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
TypeArticle
TitleMulticomponent frailty assessment tools for older people with psychiatric disorders: a systematic review
AuthorsSutton, 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.

Keywordsfrailty assessment; psychiatric disorder
PublisherWiley
JournalJournal of the American Geriatrics Society
ISSN0002-8614
Electronic1532-5415
Publication dates
Online27 Dec 2018
Print29 Apr 2019
Publication process dates
Deposited19 Oct 2018
Accepted17 Oct 2018
Output statusPublished
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 identifierWOS:000466184200033
LanguageEnglish
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