Clinical Gerontologist最新文献

Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-01 DOI: 10.1080/07317115.2025.2487003

Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens

{"title":"Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm.","authors":"Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens","doi":"10.1080/07317115.2025.2487003","DOIUrl":"https://doi.org/10.1080/07317115.2025.2487003","url":null,"abstract":"Objectives: A biopsychosocial model of self-harm risk factors in older adults was explored, distinguishing between direct and indirect self-harm.Methods: A cross-sectional, matched pair sample was drawn from a community-dwelling sample of 625 adults aged 60 years and over, including 44 participants with and 44 without self-harm. Mean age was 68.7 years (age range = 60-91). Data were gathered using a survey composed of validated instruments and additional self-developed items.Results: From our total sample, 8.2% had engaged in self-harm at age 60 and over. Indirect methods (e.g. substance misuse, not eating) were most common. The presence of a mental disorder, emotional loneliness, cognitive and physical frailty, and a lack of resilience were identified as potential risk factors. Those who have engaged in direct or both types of self-harm exhibit higher levels of these factors. A stepwise regression model showed that only emotional loneliness and mental disorder(s) were significantly associated with self-harm in old age.Conclusions: Investigating self-harm (subtypes) among community-dwelling older adults is vital, especially in those with a mental disorder and emotional loneliness.Clinical implications: Clinicians should be vigilant for self-harm in older adults, particularly for indirect methods and among those with a mental disorder and who experience emotional loneliness.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Virtual Reality-Based Nature Meditation Program for Older Adults' Mental Health: Results from a Pilot Randomized Controlled Trial.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-28 DOI: 10.1080/07317115.2025.2482089

Isabel Sadowski, Marianne Meilleur-Bédard, Bassam Khoury

{"title":"A Novel Virtual Reality-Based Nature Meditation Program for Older Adults' Mental Health: Results from a Pilot Randomized Controlled Trial.","authors":"Isabel Sadowski, Marianne Meilleur-Bédard, Bassam Khoury","doi":"10.1080/07317115.2025.2482089","DOIUrl":"https://doi.org/10.1080/07317115.2025.2482089","url":null,"abstract":"Objectives: The rapid aging of the global population necessitates innovative interventions to address older adults' mental health. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of a 4-week, 8-session nature-mindfulness-compassion program using immersive virtual reality (Embodied-and-Embedded-Mindfulness-Compassion-Framework - Virtual-Reality (EEMCF-VR)) for older adults' mental health.Methods: Following a mixed-methods, two-arm, open-label RCT design, 24 older adults (Mage = 75.1, SD = 6.58) were randomly assigned to EEMCF-VR (n = 12) or a psychoeducational pamphlet control group (n = 12). Participants completed self-report assessments of stress, positive and negative emotions, coping self-efficacy, psychosocial well-being, mindfulness, and nature connectedness at baseline (T1), midpoint (T2), post-intervention (T3), and 4-week follow-up (T4). Additionally, the EEMCF-VR group completed program feedback (T3) and simulator sickness (T1-T3) questionnaires.Results: EEMCF-VR met feasibility benchmarks (recruitment targets achieved, attrition < 15%) and was well-tolerated (minimal simulator sickness). Participant feedback indicated high acceptability. The EEMCF-VR group reported significantly lower stress and negative emotions at T2 and T4 compared to controls. Qualitative analysis highlighted perceived benefits and components to retain (e.g. video content) or refine (e.g. headset weight).Conclusions: EEMCF-VR demonstrated feasibility and acceptability, with promising effects on stress and mood, warranting investigation in larger trials.Clinical implications: EEMCF-VR shows potential as a scalable intervention to reduce older adults' emotional distress.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-21"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Chronic Tinnitus in Hearing Loss-Related Depression: Insights for Middle-Aged and Older Adults.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-25 DOI: 10.1080/07317115.2025.2482877

