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1 Age Discrimination in Employment Act (ADEA),385 Ageism, Aging, 3-15 biases associated with, 450 demographics of, 3, 19 and heterogeneity of population, AIDS; see HIV Alzheimer's Disease, 116, 277, 325, ; see also Dementia American Association on Mental Deficiency (AAMD) Adaptive Behavior Scale, 326 American Association on Mental Retardation (AAMR), 323 American Geriatrics Society, 8 American Psychological Association (APA) Division on Adult Development and Aging (Division 20), 19 Anxiety, age of onset, assessment, clinician ratings, self-ratings comorbidity, demographic correlates of, nature of, prevalence of, treatment, cognitive-behavioral, pharmacological, utilization of services, Anxiety Disorders Interview Schedule (ADIS), 224,233 Arousal Predisposition Scale, 283 Baltimore Longitudinal Study of Aging, 9 Beck Depression Inventory (BDI), 202, 233, 282,473 Behavior Analysis Form (BAF), 61 Behavioral gerontology, behavioral approaches, behavior modification, assessment, problem definition of, treatment evaluation, 60 treatment implementation, treatment planning, cognitive-behavioral, 67 Florida model, self-management, behavioral model, advantages of, problems associated with consistency. 62 dementia, generalization, 63 placement, 64 Behavioral medicine, definition of, Beliefs and Attitudes about Sleep Scale, 283 Bereavement, characteristics. 432 effects, on mental health, on mortality and morbidity, grief and older adults, social support in the context of, stages, treatment, Brief Symptom Inventory, 282 Cardiovascular responsivity (CVR), 481 Caregiving, caregiver distress, ethnic and cultural minorities as family caregivers, 482 historical aspects of, 470 informal caregiving, men in caregiving role, psychological aspects of,

2 570 Center for Epidemiological Studies-Depression Scale (CES-D), 202, 473 Chronic obstructive pulmonary disease (COPD),278 Cognitive restructuring (CR), 66 Comprehensible Assessment and Referral Evaluation (CARE), 202 Consensus Development Conference on Diagnosis and Treatment of Depression in Late Life. 203 Coolidge Axis II Inventory (CAT!), 311, 313 Creutzfeldt-Jakob Disease, 121 Dementia, 63-64, circadian rhythms, decisional capacity and, 78 definition of, diagnosis, ethical considerations, general medical conditions and, 118 treatment, types, Depression, assessment, circadian rhythms in, 545 depressive disorders, age of onset, 197 classification, prevalence, 195 etiology, physical illness, physiological factors, 199 psychosocial factors, 198 treatment, biological, electroconvulsive therapy (ECT), pharmacotherapy, monoamine oxidase inhibitors (MAOIs), 210 selective serotonin reuptake inhibitors (SSRIs), tricyclics, 209 psychotherapy, cognitive-behavioral, 204 interpersonal, psychodynamic, 205 reminiscence, Diagnostic Interview Schedule (DIS), 201 Diagnostic and Statistical Manual of Mental Disorders, 301 Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition-Revised (DSM-III-R), 202, 223, 224, 225,227,281,303,313,414 Diagnostic and Statistical Manual of Mental Disorders. 4th Edition (DSM-IV), 114, 154, 177, ,251, Down syndrome, 324, 325, Duke Adaptation Study, 9 Eating disorders. 357 Elder abuse and neglect, assessment, definitions, detection, epidemiology, 558 etiology, intervention, prevalence, Epidemiological Catchment Area Study (ECA), 195,217,229 Ethical considerations, ethical code, benefits, limitations, moral thinking, special concerns of geropsychology, Ethical Considerations and Code of Conduct, 71 Falls, behavioral medicine interventions for, Generalized Anxiety Disorder (GAD), 218, 221, ,225,227,229,233 Geriatric Depression Scale (GDS), 202 Gerontological Society of America, 8 Gerontology Alcohol Project (GAP), 160 Geropsychology, 3-15 clinical issues, heterogeneity of population, placement. 26 under-utilization funding, 25 ethical issues, assessment, decisional capacity, suicide, existential considerations, future perspectives, historical aspects, 3-13 journals in, 12 mental health, 4-5 variables of study in, 4 Hamilton Anxiety Rating Scale (HARS), 225, 233 Hamilton Rating Scale for Depression (HRS-D), 202,226,233

