The renowned Principles and Practice of Geriatric Psychiatry, now in its third
edition, addresses the social and biological concepts of geriatric mental health
from an international perspective. Featuring contributions by distinguished
authors from around the world, the book offers a distinctive angle on issues
in this continually developing discipline.
Principles and Practice of Geriatric Psychiatry provides a comprehensive review of:
- geriatric psychiatry spanning both psychiatric and non-psychiatric disorders
- scientific advances in service development
- specific clinical dilemmas
New chapters on:
- genetics of aging
- somatoform disorders
- epidemiology of substance abuse
- somatoform disorders
- care of the dying patient
Continuing the practice of earlier editions, the major sections of the book address aging, diagnosis and assessment and clinical conditions, incorporating an engaging discussion on substance abuse and schizophrenic disorders. Shorter sections include the presentation of mental illness in elderly people from different cultures—one of the most popular sections in previous editions. Learning and behavioural studies, as well as models of geriatric psychiatry practice, are covered extensively. This book provides a detailed overview of the entire range of mental illness in old age, presented within an accessible format.
Principles and Practice of Geriatric Psychiatry is an essential read for psychiatrists, geriatricians, neurologists and psychologists. It is of particular use for instructors of general psychiatry programs and their residents.
Table of Contents
Preface to Second Edition.
Preface to First Edition.
PART A HISTORICAL BACKGROUND.
- 1 A Conceptual History in the Nineteenth Century (German E. Berrios).
- 2 The Development of Old Age Psychiatry in the UK (Claire Hilton and Tom Arie).
- 3 Commentary on ‘In the Beginning’ by Felix Post (Claire Hilton).
PART B NORMAL AND ABNORMAL AGEING.
- 4 Changes in the Macrostructure and Microstructure of the Ageing Brain (Natalie M. Zahr, Adolf Pfefferbaum and Edith V. Sullivan).
- 5 Functional Imaging of the Ageing Brain (Robert Perneczky, Christian Sorg and Hans F¨orstl).
- 6 Neurophysiology of the Ageing Brain (Paolo Maria Rossini and Laura Parisi).
- 7 Potential Regeneration of the Ageing Brain (Stephen B. Dunnett).
- 8 Neuroendocrinology of Ageing (Marcus Simmgen).
- 9 Genetic Aspects of Ageing (Ben Pickard and Douglas Blackwood).
- 10 The Clinical Pharmacology of Ageing (Brian Clarke and S. H. D. Jackson).
- 11 Cognitive Gerontology (Patrick Rabbitt).
- 12 Chronological and Functional Ageing (David Melzer and Iain Lang).
- 13 Successful Ageing (Ann Bowling).
- 14 Sexuality, Non-Traditional Relationships and Mental Health in Older People (Ian Peate).
- 15 The Care Home Experience (Alisoun Milne).
- 16 Ageing: International Statistical Trends and Prospects (Fiona E. Matthews and George M. Savva).
- 17 Economics of Ageing and Mental Health (Anders Wimo).
- 18 The Influence of Social Factors on Mental Health (Donna D. McAlpine and David Mechanic).
PART C DIAGNOSIS AND ASSESSMENT.
- 19 Classification of Dementia and other Cognitive Disorders in ICD-10 and DSM-IV (A. Jablensky and J.E. Cooper).
- 20 Taking a Psychiatric History from Elderly Patients (Sunita Sahu and Monica Crugel).
- 21 Mental State Examination in the Elderly (Joanne Rodda and Zuzana Walker).
- 22 The Physical Examination: A Guide for Old Age Psychiatrists (Stephen Todd, John O’Hare, Bernadette McGuinness and A. Peter Passmore).
- 23 Investigations in Old Age Psychiatry (Sujatha Merve and Robert C. Baldwin).
- 24 Bedside Assessment of Cognitive Functioning (Richard Perry).
- 25 Neuropsychological Assessment (Linda Clare).
- 26 Overview of Rating Scales in Old Age Psychiatry (Kenneth C. M. Wilson, Ben Green and Pat Mottram).
- 27 The Mini-Mental State Examination: A Brief Cognitive Assessment (Marshal Folstein, Susan Folstein and Jonathan Folstein).
- 28 The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) (Nicolas Cherbuin and Anthony Francis Jorm).
- 29 Geriatric Depression Scale (Meghan A. Marty, Renee Pepin, Andrea June and Daniel L. Segal).
- 30 Dementia Care Mapping (Dawn Brooker).
- 31 Staging Dementia (Barry Reisberg, Imran A. Jamil, Sharjeel Khan, Isabel Monteiro, Carol Torossian, Steven Ferris, Marwan Sabbagh, Serge Gauthier, Stefanie Auer, Melanie B. Shulman, Alan Kluger, Emile Franssen and Jerzy Wegiel).
