Clinical Gerontologist最新文献_第2页

Working Beyond 65: Factors Associated with Mental Health Among Older Canadians. 65岁以上的工作：与加拿大老年人心理健康相关的因素。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-03-01 DOI: 10.1080/07317115.2026.2629563

Batholomew Chireh, Samuel Kwaku Essien, Annshirley Afful, Carl D'Arcy

{"title":"Working Beyond 65: Factors Associated with Mental Health Among Older Canadians.","authors":"Batholomew Chireh, Samuel Kwaku Essien, Annshirley Afful, Carl D'Arcy","doi":"10.1080/07317115.2026.2629563","DOIUrl":"10.1080/07317115.2026.2629563","url":null,"abstract":"Objectives: To examine the association between work beyond the traditional retirement age and mental health outcomes among older Canadians (65+ years) and to assess whether these associations vary by sex.Methods: A subsample of (N = 65,033) older adults was drawn from repeated national Canadian Community Health Surveys between 2013 to 2018. Firth's logistic regression model was applied to identify factors associated with self-reported mood and anxiety disorders. Prevalence estimates and adjusted odds ratios with 95% confidence intervals are reported.Results: The prevalence of self-reported mood and anxiety disorders were 6.9% and 5.3% respectively. We found that paid full-time work was positively associated with self-reported mood disorder (OR = 0.61, 95% CI: 0.50-0.73) and self-reported anxiety disorder (OR = 0.65, 95% CI: 0.52-0.81). Older age (75+) was positively associated with self-reported mood disorder (OR = 0.56, 95% CI: 0.51-0.62) and self-reported anxiety disorder (OR = 0.62, 95% CI: 0.55-0.69). High work-related stress was a significant negative associated factor for both mental disorders [(OR = 1.46, 95% CI: 1.16-1.82), and (OR = 1.38, 95% CI: 1.07-1.77, respectively)]. Being female, single, a current smoker, and multimorbidity were statistically significant negative associated factors for both self-reported mood and anxiety disorders. Although females reported higher prevalence of self-reported mood and anxiety disorders, the significant factors associated with these conditions were largely similar across both sexes.Conclusions: Our findings emphasize the positive mental health benefits of paid work past age 65+ and its obvious financial benefit.Clinical implications: This research supports the idea of \"active aging\" and emphasize the need for further research to explore the motivations behind continued employment and their differential impact on mental health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1376-1395"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321323","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

Filipino American Family Caregivers of Older Adults Living with Dementia: A Scoping Review. 菲律宾裔美国家庭照顾者的老年痴呆症患者：范围审查。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-02-01 DOI: 10.1080/07317115.2026.2620525

Andre A Rosario, Ellen Munsterman, Mary Dioise Ramos, Olga F Jarrín

{"title":"Filipino American Family Caregivers of Older Adults Living with Dementia: A Scoping Review.","authors":"Andre A Rosario, Ellen Munsterman, Mary Dioise Ramos, Olga F Jarrín","doi":"10.1080/07317115.2026.2620525","DOIUrl":"10.1080/07317115.2026.2620525","url":null,"abstract":"Objectives: While data suggest that Filipino Americans face a higher incidence of dementia compared to other Asian subgroups, Filipino American family caregivers are understudied. Thus, the objectives of this scoping review are (a) to characterize the scope of the literature related to Filipino American family caregivers of older adults living with dementia and (b) to identify gaps and discuss implications for future studies.Methods: We conducted a scoping review in CINAHL, Embase, PsycINFO, PubMed, and Scopus. Qualitative content analysis was conducted to identify themes.Results: Twenty-two publications were included. Few examined Filipino Americans as the sole focus; most included them among Asian Americans more broadly. Key findings indicate language and cultural family expectations around caregiving affect recognition of dementia, decisions to seek care, and caregiver responsibilities. Four interventions were identified. Burden, stress, depression, and service utilization were commonly explored caregiver outcomes.Conclusions: Future research can (a) recruit more diverse samples from within the Filipino American population, (b) examine social determinants of health, (c) incorporate historical knowledge of Asian Americans, and (d) measure caregiver-specific outcomes.Clinical implications: Clinicians can recognize population-specific caregiving needs to help family members recognize dementia symptoms, reduce stigma around dementia, and promote access to caregiver support services.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1066-1078"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12970720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146099907","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

