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Rehabilitation in Geriatric Psychiatry
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Rehabilitation in Geriatric Psychiatry

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Mental Health".

Deadline for manuscript submissions: closed (24 March 2023) | Viewed by 16985

Special Issue Editors

Dr. Takayuki Tabira

E-Mail Website1 Website2
Guest Editor
Department of Occupational Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Sakuragaoka 8-35-1, Kagoshima 890-8544, Japan
Interests: rehabilitation; geriatric psychiatry
Dr. Yu Kume

E-Mail Website1 Website2
Guest Editor
Department of Occupational Therapy, Graduate School of Medicine, Akita University, Akita 010-8543, Japan
Interests: circadian rest-activity rhythm in older adults with geriatric syndrome
Dr. Michio Maruta

E-Mail Website
Guest Editor
Department of Rehabilitation, Medical Corporation, Sanshukai, Okatsu Hospital, 3-95, Masagohonmachi, Kagoshima 890-0067, Japan
Interests: geriatric occupational therapy; dementia; depression; cognitive bias

Special Issue Information

Dear Colleagues,

The number of patients in geriatric psychiatry, such as those suffering from dementia and depression, continues to increase with the population aging worldwide. Rehabilitation and care are very important for older adults with dementia and depression to have a good quality of life in their familiar communities. It is gradually becoming clear that rehabilitation such as occupational therapy can reduce disability in daily activities and behavioral psychological symptoms. However, there is a lack of knowledge of, and strategies to overcome, these issues. In this Special Issue, we will be accepting epidemiological, experimental, and interventional studies on rehabilitation and care for a wide range of subjects, including not only geriatric psychiatry patients but also patients suffering from geriatric syndromes and community-dwelling healthy older adults.

Dr. Takayuki Tabira
Dr. Kume Yu
Dr. Michio Maruta
Guest Editors

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Keywords

  • rehabilitation
  • occupational therapy
  • nursing care
  • dementia
  • cognitive decline
  • depression
  • apathy
  • behavioral psychological symptoms
  • community-dwelling older adults
  • activities of daily living
  • intervention study
  • cohort study
  • social services for older adults with dementia

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Published Papers (7 papers)

