Symptomatic Remission in a Multiracial Urban Population of Older Adults with Schizophrenia
Objective Symptomatic remission has been reported in younger patients with schizophrenia. This study aims to determine the prevalence of symptomatic remission in older adults with schizophrenia. Methods The Schizophrenia Group consisted of 198 persons aged 55+ years living in the community who devel...
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| Veröffentlicht in: | The American journal of geriatric psychiatry 2008-12, Vol.16 (12), p.966-973 |
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| creator | Bankole, Azziza, M.D Cohen, Carl I., M.D Vahia, Ipsit, M.D Diwan, Shilpa, M.D., M.P.H Palekar, Nikhil, M.D Reyes, Pia, M.D Sapra, Mamta, M.D Ramirez, Paul M., Ph.D |
| description | Objective Symptomatic remission has been reported in younger patients with schizophrenia. This study aims to determine the prevalence of symptomatic remission in older adults with schizophrenia. Methods The Schizophrenia Group consisted of 198 persons aged 55+ years living in the community who developed schizophrenia before age 45 years. Our definition of remission was adapted from the criteria of the Remission in Schizophrenia Working Group. To attain remission, persons had to have scores of |
| doi_str_mv | 10.1097/JGP.0b013e31818af801 |
| format | Article |
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This study aims to determine the prevalence of symptomatic remission in older adults with schizophrenia. Methods The Schizophrenia Group consisted of 198 persons aged 55+ years living in the community who developed schizophrenia before age 45 years. Our definition of remission was adapted from the criteria of the Remission in Schizophrenia Working Group. To attain remission, persons had to have scores of <3 on eight domains of the Positive and Negative Symptom Scale and no hospitalizations within the previous year. Using George's Social Antecedent Model, we examined the association of remission with 18 predictor variables. Results Forty-nine percent of the sample met the criteria for symptomatic remission. In logistic regression analysis, four variables—fewer total network contacts, greater proportion of intimates, fewer lifetime traumatic events, and higher Dementia Rating Scale scores—were significantly associated with remission. Conclusions Remission rates were consistent with those reported in younger samples. Our findings suggest that symptomatic remission is an attainable goal and that treatments focused on those variables associated with remission may augment outcomes in older persons with schizophrenia.</description><identifier>ISSN: 1064-7481</identifier><identifier>EISSN: 1545-7214</identifier><identifier>DOI: 10.1097/JGP.0b013e31818af801</identifier><identifier>PMID: 19038895</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Aging - psychology ; Cross-Sectional Studies ; elderly ; Female ; Humans ; Internal Medicine ; Interview, Psychological ; Logistic Models ; Male ; Middle Aged ; Models, Psychological ; Prevalence ; Psychiatric Status Rating Scales ; remission ; Remission Induction ; Reproducibility of Results ; Schizophrenia ; Schizophrenia - therapy ; Schizophrenic Psychology ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome ; Urban Population - statistics & numerical data</subject><ispartof>The American journal of geriatric psychiatry, 2008-12, Vol.16 (12), p.966-973</ispartof><rights>American Association for Geriatric Psychiatry</rights><rights>2008 American Association for Geriatric Psychiatry</rights><rights>Copyright Lippincott Williams & Wilkins Dec 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-1b981b48b0e63e987e46ccb417eb504ba82e7d62e253c01f17ae9921d6ae7ee83</citedby><cites>FETCH-LOGICAL-c488t-1b981b48b0e63e987e46ccb417eb504ba82e7d62e253c01f17ae9921d6ae7ee83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/195987271?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19038895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bankole, Azziza, M.D</creatorcontrib><creatorcontrib>Cohen, Carl I., M.D</creatorcontrib><creatorcontrib>Vahia, Ipsit, M.D</creatorcontrib><creatorcontrib>Diwan, Shilpa, M.D., M.P.H</creatorcontrib><creatorcontrib>Palekar, Nikhil, M.D</creatorcontrib><creatorcontrib>Reyes, Pia, M.D</creatorcontrib><creatorcontrib>Sapra, Mamta, M.D</creatorcontrib><creatorcontrib>Ramirez, Paul M., Ph.D</creatorcontrib><title>Symptomatic Remission in a Multiracial Urban Population of Older Adults with Schizophrenia</title><title>The American journal of geriatric psychiatry</title><addtitle>Am J Geriatr Psychiatry</addtitle><description>Objective Symptomatic remission has been reported in younger patients with schizophrenia. This study aims to determine the prevalence of symptomatic remission in older adults with schizophrenia. Methods The Schizophrenia Group consisted of 198 persons aged 55+ years living in the community who developed schizophrenia before age 45 years. Our definition of remission was adapted from the criteria of the Remission in Schizophrenia Working Group. To attain remission, persons had to have scores of <3 on eight domains of the Positive and Negative Symptom Scale and no hospitalizations within the previous year. Using George's Social Antecedent Model, we examined the association of remission with 18 predictor variables. Results Forty-nine percent of the sample met the criteria for symptomatic remission. In logistic regression analysis, four variables—fewer total network contacts, greater proportion of intimates, fewer lifetime traumatic events, and higher Dementia Rating Scale scores—were significantly associated with remission. Conclusions Remission rates were consistent with those reported in younger samples. Our findings suggest that symptomatic remission is an attainable goal and that treatments focused on those variables associated with remission may augment outcomes in older persons with schizophrenia.