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    <title><![CDATA[American Journal of Geriatric Psych - Featured Articles - Featured Articles]]></title>
    <link>http://journals.lww.com/ajgponline/</link>
    <description><![CDATA[The American Journal of Geriatric Psychiatry (AJGP) is the authoritative source of information for the rapidly developing field of geriatric psychiatry. The Journal contains peer-reviewed articles on the diagnosis and classification of psychiatric disorders of later life, epidemiological and biological correlates of mental health of older adults, and psychopharmacology and other somatic treatments.]]></description>
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    <lastBuildDate>Sun, 22 Nov 2009 05:38:24 -0600</lastBuildDate>
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      <title><![CDATA[American Journal of Geriatric Psych - Featured Articles - Featured Articles]]></title>
      <link>http://journals.lww.com/ajgponline/</link>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/New_Research_on_Aging_Minority_Groups_is_Timely.2.aspx</link>
      <author>Cañive, José M.; Escobar, Javier I.</author>
      <category>Editorial</category>
      <title><![CDATA[New Research on Aging Minority Groups is Timely and Incorporates State of the Art Methodologies]]></title>
      <description><![CDATA[No abstract available]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
      <guid isPermaLink="false">00019442-200911000-00002</guid>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/Ethnic_Differences_in_Beliefs_Regarding_Alzheimer.4.aspx</link>
      <author>Gray, Heather L.; Jimenez, Daniel E.; Cucciare, Michael A.; Tong, Hui-Qi; Gallagher-Thompson, Dolores</author>
      <category>Regular Research Articles</category>
      <title><![CDATA[Ethnic Differences in Beliefs Regarding Alzheimer Disease Among Dementia Family Caregivers]]></title>
      <description><![CDATA[Objective: The purpose of this study was to examine ethnic differences in female dementia family caregivers' knowledge, attitudes, and beliefs about Alzheimer disease (AD).
Methods: Baseline data were collected from 215 female caregivers before their participation in various psychoeducational intervention programs. Caregivers were questioned about the epidemiology, etiology, and treatment of AD. Logistic regressions and one-way analysis of variance were conducted to assess ethnic differences.
Results: Hispanic and Chinese caregivers were more likely to believe that AD is a normal part of aging and that AD can be diagnosed by a blood test than the white group. These beliefs about AD may delay help-seeking activities for these patients and their family caregivers.
Conclusion: Increased public education about AD is needed in these communities. Results are discussed in terms of barriers to accessing information about AD and ways to improve public informational outreach activities, so that the intended audiences are reached more effectively.
Copyright (C) 2009 American Association for Geriatric Psychiatry]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
      <guid isPermaLink="false">00019442-200911000-00004</guid>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/Smoking_Increases_Risk_for_Cognitive_Decline_Among.5.aspx</link>
      <author>Collins, Nicole; Sachs-Ericsson, Natalie; Preacher, Kristopher J.; Sheffield, Kristin M.; Markides, Kyriakos</author>
      <category>Regular Research Articles</category>
      <title><![CDATA[Smoking Increases Risk for Cognitive Decline Among Community-Dwelling Older Mexican Americans]]></title>
      <description><![CDATA[Objectives: Few studies have investigated smoking and cognitive decline (CD) among older Mexican Americans. In this study, the authors explore the relationship between smoking status and cognitive changes over time in a large sample of community-dwelling older adults of Mexican descent.
Design: Latent growth curve analyses were used to examine the decreasing growth in the number of correct responses on a test of cognitive functioning with increasing age (7 years with four data collection points).
Setting: In-home interviews were obtained from participants residing in the Southwest United States.
Participants: Participants were community-dwelling older Mexican Americans.
Measurements: Cognitive functioning was assessed at each of the four data collection points with the Mini-Mental State Examination. Participants' self-reports of health functioning and smoking status were obtained at baseline.
Results: With the inclusion of health variables and other control variables, the effect of smoking status on cognitive functioning was significant such that the decrease in the number of correct responses over time was greater for smokers than for nonsmokers.
Conclusions: Smoking increases risk for CD among community-dwelling older Mexican Americans. There are numerous health benefits in quitting smoking, even for older adults who have been smoking for many years. Further efforts to ensure that smoking cessation and prevention programs are targeted toward Hispanics are necessary.
