Clinical Gerontologist最新文献_第3页

Sleep Interventions for Informal Caregivers of People with Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis. 轻度认知障碍或痴呆患者非正式照护者的睡眠干预：系统回顾和荟萃分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-07-19 DOI: 10.1080/07317115.2026.2702620

Jia Yin Ruan, Xiang Qi, Jin Su, Weiyu Mao, Eunjung Ko, Bei Wu

{"title":"Sleep Interventions for Informal Caregivers of People with Mild Cognitive Impairment or Dementia: A Systematic Review and Meta-Analysis.","authors":"Jia Yin Ruan, Xiang Qi, Jin Su, Weiyu Mao, Eunjung Ko, Bei Wu","doi":"10.1080/07317115.2026.2702620","DOIUrl":"10.1080/07317115.2026.2702620","url":null,"abstract":"Objectives: This systematic review aims to synthesize evidence on the effectiveness of non-pharmacological interventions (e.g. behavioral interventions, psychoeducational interventions) for improving sleep among caregivers of people with mild cognitive impairment or dementia.Methods: A literature search, conducted across eleven databases identified randomized controlled trials (RCTs), was conducted. The primary outcome was sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). Twenty-one RCTs involving 1,964 caregivers (mean age 64.06 years; 74.94% female) were included.Results: Compared with control conditions (usual care, enhanced usual care, or attention control), non-pharmacological interventions significantly reduced PSQI score at end-of-intervention, based on five studies involving 334 caregivers (Mean Difference=-1.27 points, 95% confidence interval [-2.34, -0.19], p=.021). All trials had a high overall risk of bias, and the certainty of evidence was very low.Conclusions: Non-pharmacological interventions may yield modest improvements in sleep quality among informal caregivers; however, confidence in this estimate is limited by high risk of bias of included studies and very low certainty of evidence.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1079-1114"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520062","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

Couples' Cognition, Intimacy, and Activity Engagement: An Actor-Partner Interdependence Model Analysis. 情侣的认知、亲密关系和活动参与：演员-伴侣相互依赖模型分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2023-10-27 DOI: 10.1080/07317115.2023.2274524

Fan Su, Jianqian Chao, Bowen Zhang, Na Zhang, Zongyu Luo, Jiaying Han

{"title":"Couples' Cognition, Intimacy, and Activity Engagement: An Actor-Partner Interdependence Model Analysis.","authors":"Fan Su, Jianqian Chao, Bowen Zhang, Na Zhang, Zongyu Luo, Jiaying Han","doi":"10.1080/07317115.2023.2274524","DOIUrl":"10.1080/07317115.2023.2274524","url":null,"abstract":"Objectives: This study examines the actor and partner effects of cognition on activity engagement and the potential mediating role of intimate relationship in older couple dyadic context.Methods: Data for this study were obtained from heterosexual couples who participated in the 2020 wave of the Health and Retirement Study. Constructing a dyadic model of couples' cognitions, activity engagement, and intimacy using structural equation modeling to analyze the relationship between variables and mediating effects.Results: At the actor level, cognition was positively correlated with their activity participation. At the partner level, wives' cognition and husbands' activity engagement were positively correlated. Husband's cognitive score affect wife's subjective feelings about intimacy. The mediation effect of Wife's intimacy on the relationship between husband's cognition and wife's activity engagement was significant.Conclusions: In older couples, cognition influences activity engagement at a binary level, and this association is influenced by the level of intimacy. Improving intimacy can help increase activity engagement in older couples, which in turn promotes health. Clinical Implications Maintaining cognition helps older people enjoy good marriage and participation in activities. For women, the closer the partnership, the higher the frequency of participating in various activities.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1175-1187"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54227951","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

Life-Sustaining Treatment Decision-Making for Unrepresented Adults from Korean Hospital Staff's Perspectives: A Qualitative Descriptive Study. 韩国医院工作人员视角下无代表成人维持生命治疗决策的定性描述研究。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-04-24 DOI: 10.1080/07317115.2026.2661905

