Clinical Gerontologist最新文献

Associations Between Quality of Care Interactions, Behavioral and Psychological Symptoms of Dementia, and Function-Focused Care Participation Among Hospitalized Older Adults with Dementia. 住院老年痴呆患者护理互动质量、痴呆行为和心理症状以及功能护理参与之间的关系

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-04 DOI: 10.1080/07317115.2026.2666574

Rachel McPherson, Barbara Resnick, Marie Boltz, Ashley Kuzmik, Elizabeth Galik, Brittany Burch, Nayeon Kim, Shijun Zhu

{"title":"Associations Between Quality of Care Interactions, Behavioral and Psychological Symptoms of Dementia, and Function-Focused Care Participation Among Hospitalized Older Adults with Dementia.","authors":"Rachel McPherson, Barbara Resnick, Marie Boltz, Ashley Kuzmik, Elizabeth Galik, Brittany Burch, Nayeon Kim, Shijun Zhu","doi":"10.1080/07317115.2026.2666574","DOIUrl":"https://doi.org/10.1080/07317115.2026.2666574","url":null,"abstract":"Objectives: Positive staff-patient interactions are essential in acute care settings, and particularly important for patients living with dementia. The purpose of this study was to determine whether the quality of care interactions was associated with behavioral and psychological symptoms of dementia (BPSD) and function focused care participation.Methods: This study was a secondary data analysis using baseline data from the Function Focused Care for Acute Care intervention study, with a total sample of 346 patients. Descriptive statistics and multiple linear regression analyses were used.Results: The findings indicated that there was a significant relationship between quality of care interactions, BPSD, and function focused care participation. Exposure to more positive care interactions was associated with less BPSD and increased participation in function focused care activities.Conclusions: The quality of staff-patient care interactions is a modifiable factor, making it well positioned to inform future intervention approaches to improve behavioral and functional outcomes.Clinical implications: Importance should be placed on effective and positive staff-patient communication, and acute care staff should consider the use of positive interactions to manage BPSD and optimize participation in function focused care among hospitalized patients living with dementia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811805","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

Examining the Associations Between Objectively Measured Sleep Quality and Multidimensional Mental Health in Older Adults. 研究客观测量的老年人睡眠质量与多维心理健康之间的关系。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-12-28 DOI: 10.1080/07317115.2025.2606711

Jisu Kim, Nicolas Griepentrog, Jonathan Kenyon, Jessica Geller, Jaehoon Lee, Youngdeok Kim

{"title":"Examining the Associations Between Objectively Measured Sleep Quality and Multidimensional Mental Health in Older Adults.","authors":"Jisu Kim, Nicolas Griepentrog, Jonathan Kenyon, Jessica Geller, Jaehoon Lee, Youngdeok Kim","doi":"10.1080/07317115.2025.2606711","DOIUrl":"10.1080/07317115.2025.2606711","url":null,"abstract":"Objectives: This study investigated the associations between objective sleep quality parameters and multidimensional mental health, including depression and quality of life (QoL), in community-dwelling older adults.Methods: The data came from an ongoing cross-sectional study involving older adults aged ≥60, residing in an urban city. Nighttime sleep metrics were derived from wrist-worn actigraphy (ActiGraph-GT9X). Domain-specific QoL and depression were assessed using the standardized WHO-QoL-BREF and CES-D scales, respectively. Correlation and regression analyses examined the associations of interest, and subgroup analyses explored sex-specific patterns.Results: Among 47 participants [mean age = 70.3 ± 6.1 years; female = 53.2%], most participants had short total sleep time (TST; mean = 6.8 h). Significant associations were observed between sleep quality and mental health (rs = .4), with TST serving as a significant predictor of the QoL-Physical [β (95% CI) = 0.005 (0.0001-0.011), p = .042] and QoL-Social [β (95% CI) = 0.005 (0.0001, 0.010), p = .039]. Associations between TST and the QoL-Psychological [β (95% CI) = 0.008 (0.0001-0.017), p = .047] and QoL-Social [β (95% CI) = 0.011 (0.001-0.021), p = .036] were significant only in males.Conclusion: Actigraphy-measured sleep quality, particularly increased TST, was associated with better domain-specific mental health in older adults, with patterns differing by sex.Clinical implications: These findings underscore the need for targeted strategies to promote adequate sleep and well-being in the older population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"652-668"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846289","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

