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FOCUS

Volume 19, Issue 3

Updates in Geriatric Psychiatry

July 2021

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From the Guest Editor

July 2021

Keeping Health Care Professionals Current on Geriatric Knowledge

Adriana P. Hermida, M.D.

Pages:269–270
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210014

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Reviews

July 2021

Update on Major Neurocognitive Disorders

Kristin C. Jones, M.D.

Pages:271–281
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210004

Abstract
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Dementia is a syndrome characterized by a gradually progressive course that spans a continuum from preclinical symptoms to major impairment in two or more cognitive domains with functional decline. In this review, the author examines some of the more ...

Clinical Synthesis

July 2021

Late Life Depression: The Essentials and the Essential Distinctions

Sehba Husain-Krautter, M.D., Ph.D., and
James M. Ellison, M.D., M.P.H.

Pages:282–293
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210006

Abstract
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Late life depression (LLD), a familiar syndrome, is not differentiated in the DSM-5. LLD can resemble depressive syndromes in younger adults but it differs in demographic characteristics, phenomenology, prognosis, treatment, suicide risk, relationship to ...

July 2021

Chronic Pain, Opioid Use Disorder, and Clinical Management Among Older Adults

Sudheer Potru, D.O., and
Yi-lang Tang, M.D., Ph.D.

Pages:294–302
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210002

Abstract
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Because of unique factors related to physiological changes and altered metabolism in advanced age, special attention is needed concerning chronic pain, opioid use, and opioid use disorder among older adults. Clinicians need to follow the most updated ...

July 2021

Personality Disorders in Older Age

Chevelle Brudey, M.D., M.P.H.

Pages:303–307
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210007

Abstract
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Personality disorders are among the most common mental disorders in older age and are associated with a range of negative outcomes in physical and emotional health as well as in interpersonal functioning. Several screening tools have been validated with ...

July 2021

Dementia Syndrome of Depression: Diagnostic Challenges and Clinical Relevance

Anusuiya Nagar, M.D.,
Mina Boazak M.D.,
Adriana P. Hermida M.D.

Pages:308–310
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210009

Abstract
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Late-life depression is frequently associated with cognitive impairment. Because of the overlap of symptoms, however, it can be challenging to discern a neurocognitive disorder (NCD) from a late-life depressive disorder. Although neuropsychological ...

July 2021

Palliative Care: Critical Concepts for the Geropsychiatrist

Jaclyn M. Lindsey, M.D.,
K. Maureen Shelton, M.D.,
Allison H. Beito, M.D.,
Maria I. Lapid, M.D.

Pages:311–319
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210005

Abstract
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Supplement

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Psychiatrists can make a significant contribution to improving quality end-of-life care for psychiatric patients, beyond managing their psychiatric and psychological conditions. Geriatric psychiatrists can build expertise in enhancing end-of-life care ...

Ask the Expert

July 2021

Discussing Mild Cognitive Impairment

Kristina Purganan, D.O.

Pages:320–321
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210008

Abstract
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Dr. Purganan reports that her spouse has served on an advisory board for Dova Pharmaceuticals and Targeted Oncology, has served as a speaker for the Chronic Liver Disease Foundation/Focus Medical Communications, has received research funding from ...

Communication Commentary

July 2021

Check Your Ageism at the Door: Implicit Bias in the Care of Older Patients

Dorothy E. Stubbe, M.D.

Pages:322–324
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210010

First Page
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Ethics Commentary

July 2021

Ethical Issues in Caring for Older Adults

Jarrod Marks, M.D.,
Iuliana Predescu, M.D.,
Laura B. Dunn, M.D.

Pages:325–329
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20210011

First Page
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21st-Century Psychiatrist

July 2021

Perimenopause and First-Onset Mood Disorders: A Closer Look

Natalie Musial, M.D.,
Zinnia Ali, M.D.,
Jennifer Grbevski, M.D.,
Ashan Veerakumar, M.D.,
Priya Sharma, M.D.

Pages:330–337
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.20200041

Abstract
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Perimenopause is often a time of social, emotional, and physical change. Various factors contribute to the development of mood disorders during this time. There is a known association among women with previous history of major depressive disorder or ...

Influential Publications

July 2021

Updates in Geriatric Psychiatry

Pages:338–339
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.19301

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July 2021

Mechanisms and Treatment of Late-Life Depression

George S. Alexopoulos

Pages:340–354
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.19304

Abstract
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Depression predisposes to medical illnesses and advances biological aging indicated by shorter telomere length, accelerated brain aging and advanced epigenetic aging. Medical illnesses also increase the risk of late-life depression. The reciprocal ...

July 2021

When Does Alzheimer’s Disease Really Start? The Role of Biomarkers

Ana Lloret,
Daniel Esteve,
Maria-Angeles Lloret,
Ana Cervera-Ferri,
Begoña Lopez,
Mariana Nepomuceno,
Paloma Monllor

Pages:355–364
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.19305

Abstract
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While Alzheimer’s disease (AD) classical diagnostic criteria rely on clinical data from a stablished symptomatic disease, newer criteria aim to identify the disease in its earlier stages. For that, they incorporated the use of AD’s specific biomarkers to ...

July 2021

Physical Exercise for Late-Life Major Depression

M. Belvederi Murri, M.D.,
M. Amore, M.D., Ph.D.,
M. Menchetti, M.D., Ph.D.,
G. Toni, M.D.,
F. Neviani, M.D., Ph.D.,
M. Cerri, M.D., Ph.D.,
M. B. L. Rocchi,
D. Zocchi, M.D.,
L. Bagnoli, M.D.,
E. Tam, Ph.D.,
A. Buffa, M.D., Ph.D.,
S. Ferrara, Psy.D.,
M. Neri,
G. S. Alexopoulos, M.D., Ph.D.,
S. Zanetidou, M.D. and
the Safety and Efficacy of Exercise for Depression in Seniors (SEEDS) Study Group

Pages:365–373
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.19306

Abstract
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Background: Interventions including physical exercise may help improve the outcomes of late-life major depression, but few studies are available. Aims: To investigate whether augmenting sertraline therapy with physical exercise leads to better outcomes ...

July 2021

Grief and the COVID-19 Pandemic in Older Adults

Joseph S. Goveas, M.D., and
M. Katherine Shear, M.D.

Pages:374–378
Published Online:18 August 2021

https://doi.org/10.1176/appi.focus.19303

Abstract
Full text
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In few periods in human history have bereavement and grief been on so many people’s minds as they are today. As the coronavirus disease 2019 (COVID-19) ravages the world, we have seen many perish in a short time. Many have died alone because of ...

Take the Summer 2021 Focus CME quiz: Update on Geriatric Psychiatry

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