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  • 1.
    Martinsson, Gunilla
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Fagerberg, Ingegerd
    Mälardalen University, School of Health, Care and Social Welfare.
    Lindholm, Christina
    Karolinska Institutet.
    Mental disorders affect older persons in Sweden: a register-based study2011In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 26, no 3, p. 277-283Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The study aimed to estimate the prevalence of mental disorders based on pharmaceutical use among the old (age >/= 65) in Sweden for the years 2006-2008. METHODS: Data on the mental health of older persons were approximated on the basis of recommended prescriptions for pharmaceuticals, gathered from the Swedish Register on Prescribed Pharmaceuticals (SRPP). Each disorder (ICD-10, F20-F42, and F60-F61) was analyzed to identify associated recommended pharmaceuticals. Anatomical Therapeutic Chemical Classification codes were applied. The data covered 188 024 individuals who received 2 013 079 prescriptions for pharmaceuticals for mental disorders during a 3-year period. Persons with pharmaceuticals for dementia disorders were excluded from the calculations of the prevalence of mental disorders. RESULTS: The prevalence of mental disorders among the old in Sweden, measured on the basis of pharmaceutical use, was 6.6% in 2006, 2007, and 2008, respectively. Men constituted one-third of cases and women two-thirds. Prevalence was lowest in the age group 65-69 and increased subsequently with age. CONCLUSIONS: This fundamental register-based study included a great number of older persons and shows that mental disorders affect every fifteenth older person in Sweden. The prevalence of mental disorders increases with increasing age. The results highlight the extent of mental disorders among older persons, which is important to know when planning care for these patients. This study, by investigating a large population, provides a solid basis for general planning as well as for future mental disorder research.

  • 2.
    Williams, Chritine
    et al.
    Florida Atlantic Univeristy, USA.
    Newman, David
    Florida Atlantic University, USA.
    Marmstål Hammat, Lena
    Högskolan Dalarna, Sweden.
    Preliminary Study of a Communication Intervention for Family Caregivers and Spouses with Dementia2018In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 33, no 2, p. e343-e349Article in journal (Refereed)
    Abstract [en]

    Objective

    This study was to designed to examine the feasibility and preliminary outcomes of CARE: Caring About Relationships and Emotions, a 10‐week, home‐based, intervention to support married couples affected by dementia.

    Methods

    Fifteen older couples participated in a single group repeated measures feasibility study. Weekly, video‐recorded conversations over 10 weeks were used to rate communication using the Verbal/Nonverbal Interaction Scale for caregivers and care receivers.

    Results

    Accounting for mental status of care recipients, the ratio of social to unsocial communication showed a significant improvement across sessions‐an average of 4.46 points per session [β = 4.46, t(10) = 1.96, p = .039]. Spouse caregiver (CG) communication showed a significant decrease in the number of disabling communications with approximately .65 decreased comments per session [β = 0.654, t(11) = −2.61, p = .024].

    Conclusions

    At home dyadic, relationship‐focused psychoeducational intervention to improve communication in spouses affected by dementia has the potential to improve communication outcomes. Creative ways of working with couples are needed to help them sustain their relationships and maintain their health.

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