Ying Cui, Huimin Du

{"title":"The Role of Chronic Tinnitus in Hearing Loss-Related Depression: Insights for Middle-Aged and Older Adults.","authors":"Ying Cui, Huimin Du","doi":"10.1080/07317115.2025.2482877","DOIUrl":"https://doi.org/10.1080/07317115.2025.2482877","url":null,"abstract":"Objectives: This study examines whether chronic tinnitus mediates the relationship between hearing loss and depression in middle-aged and older adults, providing insights into the pathways linking auditory impairment and mental health challenges.Methods: Data from 3,241 adults aged 50 and older were obtained from the 2011-2012, 2015-2016, and 2017-2018 NHANES cycles and analyzed. Logistic regression assessed the hearing loss - depression association, and mediation analysis tested the mediating role of chronic tinnitus. Subgroup analyses explored age differences.Results: Hearing loss increased the odds of depressive symptoms, with chronic tinnitus mediating 16.83% of this effect. In middle-aged adults, chronic tinnitus served as a full mediator in the hearing loss - depression pathway, acted as a partial mediator in adults aged 60-69, and showed no mediating effect in those aged 70 and older.Conclusions: Hearing loss, chronic tinnitus, and depression are closely linked in middle-aged and older adults. Age-sensitive screening and integrated care addressing both hearing and mental health are crucial to improve well-being.Clinical implications: Combining hearing rehabilitation with tinnitus counseling and mental health support may improve psychological outcomes in older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-17"},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric Evaluation of an Arabic Language Version of the Geriatric Sleep Questionnaire-6 Items (GSQ-6) in Community-Dwelling Older Adults.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-23 DOI: 10.1080/07317115.2025.2481118

Marwa Ibrahim Mahfouz Khalil, Reem Said Shaala, Mayar Elnakeeb, Enas Fouad Sayed Mousa, Feten Fekih-Romdhane, Souheil Hallit

{"title":"Psychometric Evaluation of an Arabic Language Version of the Geriatric Sleep Questionnaire-6 Items (GSQ-6) in Community-Dwelling Older Adults.","authors":"Marwa Ibrahim Mahfouz Khalil, Reem Said Shaala, Mayar Elnakeeb, Enas Fouad Sayed Mousa, Feten Fekih-Romdhane, Souheil Hallit","doi":"10.1080/07317115.2025.2481118","DOIUrl":"https://doi.org/10.1080/07317115.2025.2481118","url":null,"abstract":"Objectives: Assessing sleep quality and patterns in later life is essential for accurately diagnosing and effectively treating sleep problems and their associated consequences. The Geriatric Sleep Questionnaire-6 (GSQ-6) is a widely used self-report questionnaire that assesses sleep quality and disturbances specifically among older adults. This study aimed to translate the scale into Arabic and evaluate its psychometric properties in an older Arabic-speaking adults' population.Methods: The GSQ-6 was translated into Arabic using forward and backward translation procedures, and was administered to a convenience sample of 539 older adults.Results: The CFA results supported the unidimensional factor structure proposed by the developers. The McDonald's omega value was of 0.70, indicating acceptable internal consistency. The measurement model had an equivalent factor structure across sex. GSQ-6 scores correlated negatively with quality of life and resilience, and positively with neglect and abuse scores, supporting the validity of our Arabic translation.Conclusions: The Arabic GSQ-6 demonstrated good psychometric properties. The findings support its use as a valid and reliable measure for evaluating sleep quality among the Arabic-speaking older adult population.Clinical implications: The Arabic GSQ-6 now provides clinicians with an evidence-based means of incorporating routine sleep quality evaluation as part of their patient assessments.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Befriending, Loneliness, and Quality of Life of Older Adults: A Pilot Evaluation Study. 结交朋友、孤独感和老年人的生活质量：试点评估研究

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-21 DOI: 10.1080/07317115.2025.2481124

Joanna McHugh Power, Eimíle Holton, Brian A Lawlor, Frank Kee, Thomas Scharf, Seán Moynihan, Michelle E Kelly, Caoimhe Hannigan

{"title":"Befriending, Loneliness, and Quality of Life of Older Adults: A Pilot Evaluation Study.","authors":"Joanna McHugh Power, Eimíle Holton, Brian A Lawlor, Frank Kee, Thomas Scharf, Seán Moynihan, Michelle E Kelly, Caoimhe Hannigan","doi":"10.1080/07317115.2025.2481124","DOIUrl":"https://doi.org/10.1080/07317115.2025.2481124","url":null,"abstract":"Objectives: An aggregated interventional N-of-1 or single-case design was used to assess the impact of a befriending intervention on a) health-related quality of life (HR-QoL), and b) the association between loneliness on HR-QoL among older adults.Methods: Participants were n = 33 new users of the service, aged 60 + . Outcomes were measured at 13 timepoints across 26 weeks, and data were analyzed using generalized additive modeling (GAM) with a subset of data analyzed using supplementary visual analysis.Results: Results indicate that the befriending service may reduce decline of HR-QoL (i.e. HR-QoL declined in the baseline phase over time: edf = 3.893, F = 3.0, p = .002, while in the treatment phase, HR-QoL remained more stable: edf = 5.98, F = 2.98, p = .008). The intervention also suppressed the impact of loneliness on HR-QoL.Conclusions: Befriending interventions may prevent declines in HR-QoL, and may moderate the impact of loneliness on HR-QoL.Clinical implications: Our preliminary findings suggest that befriending services may be useful if clinicians have concerns about the health impacts of loneliness for older people. It is difficult to evaluate community-based services, and we consider the challenges we faced, with a view to assisting others planning similar evaluations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Six Year Longitudinal Study of Older Korean Women with Functional Limitations, Chronic Pain, and Depressive Symptoms Who are Living Alone or in Multi-Person Households.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-14 DOI: 10.1080/07317115.2025.2479046

