Recent Changes in the Prevalence of Psychiatric Disorders Among VA Nursing Home Residents

Lemke, Sonne; Schaefer, R.N. Jeanne A.

doi:10.1176/ps.2010.61.4.356

Cited by 20 publications

(11 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent studies document a high and growing prevalence of psychiatric disorder in long-term care settings (14-16). We also found a high prevalence of psychiatric disorder (70%) among NNHS 2004 residents, highlighting that the issue of psychiatric disorder as barrier to effective pain care is a very relevant health care issue for a substantial segment of the nursing home population.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies indicate that dementia interferes with accurate assessment of nursing home residents’ pain (e.g., 8-12). However, with one exception (13), no one has considered whether the three other types of psychiatric disorder most prevalent in nursing homes [depression, serious mental illness, and substance use disorder (14-16)] also impact the quality of pain assessments obtained by nursing home residents.…”

Section: Objectivementioning

confidence: 99%

See 1 more Smart Citation

Psychiatric Disorders and Pain Treatment in Community Nursing Homes

Brennan¹,

SooHoo²

2014

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

Objectives Effective pain assessment and pain treatment are key goals in community nursing homes, but residents’ psychiatric disorders may interfere with attaining these goals. This study addressed whether: (a) pain assessment and treatment obtained by nursing home residents with psychiatric disorders differs from that obtained by residents without psychiatric disorders; (b) this difference is found consistently across the four types of psychiatric disorder most prevalent in nursing homes (dementia, depression, serious mental illness, substance use disorder); and (c) male gender, non-white race, and longer length of stay add to psychiatric disorder to elevate risk of potentially adverse pain ratings and pain treatments. Design Cross-sectional. Participants 13,507 National Nursing Home Survey 2004 (NNHS 2004) residents. Measures Demographic, diagnostic, pain, and medication items from the NNHS 2004. Results Compared to residents without psychiatric disorders, those with psychiatric disorders were less likely to be rated as having pain in the last 7 days, and had lower and more “missing”/ “don't know” pain severity ratings. They also were less likely to obtain opioids, and more likely to be given only non-opioid pain medications, even after statistically adjusting for demographic factors, physical functioning, and pain severity. These effects generally held across all four types of psychiatric disorders most prevalent in nursing homes, and were compounded by male, non-white, and longer-stay status. Conclusion Psychiatric disorders besides dementia may impact pain assessment and treatment in nursing homes. Nursing home residents with psychiatric disorders, especially male, non-white, and longer-stay residents, should be targeted for improved pain care.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Objectivementioning

confidence: 99%

Psychiatric Disorders and Pain Treatment in Community Nursing Homes

Brennan¹,

SooHoo²

2014

The American Journal of Geriatric Psychiatry

View full text Add to dashboard Cite

show abstract

“…For example, caregivers of veterans with PTSD and dementia also use more types of in-home and community services than those with dementia only (Pinciotti et al 2016). Additionally, it is expected that there will be a significant increase in demand for long-term care of veterans with dementia in the next decade (Lemke & Schaefer 2010). This means that in long-term care settings with a high population of veterans, there is a need to increase PTSD services, along with training and education for staff (Cook et al 2003).…”

Section: Theme 3: Implications For Health-care Providers and Treatmenmentioning

confidence: 99%

Post‐traumatic stress disorder and dementia in veterans: A scoping literature review

Ritchie

Cramm

Aiken

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

Emerging research has found an association between post‐traumatic stress disorder (PTSD) and dementia in veterans, yet little is known about the nature of this association and how it is conceptualized in the literature. The purpose of this scoping review is to understand how the relationship between PTSD and dementia in veterans is recognized and described in the peer‐reviewed literature. A scoping review was conducted using Arksey and O'Malley's (International Journal of Social Research Methodology, 8, 19, 2005) framework. Articles are included if participants were veterans with a focus on PTSD and dementia. A total of six databases (CINAHL, MEDLINE, EMBASE, PsycINFO, HealthSTAR, and PubMed) were searched along with the reference lists of eligible sources in September 2018. Thematic analysis was used to summarize the data. Thirty‐six studies were included in this review. Three main themes emerged from the literature: (i) symptomatic expression of PTSD and dementia; (ii) aetiology underlying the relationship between PTSD and dementia; and (iii) implications of PTSD and dementia on healthcare providers, treatment, and resources. This study highlights the ongoing need to understand mechanisms underlying the association between PTSD and dementia, the need for definition of PTSD symptoms, and to sensitize healthcare providers to the presence of PTSD when caring for veterans with dementia.

show abstract

“…Among those exposed to combat, 53% reported binge drinking 32. Rates of PTSD and AUD have increased in recent years,33 particularly from 1990 to 2006 34. It should be noted that this increase has been partly attributed to more detailed mental health evaluations after deployment, expanded reach efforts to underserved veterans, and the reintegration of Vietnam veterans into VA services 33,34…”

Section: Epidemiology Of Comorbid Ptsd and Audmentioning

confidence: 99%

PTSD and comorbid AUD: a review of pharmacological and alternative treatment options

Ralevski¹,

Olivera-Figueroa²,

Petrakis³

2014

SAR

View full text Add to dashboard Cite

BackgroundAlthough posttraumatic stress disorder (PTSD) and alcohol use disorders (AUD) frequently co-occur there are no specific treatments for individuals diagnosed with these comorbid conditions. The main objectives of this paper are to review the literature on pharmacological options for PTSD and comorbid AUD, and to summarize promising behavioral and alternative interventions for those with these dual diagnoses.MethodsWe conducted a comprehensive search on PsycINFO and MEDLINE/PubMed databases using Medical Subject Headings terms in various combinations to identify articles that used pharmacotherapy for individuals with dual diagnoses of PTSD and AUD. Similar strategies were used to identify articles on behavioral and alternative treatments for AUD and PTSD. We identified and reviewed six studies that tested pharmacological treatments for patients with PTSD and comorbid AUD.ResultsThe literature on treatment with US Food and Drug Administration approved medications for patients with dual diagnosis of PTSD and AUD is very limited and inconclusive. Promising evidence indicates that topiramate and prazosin may be effective in reducing PTSD and AUD symptoms in individuals with comorbidity. Seeking safety has had mixed efficacy in clinical trials. The efficacy of other behavioral and alternative treatments (mindfulness-based, yoga, and acupuncture) is more difficult to evaluate since the evidence comes from small, single studies without comparison groups.ConclusionThere is a clear need for more systematic and rigorous study of pharmacological, behavioral, and alternative treatments for patients with dual diagnoses of PTSD and AUD.

show abstract

Recent Changes in the Prevalence of Psychiatric Disorders Among VA Nursing Home Residents

Abstract: Examining differences in prevalence between birth cohorts and age groups can clarify trends in nursing home resident characteristics and improve projections of their future needs.

Cited by 20 publications

References 26 publications

Psychiatric Disorders and Pain Treatment in Community Nursing Homes

Psychiatric Disorders and Pain Treatment in Community Nursing Homes

Post‐traumatic stress disorder and dementia in veterans: A scoping literature review

PTSD and comorbid AUD: a review of pharmacological and alternative treatment options

Contact Info

Product

Resources

About