King's College London

Research portal

Multi-component frailty assessment tools for older people with psychiatric disorders: A systematic review

Research output: Contribution to journalArticle

Standard

Multi-component 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 , Margret ; Howard, Robert J.

In: Journal of the American Geriatrics Society, 27.12.2018.

Research output: Contribution to journalArticle

Harvard

Sutton, JL, Gould, RL, Coulson, MC, Ward, EV, Butler, AM, Smith , M, Lavelle, G, Rosa , A, Langridge , M & Howard, RJ 2018, 'Multi-component frailty assessment tools for older people with psychiatric disorders: A systematic review', Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.15710

APA

Sutton, J. L., Gould, R. L., Coulson, M. C., Ward, E. V., Butler, A. M., Smith , M., ... Howard, R. J. (2018). Multi-component frailty assessment tools for older people with psychiatric disorders: A systematic review. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.15710

Vancouver

Sutton JL, Gould RL, Coulson MC, Ward EV, Butler AM, Smith M et al. Multi-component frailty assessment tools for older people with psychiatric disorders: A systematic review. Journal of the American Geriatrics Society. 2018 Dec 27. https://doi.org/10.1111/jgs.15710

Author

Sutton, Jennifer L. ; Gould, Rebecca L. ; Coulson, Mark C. ; Ward, Emma V. ; Butler, Aine M. ; Smith , Megan ; Lavelle, Grace ; Rosa , Amy ; Langridge , Margret ; Howard, Robert J. / Multi-component frailty assessment tools for older people with psychiatric disorders : A systematic review. In: Journal of the American Geriatrics Society. 2018.

Bibtex Download

@article{33bb5b7bb1f6484c924d6a1d8e9f9fa8,
title = "Multi-component frailty assessment tools for older people with psychiatric disorders: A systematic review",
abstract = "ObjectiveTo review evidence evaluating the use of multicomponent frailty assessment tools in assessing frailty in older adults with psychiatric disorders.MethodsA 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.ParticipantsAdults aged 60 years or older.ResultsA 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).ConclusionsSignificant 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, 1–11, 2018.",
author = "Sutton, {Jennifer L.} and Gould, {Rebecca L.} and Coulson, {Mark C.} and Ward, {Emma V.} and Butler, {Aine M.} and Megan Smith and Grace Lavelle and Amy Rosa and Margret Langridge and Howard, {Robert J.}",
year = "2018",
month = "12",
day = "27",
doi = "10.1111/jgs.15710",
language = "English",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Multi-component frailty assessment tools for older people with psychiatric disorders

T2 - A systematic review

AU - Sutton, Jennifer L.

AU - Gould, Rebecca L.

AU - Coulson, Mark C.

AU - Ward, Emma V.

AU - Butler, Aine M.

AU - Smith , Megan

AU - Lavelle, Grace

AU - Rosa , Amy

AU - Langridge , Margret

AU - Howard, Robert J.

PY - 2018/12/27

Y1 - 2018/12/27

N2 - ObjectiveTo review evidence evaluating the use of multicomponent frailty assessment tools in assessing frailty in older adults with psychiatric disorders.MethodsA 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.ParticipantsAdults aged 60 years or older.ResultsA 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).ConclusionsSignificant 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, 1–11, 2018.

AB - ObjectiveTo review evidence evaluating the use of multicomponent frailty assessment tools in assessing frailty in older adults with psychiatric disorders.MethodsA 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.ParticipantsAdults aged 60 years or older.ResultsA 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).ConclusionsSignificant 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, 1–11, 2018.

U2 - 10.1111/jgs.15710

DO - 10.1111/jgs.15710

M3 - Article

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

ER -

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454