Widening the Lens: Caregiver, Social, and Attitudinal Contributors to Behavioral Health and Aging. 拓宽视野：照顾者、社会和态度对行为健康和老龄化的影响。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-10-04 DOI: 10.1080/07317115.2026.2735586

Victoria R Marino, Da Jung Chang, Jennifer Moye

引用次数: 0

Ten Tips to Enhance Your Publication Success: Reflections from a Decade as Editor-in-Chief. 提高出版成功的十个技巧：十年总编的反思。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-09-27 DOI: 10.1080/07317115.2026.2735587

Jennifer Moye

引用次数: 0

The Association of Childhood Adversity and Post-Traumatic Stress Symptoms with Cognition in Older Adults: A Cross-Sectional Study. 儿童逆境和创伤后应激症状与老年人认知的关联：一项横断面研究。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-02-25 DOI: 10.1080/07317115.2026.2631041

Jessica E Ruisch, Conny W E M Quaedflieg, Sebastiaan P J van Alphen, Julie E M Schulkens, Marielle A M J Daamen, Koen R J Schruers, Sjacko Sobczak

{"title":"The Association of Childhood Adversity and Post-Traumatic Stress Symptoms with Cognition in Older Adults: A Cross-Sectional Study.","authors":"Jessica E Ruisch, Conny W E M Quaedflieg, Sebastiaan P J van Alphen, Julie E M Schulkens, Marielle A M J Daamen, Koen R J Schruers, Sjacko Sobczak","doi":"10.1080/07317115.2026.2631041","DOIUrl":"10.1080/07317115.2026.2631041","url":null,"abstract":"Objectives: Adverse childhood experiences (ACEs) and post-traumatic stress symptoms can have long-term consequences, such as cognitive impairment. This study aimed to examine this association in older adults, ≥60 years.Methods: This cross-sectional study included healthy controls (n = 63) and individuals with personality disorders (PD, n = 46) from the \"PhArmacotherapy aND pOlypharmacy in oldeR Adults\" study. ACEs were assessed using the childhood traumatic burden score (CTBS), post-traumatic stress symptoms using the Posttraumatic Symptom Scale Self-Report (PSS-SR), and cognition using a compact test battery, including memory and executive functioning. Multiple linear regression controlled for the confounding effects of age, gender, education, and PD.Results: The results of this study indicate that ACEs do not influence memory or executive functioning in this population. On the contrary, higher PSS-SR scores are associated with lower scores of executive functioning. Factors such as older age, female gender, presence of personality disorder (PD), and lower level of education are associated with poorer test outcomes.Conclusions: ACEs are not associated with impairment in memory and executive functioning, but post-traumatic stress symptoms are negatively related to executive functioning.Clinical implications: Clinicians working with older adults should consider routine assessment of trauma symptomatology, particularly in cases of unexplained executive functioning deficits.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1335-1347"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303179","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 Dyadic Study on the Relationships Among Health Literacy, Psychological Resilience, and Fear of Disease Progression in Patients with Chronic Heart Failure and Their Caregivers. 慢性心力衰竭患者及其照护者健康素养、心理弹性和疾病进展恐惧关系的二元研究

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-08-05 DOI: 10.1080/07317115.2026.2713635

Jiamin Tang, Danni Ma, Yiqi Ding, Xuemei Zhou, Hong He

{"title":"A Dyadic Study on the Relationships Among Health Literacy, Psychological Resilience, and Fear of Disease Progression in Patients with Chronic Heart Failure and Their Caregivers.","authors":"Jiamin Tang, Danni Ma, Yiqi Ding, Xuemei Zhou, Hong He","doi":"10.1080/07317115.2026.2713635","DOIUrl":"10.1080/07317115.2026.2713635","url":null,"abstract":"Objective: This study examined the interactive relationships among health literacy, psychological resilience, and fear of progression (FoP) in patients with chronic heart failure and their caregivers.Methods: A total of 300 dyads were recruited. The Actor - Partner Interdependence Mediation Model was used to analyze actor, partner, and mediation effects.Results: For both patients and caregivers, health literacy and psychological resilience negatively predicted individual FoP. Caregivers' health literacy positively predicted their psychological resilience, while no such association was found in patients. Psychological resilience mediated the health literacy-FoP association in both groups. Patients' health literacy could indirectly alleviate caregivers' FoP via caregivers' psychological resilience.Conclusions: FoP in chronic heart failure is a dyadic psychological phenomenon. Interventions should target both patients and their caregivers to reduce fear of disease progression and improve family mental health.Clinical Implications: Dyad-based interventions that enhance health literacy and psychological resilience in both patients and caregivers may effectively alleviate FoP and promote overall family well-being.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1188-1203"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677592","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

