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Older adults with schizophrenia and dementia: Analysis of a national dataset

Older adults with schizophrenia and dementia: Analysis of a national dataset Policy ImpactAll New Zealanders assessed for supported aged‐care services have data collected for them routinely, which is available from a central repository. We have focused on co‐morbidity of schizophrenia and dementia in order for policy and service providers to apply these data to care planning and quality control of services for older adults with schizophrenia.Practice ImpactThis research is an example of how collected data can be utilized to improve care of a vulnerable section of the older population.INTRODUCTIONSchizophrenia is a term coined by Bleuler to characterize a disorder of young adulthood involving deterioration of cognitive, social, behavioural and personality features.1 Schizophrenia research has changed dramatically over the past 30 years, as it has been increasingly understood as a neurodevelopmental disorder. However, the clinical definitions have remained largely the same. Evidence demonstrates that schizophrenia is associated with a gradual but relentless postonset cognitive decline leading people with schizophrenia to be at high risk of receiving a diagnosis of dementia.2 In the 19th century, Kraepelin maintained that dementia praecox was a neurodegenerative disorder despite several revisions of his original concept.3 A recent large‐scale meta‐analysis suggested that individuals with schizophrenia were associated with a significantly greater risk of dementia incidence than those without.4A http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australasian Journal on Ageing Wiley

Older adults with schizophrenia and dementia: Analysis of a national dataset

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Publisher
Wiley
Copyright
© 2023 AJA Inc.
ISSN
1440-6381
eISSN
1741-6612
DOI
10.1111/ajag.13187
Publisher site
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Abstract

Policy ImpactAll New Zealanders assessed for supported aged‐care services have data collected for them routinely, which is available from a central repository. We have focused on co‐morbidity of schizophrenia and dementia in order for policy and service providers to apply these data to care planning and quality control of services for older adults with schizophrenia.Practice ImpactThis research is an example of how collected data can be utilized to improve care of a vulnerable section of the older population.INTRODUCTIONSchizophrenia is a term coined by Bleuler to characterize a disorder of young adulthood involving deterioration of cognitive, social, behavioural and personality features.1 Schizophrenia research has changed dramatically over the past 30 years, as it has been increasingly understood as a neurodevelopmental disorder. However, the clinical definitions have remained largely the same. Evidence demonstrates that schizophrenia is associated with a gradual but relentless postonset cognitive decline leading people with schizophrenia to be at high risk of receiving a diagnosis of dementia.2 In the 19th century, Kraepelin maintained that dementia praecox was a neurodegenerative disorder despite several revisions of his original concept.3 A recent large‐scale meta‐analysis suggested that individuals with schizophrenia were associated with a significantly greater risk of dementia incidence than those without.4A

Journal

Australasian Journal on Ageing – Wiley

Published: Mar 3, 2023

Keywords: ageing; dementia; interrail; schizophrenia

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