by the age-related diseases and disorders people experience as they grow older. In fact, aging is often portrayed as a disease that is amenable to treatment, just like any other elderly chronic diseases that physicians are trained to diagnose and treat. This is not an unexpected view of aging given the Western disease-oriented model of medical education. Examples of the conditions that anti-aging practitioners endeavor to treat or postpone include cardiovascular disease, cancer, sensory impairments, muscle and bone loss, loss of skin elasticity, and decline in sexual activity in elderly function. (more…)

Older Learners and Their Unique Characteristics

As mentioned earlier, the tendency to reminisce as we grow older was regarded by many gerontologists as a pathology until Robert Butler showed it could be a highly positive way of integrating experiences and coming to terms with the past. As such, life review became a method for group therapy, creative writing groups, and as a source for living history drama. Some researchers went even further. They described elements of wisdom and aging creativity in the life review process. Not only were older adults of learning and expressing themselves, but because of their treasure house of past experience, they could also be ideal students and could make excellent teachers. (more…)

Next Page »