Food Insecurity and Anxiety Symptoms Among Older Adults in Low- and Middle-Income Countries. 低收入和中等收入国家老年人的粮食不安全和焦虑症状。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2025-08-28 DOI: 10.1080/07317115.2025.2552739

Y Selvamani, Joelle H Fong, Gayatri Khanal

{"title":"Food Insecurity and Anxiety Symptoms Among Older Adults in Low- and Middle-Income Countries.","authors":"Y Selvamani, Joelle H Fong, Gayatri Khanal","doi":"10.1080/07317115.2025.2552739","DOIUrl":"10.1080/07317115.2025.2552739","url":null,"abstract":"Objectives: The prevalence of anxiety is widely observed among older adults on a global scale. In this study, we investigate the relationship between food insecurity and anxiety symptoms in older adults living in low- and middle-income countries (LMICs).Methods: Utilizing data from the WHO's Study on Global AGEing and Adult Health (SAGE), a cross-sectional analysis was undertaken across six diverse nations - India, China, Ghana, Mexico, Russia, and South Africa. Multivariate logistic regression models were applied, and subgroup analyses and interaction analyses were performed.Results: Results suggest a significant positive association between food insecurity and anxiety symptoms. The association was notably stronger in Ghana (aOR = 6.26) and South Africa (aOR = 5.64). The association was significant among men in Ghana, Mexico, and South Africa and among women in India, Ghana, Russia, and South Africa.Conclusions: Measures to alleviate household food insecurity play a crucial role in enhancing the mental health of the growing older population in LMICs.Clinical implications: Effective targeted interventions aimed at alleviating food poverty will play a crucial role in mitigating anxiety symptoms. Routine screening for food insecurity and mental health assessment is necessary, particularly when working with older population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1396-1410"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945305","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

Association Between Self-Critical Rumination and Attitudes Toward Aging Among Older Adults. 老年人自我批判反刍与老年态度的关系

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-01-13 DOI: 10.1080/07317115.2026.2615710

Duygu Özer, Özlem Şahin Altun, Leyla Altun

{"title":"Association Between Self-Critical Rumination and Attitudes Toward Aging Among Older Adults.","authors":"Duygu Özer, Özlem Şahin Altun, Leyla Altun","doi":"10.1080/07317115.2026.2615710","DOIUrl":"10.1080/07317115.2026.2615710","url":null,"abstract":"Objectives: This study examined the association between self-critical rumination and attitudes toward aging in older adults.Methods: A cross-sectional descriptive design was employed between December 2024 and September 2025 with 391 older adults in Türkiye. Data were collected using the Self-Critical Rumination Scale (SCRS) and the European Attitudes to Aging Questionnaire (EAAQ). Analyses included descriptive statistics, Pearson correlation, and linear regression.Results: A moderately strong negative correlation was found between SCRS and EAAQ total scores (r = -.518, p < .001). Higher SCRS scores were positively correlated with the EAAQ psychosocial loss subscale (r = .507, p < .001) and negatively correlated with physical change and psychological growth subscales (p < .001). Self-critical rumination accounted for 26.9% of the variance in attitudes toward aging (B = -.896, R2 = .269, p < .001). Participants with higher income, better perceived health, no sleep problems, and regular eating habits reported lower rumination and more positive attitudes.Conclusions: Elevated self-critical rumination was associated with more negative attitudes toward aging, particularly regarding psychosocial loss. Health-related factors significantly influenced both rumination and attitudes toward aging.Clinical implications: Targeted cognitive-behavioral interventions and health-promoting strategies, implemented by psychiatric nurses, may support positive aging attitudes and psychological well-being in older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1445-1456"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145958648","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