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - psychology</subject><subject>Cross-Sectional Studies</subject><subject>elderly</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Interview, Psychological</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Psychological</subject><subject>Prevalence</subject><subject>Psychiatric Status Rating Scales</subject><subject>remission</subject><subject>Remission Induction</subject><subject>Reproducibility of Results</subject><subject>Schizophrenia</subject><subject>Schizophrenia - therapy</subject><subject>Schizophrenic Psychology</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Urban Population - statistics & numerical data</subject><issn>1064-7481</issn><issn>1545-7214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkcFu1DAQhiNERUvhDRCyOHBL60kcx74gVRUUUFErll64WLYz0bo4cWonoOXp69WuVGkvPXkO3_zj-aYo3gE9Ayrb8-9Xt2fUUKixBgFC94LCi-IEGtaUbQXsZa4pZ2XLBBwXr1O6p5Ryydmr4hgkrYWQzUnxe7UZpjkMenaW_MTBpeTCSNxINPmx-NlFbZ325C4aPZLbMC0-o5kIPbnxHUZy0WUskX9uXpOVXbv_YVpHHJ1-Uxz12id8u39Pi7svn39dfi2vb66-XV5cl5YJMZdgpADDhKHIa5SiRcatNQxaNA1lRosK245XWDW1pdBDq1HKCjqusUUU9WnxcZc7xfCwYJpV3sKi93rEsCTFpWCUizqDHw7A-7DEMf9NgWzy5KqFDLEdZGNIKWKvpugGHTcKqNqKV1m8OhSf297vsxczYPfUtDedgU87ALOKvw6jStbhaLFzEe2suuCem3AYYL0bndX-D24wPa2iUqWoWm2Pv709VJzWWUH9CCgQqQc</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Bankole, Azziza, M.D</creator><creator>Cohen, Carl I., M.D</creator><creator>Vahia, Ipsit, M.D</creator><creator>Diwan, Shilpa, M.D., M.P.H</creator><creator>Palekar, Nikhil, M.D</creator><creator>Reyes, Pia, M.D</creator><creator>Sapra, Mamta, M.D</creator><creator>Ramirez, Paul M., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>Symptomatic Remission in a Multiracial Urban Population of Older Adults with Schizophrenia</title><author>Bankole, Azziza, M.D ; Cohen, Carl I., M.D ; Vahia, Ipsit, M.D ; Diwan, Shilpa, M.D., M.P.H ; Palekar, Nikhil, M.D ; Reyes, Pia, M.D ; Sapra, Mamta, M.D ; Ramirez, Paul M., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-1b981b48b0e63e987e46ccb417eb504ba82e7d62e253c01f17ae9921d6ae7ee83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - psychology</topic><topic>Cross-Sectional Studies</topic><topic>elderly</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Interview, Psychological</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Psychological</topic><topic>Prevalence</topic><topic>Psychiatric Status Rating Scales</topic><topic>remission</topic><topic>Remission Induction</topic><topic>Reproducibility of Results</topic><topic>Schizophrenia</topic><topic>Schizophrenia - therapy</topic><topic>Schizophrenic Psychology</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Urban Population - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bankole, Azziza, M.D</creatorcontrib><creatorcontrib>Cohen, Carl I., M.D</creatorcontrib><creatorcontrib>Vahia, Ipsit, M.D</creatorcontrib><creatorcontrib>Diwan, Shilpa, M.D., M.P.H</creatorcontrib><creatorcontrib>Palekar, Nikhil, M.D</creatorcontrib><creatorcontrib>Reyes, Pia, M.D</creatorcontrib><creatorcontrib>Sapra, Mamta, M.D</creatorcontrib><creatorcontrib>Ramirez, Paul M., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bankole, Azziza, M.D</au><au>Cohen, Carl I., M.D</au><au>Vahia, Ipsit, M.D</au><au>Diwan, Shilpa, M.D., M.P.H</au><au>Palekar, Nikhil, M.D</au><au>Reyes, Pia, M.D</au><au>Sapra, Mamta, M.D</au><au>Ramirez, Paul M., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptomatic Remission in a Multiracial Urban Population of Older Adults with Schizophrenia</atitle><jtitle>The American journal of geriatric psychiatry</jtitle><addtitle>Am J Geriatr Psychiatry</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>16</volume><issue>12</issue><spage>966</spage><epage>973</epage><pages>966-973</pages><issn>1064-7481</issn><eissn>1545-7214</eissn><abstract>Objective Symptomatic remission has been reported in younger patients with schizophrenia. This study aims to determine the prevalence of symptomatic remission in older adults with schizophrenia. Methods The Schizophrenia Group consisted of 198 persons aged 55+ years living in the community who developed schizophrenia before age 45 years. Our definition of remission was adapted from the criteria of the Remission in Schizophrenia Working Group. To attain remission, persons had to have scores of <3 on eight domains of the Positive and Negative Symptom Scale and no hospitalizations within the previous year. Using George's Social Antecedent Model, we examined the association of remission with 18 predictor variables. Results Forty-nine percent of the sample met the criteria for symptomatic remission. In logistic regression analysis, four variables—fewer total network contacts, greater proportion of intimates, fewer lifetime traumatic events, and higher Dementia Rating Scale scores—were significantly associated with remission. Conclusions Remission rates were consistent with those reported in younger samples. Our findings suggest that symptomatic remission is an attainable goal and that treatments focused on those variables associated with remission may augment outcomes in older persons with schizophrenia.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>19038895</pmid><doi>10.1097/JGP.0b013e31818af801</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Aged Aged, 80 and over Aging - psychology Cross-Sectional Studies elderly Female Humans Internal Medicine Interview, Psychological Logistic Models Male Middle Aged Models, Psychological Prevalence Psychiatric Status Rating Scales remission Remission Induction Reproducibility of Results Schizophrenia Schizophrenia - therapy Schizophrenic Psychology Surveys and Questionnaires Time Factors Treatment Outcome Urban Population - statistics & numerical data |
| title | Symptomatic Remission in a Multiracial Urban Population of Older Adults with Schizophrenia |
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