3 Head trauma, as cause of dementia, Health Maintenance Organizations (HMOs), 23 HIV, 118, Hopkins Symptoms Checklist (HSCL), 219, 226 Huntington's disease, 120 International Personality Disorder Examination,312 Kansas City Studies of Adult Life, 10 Longitudinal Interval Follow-up Evaluation (LIFE),202 Marital relations, and divorce, and gender, and long-term intimate relationships, impact of marital therapy on, diagnostic issues, 462 procedures for older adults, the 7Cs model, impact ofremarriage on, impact of retirement on, in older versus younger marriages, 451 problem areas, McArthur Foundation Successful Aging studies, 195 McGill Pain Questionnaire (MPQl, 416 Medicare, 10, Memory, interventions, applications of, implications for clinical practice, with cognitively impaired, normal memory aging, cognitive mechanisms, definition of, 88 individual differences in, long-term memory, non-cognitive differences in, short-term memory, 91 pathological memory aging, Mental retardation, and caregiving, and dementia, 334 and depression, 334 diagnosis and assessment, adaptive behavior, behavior problems, 330 cognitive functioning, physical health, residential services for, and retirement, and service delivery, treatment, behavioral interventions, in Down syndrome and Alzheimer's disease, physical/motor ability, psychotropic medication, 332 Michigan Alcoholism Screening Test (MAST), 155 Millon Clinical Multiaxial Personality Inventory, (MCMI), 309, , 313 Minnesota Multiphasic Personality Inventory (MMPI), , 313 Minority issues, caregiving, demographics, in mental health, in physical health, Missouri Inpatient Behavioral Scale (MIBS), 226 Mourning, Multidimensional Functional Assessment Questionnaire (MFAQl, 202 National Drug and Alcoholism Treatment Unit survey, 157 National Institute of Mental Health (NIMH), 11, 25,217 National Institute on Aging (NIA), 11 National Institutes of Health (NIH), 9 National Nursing Home Survey (NNHS), 328 Nocturnal penile tumescence (NPT), 263 Obesity, 356 Older Alcohol Rehabilitation (OAR), 157 Older Americans Resources and Services (OARS),202 Older Americans Act (OAA), 10 Pain management, and anxiety, 414 assessment, 416 and depression, use of serotonin in, 413 psychophysics of, treatment, 414, behavioral techniques, biofeedback, cognitive-behavioral techniques, exercise, 421 hypnosis, pharmacological control, relaxation techniques, 420 stress-inoculation therapy, 420 transcutaneous electrical nerve stimulation (TENS), 423