Hyejin Kim, Jiyeon Choi, Won Lee, Ilhak Lee, Mi-Kyung Song

{"title":"Life-Sustaining Treatment Decision-Making for Unrepresented Adults from Korean Hospital Staff's Perspectives: A Qualitative Descriptive Study.","authors":"Hyejin Kim, Jiyeon Choi, Won Lee, Ilhak Lee, Mi-Kyung Song","doi":"10.1080/07317115.2026.2661905","DOIUrl":"10.1080/07317115.2026.2661905","url":null,"abstract":"Objectives: Unrepresented adults - incapacitated individuals lacking surrogates and documented treatment preferences - pose profound clinical and ethical care challenging. This qualitative descriptive study explored hospital staff's encounters with unrepresented adults, their characteristics, and life-sustaining treatment decision-making for this population in South Korea.Methods: We conducted semi-structured interviews with 48 hospital staff including physicians, nurses, and social workers across South Korea who provided care for unrepresented adults. Data were analyzed using directed content analysis.Results: Participants frequently encountered these adults, typically socioeconomically vulnerable middle-aged or older men exhibiting complex care needs, requiring prolonged hospitalization. The life-sustaining treatment decision-making involved physician-led decision-making, consultation with other professionals, alternative consent strategies, and constrained withdrawal and selective withholding of such treatment. Staff navigated these ethically complex decisions by weighing patients' recoverability, presumed life values, and the ethical principle of justice in resource allocation. Crucially, participants experienced significant clinical distress constrained by the lack of legal frameworks and standardized clinical guidelines.Conclusions: Ad-hoc life-sustaining treatment decision-making for unrepresented adults places an immense ethical burden on healthcare providers.Clinical implications: Safeguarding this vulnerable population and alleviating provider distress urgently requires robust legal frameworks, standardized clinical guidelines, and institutional multidisciplinary ethics support.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1276-1287"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764456","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

Mental Health and Cognitive Predictors of Functional Decline in Nursing Home Residents with Type 2 Diabetes. 2型糖尿病养老院居民的心理健康和认知功能衰退的预测因素。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 DOI: 10.1080/07317115.2026.2740078

Chelsea Howland, Clarissa Shaw, You Wang, Rawabi Aljadani, Juliana N Souza-Talarico

{"title":"Mental Health and Cognitive Predictors of Functional Decline in Nursing Home Residents with Type 2 Diabetes.","authors":"Chelsea Howland, Clarissa Shaw, You Wang, Rawabi Aljadani, Juliana N Souza-Talarico","doi":"10.1080/07317115.2026.2740078","DOIUrl":"https://doi.org/10.1080/07317115.2026.2740078","url":null,"abstract":"Objectives: To identify multidomain predictors of functional decline among nursing home residents with type 2 diabetes (T2D).Methods: A secondary analysis of longitudinal Minimum Data Set 3.0 data from Iowa nursing home residents with T2D was conducted. Three machine learning models were developed to predict functional decline, defined as worsening Activities of Daily Living Long-Form scores between first and last assessments. Predictor variables were guided by the Functional Consequences Theory and represented biological, psychological, and environmental factors.Results: The sample included 5,440 residents with T2D from 430 nursing homes (mean age 81; 63% female). The multi-class classification model demonstrated the best fit to predict functional decline (AUC = .93). Lower baseline function, poorer cognition, higher depressive symptoms, older age, and a greater number of assessments were the most influential predictors. Residents' belief in improving function, coexisting chronic diseases, and rurality were prominent predictors.Conclusions: Functional decline in residents with T2D reflects interrelated biological, psychological, and environmental vulnerabilities, several of which are modifiable.Clinical implications: Routine assessment of baseline function, cognition, and depressive symptoms may support early risk identification. Interdisciplinary interventions supporting mental health and residents' confidence in functional improvement may improve outcomes, particularly in rural and medically complex populations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105196","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

"Yes, and…": Using Improvisation to Enhance Well-Being in Family Caregivers of People with Dementia. “是的，还有……”：用即兴表演来提高痴呆症患者家庭照顾者的幸福感。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-07-17 DOI: 10.1080/07317115.2026.2702605