Copyright (C) 2009 American Association for Geriatric Psychiatry]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
      <guid isPermaLink="false">00019442-200911000-00005</guid>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/Depression_Outcome_Among_a_Biracial_Sample_of.6.aspx</link>
      <author>Cohen, Carl I.; Goh, Kah Hong; Yaffee, Robert A.</author>
      <category>Regular Research Articles</category>
      <title><![CDATA[Depression Outcome Among a Biracial Sample of Depressed Urban Elders]]></title>
      <description><![CDATA[Objectives: There are a paucity of long-term studies from the United States concerning predictors of outcome among depressed older community adults. This article examines predictors of depression in a biracial sample of older persons in Brooklyn, NY.
Methods: The authors conducted a naturalistic study of 110 persons aged 55 years and older living in randomly selected block groups who had a Center for Epidemiologic Studies-Depression (CES-D) score of >=8 at baseline. Persons were reassessed on an average of 3 years later. Their mean age was 69 years, 52% were women, and 35% were whites, and 65% were blacks, among whom 71% were African Caribbeans. Using George's Social Antecedent Model of Depression, the authors examined the impact of 13 predictor variables on two outcome measures: presence of either subsyndromal or syndromal depression (CES-D score >=8) and presence of syndromal depression (CES-D score >=16). To control for design effects, the authors used SUDAAN for the data analysis.
Results: On follow-up, 82% and 88% of subsyndromally and syndromally depressed persons at baseline, respectively, were depressed (CES-D >=8). In logistic regression, baseline depressive symptoms, baseline anxiety symptoms, greater increase in anxiety symptoms during the follow-up period, and higher locus of control were predictors of any level of depression. These four variables along with greater paranoid ideation and/or psychoses and more reliable social contacts were significant predictors of syndromal depression on follow-up. There were no inter- or intraracial differences in outcome.
Conclusion: Depressed community elders in Brooklyn have highly unfavorable outcomes. Preventive strategies that target at-risk persons-i.e., especially those with baseline subsyndromal depression, greater anxiety symptoms, and more paranoid ideation and/or psychoses-may reduce the development of severe or persistent depression.
Copyright (C) 2009 American Association for Geriatric Psychiatry]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
      <guid isPermaLink="false">00019442-200911000-00006</guid>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/Developing_a_Community_Academic_Partnership_to.7.aspx</link>
      <author>Dobransky-Fasiska, Deborah; Brown, Charlotte; Pincus, Harold A.; Nowalk, Mary P.; Wieland, Melissa; Parker, Lisa S.; Cruz, Mario; McMurray, Michelle L.; Mulsant, Benoit; Reynolds, Charles F. III; RNDC-Community Partners</author>
      <category>Regular Research Articles</category>
      <title><![CDATA[Developing a Community-Academic Partnership to Improve Recognition and Treatment of Depression in Underserved African American and White Elders]]></title>
      <description><![CDATA[Objective: Reducing mental health disparities among underserved populations, particularly African American elders, is an important public health priority. The authors describe the process and challenges of developing a community/academic research partnership to address these disparities.
Methods: The authors are using a Community-Based Participatory Research approach to gain access to underserved populations in need of depression treatment. The authors identify six stages: 1) Collaborating to Secure Funding; 2) Building a Communications Platform and Research Infrastructure; 3) Fostering Enduring Relationships; 4) Assessing Needs/Educating about Research Process; 5) Initiating Specific Collaborative Projects (meeting mutual needs/interests); and 6) Maintaining a Sustainable and Productive Partnership. Data from a needs assessment developed collaboratively by researchers and community agencies facilitated agreement on mutual research goals, while strengthening the partnership.
Results: A community/academic-based partnership with a solid research infrastructure has been established and maintained for 3 years. Using the results of a needs assessment, the working partnership prioritized and launched several projects. Through interviews and questionnaires, community partners identified best practices for researchers working in the community. Future research and interventional projects have been developed, including plans for sustainability that will eventually shift more responsibility from the academic institution to the community agencies.
Conclusions: To reach underserved populations by developing and implementing models of more effective mental health treatment, it is vital to engage community agencies offering services to this population. A successful partnership requires "cultural humility," collaborative efforts, and the development of flexible protocols to accommodate diverse communities.
Copyright (C) 2009 American Association for Geriatric Psychiatry]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
      <guid isPermaLink="false">00019442-200911000-00007</guid>
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