fact may be ascribed to a primarily biological origin of the disease, not correlated with other possible causative events (e.g. chronic somatic diseases). On the other hand, in patients with reactive depressive symptoms a higher prevalence of somatic dysfunction (e.g. number of diseases, Charlson In
Feasibility of vascular dementia treatment with cholinesterase inhibitors
โ Scribed by Yansheng Li; John Stirling Meyer; MD Anwarul Haque; Munir H. Chowdhury; Peter Hinh; Minh Quach
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 42 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0885-6230
- DOI
- 10.1002/gps.546
No coin nor oath required. For personal study only.
โฆ Synopsis
the range. Overall, it was found that the prevalence of substance misuse in the elderly in-patient population was lower than in the younger population, and a little lower than expected. There may be several reasons for this. Firstly, this study was not speciยฎcally designed for the elderly population. The response rate was 62%, with 19% excluded due to their medical condition. Secondly, the screening instruments used for detecting alcohol and drug misuse in this studyร the CAGE and the AUDITรhave been validated for use in a younger population and are not necessarily reliable or valid when used in the elderly. Lastly, some investigators have questioned the appropriateness of using the DSM-IV and ICD-10 deยฎnition of substance use disorders for the elderly.
In conclusion, speciยฎc screening instruments for detecting substance misuse in the elderly need to be developed, alongside appropriate training of medical teams so that prevention and treatment strategies can be implemented at an early stage.
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