Validation of the Patient-Rated Version of the Parkinson Anxiety Scale in Iranian People with Parkinson's Disease. 伊朗帕金森病患者帕金森焦虑量表患者评分版本的验证

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-09-02 DOI: 10.1080/07317115.2025.2555573

Maryam Mehdizadeh, Negin Eissazade, Seyed-Mohammad Fereshtehnejad, Mohsen Shati, Seyede Salehe Mortazavi, Sayed Amir Hasan Habibi, Masoumeh Bayat, Farzaneh Fendereski, Reihaneh Akbari, Parvaneh Taghavi Azar Sharabiani, Ghorban Taghizadeh

{"title":"Validation of the Patient-Rated Version of the Parkinson Anxiety Scale in Iranian People with Parkinson's Disease.","authors":"Maryam Mehdizadeh, Negin Eissazade, Seyed-Mohammad Fereshtehnejad, Mohsen Shati, Seyede Salehe Mortazavi, Sayed Amir Hasan Habibi, Masoumeh Bayat, Farzaneh Fendereski, Reihaneh Akbari, Parvaneh Taghavi Azar Sharabiani, Ghorban Taghizadeh","doi":"10.1080/07317115.2025.2555573","DOIUrl":"10.1080/07317115.2025.2555573","url":null,"abstract":"Objectives: To evaluate the psychometric properties of the Patient-Rated Parkinson's Anxiety Scale (PAS-PR) in people with Parkinson's Disease (PwPD).Methods: In this cross-sectional study, we assessed Persian-speaking PwPD using the PAS-PR. Psychometric evaluation included: exploratory factor analysis (EFA); internal consistency (Cronbach's α), test - retest reliability (Intraclass Correlation Coefficient); PAS-PR/observer-rated PAS (PAS-OR) agreement (Bland-Altman); and convergent validity against Geriatric Anxiety Inventory (GAI), the Hospital Anxiety and Depression Scale-Anxiety (HADS-A), the Beck Anxiety Inventory (BAI), and the 21-item Depression, Anxiety, and Stress Scale (DASS-21).Results: Among 191 PwPD (58% male, mean age 69.2 ± 4.6 years; Hoehn & Yahr stages 1-4: 36.7%, 42.4%, 18.3%, and 2.6%, respectively), EFA revealed the expected three-factor structure. The PAS-PR demonstrated excellent reliability (α = 0.88; ICC = 0.96) and strong agreement with PAS-OR (96.19%). Convergent validity was established through significant correlations with GAI, HADS-A, BAI and DASS-21 (r = 0.61-0.75).Conclusions: The PAS-PR, with its acceptable psychometric properties, proves to be a valuable tool for assessing anxiety in the Persian-speaking PwPD.Clinical implications: The PAS-PR offers a practical, tailored tool for identifying diverse anxiety symptoms in Parkinson's patients, streamlining screening in clinical settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"596-604"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945346","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

Considerations for Evaluating Older Adults with Cancer for Depression: A Qualitative Survey of Experts. 评估老年癌症患者抑郁症的注意事项：专家定性调查。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2024-07-04 DOI: 10.1080/07317115.2024.2375321

Rebecca M Saracino, Ellen Park, Elyse Shuk, Barry Rosenfeld, Andrew J Roth, Christian J Nelson

{"title":"Considerations for Evaluating Older Adults with Cancer for Depression: A Qualitative Survey of Experts.","authors":"Rebecca M Saracino, Ellen Park, Elyse Shuk, Barry Rosenfeld, Andrew J Roth, Christian J Nelson","doi":"10.1080/07317115.2024.2375321","DOIUrl":"10.1080/07317115.2024.2375321","url":null,"abstract":"Objectives: The objective of this study was to engage national experts in geriatric psychiatry and oncology in qualitative interviews to develop consensus regarding how older adult cancer survivors (OACS) experience depressive symptoms, and how best to assess OACs for depression.Methods: Expert clinicians in geriatric oncology disciplines were interviewed about approaches to assessing depression in OACs. Interviews were audio-recorded and transcribed, and conducted until thematic saturation was achieved. Thematic Content Analysis was utilized to identify key themes.Results: Experts (N = 8) were board certified geriatric psychiatrists and oncologists with specialization in geriatric medicine. Two conceptual domains were identified: Key indicators of depression in OACs (e.g. anhedonia; loss of meaning and purpose; loneliness and social withdrawal) and unique considerations for depression assessment in OACs (e.g. alternative phrasing to \"depression,\" disentangling mood and cancer or treatment-related side effects).Conclusions: The approaches identified tended to depart from traditional diagnostic criteria for depression.Clinical implications: Results provide additional insight into the limitations of existing depression measures for OACs. The themes and practices identified in the present study suggest that a revised measure of depression for OACs may be useful. Future research will continue to shed light on best practices for depression assessment in OACs.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"617-627"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141497317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Behavioral and Psychological Symptoms on Financial Decision-Making Capacity in Mild to Moderate Dementia. 行为和心理症状对轻中度痴呆患者财务决策能力的影响。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-04-18 DOI: 10.1080/07317115.2025.2493254

