Multicomponent frailty assessment tools for older people with psychiatric disorders: a systematic review
Article
Sutton, J., Gould, R., Coulson, M., Ward, E., Butler, A., Smith, M., Lavelle, G., Rosa, A., Langridge, M. and Howard, R. 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. https://doi.org/10.1111/jgs.15710
Type | Article |
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Title | Multicomponent frailty assessment tools for older people with psychiatric disorders: a systematic review |
Authors | Sutton, J., Gould, R., Coulson, M., Ward, E., Butler, A., Smith, M., Lavelle, G., Rosa, A., Langridge, M. and Howard, R. |
Abstract | Objective: To review evidence evaluating the use of multi-component frailty assessment tools in assessing frailty in older adults with psychiatric disorders. Methods: A systematic literature review was conducted to identify all multi-component frailty assessment tools (i.e. a tool that assesses ≥2 indicators of frailty). The items of each frailty assessment tool were compared to 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 old. Results: 5,639 studies in total were identified following the removal of duplicates; 97 of which were included for review. Of the 48 multi-component frailty assessment tools identified, no tool had been developed for, or validated in, older adult populations with psychiatric disorder. 24/48 frailty assessment tools contained a psychological assessment domain, with 18/48 tools using 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 (29/48) and fatigue (21/48). Conclusions: Significant construct overlap exists between the indicators of frailty as conceptualised in existing frailty assessment tools and DSM-5 diagnostic criteria for common psychiatric disorders, including Major Depressive Episode and Generalised Anxiety Disorder, which 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. |
Keywords | frailty assessment; psychiatric disorder |
Publisher | Wiley |
Journal | Journal of the American Geriatrics Society |
ISSN | 0002-8614 |
Electronic | 1532-5415 |
Publication dates | |
Online | 27 Dec 2018 |
29 Apr 2019 | |
Publication process dates | |
Deposited | 19 Oct 2018 |
Accepted | 17 Oct 2018 |
Output status | Published |
Accepted author manuscript | |
Supplemental file | |
Supplemental file | |
Supplemental file | |
Copyright Statement | This is the peer reviewed version of the following article: Sutton, J.L., Gould, R.L., Coulson, M.C., Ward, E.V., Butler, A.M., Smith, M., Lavelle, G., Rosa, A., Langridge, M. and Howard, R.J. (2019), Multicomponent Frailty Assessment Tools for Older People with Psychiatric Disorders: A Systematic Review. J Am Geriatr Soc, 67: 1085-1095. doi:10.1111/jgs.15710, which has been published in final form at https://doi.org/10.1111/jgs.15710. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Digital Object Identifier (DOI) | https://doi.org/10.1111/jgs.15710 |
Web of Science identifier | WOS:000466184200033 |
Language | English |
https://repository.mdx.ac.uk/item/87zv8
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