Multicomponent frailty assessment tools for older people with psychiatric disorders: A systematic review

Sutton, Jennifer L., Gould, Rebecca L., Coulson, Mark C., Ward, Emma V., Butler, Aine M., Smith, Megan, Lavelle, Grace, Rosa, Amy, Langridge, Margaret and Howard, Robert J. (2019) Multicomponent frailty assessment tools for older people with psychiatric disorders: A systematic review. Journal of the American Geriatrics Society, 67 (5). pp. 1085-1095. ISSN 0002-8614

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Abstract

Objective: To review evidence evaluating the use of multicomponent frailty assessment tools in assessing frailty in older adults with psychiatric disorders. Methods: A systematic literature review was conducted to identify all multicomponent frailty assessment tools (ie, a tool that assesses two or more indicators of frailty). The items of each frailty assessment tool were compared with Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) diagnostic criteria for psychiatric disorders to assess construct overlap. Studies conducted in community, inpatient, and outpatient clinical settings were considered for inclusion. Participants: Adults aged 60 years or older. Results: A total of 5639 records were identified following the removal of duplicates, from which 95 studies were included for review. Of the 48 multicomponent frailty assessment tools identified, no tool had been developed for, or validated in, older adult populations with a psychiatric disorder. Overall, 20 of 48 frailty assessment tools contained a psychological assessment domain, with 17 of 48 tools citing the presence of depressed mood and/or anxiety as a frailty indicator. Common areas of construct overlap in frailty assessment tools and DSM-5 diagnostic criteria included weight loss (29 of 48) and fatigue (21 of 48). Conclusions: Significant construct overlap exists between the indicators of frailty as conceptualized in existing frailty assessment tools and DSM-5 diagnostic criteria for common psychiatric disorders including major depressive episode and generalized anxiety disorder that has the potential to confound frailty assessment results. Further research is necessary to establish a reliable and valid tool to assess frailty in this population. J Am Geriatr Soc 67:1085–1095, 2019.

Item Type: Article
Additional Information: Funding Information: This research was supported by King's College London, National Institute for health Research (NIHR) Dementia Biomedical Research Unit, NIHR Biomedical Research Centre for Mental Health, South London, and Maudsley National Health Service (NHS) Foundation Trust, University College London, and Middlesex University. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health. The authors would like to express their gratitude and thanks to all those authors who responded to study queries and data requests. Conflict of Interest: All authors have declared no conflicts of interest for this article. Author Contributions: The research question, concept, and design were formulated by Jennifer L. Sutton, Rebecca L. Gould, and Robert J. Howard. The trial selection was completed by Jennifer L. Sutton. Data analysis was completed by Jennifer L. Sutton, Rebecca L. Gould, Mark C. Coulson, Emma V. Ward, Aine M. Butler, Megan Smith, Grace Lavelle, Amy Rosa, and Margret Langridge. Preparation of the manuscript was completed by Jennifer L. Sutton. Rebecca L. Gould, Robert J. Howard, Mark C. Coulson, Emma V. Ward, Aine M. Butler, Megan Smith, Grace Lavelle, Amy Rosa, and Margret Langridge reviewed and edited the manuscript. Sponsor's Role: None. Funding Information: This research was supported by King’s College London, National Institute for health Research (NIHR) Dementia Biomedical Research Unit, NIHR Biomedical Research Centre for Mental Health, South London, and Maudsley National Health Service (NHS) Foundation Trust, University College London, and Middlesex University. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health. The authors would like to express their gratitude and thanks to all those authors who responded to study queries and data requests. Publisher Copyright: © 2018 The American Geriatrics Society
Uncontrolled Keywords: frailty assessment,psychiatric disorder,geriatrics and gerontology ,/dk/atira/pure/subjectarea/asjc/2700/2717
Faculty \ School: Faculty of Social Sciences > School of Psychology
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Depositing User: LivePure Connector
Date Deposited: 11 Oct 2022 12:30
Last Modified: 17 Nov 2022 14:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/88981
DOI: 10.1111/jgs.15710

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