Valeska Delineau, Ana Rita Ferreira, Ivone Duarte, Luísa Castro, Lia Fernandes

{"title":"The Impact of Behavioral and Psychological Symptoms on Financial Decision-Making Capacity in Mild to Moderate Dementia.","authors":"Valeska Delineau, Ana Rita Ferreira, Ivone Duarte, Luísa Castro, Lia Fernandes","doi":"10.1080/07317115.2025.2493254","DOIUrl":"10.1080/07317115.2025.2493254","url":null,"abstract":"Objectives: The study aims to assess the impact of behavioral and psychological symptoms on financial decision-making in individuals with mild to moderate dementia.Methods: A cross-sectional quantitative study assessed cognitive status, behavioral and psychological symptoms as well as financial capacities. A multiple regression hierarchical model determined the relative contributions of demographic, cognitive, and behavioral and psychological symptoms to financial capacity.Results: A total of 87 participants, with a median age of 84 years, were included in the study. Nearly all participants (94.5%) exhibited one or more behavioral and psychological symptoms. Greater dementia severity, increased behavioral and psychological symptoms, and lower educational levels were associated with poorer financial capacity.Conclusions: This study underlines the impact of behavioral and psychological symptoms on financial decision-making in individuals with mild to moderate dementia, even when accounting education and dementia severity. Further research is necessary to elucidate the connection between these symptoms and financial capacity.Clinical implications: The critical need for early diagnosis of dementia and its associated behavioral and psychological symptoms is highlighted. Additionally, implementing timely behavioral and psychological management strategies and encouraging patients to engage in lifetime intellectual enrichment may be helpful for preserving financial capacity and promoting independence in individuals with dementia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"681-691"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955216","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

Perceptions of Behavioral and Psychological Symptoms of Dementia as an Associated Factor of Acceptance Policies for Young-Onset Dementia in Japanese Care Facilities. 认知痴呆的行为和心理症状是日本护理机构接受政策的相关因素。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-12-04 DOI: 10.1080/07317115.2025.2597965

Kazuki Yokoyama, Suguru Shimokihara, Ryo Miyajima, Kosuke Yama, Kiyotaka Shimada, Mieko Moribayashi, Noriko Hirano, Nozomu Ikeda

{"title":"Perceptions of Behavioral and Psychological Symptoms of Dementia as an Associated Factor of Acceptance Policies for Young-Onset Dementia in Japanese Care Facilities.","authors":"Kazuki Yokoyama, Suguru Shimokihara, Ryo Miyajima, Kosuke Yama, Kiyotaka Shimada, Mieko Moribayashi, Noriko Hirano, Nozomu Ikeda","doi":"10.1080/07317115.2025.2597965","DOIUrl":"10.1080/07317115.2025.2597965","url":null,"abstract":"Objectives: Young-onset dementia (YOD) presents unique care challenges, particularly due to behavioral and psychological symptoms of dementia (BPSD). BPSD impacts long-term care acceptance; nonetheless, which symptoms most influence facility acceptance decisions remains understudied. We aimed to investigate how long-term care insurance (LTCI) facilities' acceptance policies for individuals with YOD relate to their perceptions of BPSD difficulty.Methods: A cross-sectional survey was conducted in 360 LTCI facilities in Sapporo City. Perceived difficulty of 12 BPSD domains and facility acceptance policies were assessed. Statistical analyses included chi-squared tests, decision tree analysis, and logistic regression.Results: Eight BPSD - such as delusions, anxiety, and nighttime behavioral disturbances - were significantly associated with negative acceptance policies. Decision tree and regression analyses showed that facilities perceiving nighttime disturbances and irritability as difficult were significantly less likely to accept individuals with YOD. Conversely, universally challenging symptoms such as agitation/aggression did not distinguish acceptance decisions.Conclusions: Specific combinations of perceived BPSD difficulties - particularly nighttime disturbances and irritability - were associated with the willingness of these facilities to accept individuals with YOD.Clinical implications: Targeted training focusing on nighttime disturbances, irritability, and delusions, along with enhanced information-sharing and YOD-specific support networks, may reduce care barriers and promote acceptance in LTCI settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"716-728"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676726","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

