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Frequency of cognitive impairment in older forensic inpatients: results of a pilot cross-sectional study.

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Title: Frequency of cognitive impairment in older forensic inpatients: results of a pilot cross-sectional study.
Authors: Verhülsdonk, S. (AUTHOR), Folkerts, A.K. (AUTHOR), Hufnagel, S. (AUTHOR), Bohn, C. (AUTHOR), Hoeft, B. (AUTHOR), Supprian, T. (AUTHOR), Kalbe, E. (AUTHOR)
Source: Journal of Forensic Psychiatry & Psychology. Feb2023, Vol. 34 Issue 1, p37-55. 19p. 3 Charts, 5 Graphs.
Subjects: Cognition disorders, Older patients, Psychiatric hospitals, Cognitive ability, Cross-sectional method, Montreal Cognitive Assessment
Geographic Terms: Germany, North Rhine-Westphalia (Germany)
Abstract: The number of older inpatients in forensic hospitals is growing. Overall, complex needs in treatment are identified for this group, and differ significantly from those of younger forensic patients. To date, there has been little awareness of the relevance of age-related changes in cognitive function of older forensic patients. Data on the prevalence of cognitive disorders in older forensic inpatients are rare, and, for German forensic hospitals, completely lacking. Against this background, a pilot project was conducted in forensic departments of five Psychiatric hospitals in North Rhine Westphalia, Germany. Sociodemographics, crime-related characteristics and medical data of inpatients aged 60 years and older were collected. Established cognitive screening instruments were administered. 34 of 134 forensic patients aged 60–91 years participated in the study. Dependent on the instrument used, up to 65% showed impairment in global cognitive functioning and up to 68% showed executive dysfunctions. Our pilot data indicate that cognitive impairment in older forensic patients in Germany is more frequent than reported for the older general population in Germany. Based on the findings, the extent to which diagnostic routines should be implemented and the complex factors (e.g. the underlying mental illness) that need to be taken into account are discussed. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Frequency of cognitive impairment in older forensic inpatients: results of a pilot cross-sectional study.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Forensic+Psychiatry+%26+Psychology%22">Journal of Forensic Psychiatry & Psychology</searchLink>. Feb2023, Vol. 34 Issue 1, p37-55. 19p. 3 Charts, 5 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Older+patients%22">Older patients</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+hospitals%22">Psychiatric hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+ability%22">Cognitive ability</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Montreal+Cognitive+Assessment%22">Montreal Cognitive Assessment</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Germany%22">Germany</searchLink><br /><searchLink fieldCode="DE" term="%22North+Rhine-Westphalia+%28Germany%29%22">North Rhine-Westphalia (Germany)</searchLink>
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  Data: The number of older inpatients in forensic hospitals is growing. Overall, complex needs in treatment are identified for this group, and differ significantly from those of younger forensic patients. To date, there has been little awareness of the relevance of age-related changes in cognitive function of older forensic patients. Data on the prevalence of cognitive disorders in older forensic inpatients are rare, and, for German forensic hospitals, completely lacking. Against this background, a pilot project was conducted in forensic departments of five Psychiatric hospitals in North Rhine Westphalia, Germany. Sociodemographics, crime-related characteristics and medical data of inpatients aged 60 years and older were collected. Established cognitive screening instruments were administered. 34 of 134 forensic patients aged 60–91 years participated in the study. Dependent on the instrument used, up to 65% showed impairment in global cognitive functioning and up to 68% showed executive dysfunctions. Our pilot data indicate that cognitive impairment in older forensic patients in Germany is more frequent than reported for the older general population in Germany. Based on the findings, the extent to which diagnostic routines should be implemented and the complex factors (e.g. the underlying mental illness) that need to be taken into account are discussed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/14789949.2023.2168206
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      – SubjectFull: Psychiatric hospitals
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      – SubjectFull: Cognitive ability
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Montreal Cognitive Assessment
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      – SubjectFull: Germany
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      – SubjectFull: North Rhine-Westphalia (Germany)
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      – TitleFull: Frequency of cognitive impairment in older forensic inpatients: results of a pilot cross-sectional study.
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              Text: Feb2023
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              Y: 2023
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