- 32 The Clinical Dementia Rating (Rawan Tarawneh, B. Joy Snider, Mary Coats and John C. Morris).
- 33 GMS-HAS-AGECAT Package and the Global Mental Health Assessment Tool (GMHAT): Epidemiology
- and Closing the Treatment Gap (John R. M. Copeland).
- 34 Assessing Life Skills (Colin Depp, Veronica Cardenas, Ashley Cain and Thomas L. Patterson).
- 35 Quality of Life Measures in Old Age (Juanita Hoe, Martin Orrell and Gill Livingston).
PART D DEGENERATIVE AND RELATED DISORDERS.
- 36 Delirium (Barbara Kamholz).
- 37 The Nosology of Dementia (Kenneth Rockwood).
- 38 Epidemiology of Dementia (Mary Ganguli).
- 39 An Introduction to the Medical Research Council Cognitive Function and Ageing Studies (CFAS) I and II (Fiona E. Matthews and Carol Brayne).
- 40 The Lundby Study (Mats Bogren, Cecilia Mattisson and Per Nettelbladt).
- 41 Clinical Features of Alzheimer’s Disease: Cognitive and Non-cognitive (Oludamilola Salami and Constantine G. Lyketsos).
- 42 Neuropsychological Assessment of Dementia and Alzheimer’s Disease (David Aaron Maroof and Cynthia A. Munro).
- 43 Genetics of Alzheimer’s Disease (Lynn M. Bekris, Chang-En Yu, Thomas D. Bird and Debby Tsuang).
- 44 Mouse Models of Alzheimer’s Disease (Esther Oh, Constantine Lyketsos and Philip Wong).
- 45 Physiological Neuroimaging in Ageing and Dementia: Metabolic and Molecular Scanning (Markus Donix, Susan Y. Bookheimer and Gary W. Small).
- 46 Computational Anatomy in Alzheimer’s Disease (Alex D. Leow, Liana G. Apostolova and Paul M. Thompson).
- 47 Alzheimer’s Disease: Risk Factors and Preventive Strategies (JoAnn T. Tschanz and John C. S. Breitner).
- 48 Down Syndrome: Genetic and Clinical Overlap with Dementia (Giles M.Y. Tan and Declan G.M. Murphy).
- 49 The Molecular Neuropathology of Alzheimer’s Disease (Orly Lazarov).
- 50 Neurochemistry of Alzheimer’s Disease (Paul T. Francis).
- 51 Antemortem Markers (Susan J. van Rensburg, Felix C.V. Potocnik, Maritha J. Kotze and Dan J. Stein).
- 52 Pharmacological Therapies in Alzheimer’s Disease (Martin Steinberg and Constantine G. Lyketsos).
- 53 Behavioural Management in Alzheimer’s Disease – Pharmacology (David A. Merrill and David L. Sultzer).
- 54 Behavioural Management: Non-Pharmacological (Jiska Cohen-Mansfield).
- 55 Emerging Applications of Gene and Somatic Cell Therapy in Geriatric Neuropsychiatry (Eric Wexler).
- 56 Vascular Dementia (Ingmar Skoog).
- 57 The Frontotemporal Dementia Syndromes (Mario F. Mendez).
- 58 The Lewy Body Dementia Spectrum (Alpha Synucleinopathies) (J.-P. Taylor and I. G. McKeith).
- 59 Prion Diseases (Brian S. Appleby).
- 60 Alcoholic and Other Toxic Dementias (Eileen M. Joyce).
- 61 Reversible Dementias (Michael Philpot).
- 62 Cognitive Domains Affected by Conditions of Ageing and the Role of Neuropsychological Testing (Heather R. Romero, Scott M. Hayes and Kathleen A. Welsh-Bohmer).
- 63 Memory Training for Older Adults (Karen Miller, Linda Ercoli, Jeanne Kim and Gary W. Small).
- 64 Complementary and Alternative Medicine Approaches to Memory Improvement in the Elderly (Helen Lavretsky).
- 65 Ethics of Dementia Care (Eran Klein and Jason Karlawish).
- 66 Successful Interventions for Family Caregivers (L. McKenzie Zeiss, Yookyung Kwon, Renee Marquett and
- Dolores Gallagher-Thompson).
- 67 The Role of Alzheimer Societies in the United States (Ruth O’Hara and Bevin Powers).
- 68 Psychiatric Manifestations of Nervous System Infections (Jeffrey T. Guptill and E. Wayne Massey).
- 69 Magnetic Resonance Imaging and Computed Tomography (Howard Aizenstein and Vijay Venkatraman).
- 70 Functional MRI Studies in Ageing and Early Alzheimer’s Disease (Ottavio V. Vitolo and Reisa A. Sperling).
- 71 Magnetic Resonance Spectroscopy (Olusola Ajilore, Brent Forester, Matthew R. Woodward and Anand Kumar).
