Multicomponent frailty assessment tools for older people with psychiatric disorders: a systematic review

Sutton, Jennifer L., Gould, Rebecca L., Coulson, Mark, Ward, Emma V. ORCID:, Butler, Aine M., Smith, Megan, Lavelle, Grace, Rosa, Amy, Langridge, Margret and Howard, Robert J. (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. ISSN 0002-8614 [Article] (doi:10.1111/jgs.15710)

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PDF (Table 1: Frailty assessment tool domains and definite construct overlap with DSM-5 diagnostic criteria29 for seven psychiatric disorders) - Supplementary material
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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.

Item Type: Article
Research Areas: A. > School of Science and Technology > Psychology
Item ID: 25443
Notes on copyright: 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 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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Depositing User: Emma Ward
Date Deposited: 19 Oct 2018 14:41
Last Modified: 16 Jun 2021 22:57

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