4 February 2021

This thesis includes four studies on prevalence and implications of geriatric syndromes and multimorbidity (chronic health conditions) in older patients with different psychiatric disorders and in different settings.

Two studies on medically unexplained symptoms (MUS) found that these symptoms are often not as unexplained as they seemed in older adults. MUS were frequently accompanied by frailty, multimorbidity and psychiatric disorders. This intermingling made recognition of these problems difficult.

Persons aged 80 and over, have little benefit from antidepressants when treated for a depressive disorder. Whether this is due to frailty, multimorbidity, undernutrition, functional impairment or cognitive dysfunction remains unclear, because the conducted systematic review showed that these characteristics were barely taken into account in treatment studies on depression in older adults and that persons aged 75 years and over, were underrepresented. This means that the results of these studies are not applicable to many of the patients whom doctors actually have to treat.

The last study found that older adults who were acutely admitted to geriatric psychiatric wards were often frail, undernourished and had a high level of multimorbidity. Frailty and multimorbidity were important factors in not being able to return home after discharge. Frailty also predicted mortality within five years after admission.

Overall, this thesis shows that geriatric problems are relevant and have implications for older adults with psychiatric disorders. It sheds new light on the connection between psychiatry, geriatrics and psychology and the necessity to integrate care for complex patients with psychiatric disorders.

Carolien Benraad defended her thesis on 12 February 2021

 

Related news items


Most COVID-19 ICU survivors experience symptoms one year after ICU admission Publication in JAMA

25 January 2022

75% of the COVID-19 survivors who were treated in the Intensive Care Unit (ICU) experience physical, mental and/or cognitive problems one-year post ICU. This shows the large-scale MONITOR-IC study led by Radboudumc.

read more

1.4 million euro to reduce hospital admissions due to medication

7 January 2022

A team of sixteen Dutch hospitals received a grant of 1.4 million euros from ZonMw. They will investigate whether they can reduce medication related hospital readmissions.

read more

Participating in cancer research among people with intellectual disabilities

30 November 2021

Thanks to the support of the Maarten van der Weijden Foundation research was carried out into the participation of people with intellectual disabilities in (population) screening for cancer.

read more

Telemonitoring in chronic heart failure not unqualifiedly positive often additional demand for care without decreasing number of admissions

19 October 2021

To contain rising healthcare costs, digitization of healthcare is often seen as a solution. Researchers at the Radboudumc examined the use of telemonitoring in chronic heart failure. Does this reduce hospital admissions and visits to the emergency room?

read more

Two million euros for improved treatment and outcomes of COVID-19 in the elderly

10 September 2021

ZonMw awarded a grant of nearly two million euros to a large group of researchers to improve the outcomes of elderly people with COVID-19. The study, in which the Radboudumc also participates, provides insight into the course and treatment of COVID-19 in the elderly.

read more

Christine Mohrmann stipendium for Jorieke Weiden and Miriam Haaksma

7 December 2017

The Christine Mohrmann stipendium is awarded yearly to 10 promising female PhD candidates from the different faculties of the Radboud University in Nijmegen.

read more