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14 pages, 685 KiB  
Article
Reliability and Validity of the Japanese Version of the Assessment of Readiness for Mobility Transition (ARMT-J) for Japanese Elderly
by Satonori Nasu, Yu Ishibashi, Junichi Ikuta, Shingo Yamane and Ryuji Kobayashi
Int. J. Environ. Res. Public Health 2022, 19(21), 13957; https://doi.org/10.3390/ijerph192113957 - 27 Oct 2022
Cited by 1 | Viewed by 1643
Abstract
The Assessment of Readiness for Mobility Transition (ARMT) questionnaire assesses individuals’ emotional and attitudinal readiness related to mobility as they age. This study aimed to examine the reliability and validity of the Japanese version of the ARMT (ARMT-J). The ARMT-J and related variables [...] Read more.
The Assessment of Readiness for Mobility Transition (ARMT) questionnaire assesses individuals’ emotional and attitudinal readiness related to mobility as they age. This study aimed to examine the reliability and validity of the Japanese version of the ARMT (ARMT-J). The ARMT-J and related variables were administered to 173 patients and staff members undergoing rehabilitation at hospitals in Japan. Construct validity was first examined using confirmatory factor analysis (CFA) to confirm cross-cultural validity. For structural validity, the optimal number of factors was confirmed using a Velicer’s minimum average partial test and parallel analysis, followed by exploratory factor analysis (EFA). Finally, a CFA was performed using the most appropriate model. Internal consistency, test–retest reliability, standard error of measurement (SEM), and smallest detectable change (SDC) were assessed for reliability. The CFA fit for the factor structure of the original ARMT was low. Therefore, the EFA was conducted with two to four factors. The optimal factor structure was three factors, with a Cronbach’s alpha coefficient and Cohen’s weighted kappa coefficient of 0.85 and 0.76, respectively. The intraclass correlation coefficient (ICC) of the test–retest was 0.93, the SEM was 0.72, and the SDC was 2.00. The model fit was good for the ARMT-J, with a three-factor structure. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
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9 pages, 318 KiB  
Article
Association between Productive Roles and Frailty Factors among Community-Dwelling Older Adults: A Cross-Sectional Analysis
by Kazuki Yokoyama, Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Ryo Miyajima, Takeshi Sasaki, Naoki Kozuka and Nozomu Ikeda
Int. J. Environ. Res. Public Health 2022, 19(17), 10838; https://doi.org/10.3390/ijerph191710838 - 31 Aug 2022
Cited by 1 | Viewed by 2017
Abstract
The employment rate of older people in Japan is expected to increase in the future owing to the increase in the retirement age. Preventing frailty is imperative to maintaining productive roles of older adults. Therefore, this study aimed to examine the association between [...] Read more.
The employment rate of older people in Japan is expected to increase in the future owing to the increase in the retirement age. Preventing frailty is imperative to maintaining productive roles of older adults. Therefore, this study aimed to examine the association between productive roles and frailty factors among community-dwelling older adults. A total of 135 older adults, enrolled in 2017, participated in the study. Productive roles and domains related to frailty were measured. We measured usual gait speed and grip strength for the physical domain; Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS-15) scores for the cognitive and mental domains; and social role and group activity for the social domain. Multivariate-adjusted logistic regression models revealed that having productive roles was associated with faster usual gait speed (odds ratios [OR] = 1.05; 95% confidence interval [CI], 1.01–1.08; p = 0.005) and lower GDS-15 score (OR = 0.79; 95% CI, 0.64–0.97; p = 0.023). These results suggest that health promotion to maintain gait speed and prevent depressive symptoms may contribute to maintaining productivity in community-dwelling older adults. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
10 pages, 318 KiB  
Article
Dementia-Preventing Behavior Awareness and Uptake Rates among Japanese Women in Midlife: A Survey-Based Pilot Study
by Yukiko Suzuki, Nanako Yamane, Kanto Tsukagoshi, Mina Yamaguchi and Hideki Mochizuki
Int. J. Environ. Res. Public Health 2022, 19(16), 10029; https://doi.org/10.3390/ijerph191610029 - 14 Aug 2022
Cited by 2 | Viewed by 1668
Abstract
Lifestyle changes may help prevent dementia. However, the perception and practice of dementia-preventing behaviors remain unclear; understanding both factors is required to help prevent dementia already at early stages. This study aimed to examine the awareness and uptake rates of dementia-preventive behaviors among [...] Read more.
Lifestyle changes may help prevent dementia. However, the perception and practice of dementia-preventing behaviors remain unclear; understanding both factors is required to help prevent dementia already at early stages. This study aimed to examine the awareness and uptake rates of dementia-preventive behaviors among community-dwelling women aged 40 to 64 years, and their associations with dementia-related anxiety. A self-administered anonymous questionnaire was distributed by mail from January to May 2020. The effective response rate was 20.4% (n = 47). Approximately 60% of the responders had dementia-related anxiety; approximately 80% wanted to prevent dementia. The participants were aware of two or more dementia-preventive behaviors; however, less than 50% of them practiced at least one behavior. The group with dementia-related anxiety was more interested in and aware of dementia prevention methods than the group without the anxiety. Women with greater dementia knowledge also knew more methods of preventing it; however, they were not necessarily implementing the recommended behaviors. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
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10 pages, 920 KiB  
Article
A Pilot Study of a Group Program Focused on Enabling Life Performance for Older Adults Living in the Community
by Kenichiro Furuta, Norikazu Kobayashi, Ryuji Kobayashi, Hitomi Ishibashi and Yu Ishibashi
Int. J. Environ. Res. Public Health 2022, 19(7), 3761; https://doi.org/10.3390/ijerph19073761 - 22 Mar 2022
Viewed by 2023
Abstract
Background: This study attempts to determine whether a program focused on improving literacy in daily living is effective in preventing physical frailty, and to compare standard treatments for physical frailty. Methods: This study was designed as a pilot intervention study involving two groups. [...] Read more.
Background: This study attempts to determine whether a program focused on improving literacy in daily living is effective in preventing physical frailty, and to compare standard treatments for physical frailty. Methods: This study was designed as a pilot intervention study involving two groups. Twenty-five older adults aged 65 to 85 in Ward A, Tokyo, were randomly assigned to the literacy group or the exercise group on a regional basis and were given a 60- to 90-minute program twice a month, eight times over four months. The literacy group mainly used video materials to monitor learning, and the exercise group used a multifactor exercise program. Results: The LSI-Z, GAS-L, Maximum 5 m walking time, and TUG tests showed the main effects before and after the intervention in both groups (p < 0.05, p < 0.01). The WHOQOL26, Maximum 5 m walking time, and TUG tests also showed the main effects across both groups (p < 0.05). Conclusion: Both programs, when implemented independently, showed specific effects on subjective well-being, occupational performance, and physical fitness. However, QOL and physical fitness were significantly higher in the exercise group than in the literacy group. These results should be considered with caution because of the limited sample size of this pilot study. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