PART E AFFECTIVE DISORDERS.
- 72 Nosology and Classification of Mood Disorders (Dan Blazer).
- 73 Genetics of Affective Disorders (Carolina Aponte Urdaneta and John L. Beyer).
- 74 Environmental Factors, Life Events and Coping Abilities (Toni C. Antonucci and James S. Jackson).
- 75 Vascular Disease and Late-Life Depressive Disorder (Robert Baldwin).
- 76 Mood Disorders in Parkinson’s Disease (John V. Hindle).
- 77 Epidemiology of Depression: Prevalence and Incidence (Ruoling Chen and John Copeland).
- 78 Neuroimaging in Geriatric Depression (Faith M. Gunning).
- 79 Clinical Features of Depressive Disorders in the Elderly (Davangere P. Devanand and Steven P. Roose).
- 80 The Outcome of Late-life Depressive Disorders (Aartjan T.F. Beekman, Harm W.J. van Marwijk and Max L. Stek).
- 81 Physical Illness and Depression (Mavis Evans).
- 82 Depression After Stroke (Peter Knapp and Allan House).
- 83 Cross-Cultural Variation in the Experience of Depression in Older People in the UK (Vanessa Lawrence, Joanna Murray, Anthony Klugman and Sube Banerjee).
- 84 Treatment of Late-Life Depression In Community Settings (Carolyn Chew-Graham).
- 85 Electroconvulsive Therapy (ECT) (David G. Wilkinson).
- 86 Pharmacological Treatment of Depression (Mohammed T. Abou-Saleh and Cornelius Katona).
- 87 Psychotherapy of Depression and Dysthymia (Philip Wilkinson).
- 88 Acute Management of Late-Life Depression (V. Gardner and D.C. Steffens).
- 89 Bereavement (Robert J. Kastenbaum).
- 90 Suicidal Behaviour (Brian Draper).
- 91 The Assessment of Depressive Syndromes (Adriana P. Hermida and William M. McDonald).
- 92 Mania: Epidemiology and Risk Factors (Susan W. Lehmann).
- 93 Acute Mania and Bipolar Affective Disorder (M. Sajatovic, N. Herrmann and K.I. Shulman).
PART F SCHIZOPHRENIC DISORDERS AND MOOD-INCONGRUENT PARANOID STATES.
- 94 Late-Life Psychotic Disorders: Nosology and Classification (Nicole M. Lanouette, Lisa T. Eyler and Dilip V. Jeste).
- 95 Schizophrenic Disorder and Mood-Incongruent Paranoid States: Epidemiology and Course (Cynthia D. Fields and Peter V. Rabins).
- 96 Clinical Assessment and Differential Diagnosis (David N. Anderson).
- 97 Treatment of Late-Life Psychosis (Peter Connelly and Neil Prentice).
PART G NEUROSES (ANXIETY DISORDERS).
- 98 Nosology and Classification of Neurotic Disorders (David Bienenfeld).
- 99 The Epidemiology of Depression and Anxiety (Robert Stewart and James Lindesay).
- 100 Psychopharmacological Treatment of Anxiety (John L. Beyer).
- 101 Obsessive-Compulsive Disorder (James Lindesay).
- 102 Somatoform Disorders and Unexplained Physical Symptoms (Bart Sheehan).
- 103 Other Neurotic Disorders (Jerome J. Schulte, C. Michael Hendricks and David Bienenfeld).
PART H PERSONALITY DISORDERS.
- 104 Personality Disorders: Description, Aetiology, and Epidemiology (Victor Molinari and Daniel L. Segal).
- 105 Diagnostic and Treatment Issues Regarding Personality Disorder in Older Adults (Richard A. Zweig and Dana Scherr Parchi).
PART I MENTAL AND BEHAVIOURAL DISORDERS DUE TO PSYCHOACTIVE SUBSTANCES.
- 106 Alcohol Abuse and Treatment in the Elderly (Helen H. Kyomen and Benjamin Liptzin).
- 107 Epidemiology of Alcohol Problems and Drinking Patterns (Celia F. Hybels and Dan G. Blazer).
- 108 Drug Misuse in the Elderly (Martin M. Schmidt and Mohammed T. Abou-Saleh).
PART J LEARNING AND BEHAVIOURAL STUDIES.
- 109 Old Age and Learning Disability (Oyepeju Raji and Asim Naeem).
- 110 The Elderly Offender (Graeme A. Yorston).
- 111 Sleep and Ageing: Disorders and Management (Helen Chiu and Joshua Tsoh).
- 112 Sexual Disorders (Walter Pierre Bouman).
PART K CULTURAL DIFFERENCES, SERVICE PROVISION AND TRAINING IN OLD AGE PSYCHIATRY.
