Mental health in older adults: an introduction for integrated care professionals

Segal, Daniel L.; Granier, Katie L.; Pifer, Marissa A.; Stone, Lisa E.

doi:10.1016/j.intcar.2020.100015

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…First, participants in the present study were community-dwelling participants and outpatients’ elderly with GAD diagnosis. There is also evidence that medically ill samples of older adults experienced severe levels of anxious distress [ 23 , 77 ], and were most likely to overburden healthcare services [ 46 , 78 , 79 ]. Thus, further studies could address GAS-10 diagnostic accuracy in samples of older adults with GAD diagnosis in comorbidity with medically ill patients.…”

Section: Discussionmentioning

confidence: 99%

“…A 10-item shortened version, the GAS-10, was developed, using Item Response Theory (IRT) approach, to reduce the burden of administration and scoring time, as well as to pose less burden on respondents [ 46 ]. The GAS-10 has strong evidence of reliability and validity for use with diverse samples of community-dwelling, medically ill, and treatment-seeking older adults [ 32 , 33 ].…”

Section: Methodsmentioning

confidence: 99%

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Psychometric properties and diagnostic accuracy of the short form of the geriatric anxiety scale (GAS-10)

Carlucci

Balestrieri

Maso³

et al. 2021

BMC Geriatr

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Background Anxious symptoms have a negative impact on different aspects of the elderly’s quality of life, ranging from the adoption of unhealthy lifestyle behaviours to an increased functional impairment and a greater physical disability. Different brief assessment instruments have been developed as efficacy measures of geriatric anxiety in order to overcome psychometric weaknesses of its long form. Among these, the 10-item Geriatric Anxiety Scale (GAS-10) showed strong psychometric properties in community-dwelling samples. However, its diagnostic accuracy is still unexplored, as well as its discriminative power in clinical samples. Methods In the present study, we explored the psychometric performance of the GAS-10 in the elderly through Item Response Theory in a sample of 1200 Italian community-dwelling middle-aged and elderly adults (53.8% males, mean age = 65.21 ± 9.19 years). Concurrent validity, as well as diagnostic accuracy, was examined in a non-clinical sample (N = 229; 46.72% males) and clinical sample composed of 35 elderly outpatients (74.28% females) with Generalized Anxiety Disorder (GAD). Results The GAS-10 displayed good internal construct validity, with unidimensional structure and no local dependency, good accuracy, and no signs of Differential Item Functioning (DIF) or measurement bias due to gender, but negligible due to the age. Differences in concurrent validity and diagnostic accuracy among the long form version of the GAS and the GAS-10 were not found significant. The GAS-10 may be more useful than the longer versions in many clinical and research applications, when time constraints or fatigue are issues. Conclusion Using the ROC curve, the GAS-10 showed good discriminant validity in categorizing outpatients with GAD disorder, and high anxiety symptoms as measured by the GAS-SF cut-off. The stable cut-off point provided could enhance the clinical usefulness of the GAS-10, which seems to be a promising valid and reliable tool for maximize diagnostic accuracy of geriatric anxiety symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Psychometric properties and diagnostic accuracy of the short form of the geriatric anxiety scale (GAS-10)

Carlucci

Balestrieri

Maso³

et al. 2021

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…22 Mental health and cognitive problems among older adults are still commonly under-diagnosed in primary care in part due to patients not seeking help when symptoms appear, and hurried office care visits. 25 These are significant risks; loneliness and depression are two factors that have been found to increase cognitive decline over time, independent of age, education, socioeconomic status and initial health status. 27 It is important for naturopathic doctors to look for potential precursors to depression, such as loneliness or social isolation, as older adults who have strong personal networks, with a large and diverse set of social contacts, have been found to have the overall lowest risk of all-cause mortality.…”

Section: Health Promotion and Mental/emotional Healthmentioning

confidence: 99%

The Emerging Role of Naturopathic Medical Care in Health Promotion and Aging

Buckley-Strobel

2021

CANDJ

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The numbers of seniors as a proportion of the Canadian population has never been higher. This has created strain on provincial health care budgets across Canada, as rates of patients with chronic diseases and complex needs continues to rise. Given these challenges, the need for a collaborative and health-promotion focused model for seniors' health care has never been more urgent. There is a strong argument to be made that naturopathic doctors (NDs) are ideally suited to fill this gap, because of their unique training and philosophies of care, and should be funded in a community health model. The benefits of this solution are: for ND clinicians, greatly expanded practice opportunities; for communities, that seniors will increasingly be able to age in place successfully; and for government, that cost savings will accrue to provincial health budgets from decreased chronic disease burden and demands for hospital and long-term based care.

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Mental health in older adults: an introduction for integrated care professionals

Cited by 2 publications

References 25 publications

Psychometric properties and diagnostic accuracy of the short form of the geriatric anxiety scale (GAS-10)

Psychometric properties and diagnostic accuracy of the short form of the geriatric anxiety scale (GAS-10)

The Emerging Role of Naturopathic Medical Care in Health Promotion and Aging

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