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8 pages, 322 KiB  
Article
Performing One-Session Cognitive Stimulation to Interact with Patients with Dementia in a Hospital for Mood Improvement: A Retrospective Single-Arm Cohort Study
by Kenji Tsuchiya, Miku Saito, Naoto Okonogi, Saori Takai, Yoko Jingu, Koji Tanaka, Kazuki Hirao, Takaaki Fujita and Yukiko Tanaka
Int. J. Environ. Res. Public Health 2022, 19(3), 1431; https://doi.org/10.3390/ijerph19031431 - 27 Jan 2022
Cited by 2 | Viewed by 2146
Abstract
Developing support and an environment for patients with dementia in hospitals is important. This study aims to assess the immediate effect of one-session cognitive stimulation intervention on the mood of patients with dementia in a hospital as preliminary evidence. This study included 33 [...] Read more.
Developing support and an environment for patients with dementia in hospitals is important. This study aims to assess the immediate effect of one-session cognitive stimulation intervention on the mood of patients with dementia in a hospital as preliminary evidence. This study included 33 female patients. The cognitive stimulation intervention was conducted in the day room of the hospital ward by two occupational therapists. The patients participated in one or more sessions. The cognitive stimulation intervention was designed to discuss current affairs that implicitly stimulate memory, executive function, and language skills, according to the cognitive stimulation definition. Outcomes were evaluated using a two-dimensional mood scale. The primary outcome was pleasure. The before and after session scores for the first session and the average score before and after each session at multiple times were compared. The patients’ pleasure showed significant improvements in both analyses. These results may indicate that one-session Cognitive stimulation intervention in a hospital effectively improves a mood of pleasure immediately. This study is the first report to provide preliminary evidence on the beneficial alterations of mood after one-session cognitive stimulation intervention for patients with dementia in hospitals. Cognitive stimulation intervention may be an effective non-pharmacotherapy for these patients. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
11 pages, 1153 KiB  
Article
Impact of COVID-19 Pandemic Exacerbation of Depressive Symptoms for Social Frailty from the ORANGE Registry
by Ayuto Kodama, Yu Kume, Sangyoon Lee, Hyuma Makizako, Hiroyuki Shimada, Tomoko Takahashi, Tsuyoshi Ono and Hidetaka Ota
Int. J. Environ. Res. Public Health 2022, 19(2), 986; https://doi.org/10.3390/ijerph19020986 - 16 Jan 2022
Cited by 18 | Viewed by 2691
Abstract
Background: Recent longitudinal studies have reported proportion of frailty transition in older individuals during the COVID-19 pandemic. Our study aimed at clarifying the impact of social frailty in community-dwelling older adults during the COVID-19 pandemic and at identifying factors that can predict transition [...] Read more.
Background: Recent longitudinal studies have reported proportion of frailty transition in older individuals during the COVID-19 pandemic. Our study aimed at clarifying the impact of social frailty in community-dwelling older adults during the COVID-19 pandemic and at identifying factors that can predict transition to social frailty. Methods: We performed this study from 2019 (before declaration of the state of emergency over the rising number of COVID-19 cases) to 2020 (after declaration of the emergency). We applied Makizako’s social frail index to our study subjects at the baseline and classified into robust, social prefrailty, and social frailty groups. Multiple logistic regression analysis was performed using robust, social prefrailty, or social frailty status as dependent variable. Results: Analysis by the Kruskal–Wallis test revealed significant differences in the score on the GDS-15 among the robust, social prefrailty, and social frailty groups (p < 0.05). Furthermore, multiple regression analysis identified a significant association between the social frailty status and the score on GDS-15 (odds ratio, 1.57; 95% confidence interval (95% CI), 1.15–2.13; p = 0.001). Conclusion: The increase in the rate of transition of elderly individuals to the social frailty group could have been related to the implementation of the stay-at-home order as part of the countermeasures for COVID-19. Furthermore, the increased prevalence of depressive symptoms associated with the stay-at-home order could also have influenced the increase in the prevalence of social frailty during the COVID-19 pandemic. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
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7 pages, 414 KiB  
Brief Report
Gaps between Activities of Daily Living Performance and Capacity in People with Mild Dementia
by Kosuke Nakanishi, Takayoshi Yamaga and Masanao Ikeya
Int. J. Environ. Res. Public Health 2022, 19(23), 15949; https://doi.org/10.3390/ijerph192315949 - 30 Nov 2022
Cited by 3 | Viewed by 1616
Abstract
Persons with mild dementia can effectively maintain and improve their quality of life (QOL) by regularly performing their daily activities. However, research on activities of daily living (ADL) in this population often fails to distinguish between ADL performance and ADL capability, that is, [...] Read more.
Persons with mild dementia can effectively maintain and improve their quality of life (QOL) by regularly performing their daily activities. However, research on activities of daily living (ADL) in this population often fails to distinguish between ADL performance and ADL capability, that is, actual independence in daily lives and potential independence in an ideal setting. This study aimed to identify the potential gaps between ADL performance and capability in individuals with mild dementia. A total of 137 community-dwelling older adults (aged ≥ 65 years) who had been diagnosed with dementia and assessed as 0.5 and 1 on a global clinical dementia rating (CDR). Participants were evaluated for basic ADL (BADL) and instrumental ADL (IADL) using the Hyogo Activities of Daily Living Scale (HADLS). Around 35 individuals who met the inclusion criteria were enrolled in the study. BADL performance and BADL capacity were not significantly different (p = 0.128); however, participants rated IADL capacity significantly higher than IADL performance (p < 0.01). Gaps between performance and capability were observed for IADL but not for BADL. This study distinguishes between ADL performance and capability in individuals with mild dementia and is the first to identify the IADL-specific gap between these two components; pertinent targeted interventions are vital in closing this gap. Environmental adjustments are important to improve QOL of persons with mild dementia. Full article
(This article belongs to the Special Issue Rehabilitation in Geriatric Psychiatry)
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