Cross-National Differences in Mental Health Impact of Intergenerational Caregiving: Social Pathways Among Older Women in China and the US. 代际照顾对心理健康影响的跨国差异：中国和美国老年妇女的社会途径

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-05-21 DOI: 10.1080/07317115.2026.2678300

Zile Zhang, Huan Zhang, Yiling Shi, Jie Yang, Qiuling Yang, Tingting Deng, Lina Xia

{"title":"Cross-National Differences in Mental Health Impact of Intergenerational Caregiving: Social Pathways Among Older Women in China and the US.","authors":"Zile Zhang, Huan Zhang, Yiling Shi, Jie Yang, Qiuling Yang, Tingting Deng, Lina Xia","doi":"10.1080/07317115.2026.2678300","DOIUrl":"10.1080/07317115.2026.2678300","url":null,"abstract":"Objectives: This study examined cross-national differences in how multiple intergenerational caregiving roles affect depressive symptoms among middle-aged and older women in China and the United States.Methods: We analyzed longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS) and U.S. Health and Retirement Study (HRS). Depressive symptoms were measured using harmonized CES-D scales. Analytical strategies included regression, panel fixed-effects models, and causal mediation analyses.Results: In the U.S. multiple caregiving significantly increased depressive symptom severity (β = 0.208, 95% CI:0.155-0.261). Reduced social participation mediated 47.1% of this effect. Conversely, in China, multiple caregiving showed no significant direct association with elevated depressive symptoms (β = -0.225, 95% CI:-0.856 to 0.406), though a significant indirect pathway emerged via reduced social participation (ACME = -0.358, p < .001).Conclusions: The psychological impact of intergenerational caregiving among older women varies significantly across cultural contexts.Clinical implications: Mental health interventions and support programs for caregivers should consider cultural contexts and target modifiable pathways such as health status and social participation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1239-1261"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147986976","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

Cultural Adaptation and Psychometric Properties of the Caregiving Ambivalence Scale for Brazilian Family Caregivers. 巴西家庭照顾者照顾矛盾心理量表的文化适应与心理测量特征。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-06-17 DOI: 10.1080/07317115.2026.2689613

Heloísa Gonçalves Ferreira, Andrés Losada-Baltar, María Márquez-González, Deusivania Vieira da Silva Falcão, Itamara Kelly Cavalcante da Silva, Jeanne Dos Santos Oliveira Marques Dantas

{"title":"Cultural Adaptation and Psychometric Properties of the Caregiving Ambivalence Scale for Brazilian Family Caregivers.","authors":"Heloísa Gonçalves Ferreira, Andrés Losada-Baltar, María Márquez-González, Deusivania Vieira da Silva Falcão, Itamara Kelly Cavalcante da Silva, Jeanne Dos Santos Oliveira Marques Dantas","doi":"10.1080/07317115.2026.2689613","DOIUrl":"10.1080/07317115.2026.2689613","url":null,"abstract":"Objectives: Culturally adapt and validate the Caregiving Ambivalence Scale (CAS) for Brazil.Methods: Two independent translations and back-translations were conducted. Conceptual, cultural, and idiomatic equivalence were evaluated (Fleiss' Kappa = 1.0). The Brazilian CAS, a sociodemographic questionnaire, the Depression Anxiety and Stress Scale -21 were administered online to 111 family caregivers of people with Alzheimer's across Brazil.Results: Parallel Analysis and an Exploratory Factor Analysis indicated a single empirical dimension with excellent fit indices (χ2 = 4.921; df = 5, p = .430; CFI = 0.999; TLI = 1.000; RMSEA = 0.000). The CAS was significantly associated with depression (β = 0.589), stress (β = 0.653), and anxiety (β = 0.455) when controlling for sociodemographic variables.Conclusions: The Brazilian version of CAS is still in the early stages of validation, but demonstrated good psychometric properties and equivalence to the original instrument.Clinical implications: The Brazilian version of CAS has the potential to support interventions to promote caregivers' mental health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1227-1238"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270338","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