Clinical Gerontologist最新文献_第10页

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

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 2.3 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":2.3,"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

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 2.3 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":2.3,"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

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 2.3 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":2.3,"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 2.3 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":2.3,"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

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

Assessment of suicidal ideation and behavior in community-dwelling older adults: a systematic review. 社区居住老年人自杀意念和行为的评估：一项系统回顾。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-09-04 DOI: 10.1080/07317115.2025.2548431

Beau Nieuwenhuijs, Nico De Witte, Ellen Gorus

{"title":"Assessment of suicidal ideation and behavior in community-dwelling older adults: a systematic review.","authors":"Beau Nieuwenhuijs, Nico De Witte, Ellen Gorus","doi":"10.1080/07317115.2025.2548431","DOIUrl":"10.1080/07317115.2025.2548431","url":null,"abstract":"Objectives: This systematic review aims to provide a comprehensive overview of the available instruments to detect suicidal ideation and behavior in community-dwelling older adults. We further aim to evaluate the instruments' psychometric properties, diagnostic accuracy, and practical utility.Methods: A systematic review of PubMed, PsycINFO, Sociological Abstracts, and Web of Science databases was carried out. Risk of bias was evaluated with the COSMIN risk of bias checklist or the QUADAS 2 tool.Results: 22 studies detailing 22 instruments were found. Instruments either assessed suicidality directly or indirectly, through the assessment of depression or known risk factors. Psychometric evaluation showed that the validity was better in the original instruments rather than shortened instruments. Evidence for reliability was not always sufficient. All instruments had good diagnostic accuracy. Most instruments were suitable for primary care settings, but their use is context dependent.Conclusions: A variety of instruments are used. Additional research is required for validation and practical use.Clinical implications: Valid instruments assessing suicidality, depression, or risk factors can be used to detect suicide risk in community-dwelling older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"510-528"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991670","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

Personality Functioning Measured with the OPD-Structure Questionnaire in Older Adults With and Without Depression: The Mediating Role of the Attitude Toward Own Aging. 用opd结构问卷测量有抑郁和无抑郁老年人的人格功能：对自身衰老态度的中介作用

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-10-13 DOI: 10.1080/07317115.2025.2570180

Tobias Becker, Meinolf Peters, Simon Forstmeier

{"title":"Personality Functioning Measured with the OPD-Structure Questionnaire in Older Adults With and Without Depression: The Mediating Role of the Attitude Toward Own Aging.","authors":"Tobias Becker, Meinolf Peters, Simon Forstmeier","doi":"10.1080/07317115.2025.2570180","DOIUrl":"10.1080/07317115.2025.2570180","url":null,"abstract":"Objectives: The aim of this study was to investigate the prevalence of difficulties in personality functioning (PF) in older adults with depression and to explore the mediating role of the attitude toward own aging (ATOA).Methods: To examine differences in the level of PF between healthy older adults (n = 42) and older inpatients with depression (n = 36), the Operationalized Psychodynamic Diagnosis - Structure Questionnaire (OPD-SQ) was employed. Moreover, in the total sample of older adults (N = 78), we examined whether the relationship between the level of PF and depression is mediated by the ATOA.Results: Compared with healthy older adults, older inpatients with depression reported significantly greater structural deficits in PF, notably in the subdomains of self-perception, self-regulation, and attachment to internal objects. The mediation analysis demonstrated that the relationship between PF and depression was partially mediated by the ATOA.Conclusions: Depression is closely associated with impairments in PF even in older individuals. These impairments may be partially mediated by a negative ATOA, which in turn exacerbates depressive symptoms.Clinical implications: It seems useful to assess PF in older inpatients with depression and to accompany this with an exploration of the patient's ATOA.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"628-642"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285764","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 Validation and Cross-Cultural Adaptation of the Duke Anxiety-Depression Scale (DUKE-AD) in Persian-Speaking Older Adults. 杜克焦虑抑郁量表（Duke - ad）在波斯语老年人中的心理测量验证和跨文化适应。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-11-04 DOI: 10.1080/07317115.2025.2579844

Mehri Seyedjavadi, Parvin Sarbakhsh, Asghar Mohammadpoorasl, Abdolreza Shaghaghi

{"title":"Psychometric Validation and Cross-Cultural Adaptation of the Duke Anxiety-Depression Scale (DUKE-AD) in Persian-Speaking Older Adults.","authors":"Mehri Seyedjavadi, Parvin Sarbakhsh, Asghar Mohammadpoorasl, Abdolreza Shaghaghi","doi":"10.1080/07317115.2025.2579844","DOIUrl":"10.1080/07317115.2025.2579844","url":null,"abstract":"Objectives: Sub-threshold cases of depression and anxiety disorders in older adults are often undetected and undertreated. The 7-item Duke Anxiety-Depression Scale (DUKE-AD) assesses mental distress; this study evaluated the psychometric validity and cross-cultural applicability of its Persian version (DUKE-AD-PERSIAN).Methods: A cross-sectional study among 500 older adults assessed for content and face validity as measured by 20 experts, and estimated content validity ratio (CVR) and item-level content validity index (I-CVI). Exploratory and Confirmatory Factor Analyses (EFA, CFA) examined the factor structure.Results: Participants had a mean age of 70.62 ± 7.42 years and mean anxiety-depression score of 25.05 ± 22.39. The implemented EFA and CFA's outputs (CMIN = 29.933, DF = 11, pvalue = 0.002, CMIN/DF = 2.721, RMSEA = 0.05 (95% CI: 0.034, 0.084), PNFI = 0.511, PCFI = 0.515, TLI = 0.969, IFI = 0/984, CFI = 0.984) supported unidimensionality of the scale. The estimated reliability and stability coefficients (Cronbach's α = 0.98, ICC = 0.97) were acceptable.Conclusions: Findings supported the reliability and validity of the Persian DUKE-AD as a brief self-report measure for assessing anxiety and depression in older adults.Clinical implications: The Persian DUKE-AD enables efficient screening of anxiety and depression symptoms among older adults, facilitating early intervention in primary care and community health settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"582-595"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437666","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

Modified Fall Risk Appraisal Matrix and Mental Health in Community-Dwelling Older Adults. 改良跌倒风险评估矩阵与社区居住老年人的心理健康。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-12-29 DOI: 10.1080/07317115.2025.2606696

Dahee Kim, Ladda Thiamwong, Yingru Li, Jethro Raphael M Suarez, Rui Xie, Yan Wang, Victoria Loerzel

{"title":"Modified Fall Risk Appraisal Matrix and Mental Health in Community-Dwelling Older Adults.","authors":"Dahee Kim, Ladda Thiamwong, Yingru Li, Jethro Raphael M Suarez, Rui Xie, Yan Wang, Victoria Loerzel","doi":"10.1080/07317115.2025.2606696","DOIUrl":"10.1080/07317115.2025.2606696","url":null,"abstract":"Objectives: The fall risk appraisal (FRA) matrix provides multidimensional approaches to detecting falls in late adulthood. This study investigated a modified FRA (mFRA) matrix based on self-assessed fall risk (SFR) and fear of falling (FOF). We also compared the mental health and characteristics of the four mFRA groups: Rational (low SFR and low FOF), Irrational (low SFR and high FOF), Incongruent (high SFR and low FOF), and Congruent (high SFR and high FOF).Methods: This study used data from 181 older adults (MeanAge = 74.58, SDAge = 7.13) in Central Florida. SFR was measured using the CDC Stopping Elderly Accidents, Deaths, and Injuries fall checklist. FOF was measured using the Short Fall Efficacy Scale-International. Descriptive and group comparison analyses were performed using SPSS.Results: The participants were categorized: Rational (n = 80, 44.2%), Irrational (n = 12, 6.6%), Incongruent (n = 26, 14.4%), and Congruent (n = 63, 34.8%). Rational showed better mental health, fewer falls, and higher health literacy. In contrast, Congruent reported worse mental health, more falls, and lower health literacy.Conclusions: Findings provided empirical evidence to design fall prevention and interventions that consider older adults' experiential and psychological fall risks.Clinical implications: Fall risks of older adults may be measured and comprehended as a multidimensional concept.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"643-651"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12824839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145849065","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