The objective of this 5 year academic award is to develop Dr. Barton W. Palmer's expertise in functional disabilities among older schizophrenia patients, and to set the foundation for a research career focused on this topic. The plan of this award will develop Dr. Palmer's skills and knowledge in the following areas: 1)methodological issues in the assessments of functional disabilities in older schizophrenia patients, 2) the nature of functional impairments associated with schizophrenia in late-life, 3) factors contributing to functional impairment among these patients. The plan will also foster further development of Dr. Palmer's general skills in research methodology as applied to issues in geriatric psychiatry. These goals will be achieved through a structured training plan, including relevant coursework, and through consultation with leading experts in the fields of functional disabilities, schizophrenia, geriatric psychiatry, and clinical research methodology. In addition, the plan includes a pilot research project designed to provide a preliminary investigation into the nature of functional impairments among older institutionalized and community dwelling schizophrenia patients. These activities will help Dr. Palmer evolve as a clinical investigator in geriatric psychiatry, and additionally provide the foundation for a long term research program focused on functional impairment among elderly schizophrenia patients.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Academic/Teacher Award (ATA) (K07)
Project #
5K07MH001452-03
Application #
2873023
Study Section
Mental Disorders of Aging Review Committee (MDA)
Program Officer
Gonzales, Junius J
Project Start
1997-02-01
Project End
2002-01-31
Budget Start
1999-02-01
Budget End
2000-01-31
Support Year
3
Fiscal Year
1999
Total Cost
Indirect Cost
Name
University of California San Diego
Department
Psychiatry
Type
Schools of Medicine
DUNS #
077758407
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Jeste, Dilip V; Dunn, Laura B; Folsom, David P et al. (2008) Multimedia educational aids for improving consumer knowledge about illness management and treatment decisions: a review of randomized controlled trials. J Psychiatr Res 42:1-21
Wetherell, Julie Loebach; Palmer, Barton W; Thorp, Steven R et al. (2003) Anxiety symptoms and quality of life in middle-aged and older outpatients with schizophrenia and schizoaffective disorder. J Clin Psychiatry 64:1476-82
Jeste, D V; Twamley, E W; Eyler Zorrilla, L T et al. (2003) Aging and outcome in schizophrenia. Acta Psychiatr Scand 107:336-43
Palmer, Barton W; Bondi, Mark W; Twamley, Elizabeth W et al. (2003) Are late-onset schizophrenia spectrum disorders neurodegenerative conditions? Annual rates of change on two dementia measures. J Neuropsychiatry Clin Neurosci 15:45-52
Evans, Jovier D; Heaton, Robert K; Paulsen, Jane S et al. (2003) The relationship of neuropsychological abilities to specific domains of functional capacity in older schizophrenia patients. Biol Psychiatry 53:422-30
Palmer, Barton W; Heaton, Robert K; Gladsjo, Julie A et al. (2002) Heterogeneity in functional status among older outpatients with schizophrenia: employment history, living situation, and driving. Schizophr Res 55:205-15
Kindermann, Sandra S; Dolder, Christian R; Bailey, Anne et al. (2002) Pharmacological treatment of psychosis and agitation in elderly patients with dementia: four decades of experience. Drugs Aging 19:257-76
Palmer, Barton W; Nayak, Gauri V; Dunn, Laura B et al. (2002) Treatment-related decision-making capacity in middle-aged and older patients with psychosis: a preliminary study using the MacCAT-T and HCAT. Am J Geriatr Psychiatry 10:207-11
Palmer, B W; McClure, F S; Jeste, D V (2001) Schizophrenia in late life: findings challenge traditional concepts. Harv Rev Psychiatry 9:51-8
Evans, J D; Negron, A E; Palmer, B W et al. (1999) Cognitive deficits and psychopathology in institutionalized versus community-dwelling elderly schizophrenia patients. J Geriatr Psychiatry Neurol 12:11-5

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