- 113 Assessing Mental Health in Different Cultures (Rob Butler, Sati Sembhi and Melanie Abas).
- 114 The Cross-Cultural Epidemiology of Mental Illness in Old Age (Martin Prince).
- 115 Mental Illness in the Elderly in South Asia (Vikram Patel and K. S. Shaji).
- 116 Dementia and Depression in Africa (Olusegun Baiyewu).
- 117 Dementia and Depression in China (Helen Chiu and Cindy Tam).
- 118 Spirituality and Mental Illness in Old Age (Susan Mary Benbow and David Jolley).
- 119 Development of Health and Social Services in the UK from the Twentieth Century Onwards (John P. Wattis).
- 120 The Pattern of Psychogeriatric Services (John P. Wattis).
- 121 The Multidisciplinary Team and Day Care Provision (Martin Orrell and Kunle Ashaye).
- 122 NHS Continuing Care (Clive Ballard, Ramilgan Chitramohan, Zunera Khan and Jean Beh).
- 123 Overview of Law, Ethics and Mental Health in Old Age (Julian C. Hughes).
- 124 The US System of Geriatric Mental Health Care: Financing and Future Challenges (Stephen J. Bartels).
- 125 Geriatric Psychiatric Outpatient Care: The Private Practice Model in the USA (Elliott M. Stein and Gary S. Moak).
- 126 The Medical Psychiatry Inpatient Unit (Maria I. Lapid and Teresa A. Rummans).
- 127 Psychiatric Services in Long-Term Care (Marc E. Agronin, Stephen M. Scheinthal and Ashok J. Bharucha).
- 128 Geriatric Psychiatry Care in the Private Psychiatric Hospital Setting (Brent P. Forester, Robert Kohn, Susan Kim and Thomas Idiculla).
- 129 Liaison with Medical and Surgical Teams (David N. Anderson).
- 130 Rehabilitation (Rob Jones).
- 131 Anaesthetics and Mental State (Andrew Moore Severn and David Gwyn Seymour).
- 132 Nutritional State (David N. Anderson and Mohammed T. Abou-Saleh).
- 133 Caregiver Support (Kathleen C. Buckwalter, Mary Ellen Stolder, Charlene S. Aaron and Catherine Messinger).
- 134 Elder Abuse – Epidemiology, Recognition and Management (Alexander M. Thomson and Martin J. Vernon).
- 135 Care of the Dying (Adrian Treloar, Monica Crugel and Waleed Fawzi).
- 136 Prevention of Mental Disorders in Late Life (Pim Cuijpers, Filip Smit, Barry D. Lebowitz and Aartjan T. F.
- 137 The Principles of UK Mental Health Law: A View from the Clinic (Julian C. Hughes).
- 138 Training Requirements for Old Age Psychiatrists in the UK (Susan Mary Benbow and Aparna Prasanna).
- 139 Training Requirements in North America (Paul D. Kirwin and Kirsten M. Wilkins).
- 140 Education in Old Age Psychiatry: Recent and Future Developments (Hugo de Waal).
Mohammed T Abou-Saleh is Professor of Psychiatry at St George's, University
of London. Previously Professor and Chairman of the Department of Psychiatry
and Associate Dean for Clinical Affairs, United Arab Emirates University (1991-1998).
Chairman of the World Psychiatric Association Section on Biological Psychiatry
since 1998. Consultant for the World Health Organisation, member of the Board
of Directors of the World Federation for Mental Health since 2007. Research
interests in clinical neurosciences of depression and substance misuse.
Cornelius Katona is Hon Professor of Psychiatry of the Elderly at University College London. His main research interests are in dementia, mood disorders in old age and mental health of asylum seekers. He has extensive experience of clinical trial work in dementia and in depression. He is Chair of the World Federation of Societies of Biological Psychiatry Taskforce on Old Age and of the Dementia Clinical Studies Group within DeNDRoN (the UK Dementia and Neurodegenerative Disorders Network). He has been Editor in Chief of the Journal of Affective Disorders since 1994.
Anand Kumar is Lizzie Gilman Professor and Head of the Department of Psychiatry at the University of Illinois at Chicago. He received his M.D. degree from Madras Medical College in Madras, India and completed his Residency training in Psychiatry at the University of Michigan, Ann Arbor. He subsequently served as a Medical Staff Fellow in the Laboratory of Neurosciences at the National Institute on Aging. Dr. Kumar's research focuses on late-life depression and mental disorders of the elderly, including Alzheimer's disease. He was Treasurer, Program Committee Chair and President of the American Association for Geriatric Psychiatry, 2004-2005. He is Associate Editor of the American Journal for Geriatric Psychiatry and has served as reviewer for numerous NIH review committees. He has been consistently funded by NIH research grants for over 18 years and is author or co-author of more than 100 peer-reviewed journal articles and book chapters.