Factors Affecting Quality of Life in a Multiracial Sample of Older Persons With Schizophrenia

Bankole, Azziza; Cohen, Carl I.; Vahia, Ipsit V.; Kehn, Michelle; Ramírez, Paul; Diwan, Shilpa

doi:10.1097/jgp.0b013e31805d8572

Cited by 41 publications

(24 citation statements)

References 41 publications

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“…Details of the study methods are provided elsewhere (Bankole, et al, 2007). Briefly, we recruited participants aged 55 and over living in the community with early onset schizophrenia (onset before age 45).…”

Section: Methodsmentioning

confidence: 99%

Suicide attempts and associated factors in older adults with schizophrenia

Cohen

Abdallah

Diwan

2010

Schizophrenia Research

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Background Although there have been numerous studies of suicidality in younger populations with schizophrenia, there have been no studies focused on community-dwelling older adults with schizophrenia. This study provides data on the prevalence of suicidality and factors associated with previous suicide attempts among a mixed racial sample of older persons with schizophrenia living in New York City. Methods The schizophrenia group consisted of 198 persons aged ≥55 years who developed schizophrenia before age 45. A community comparison group (n=113) was recruited using randomly selected block-groups. Fifteen predictor variables of lifetime suicide attempts based on a risk model of suicide in schizophrenia were identified. Results Persons in the schizophrenia group had a significantly higher prevalence of current and lifetime “suicidality” (i.e., wants to be dead, suicidal thoughts, or suicide attempts) when compared to the community group (current: 10% versus 2%; lifetime: 56% versus 7%) as well as past suicidal attempts (30% versus 4%). Within the schizophrenia group, in logistic regression analysis, 2 variables were significantly associated with lifetime suicidal attempts: current syndromal depression and higher scores on the Traumatic and Victimization Scale. Conclusions The data confirmed that in later life, persons with schizophrenia continue to have a higher prevalence of suicidality than their age peers in the community. Our findings underscore the importance of monitoring for suicidality in this age group. The relative paucity of risk factors means that practitioners can more easily focus their therapeutic efforts on at-risk individuals.

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Section: Methodsmentioning

confidence: 99%

Suicide attempts and associated factors in older adults with schizophrenia

Cohen

Abdallah

Diwan

2010

Schizophrenia Research

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“…With respect to the few studies that assessed cognition in exclusively community-dwelling older individuals with schizophrenia, they used global or screening measures of cognitive function (7-12); included samples in mid to late life rather than a fuller range of late life ages (13-18); or had both of these limitations (19-24). Further, 14 of these 18 publications came from one research group (for a review, see (6)).…”

Section: Objectivementioning

confidence: 99%

Cognitive Performance of Individuals With Schizophrenia Across Seven Decades: A Study Using the MATRICS Consensus Cognitive Battery

Rajji¹,

Voineskos²,

Butters³

et al. 2013

The American Journal of Geriatric Psychiatry

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Objectives The objectives of this study are to determine the effect of aging, schizophrenia, and their interaction on cognitive function. Design Cross-sectional controlled study. Setting Community-living. Participants 235 subjects with schizophrenia aged 19-79 and 333 comparison subjects aged 20-81. Measurements The Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB). Results Older age was associated with poorer performance on 9 of 10 MCCB tests in both subjects with schizophrenia and comparison subjects. Subjects with schizophrenia were impaired relative to comparison subjects on each of the 10 tests. However, there was no interaction between aging and schizophrenia on any test. Essentially the same results were observed when analyzing performance on the seven MCCB cognitive domains and MCCB global composite score. Conclusions Consistent with other reports, schizophrenia appears to be a disorder marked by generalized cognitive dysfunction. However, the rate of cognitive decline appears to be similar to that observed in healthy comparison subjects. They do not experience acceleration in cognitive aging which supports the hypothesis that schizophrenia is a syndrome of premature aging. Longitudinal studies including very old patients are needed to confirm and extend these findings.

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“…[6][7][8][9][10], cognitive (cogn.) [6,8,[11][12][13][14][15][16], emotional (emot.) [6,12,[16][17][18][19], social (soc.)…”

Section: Development Of the Rsm-scale: Item Generation And Selectionmentioning

confidence: 99%

“…[6,8,[11][12][13][14][15][16], emotional (emot.) [6,12,[16][17][18][19], social (soc.) [20,21] and occupational (occu.)…”

Section: Development Of the Rsm-scale: Item Generation And Selectionmentioning

confidence: 99%

The RSM-scale: a pilot study on a new specific scale for self- and observer-rated quality of life in patients with schizophrenia

et al. 2010

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Factors Affecting Quality of Life in a Multiracial Sample of Older Persons With Schizophrenia

Cited by 41 publications

References 41 publications

Suicide attempts and associated factors in older adults with schizophrenia

Suicide attempts and associated factors in older adults with schizophrenia

Cognitive Performance of Individuals With Schizophrenia Across Seven Decades: A Study Using the MATRICS Consensus Cognitive Battery

The RSM-scale: a pilot study on a new specific scale for self- and observer-rated quality of life in patients with schizophrenia

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