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- Agüero-Torres, Hedda, et al.
(författare)
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Disability in activities of daily living among the elderly
- 2001
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Ingår i: Current Opinion in Psychiatry. - 0951-7367 .- 1473-6578. ; 14:4, s. 355-359
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Tidskriftsartikel (refereegranskat)abstract
- The rise in number and proportion of older people, and the functional disability that is associated with increasing age, generate concern regarding the societal consequences of a large number of disabled elderly persons. Therefore, measuring disability in terms of activities of daily living has become routine in surveys of older people in most studies on ageing. Despite methodological obstacles, research into functional ability in the elderly has progressed during the past few decades. A high prevalence of functional disability in the elderly is consistently reported, although considerable variation has been found among studies. In contrast to functionally independent elderly, disabled elderly have been found to make increased use of home help services, and have higher institutionalization rates and premature mortality. Factors that are consistently reported as being associated with increased functional disability are older age, female sex, lower educational level, lack of exercise, chronic disease and impaired cognition. Among the chronic diseases, dementia is a progressive and disabling condition that accounts for a large proportion of the disability in elderly populations. A combination of various strategies must be employed in the approach to reduction of disability in the elderly population. More research is needed to gain a better understanding of risk and protective factors, so that we will be able to detect persons at early stages of disability, and to plan for services or rehabilitation for severely disabled persons.
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- Andersson, Gerhard, et al.
(författare)
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Internet-delivered treatment to promote health
- 2011
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Ingår i: CURRENT OPINION IN PSYCHIATRY. - : Lippincott Williams and Wilkins. - 0951-7367 .- 1473-6578. ; 24:2, s. 168-172
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of review The aim of this paper is to provide an updated review of recent controlled trials of Internet interventions for health conditions and how the Internet is used to promote health. Recent findings We identified 18 published trials including studies on diabetes, cancer, pain conditions, obesity, irritable bowel syndrome, stress management, hypertension, metabolic syndrome, cerebral palsy, infertility, HIV infection, and fruit/vegetable consumption. Of the 18 trials, one-third targeted children and adolescents. Two cancer studies investigated the role of peer support in an online environment that failed to result in any major improvements. Overall, several trials did not result in any substantial significant improvements, but there are exceptions, such as treatment of irritable bowel syndrome, headache, and chronic pain. Although a few of the reviewed studies had sufficient sample sizes, the majority were small and underpowered. In particular, this was the case for the studies on children and adolescents. Summary This review suggests that Internet interventions hold some promise as a complement to other treatments such as cognitive behavior therapy. The benefits from participating in online peer support groups are not clear. Although studies on children and adolescents have emerged, there is a lack of studies on older adults with health problems.
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- Andersson, Gerhard, 1966-, et al.
(författare)
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The use of the internet in the treatment of anxiety disorders
- 2005
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Ingår i: Current Opinion in Psychiatry. - 0951-7367 .- 1473-6578. ; 18:1, s. 73-77
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of review: The aim of this article is to review the emerging literature on the use of the Internet in the treatment of anxiety disorders. The questions asked are: (1) are Internet-delivered treatments for anxiety disorders supported by the research literature? (2) what is the quality of the evidence as it stands? (3) is there any evidence to suggest that Internet interventions can be harmful? Recent findings: Recent and ongoing trials on panic disorder show that Internet-based self-help with minimal therapist contact is a promising approach in the treatment of panic disorder. However, trials have been small and there is a need for large-scale trials and studies conducted in psychiatric settings as most studies have recruited patients via advertisement. There is no evidence in the literature that Internet intervention is harmful, but most likely a stepped-care approach would be feasible to handle cases who fail to respond. Summary: Internet-delivered interventions for anxiety disorders, and in particular panic disorder, are promising. There is however a need for further research and evaluation and there is also a need to find a proper place for such interventions in the clinical management of anxiety disorders, preferably using a stepped-care approach. © 2005 Lippincott Williams & Wilkins.
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- Balogun, W. G., et al.
(författare)
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Plasma biomarkers for neurodegenerative disorders: ready for prime time?
- 2023
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Ingår i: Current Opinion in Psychiatry. - 0951-7367. ; 36:2, s. 112-118
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of reviewSeveral plasma biomarkers for Alzheimer's disease and related disorders (ADRD) have demonstrated clinical and technical robustness. However, are they ready for clinical implementation? This review critically appraises current evidence for and against the immediate use of plasma biomarkers in clinical care.Recent findingsPlasma biomarkers have significantly improved our understanding of ADRD time-course, risk factors, diagnosis and prognosis. These advances are accelerating the development and in-human testing of therapeutic candidates, and the selection of individuals with subtle biological evidence of disease who fit the criteria for early therapeutic targeting. However, standardized tests and well validated cut-off values are lacking. Moreover, some assays (e.g., plasma Aβ methods) have poor robustness to withstand inevitable day-to-day technical variations. Additionally, recent reports suggest that common comorbidities of aging (e.g., kidney disease, diabetes, hypertension) can erroneously affect plasma biomarker levels, clinical utility and generalizability. Furthermore, it is unclear if health disparities can explain reported racial/ethnic differences in biomarker levels and functions. Finally, current clinically approved plasma methods are more expensive than CSF assays, questioning their cost effectiveness.SummaryPlasma biomarkers have biological and clinical capacity to detect ADRD. However, their widespread use requires issues around thresholds, comorbidities and diverse populations to be addressed. © 2023 Lippincott Williams and Wilkins. All rights reserved.
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- Codita, Alina, et al.
(författare)
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Of mice and men : more neurobiology in dementia.
- 2006
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Ingår i: Curr Opin Psychiatry. - : Ovid Technologies (Wolters Kluwer Health). - 0951-7367. ; 19:6, s. 555-63
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 9. |
- Cornelius, C
(författare)
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Drug use in the elderly: risk or protection?
- 2004
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Ingår i: CURRENT OPINION IN PSYCHIATRY. - : Ovid Technologies (Wolters Kluwer Health). - 0951-7367. ; 17:6, s. 443-447
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 10. |
- Dinkler, Lisa, et al.
(författare)
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Assessment of avoidant restrictive food intake disorder, pica and rumination disorder: interview and questionnaire measures
- 2021
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Ingår i: Current Opinion in Psychiatry. - : Ovid Technologies (Wolters Kluwer Health). - 0951-7367 .- 1473-6578. ; 34:6, s. 532-542
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Tidskriftsartikel (refereegranskat)abstract
- Purpose of review This article reviews available assessment instruments for three of the feeding and eating disorder diagnostic categories: avoidant restrictive food intake disorder (ARFID), pica, and rumination disorder (RD). It includes an overview of the current status of screening tools, questionnaire measures, and diagnostic instruments. Recent findings Screening instruments are available for all three disorders; however, for pica and RD, these typically include single screening items only and do not cover any specific features of these presentations. Only one questionnaire suitable for clinical populations is included, covering ARFID only. Standardized diagnostic interviews are limited to two covering both pica and RD, only one of which provides further clinical information. Of the five diagnostic instruments for ARFID described here, two include diagnostic items as well as allowing more detailed assessment of clinical features. There are a limited number of assessment measures available for all three disorders, with instruments for ARFID being the greatest in number and widest in terms of scope. A commonly encountered difficulty is that many assessment instruments do not adequately cover diagnostic exclusion criteria, which raises the likelihood of false positive findings. All currently available measures require further study to determine their reliability and validity.
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