Characterization of Late-Life Hoarding Symptomology Among Rural Adults. 农村成年人晚年囤积症的症状特征。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2026-03-15 DOI: 10.1080/07317115.2026.2643628

Jarrod Williams, Mary E Dozier

{"title":"Characterization of Late-Life Hoarding Symptomology Among Rural Adults.","authors":"Jarrod Williams, Mary E Dozier","doi":"10.1080/07317115.2026.2643628","DOIUrl":"10.1080/07317115.2026.2643628","url":null,"abstract":"Objectives: Extant research on hoarding has largely taken place in urban settings, preventing generalizations to rural communities. Thus, our objective was to provide a profile of late life rural hoarding.Methods: We used data from a survey distributed at community presentations (N = 97) and data from baseline assessments administered as part of larger treatment outcome studies for geriatric hoarding (N = 55).Results: On the community sample, 33% of participants scored above the clinical cutoff on a brief screening measure. Of the older adults diagnosed with hoarding disorder, 65% lived with at least one other person and 49% were married, a strong contrast to urban samples. Participants who lived alone had higher levels of clutter than those who lived with at least one other person, but did not report higher levels of subjective hoarding symptoms.Conclusions: While rurality might lead to lower clutter levels in primary rooms in the home, it does not affect the overall volume of clutter that has accumulated, nor the subjectively experienced level of distress.Clinical implications: Our rural sample differed substantially from urban samples on characteristics that should be considered by clinicians when forming their case conceptualization for late life hoarding patients.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"542-557"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147462790","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

Measuring Mindfulness: Differences in the 15-Item Five Facet Mindfulness Questionnaire in Black and White Dementia Caregivers. 正念测量：黑人和白人痴呆症照顾者正念问卷15项五方面的差异。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-11-17 DOI: 10.1080/07317115.2025.2572803

M Lindsey Jacobs, Kate Smith, Daniel W Durkin, Phoebe R B Hulse, A Lynn Snow, Kimberly Alexander, Michelle M Hilgeman

{"title":"Measuring Mindfulness: Differences in the 15-Item Five Facet Mindfulness Questionnaire in Black and White Dementia Caregivers.","authors":"M Lindsey Jacobs, Kate Smith, Daniel W Durkin, Phoebe R B Hulse, A Lynn Snow, Kimberly Alexander, Michelle M Hilgeman","doi":"10.1080/07317115.2025.2572803","DOIUrl":"10.1080/07317115.2025.2572803","url":null,"abstract":"Objectives: Valid and reliable measurement of mindfulness is essential to identify mechanisms of change and potential racial or cultural differences in mindfulness-based interventions. We examined the psychometric properties of the Five Facet Mindfulness Questionnaire 15-item version (FFMQ-15) in a sample of Black and White caregivers of persons with dementia (PWDs).Methods: Eighty-two caregivers of PWD participated in a treatment study at a VA Medical Center. Internal consistency was calculated using Cronbach's alphas overall and separately by racial group. Average inter-item correlations were used to optimize the scale. Construct validity was examined through bivariate correlations.Results: Results indicated (a) FFMQ-15 scores demonstrated fair internal consistency overall but poor reliability among Black caregivers, (b) removing two negatively correlated items improved internal consistency for Black caregivers, and (c) mindfulness was negatively correlated with depression, anxiety, and caregiver burden.Conclusions: Findings indicate some items on the FFMQ-15 may perform differently in Black compared to White caregivers of PWD. Results interpreted with caution; additional research is needed to determine cultural or contextual influence of possible measurement inequivalence.Clinical implications: The FFMQ-15 may reflect different experiences of mindfulness among Black caregivers of PWD. Culturally responsive assessment is needed; Sociocultural factors and caregiving environment should be considered.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"558-569"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145539186","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

