Navigation Links
Dementia diagnosis twice as likely if older adult has schizophrenia; cancer less likely
Date:5/5/2014

INDIANAPOLIS -- Researchers from Regenstrief Institute and Indiana University who followed over 30,000 older adults for a decade have found the rate of dementia diagnosis for patients with schizophrenia to be twice as high as for patients without this chronic, severe and disabling brain disorder.

"Individuals with serious mental illnesses including schizophrenia appear to be living longer than earlier estimates suggested," said Hugh Hendrie, M.B., Ch.B., D.Sc., the geriatric psychiatrist who led the study. Dr. Hendrie is a Regenstrief Institute investigator, IU Center for Aging Research scientist and professor of psychiatry at the IU School of Medicine. "This good news is tempered by the fact that they now have to confront the major disorders of the elderly, including dementia.

"Our finding that there was a significant difference in rates of dementia for those with schizophrenia and those without the disorder was quite unexpected. The reason for this difference is unclear and merits more intensive investigation. Is this related to an increase in dementia-related brain pathology or could it simply represent a misinterpretation of their symptoms by clinicians inexperienced in dealing with individuals who have difficulties communicating and are less likely to have reliable significant others to interpret for them?"

Individuals with schizophrenia also had generally higher rates of other serious illnesses such as heart disease and pulmonary disease, as well as higher mortality rates than those without schizophrenia. A major exception was cancer, for which the rates for individuals with schizophrenia were significantly lower.

According to Dr. Hendrie, previous reports on cancer risk associated with schizophrenia have been inconsistent. While it has been suggested in previous studies that the lower cancer rates for those with schizophrenia were the results of low case identification by physicians, the new study found cancer to be reported as a cause of death in death certificates of those who were diagnosed with schizophrenia.

"Health Outcomes and Cost of Care Among Older Adults with Schizophrenia: A 10-Year Study Using Medical Records Across the Continuum of Care" is published in the May print issue of The American Journal of Geriatric Psychiatry, which is focused on schizophrenia in later life.

This study also found that hospital admissions, hospital lengths of stay, nursing home facility use and nursing home length of stay for patients with schizophrenia were significantly greater than for patients without schizophrenia.

The authors conclude that the "increasing numbers of older seriously mentally ill, particularly older patients with schizophrenia, will create a serious burden for our health system that will require the development of new integrated models of health care involving links between the health and mental health systems."

"As the population of older adults grows, the number of older patients with schizophrenia is also getting larger. We need to link their mental and physical health care in clinics where they feel comfortable and where they can be treated by clinicians who understand both their serious mental condition and their physical illnesses," Dr. Hendrie said.

According to the National Institute of Mental Health, schizophrenia affects men and women equally, occurring at similar rates in all ethnic groups. Symptoms such as hallucinations and delusions typically commence between ages 16 and 30.

The 31,588 individuals in the study had an average age of 70. All were 65 or older by the end of the study and received care at Eskenazi Health, then known as Wishard Health Services. Clinical data for these patients were obtained from the Regenstrief Medical Record System, the oldest operational electronic medical record system in the United States.

"People with serious lifelong mental illness have a life expectancy that is 20 to 25 years less than people without mental illness," said study senior author Christopher M. Callahan, M.D. He is a Regenstrief Institute investigator, the founding director of the IU Center for Aging Research and the Cornelius and Yvonne Pettinga Professor of Medicine at the IU School of Medicine. "However, many persons with these illnesses are now living into their 70s and 80s, and our health care system has very little experience in organizing their care in an effective manner. This study shows the major challenges we face in providing excellent care to these older adults."


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-843-2276
Indiana University
Source:Eurekalert  

Related medicine news :

1. New MRI technique may predict progress of dementias
2. Having a Purpose in Life May Help Shield You From Dementia
3. Depression in Mid-Life Linked to Higher Odds for Later Dementia
4. Older People With Dementia Cared for Mostly at Home
5. Individuals with dementia more likely to die at home than in nursing homes
6. For Dementia Patients, Feeding Tubes May Increase Bed Sores
7. Study: Willingness to be screened for dementia varies by age but not by sex, race or income
8. Faltering Steps May Indicate Oncoming Dementia
9. Home-Based Care Teams Offer Help for Those With Dementia
10. Some Families May Have Natural Protection Against Dementia
11. Seniors Creativity Can Thrive Despite Dementia
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Dementia diagnosis twice as likely if older adult has schizophrenia; cancer less likely
(Date:2/5/2016)... ... 05, 2016 , ... Steven Tonkinson, 36, of Coconut Grove, Florida, ran the ... started in 2003. This year, he ran all 26.2 miles with a green 25-pound ... the Miami Heat. , This Sunday, while many are watching the Superbowl, Steven Tonkinson ...
(Date:2/5/2016)... ... February 05, 2016 , ... The event is being held on April ... in Minneapolis, Minn. Triumph Over Parkinson’s will fund nearly $100,000 for research for the ... lives with Parkinson’s disease and is the architect of this informative event to raise ...
(Date:2/5/2016)... ... 05, 2016 , ... After years as an active staff surgeon and having ... surgeon Dr. Wayne Carman transitioned to chief of the Division of Plastic Surgery at ... term as chief and began a second three-year term in January of 2016. , ...
(Date:2/5/2016)... ... February 05, 2016 , ... Regular gym users know ... having to wait longer to access the treadmills. It’s a predictable trend. After the ... lose weight and get in shape by joining gyms, starting new walking or running ...
(Date:2/5/2016)... ... ... Dr. Justin Scott and Dr. Lydia Muccioli of Pure Dental Health ... in need. The event is scheduled to take place on February 27, 2016 from ... dental care to community members in need. Each patient will be given the opportunity ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... Feb. 5, 2016  ivWatch, a medical devices company, is ... Award granted by Governor Terry McAuliffe,s office. ivWatch ... February 25th at an event to be held at the ... award honors professionals and business that have made significant contributions ... Logo - http://photos.prnewswire.com/prnh/20160205/330117LOGO ...
(Date:2/5/2016)... Feb. 5, 2016  Patients in Alabama ... ultrasound (HIFU) therapy no longer have to travel out of ... partnership with Urology Centers of Alabama to provide ... procedure for qualifying patients. Alabama ... the treatment of prostate cancer using many different modalities. They ...
(Date:2/5/2016)... Feb. 5, 2016 ... of the "Global Musculoskeletal Partnering 2010-2016: ... profile to their offering. --> ... of the "Global Musculoskeletal Partnering 2010-2016: ... profile to their offering. --> ...
Breaking Medicine Technology: