Clinical Gerontologist最新文献_第10页

Effectiveness of a Treatment in Older Adults on Physical Frailty, Anxiety, and Depression: A Longitudinal Study Including Workshops on Cognitive Stimulation, Creative Arts, Digital Literacy, and Physical-Motor Activity. 老年人身体虚弱、焦虑和抑郁治疗的有效性：一项纵向研究，包括认知刺激、创意艺术、数字素养和身体运动活动讲习班。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-21 DOI: 10.1080/07317115.2025.2494636

Silvia Silva, Ricardo Pocinho, Sara Gordo, Juan José Fernández Muñoz

{"title":"Effectiveness of a Treatment in Older Adults on Physical Frailty, Anxiety, and Depression: A Longitudinal Study Including Workshops on Cognitive Stimulation, Creative Arts, Digital Literacy, and Physical-Motor Activity.","authors":"Silvia Silva, Ricardo Pocinho, Sara Gordo, Juan José Fernández Muñoz","doi":"10.1080/07317115.2025.2494636","DOIUrl":"https://doi.org/10.1080/07317115.2025.2494636","url":null,"abstract":"Objectives: The main purpose of this study is to analyze the effectiveness of a treatment for community-dwelling older adults on physical frailty, anxiety, and depression.Methods: The sample consisted of 28 participants, of whom 85.71% were female and 14.29% were male. An initial evaluation (T0) was conducted in early 2023, followed by an intervention program from March to October 2023, which included weekly workshops on physical activity, cognitive functions, arts, digital literacy, and well-being. A reevaluation (T2) was carried out between November and December 2023 to assess the program's impact.Results: The main results of the study showed significant improvements in anxiety, depression, and physical frailty between the two measurements.Conclusions: This study highlights the importance of intervention programs for addressing physical and psychological frailty in older individuals. Clinical implications: it includes the importance of implementing comprehensive interventions that combine physical activity, mental well-being, cognitive stimulation, and emotional support to effectively address and reduce anxiety, depression, and physical frailty in older adults, thereby promoting overall health and quality of life.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967955","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 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 2.6 3区医学

Clinical Gerontologist Pub 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":"https://doi.org/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":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-04-18","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

Depressive/Anxiety Symptoms in Homebound Older Adults: Mediation Effects of Loneliness and Psychological Well-Being. 居家老年人抑郁/焦虑症状：孤独感与心理健康的中介作用

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-17 DOI: 10.1080/07317115.2025.2493253

Namkee G Choi, Angelina Gutierrez, Brian Fons, Kelly Vences, C Nathan Marti

{"title":"Depressive/Anxiety Symptoms in Homebound Older Adults: Mediation Effects of Loneliness and Psychological Well-Being.","authors":"Namkee G Choi, Angelina Gutierrez, Brian Fons, Kelly Vences, C Nathan Marti","doi":"10.1080/07317115.2025.2493253","DOIUrl":"https://doi.org/10.1080/07317115.2025.2493253","url":null,"abstract":"Objectives: To examine the direct effect of a homebound state (defined as never/rarely going outside the home in the preceding month) on depressive/anxiety symptoms and the mediation effect of loneliness and psychological well-being on the associations between homebound state and depressive/anxiety symptoms.Methods: Data came from the 2023 National Health and Aging Trend Study (N = 7,547 community-dwelling Medicare beneficiaries age 65+). We fitted a path model to examine the research questions. To test the statistical significance of the mediation effect, we used bootstrapped analysis to obtain estimates of the indirect effects and their 95% CIs.Results: We found significant direct and indirect effects. The ratio of the indirect effect of loneliness on a homebound state (0.13) to the total effect of a homebound state on depressive/anxiety symptoms was 0.14. The ratio of the indirect effect of psychological well-being on a homebound state (0.28) to the total effect of a homebound state on depressive/anxiety symptoms was 0.26.Conclusions: Loneliness and psychological well-being, or lack thereof, significantly mediate the relationship between homebound state and depression/anxiety in homebound older adults.Clinical implications: Interventions to decrease loneliness and improve psychological well-being among homebound older adults are needed to alleviate their depression/anxiety.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977573","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 Later Life Depression Knowledge Questionnaire (LLD-KQ): Development and Initial Validation. 晚年抑郁知识问卷（LLD-KQ）：开发与初步验证。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-08 DOI: 10.1080/07317115.2025.2488953

Abigail J Laine, Kamila S White, Ann M Steffen

{"title":"The Later Life Depression Knowledge Questionnaire (LLD-KQ): Development and Initial Validation.","authors":"Abigail J Laine, Kamila S White, Ann M Steffen","doi":"10.1080/07317115.2025.2488953","DOIUrl":"https://doi.org/10.1080/07317115.2025.2488953","url":null,"abstract":"Objectives: Later life depression is an important mental health concern requiring knowledge and skill competencies for behavioral health providers. This study developed and evaluated the initial validity of the Later Life Depression Knowledge Questionnaire (LLD-KQ) as a measure of clinical knowledge of later life depression.Methods: Domain identification, item generation, and content validity were first explored with five geropsychologists. Initially drafted questions were pre-tested with 10 additional geropsychologists. A pool of prospective survey items was administered to licensed masters-level social workers (n = 300) for individual item examination, confirmatory factor analyses testing 1- and 3-factor models, and initial estimates of reliability and validity.Results: From the pool of items pertaining to three identified domains (i.e. psychopathology, assessment/diagnosis, and treatment), 25 items were retained for the final LLD-KQ. The three-factor CFA model did not demonstrate adequacy above that of the single factor CFA model. The results provide initial support for internal consistency and construct validity.Conclusions: Initial psychometric support for the LLD-KQ was observed while further research on scale dimensionality is warranted.Clinical implications: The LLD-KQ may advance research on behavioral health providers' knowledge of later life depression to evaluate the current state of specialized knowledge in mental health and aging.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802764","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. 慢性耳鸣在听力损失相关抑郁中的作用：对中老年成年人的见解。

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. 社区居住老年人阿拉伯文版老年睡眠问卷-6项（GSQ-6）的心理测量评估

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

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. 一项对独自生活或多人家庭中有功能限制、慢性疼痛和抑郁症状的韩国老年妇女的六年纵向研究。

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

Evaluating the Effectiveness of a Culturally Adapted Dementia Prevention Animation on Ethnically Diverse participants' Knowledge of Dementia Prevention. 评估文化适应性痴呆预防动画对不同种族参与者痴呆预防知识的有效性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-28 DOI: 10.1080/07317115.2025.2453710

Bianca Brijnath, Simona Markusevska, Kayla Lock, Kathleen Doherty, Claire Eccleston, Carolina Navarro Medel, Andrew S Gilbert, Josefine Antoniades, Marina Cavuoto

{"title":"Evaluating the Effectiveness of a Culturally Adapted Dementia Prevention Animation on Ethnically Diverse participants' Knowledge of Dementia Prevention.","authors":"Bianca Brijnath, Simona Markusevska, Kayla Lock, Kathleen Doherty, Claire Eccleston, Carolina Navarro Medel, Andrew S Gilbert, Josefine Antoniades, Marina Cavuoto","doi":"10.1080/07317115.2025.2453710","DOIUrl":"https://doi.org/10.1080/07317115.2025.2453710","url":null,"abstract":"Objectives: To determine whether culturally adapted dementia prevention animations increased dementia prevention knowledge in ethnically diverse communities.Methods: A before-and after survey conducted online and in-person between 1 February and 5 June 2022. Participants viewed the animation in Arabic, Hindi, Tamil, Cantonese, Mandarin, Greek, Italian, Spanish, Vietnamese or English. Dementia knowledge was measured using two subscales from the dementia risk reduction knowledge instrument (KoDeRR), measuring knowledge of dementia risk factor mitigation strategies and appraisal of dementia risk factors (misconceptions).Results: Among the 318 respondents there was a significant increase in dementia knowledge in most languages after viewing the animation (ps < 05; except for English). Mean performance on knowledge of dementia risk factor mitigation strategies significantly increased after viewing the animation (p < .001), with a clinically meaningful effect (mean change = 3.63). Appraisal of dementia risk factor misconceptions significantly increased in the Spanish group (mean change = 1.29, p < .001), but significantly decreased in the English group (mean change = -1.09, p < .001).Conclusions: Viewing the animation in a language other than English was associated with an increase in KoDeRR scores for both the recognition of mitigation strategies and identification of misconceptions subscales.Clinical implications: Codesigned, culturally adapted in-language dementia prevention animations improve dementia prevention awareness in ethnically diverse communities.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051606","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

Psychological Factors Associated with Fear of Falling and Fear of Falling Avoidance Behavior in Older Adults: Results from a National Sample. 老年人害怕跌倒和害怕避免跌倒行为的相关心理因素：来自全国样本的结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-22 DOI: 10.1080/07317115.2025.2453712

John V Rider, Nirmala Lekhak, Daniel L Young, Merrill R Landers

{"title":"Psychological Factors Associated with Fear of Falling and Fear of Falling Avoidance Behavior in Older Adults: Results from a National Sample.","authors":"John V Rider, Nirmala Lekhak, Daniel L Young, Merrill R Landers","doi":"10.1080/07317115.2025.2453712","DOIUrl":"https://doi.org/10.1080/07317115.2025.2453712","url":null,"abstract":"Objectives: This study aimed to identify psychological factors and characteristics associated with fear of falling (FOF) and fear of falling avoidance behavior (FFAB) among older adults.Methods: This cross-sectional study used data from the National Health and Aging Trends Study (Wave 9, n = 4,977).Results: We found that increased fall history, more frequent depression and anxiety, and poorer perceived overall health were significantly higher among older adults with FFAB compared to FOF (ps < .001). Perceived overall health, depression, and anxiety explained a significant amount of variance in FOF and FFAB. Lastly, demographic characteristics differ between older adults reporting no FOF/FFAB, FOF, and FFAB.Conclusions: FOF and FFAB are prevalent among older adults. Older adults experiencing FFAB had poorer health perceptions, more falls, and more frequent depression and anxiety than those experiencing FOF. The association of psychological factors and demographic characteristics with FOF and FFAB may indicate potential treatment targets. Clinical Implications: Addressing psychological variables, such as health perception, anxiety, and depression among older adults, may mitigate the impact of FOF and the development of FFAB; however, further research is needed.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000566","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

Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations. 老年人中儿童虐待：心理治疗干预和临床考虑的叙述性回顾。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-05-31 DOI: 10.1080/07317115.2023.2219671

Rachel Zack Ishikawa, Ilana Ander, Dominique L Popescu, Chirag M Vyas, Olivia I Okereke

{"title":"Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations.","authors":"Rachel Zack Ishikawa, Ilana Ander, Dominique L Popescu, Chirag M Vyas, Olivia I Okereke","doi":"10.1080/07317115.2023.2219671","DOIUrl":"10.1080/07317115.2023.2219671","url":null,"abstract":"Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories.Methods: Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma.Results: Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy.Conclusions: While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population.Clinical implications: Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"22-36"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706559","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