Attention-Deficit/Hyperactivity Disorder in Psychiatric Outpatients Aged 65 and Over: Prevalence, Impulsivity, and Clinical Outcomes. 65岁及以上精神科门诊患者的注意缺陷/多动障碍：患病率、冲动性和临床结果。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2026-03-03 DOI: 10.1080/07317115.2026.2639140

Caner Yeşiloğlu, Lut Tamam, Mehmet Emin Demirkol, Şilan Şenbayram Güzelbaba, Sinem Çetin Demirtaş, Tunahan Sun, Ali Meriç Kurt

{"title":"Attention-Deficit/Hyperactivity Disorder in Psychiatric Outpatients Aged 65 and Over: Prevalence, Impulsivity, and Clinical Outcomes.","authors":"Caner Yeşiloğlu, Lut Tamam, Mehmet Emin Demirkol, Şilan Şenbayram Güzelbaba, Sinem Çetin Demirtaş, Tunahan Sun, Ali Meriç Kurt","doi":"10.1080/07317115.2026.2639140","DOIUrl":"10.1080/07317115.2026.2639140","url":null,"abstract":"Objectives: Our study examined the prevalence of childhood and adult ADHD in older adults from clinical and control groups, focusing on impulsivity and psychiatric comorbidities.Methods: The sample included 261 participants aged 65 years and older. ADHD diagnoses were established through DSM-5-based structured clinical interviews (SCID-5), supported by standardized self-report measures (ASRS, WURS) and corroborative collateral information from relatives when available (89% of the clinical group), reflecting routine diagnostic practice in older adults. Sociodemographic variables were assessed and compared across groups.Results: Adult ADHD was diagnosed in 9.7% of the clinical group and 1.5% of controls. Probable childhood ADHD (WURS ≥ 36) was identified in 22.5% of clinical participants. Individuals with ADHD had significantly higher attentional impulsivity scores. Within the clinical group, probable childhood ADHD was associated with increased rates of suicide attempts, legal problems, and traffic violations. In multivariable analysis, ADHD diagnosis independently predicted higher impulsivity levels after controlling for age, sex, and education (p = .003).Conclusions: ADHD is associated with clinically relevant impulsivity and behavioral risks in older psychiatric patients, underscoring the importance of considering ADHD in geriatric psychiatric assessments.Clinical implications: Routine assessment of attentional impulsivity may improve ADHD recognition in older psychiatric patients.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"704-715"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343805","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

Written in Fate: Nepali Older Adults' Understanding of Suicide. 《命运：尼泊尔老年人对自杀的理解》。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-08-03 DOI: 10.1080/07317115.2025.2541765

Pralhad Adhikari, Taneile Kitchingman, Clifford Lewis, Suzanne McLaren

{"title":"Written in Fate: Nepali Older Adults' Understanding of Suicide.","authors":"Pralhad Adhikari, Taneile Kitchingman, Clifford Lewis, Suzanne McLaren","doi":"10.1080/07317115.2025.2541765","DOIUrl":"10.1080/07317115.2025.2541765","url":null,"abstract":"Objectives: This study aimed to explore Nepali older adults' understanding of suicide and its solutions.Methods: Focus groups were conducted to understand culturally appropriate ways to start conversations about suicide with Nepali older adults. Informed by the focus group findings, 24 interviews were then conducted with older adults in rural and urban areas.Results: Thematic analysis resulted in three key themes: 1) meanings of suicide (damnation, fate, unnatural death, dishonor), 2) causes of suicide (lack of social support, limited resources, declining functioning, impaired cognition, mental pain, bad deeds), and 3) solutions (family/friends support, governmental/community role).Conclusions: Cultural beliefs have shaped the perception of suicide among Nepali older adults. Their belief in fate can be a barrier to preventing suicide. However, their belief that suicide results in bad afterlife consequences can be exploited to potentially prevent it. Moreover, older adults thought that suicide prevention involves roles for family, community, and government.Clinical implications: Interventions designed to increase mental health literacy and to capitalize on the practice of mindfulness associated with local religions may help to prevent suicide among Nepali older adults. Moreover, community resources should be available to assess the risks of suicide and offer support to vulnerable older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"529-541"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774793","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