Ji-Young Choi

{"title":"A Six Year Longitudinal Study of Older Korean Women with Functional Limitations, Chronic Pain, and Depressive Symptoms Who are Living Alone or in Multi-Person Households.","authors":"Ji-Young Choi","doi":"10.1080/07317115.2025.2479046","DOIUrl":"https://doi.org/10.1080/07317115.2025.2479046","url":null,"abstract":"Objectives: This study examines not only the effects of functional limitations and chronic pain on depressive symptoms in older South Korean women, but also the moderating effect of living arrangements on these relationships.Methods: This study employed a Correlated Random Effects model using panel data from Wave 5 to Wave 8 of the Korean Longitudinal Study of Ageing. The final sample included 2,443 individuals and 8,360 observations.Results: The more severe the degree of functional limitations and chronic pain, the higher the level of depressive symptoms in older Korean women. Furthermore, the results of the Correlated Random Effects model showed that the associations between functional limitations and depressive symptoms were more positive among women living alone.Conclusions: Given the variation in depressive symptoms by living arrangement among older women with functional limitations, the findings underscore the potential importance of living arrangements in the quality of life of older adults in South Korea.Clinical implications: With an increase in the older population, the number of older women living alone is also growing. To enhance the quality of life in old age, interventions related to geriatric primary care or home care would be needed for older women living alone.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Mastery and Dementia Caregiver Burden: A Systematic Review and Meta-Analysis.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-11 DOI: 10.1080/07317115.2025.2477588

Elizabeth Cousins-Whitus, Erin Burke, Mary Beth Spitznagel

{"title":"Self-Mastery and Dementia Caregiver Burden: A Systematic Review and Meta-Analysis.","authors":"Elizabeth Cousins-Whitus, Erin Burke, Mary Beth Spitznagel","doi":"10.1080/07317115.2025.2477588","DOIUrl":"https://doi.org/10.1080/07317115.2025.2477588","url":null,"abstract":"Objectives: Dementia caregiving often results in caregiver burden, but self-mastery may buffer against burden's negative impact. This work explores the link between these variables, examining potential moderators, through systematic review and meta-analysis.Methods: A PubMed, PsychInfo, Scopus, and Medline search in April 2024 resulted in 25 eligible studies. The Appraisal tool for Cross-Sectional Studies assessed bias risk. Meta-regression via continuous random effects model was conducted in R to examine the relationship between dementia caregiver burden and self-mastery as well as moderating variables.Results: A medium strength meta-correlation, r=-.347 (95% CI: -.413, -.278, p < .0001) was detected. Percent of extended family caregivers (e.g. nieces, cousins, grandchildren; β=-1.01, 95% C.I. (-1.71, -.32), p < .01) and percent of cases with frontotemporal dementia (β=-.67, 95% C.I. (-1.20, -.13), p < .05) attenuated the relationship.Conclusions: Results may support the role of self-mastery in mitigating effects of caregiver burden, though experiences unique to extended family or frontotemporal dementia may weaken that relationship. The current review was limited by lack of diversity in potential moderator variables, pointing to needs for future research.Clinical implications: Findings highlight the robustness of the relationship between self-mastery and caregiver burden, possibly informing self-mastery-based interventions and helping clinicians identify and treat at-risk caregivers.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-20"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Gerotranscendence Leading to Optimal Well-Being [GLOW] Program: A Feasibility Study in a Long-Term Care Facility.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-08 DOI: 10.1080/07317115.2025.2474983

