Factors associated with late-life psychosis in primary care older adults without a diagnosis of dementia

Vasiliadis, Helen‐Maria; Pitrou, Isabelle; Lamoureux‐Lamarche, Catherine; Grenier, Sébastien; Nguyen, Patrick Viet-Quoc; Hudon, Carol

doi:10.1007/s00127-021-02132-7

Cited by 1 publication

(1 citation statement)

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“…A significant number of older adults are likely to be living with psychosis, including persecutory delusions, likely due to a combination of these symptoms being persistent over many years from first onset, and an estimated 2% of individuals experiencing a first episode of psychosis after the age of 65 (excluding psychotic experiences in the context of dementia) ( Mitford et al, 2010 ; Vasiliadis et al, 2022 ). Despite this, there is limited research looking at persecutory delusions in older adults and no separate NICE guidance for treating psychosis in older adults.…”

Section: Overview Of the Literaturementioning

confidence: 99%

Worry intervention in an older adult with a persecutory delusion: A single case experimental design

Brown,

Crabtree

2023

Clin. Psychol. Eur.

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Background This report presents the single case of Jack, a 67-year-old referred to our Older Adult Community Mental Health Team (OA CMHT) for his distressing persecutory delusion and high levels of worry. Jack also reported learning difficulties and autistic traits, although neither were formally diagnosed. Method Ten sessions of worry intervention taken from The Feeling Safe Programme worry module were used to reduce Jack’s time spent worrying and increase his engagement in meaningful activity. Weekly face-to-face sessions were held, with Jack’s brother acting as a co-therapist. Adaptations to the intervention were made based on Jack’s learning preferences. An AB single case experimental design was adopted to compare Jack’s scores on measures of worry, paranoia and delusional conviction, and wellbeing and daily functioning before and after intervention. Results Results demonstrate the worry intervention improved Jack’s scores on all measures to a clinically significant degree. Conclusions This is the first known report of applying the worry intervention to an older adult. The results show the intervention can be of considerable benefit in terms of reducing worry and paranoia, in the context of both older age and suspected neurodiversity.

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Section: Overview Of the Literaturementioning

confidence: 99%