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Focus

  • Volume 19
  • Number 3
  • July 2021

From the Guest Editor

Reviews

Publication date: 01 July 2021

Pages271–281

Dementia is a syndrome characterized by a gradually progressive course that spans a continuum from preclinical symptoms to major impairment in two or more cognitive domains with functional decline. In this review, the author examines some of the more ...

https://doi.org/10.1176/appi.focus.20210004

Clinical Synthesis

Publication date: 01 July 2021

Pages282–293

Late life depression (LLD), a familiar syndrome, is not differentiated in the DSM-5. LLD can resemble depressive syndromes in younger adults but it differs in demographic characteristics, phenomenology, prognosis, treatment, suicide risk, relationship to ...

https://doi.org/10.1176/appi.focus.20210006

Publication date: 01 July 2021

Pages294–302

Because of unique factors related to physiological changes and altered metabolism in advanced age, special attention is needed concerning chronic pain, opioid use, and opioid use disorder among older adults. Clinicians need to follow the most updated ...

https://doi.org/10.1176/appi.focus.20210002

Publication date: 01 July 2021

Pages303–307

Personality disorders are among the most common mental disorders in older age and are associated with a range of negative outcomes in physical and emotional health as well as in interpersonal functioning. Several screening tools have been validated with ...

https://doi.org/10.1176/appi.focus.20210007

Publication date: 01 July 2021

Pages308–310

Late-life depression is frequently associated with cognitive impairment. Because of the overlap of symptoms, however, it can be challenging to discern a neurocognitive disorder (NCD) from a late-life depressive disorder. Although neuropsychological ...

https://doi.org/10.1176/appi.focus.20210009

Publication date: 01 July 2021

Pages311–319

Psychiatrists can make a significant contribution to improving quality end-of-life care for psychiatric patients, beyond managing their psychiatric and psychological conditions. Geriatric psychiatrists can build expertise in enhancing end-of-life care ...

https://doi.org/10.1176/appi.focus.20210005

Ask the Expert

Publication date: 01 July 2021

Pages320–321

Dr. Purganan reports that her spouse has served on an advisory board for Dova Pharmaceuticals and Targeted Oncology, has served as a speaker for the Chronic Liver Disease Foundation/Focus Medical Communications, has received research funding from ...

https://doi.org/10.1176/appi.focus.20210008

Communication Commentary

Ethics Commentary

21st-Century Psychiatrist

Publication date: 01 July 2021

Pages330–337

Perimenopause is often a time of social, emotional, and physical change. Various factors contribute to the development of mood disorders during this time. There is a known association among women with previous history of major depressive disorder or ...

https://doi.org/10.1176/appi.focus.20200041

Influential Publications

Publication date: 01 July 2021

Pages340–354

Depression predisposes to medical illnesses and advances biological aging indicated by shorter telomere length, accelerated brain aging and advanced epigenetic aging. Medical illnesses also increase the risk of late-life depression. The reciprocal ...

https://doi.org/10.1176/appi.focus.19304

Publication date: 01 July 2021

Pages355–364

While Alzheimer’s disease (AD) classical diagnostic criteria rely on clinical data from a stablished symptomatic disease, newer criteria aim to identify the disease in its earlier stages. For that, they incorporated the use of AD’s specific biomarkers to ...

https://doi.org/10.1176/appi.focus.19305

Publication date: 01 July 2021

Pages374–378

In few periods in human history have bereavement and grief been on so many people’s minds as they are today. As the coronavirus disease 2019 (COVID-19) ravages the world, we have seen many perish in a short time. Many have died alone because of ...

https://doi.org/10.1176/appi.focus.19303

Past Issues

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No.3
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1 Jul 2024

Vol. 22 | No. 3

No.2
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1 Apr 2024

Vol. 22 | No. 2

No.1
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1 Jan 2024

Vol. 22 | No. 1

No.4
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1 Oct 2023

Vol. 21 | No. 4