4 572 Parkinson's disease, Penile-brachial index (PBI), 263 Penn State Worry Questionnaire (PSWQ), 227, 229 Personality Diagnostic Questionnaire-IV, 312 Personality disorders, assessment, Coolidge Axis II Inventory (CATI), 311 Millon Clinical Personality Inventory (MCMI), Minnesota Multiphasic Inventory (MMPI), definition of, diagnosis, DSM-IV personality disorders, treatment, Physical activity, actigraphy, circadian rhythms and, aging effects on, dementia and, depression and, 545 sleep and, sundowning and, and disability, hypokinetic disease, exercise, adherence to, and anxiety, 534 and cognition, and depression, and disease risk, and life extension, and physical health, and recovery, 532 life-style, 526 nocturnal activity, sleep, disorders of, apnea, 540 arthritis and, insomnia, Parkinson's disease and, 542 restless legs and, 541 sleep-onset spectrum, personality variables and, Pick's disease, Pittsburgh Sleep Quality, 283 Post-traumatic stress disorder (PTSD), 218 Pre-Sleep Arousal Scale, 283 Prevention, of categorical disorders, delirium, dementia, mood disorders, 502 clinical logic of, definition of, of dimensional disorders, substance abuse disorders, of mental disorders, risk factors, 496 strategies for prevention Prostate specific antigen (PSA) levels, 265 Psychoanalytic theory, adult development and lifecycle perspective, cognitive dimension developmental lines, 36 moral dimension, narcissism, object-relations dimension, 41 psychosexual dimension, psychosocial dimension work identity. 39 structural dimension transitional objects, mourning, and melancholia, 46 psychoanalytic models, developmental theory, modern structural theory, 32 object-relations theory. 31 self psychology, Psychogeriatric Assessment and Treatment in City Housing (PATCH), 14 Relapse Prevention (RP) model of addictive behavior,66 Retirement, compulsory retirement, definition of, financial preparation for, and gender, and health, historical aspects, occupational variables in, phases of, 385 process approach to, 385 recent changes associated with, theories of, activity theory, congruence theory, continuity theory, developmental theory, disengagement theory, personality theories, 405 stress and coping theory, and typology ofretirement, San Francisco Geriatric Screening Project, 10 Schedule for Affective Disorders and Schizophrenia (SADS), 202,472 Schizophrenia,

5 age and onset early-onset gender late-onset current conceptualization outcome variables cohort, comorbidity, family, 181 medication biopsychosocial treatment model, biological, psychosocial, stress-vulnerability model, 186 Sexual behavior aging and biological factors and cohort effects on, of established partners, health and, non-intercourse sexual activities, masturbation, socio-economic status and Sexual dysfunction assessment etiology, prevalence sexual satisfaction and treatment Sleep Behavior Self-Rating Scale, 283 Sleep disturbances assessment, 280 behavioral, sleep laboratory evaluation clinical history psychological self-monitoring. 282 clinical implications drug-dependent insomnia. 292 etiology behavioral factors. 180 circadian factors. 280 medical factors psychological factors prevalence treatment, cognitive therapy, education, pharmacotherapy, 291 relaxation sleep restriction stimulus control, with dementia types and dementia and depression. 277 changes in sleep patterns, insomnia other sleep disorders Smoking cessation, 360 physiological difficulties. associated with Social Security Federal Insurance Contributions Act (FICA). 20 and Health Maintenance Organizations. (HMOs). 23 Medicare and Medicaid Social Security Amendments of Supplemental Security Income (SSI). 22 Spielberger State Trait Anxiety Inventory (STAll. 219, , 233, 283 Spinal cord injuries, 371 Stanford-Binet Intelligence Scale: Fourth Edition.326 Stress, chronic illness and. 354 in older versus younger adults Structured Clinical Interview for DSM-III-R (SCID), Structured Clinical Interview DSM-IV (SCID-Ill Structured Clinical Interview-Nonpatient version (SCID-NP), 472 Structured Interview for DSM-IV Personality (SPID-IV). 312 Structured Interview for Sleep Disorders, 281 Substance abuse disorders age-related issues , 154 alcohol in diagnosis illicit drugs in, 149 prescribed and non-prescribed psychoactive drugs in prevention tobacco in. 149 treatment behavioral community outreach. 162 detoxification. 158 family therapy group therapy, patient-treatment matching, psychosocial therapy self-help. 163 Substance-Induced Persisting Dementia, Successful aging, Suicide, Tardive dyskinesia, Treatment adherence

6 574 Tremors, behavioral medicine interventions for, Type A Behavior, United States Federal policy in, Legislative issues, US Department of Health and Human Services' Task Force on Aging Research, 14 University of Minnesota Center for Residential and Community Services (CRCS), 329 Vacuum construction device (VCD), 265 Vascular dementia, Vineland Adaptive Behavior Scale, 326 Visual Analog Scale (VAS), 416 Wechsler Adult Intelligence Scale-Revised (WAIS-R), 326 White House Conference on Aging (WHCoA), 10 Zung Self-Rating Anxiety Scale (SAS), 226 Zung Self-Rating Depression Scale (SRS). 202

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