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Advance Directives to Manage Fears and Anxieties of Transgender People via Dementia Planning.
J Law Med Ethics
December 2024
DUKE UNIVERSITY, DURHAM, NORTH CAROLINA, USA.
As increasing proportions of our global population age, transgender people are experiencing higher rates of dementia, and many are afraid to enter long-term care. Structural interventions such as advance directives may help mitigate fears around entering long-term care by managing specific anxieties that transgender people may have about dementia, loss of decision-making capacity, and discrimination in long-term care settings.
View Article and Find Full Text PDFReevaluating ADHD and its First-Line Treatment: Insights from DSM-5-TR and Modern Approaches.
Clin Neuropsychiatry
October 2024
Ariel University, University of Cambridge.
Is Attention Deficit Hyperactivity Disorder (ADHD) a "brain disorder"? Should it be managed regularly with stimulant drugs? This article critically examines the evolving biomedical discourse surrounding these questions through a close inspection of the latest edition of the influential psychiatric manual - the DSM-5-TR - as well as additional authoritative sources (e.g., previous DSM editions, consensus statements, FDA communications).
View Article and Find Full Text PDFBrain Health Outcomes in Sexual and Gender Minority Groups: Results From the All of Us Research Program.
Neurology
October 2024
From the Department of Neurology (S.H., C.A.R., S.C.-T., D.R., N.A.S., A.d.H., K.N.S., G.J.F.), Yale Center for Brain and Mind Health (S.H., C.A.R., S.C.-T., D.R., A.d.H., K.N.S., G.J.F.), Department of Internal Medicine (S.C.-T.), Department of Neurosurgery (D.R.), and Office of Health Equity Research (D.F.S.), Yale University School of Medicine, New Haven, CT; and Weill Institute for Neurosciences (N.R.), Department of Neurology, University of California San Francisco.
Background And Objectives: Sexual and gender minority (SGM) groups have been historically underrepresented in neurologic research, and their brain health disparities are unknown. We aim to evaluate whether SGM persons are at higher risk of adverse brain health outcomes compared with cisgender straight (non-SGM) individuals.
Methods: We conducted a cross-sectional study in the All of Us Research Program, a US population-based study, including all participants with information on gender identity and sexual orientation.
An Exploration of the Peri-Diagnostic Experiences of Lesbian, Gay and Bisexual People With Dementia Using the Candidacy Framework.
Int J Geriatr Psychiatry
August 2024
Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
Objectives: How dementia affects lesbian, gay, bisexual, trans, queer people or those with other minoritised sexual/gender identities (LGBTQ+) is not well understood. Furthermore, existing research often excludes the voices of LGBTQ+ people living with dementia and focuses instead on their care partners. This study addresses this evidence gap by drawing on the ESRC/NIHR funded DETERMIND cohort, consisting of 940 newly diagnosed people with dementia, to explore the peri-diagnostic experiences of people living with dementia who identify as LGBTQ+.
View Article and Find Full Text PDFUnderstanding the lived experience research priorities for improving health-related quality of life in people living with HIV with cognitive impairment.
HIV Res Clin Pract
December 2024
Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.
Background: People living with HIV experience higher rates of cognitive impairment (CI), and at younger ages, than the general population. These individuals report poor health-related quality of life (HRQL), however, interventions aimed at assisting people living with HIV to live well with CI do not currently exist and represent an important un-met need in this population.
Objective: This study aimed to identify the lived experience research priorities for improving HRQL and identify interventions to support priority areas.
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