Taiane Abreu, Lia Araújo, Laetitia Teixeira, Oscar Ribeiro

{"title":"The Gerotranscendence Leading to Optimal Well-Being [GLOW] Program: A Feasibility Study in a Long-Term Care Facility.","authors":"Taiane Abreu, Lia Araújo, Laetitia Teixeira, Oscar Ribeiro","doi":"10.1080/07317115.2025.2474983","DOIUrl":"10.1080/07317115.2025.2474983","url":null,"abstract":"Objectives: Gerotranscendence has gained recognition as an important psychosocial theory, with leading studies promoting it through intervention programs. However, to date, few interventions have involved older adults living in Long-Term Care (LTC) facilities. This study aimed to explore the viability of implementing six-week program on gerotranscendence [GLOW] in an LTC facility.Methods: A feasibility study was conducted with a group of six residents. Screening, consent, retention, adherence, and social validity indicators were considered. A Non-Pharmacological Therapy Experience Scale (NPT-ES) was used to assess the participation and engagement of each participant throughout the sessions. A focus group was also conducted.Results: The consent, retention, and adherence rates for the program were satisfactory (100%), while the screening rate (22.22%) was lower due to the inclusion criteria. Participants agreed that the program was important and interesting. The scores of NPT-ES were high and increased over the course of the sessions.Conclusions: The GLOW program can be considered a feasible, acceptable, and valuable tool for promoting gerotranscendence in older adults living in an LTC.Clinical implications: Promoting an intervention rooted in gerotranscendence can be beneficial for older adults who live in LTC facilities on educational and emotional levels.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Virtual Reality Sessions on the Mental Health of Institutionalized Older Adults.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-20 DOI: 10.1080/07317115.2025.2462002

Julie Restout, Iouri Bernache-Assollant, Stéphane Mandigout, Anaïck Perrochon

{"title":"Effect of Virtual Reality Sessions on the Mental Health of Institutionalized Older Adults.","authors":"Julie Restout, Iouri Bernache-Assollant, Stéphane Mandigout, Anaïck Perrochon","doi":"10.1080/07317115.2025.2462002","DOIUrl":"https://doi.org/10.1080/07317115.2025.2462002","url":null,"abstract":"Objectives: The aim of this study is to assess the effect of virtual reality (VR) sessions on the mental health of older adults.Methods: This interventional multicentric study included 68 participants in residential aged care facilities in Auvergne-Rhône-Alpes and Nouvelle-Aquitaine (France). The intervention consisted of eight VR sessions that incorporated a personalized 360° video followed by social interaction. Changes in anxiety, depression, quality of life, emotional state, identification with care community, and loneliness were assessed in pre- and post-intervention. Experience with VR, such as sense of presence and cybersickness, were assessed after the first session.Results: There was a significantly reduced depression score (pre Mean (M) = 5.2 ± 3.5; post M = 4.5 ± 3.3; p = .02) and a significantly increased quality of life score (pre M = 29.1 ± 5.3; post M = 29.8 ± 4.2; p = .03), but no reduction in the anxiety score. Average cybersickness was minimal (8.4 ± 11.2). Finally, the average sense of presence felt was high (5.6 ± 1.2).Conclusions: This study shows the potential of VR sessions to enhance the mental health of institutionalized older adults. To substantiate these preliminary findings, a rigorously designed Randomized Controlled Trial may be essential.Clinical implications: This intervention can be applied to institutionalized older adults to promote their mental health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Uncovering Psychosocial Contexts in Goals of Care Conversations: A Qualitative Study in a Multi-Centered Randomized Controlled Trial.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-17 DOI: 10.1080/07317115.2025.2464023

Julia Gambino, Lindsay M Schlichte, Marie C Haverfield, Craig Libman, David B Bekelman, Jessica E Ma

{"title":"Uncovering Psychosocial Contexts in Goals of Care Conversations: A Qualitative Study in a Multi-Centered Randomized Controlled Trial.","authors":"Julia Gambino, Lindsay M Schlichte, Marie C Haverfield, Craig Libman, David B Bekelman, Jessica E Ma","doi":"10.1080/07317115.2025.2464023","DOIUrl":"10.1080/07317115.2025.2464023","url":null,"abstract":"Objectives: Patients often struggle with psychological and social stressors that accompany life-limiting chronic illness. Because psychosocial concerns may be conveyed through emotional sentiments, this study aimed to identify emotional expressions to describe psychosocial contexts communicated during goals of care conversations.Methods: This qualitative study evaluated 26 transcripts of goals of care conversations using a \"goals of communication guide\" from the ADvancing system Alleviation with Palliative Treatment (ADAPT) trial in VA Eastern Colorado and Puget Sound Health Systems. Using an inductive and deductive approach, a codebook was developed to examine participants' expressed emotions regarding overall goals of care, illness, end of life, and family involvement. Major themes around psychosocial concerns were summarized.Results: Four themes on psychosocial contexts in goals of care conversations emerged, with instances of both positive and negative affect. Participants commonly discussed contexts relating to: acceptance of illness, the feeling of being a burden; illness transitions; and suffering from disease.Conclusions: Unprompted within these conversations, patient emotional sentiments in goals of care conversations highlight psychosocial contexts important to patient values and preferences around treatment decisions.Clinical implications: Emphasis on clinician recognition of these psychosocial contexts may help clinicians better support and elicit patient goals and preferences.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0