Duyen Tran, Brian D Carpenter

{"title":"\"Yes, and…\": Using Improvisation to Enhance Well-Being in Family Caregivers of People with Dementia.","authors":"Duyen Tran, Brian D Carpenter","doi":"10.1080/07317115.2026.2702605","DOIUrl":"10.1080/07317115.2026.2702605","url":null,"abstract":"Objectives: Dementia caregiving often involves unpredictable situations, which can be difficult to navigate and stressful for caregivers. We used a non-randomized waitlist-controlled trial to pilot-test the feasibility, acceptability, and preliminary efficacy of an improv-based dementia caregiving intervention.Methods: Caregivers attended a four-week group intervention (90 minutes/session). Caregiving self-efficacy, well-being, and communication skills were assessed before the intervention, after the intervention, and one month later. Descriptive and non-parametric statistics were used to examine change across time points.Results: Of 18 enrolled caregivers, 16 completed the intervention (88.8%), and 15 completed both follow-up assessments (93.8%). All reported high satisfaction with the intervention, citing new communication skills they learned. There was a significant improvement in caregivers' self-efficacy after the intervention (adjusted p = .013, Wilcoxon r = .74) and at follow-up (adjusted p = .029, Wilcoxon r = .68), and subjective well-being after the intervention (adjusted p = .016, Wilcoxon r = .73). No significant changes were noted in the waitlist control group.Discussion: Preliminary evidence suggests that dementia caregivers experience improved self-efficacy and well-being when they learn improv-based communication principles in a small-group setting.Clinical implications: Using improvisational techniques shows promising benefits to help caregivers deal with caregiving situations in the moment.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1147-1162"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469354","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

Latent Profile Analysis of Childhood Trauma and Loneliness Among Community-Dwelling Older Adults and Their Association with Depressive Symptoms. 社区老年人童年创伤和孤独感的潜在特征分析及其与抑郁症状的关系

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-08-24 DOI: 10.1080/07317115.2026.2722362

Xiangzi Ji, Jiayuan Zhang, Jinping Zhao, Yuanshuo Ma, Tao Xue, Shoumei Zhao, Jie Hu

{"title":"Latent Profile Analysis of Childhood Trauma and Loneliness Among Community-Dwelling Older Adults and Their Association with Depressive Symptoms.","authors":"Xiangzi Ji, Jiayuan Zhang, Jinping Zhao, Yuanshuo Ma, Tao Xue, Shoumei Zhao, Jie Hu","doi":"10.1080/07317115.2026.2722362","DOIUrl":"10.1080/07317115.2026.2722362","url":null,"abstract":"Background: Depression is a leading mental health concern among community dwelling older adults, with childhood trauma and current loneliness identified as critical risk factors. However, existing research has predominantly examined these variables in isolation, obscuring heterogeneity in their co-occurring patterns and differential depression risk across subgroups.Objectives: To identify latent profiles based on co-occurrence patterns of childhood trauma and current loneliness and examine differences in depressive symptoms across profiles.Methods: A cross-sectional study recruited 740 older adults from three communities. Childhood trauma, loneliness, and depressive symptoms were assessed. Latent profile analysis identified subgroups, and the Bolck-Croon-Hagenaars method examined differences in depressive symptoms across profiles.Results: Three profiles were identified: \"Low Trauma-Low Loneliness\", \"Low Trauma-High Loneliness\", and \"High Trauma-High Loneliness\". The High Trauma-High Loneliness profile exhibited the highest depressive symptom. Community activity participation, chronic disease, empty-nest status, and marital status were significant predictors of profile membership. .Conclusions: Community-dwelling older adults demonstrate heterogeneous co-occurrence patterns of childhood trauma and current loneliness. Individuals in the High Trauma-High Loneliness profile warrant prioritized clinical attention and targeted community-based intervention.Clinical implications: Screening childhood trauma and loneliness jointly identifies the highest-risk subgroup, for whom trauma-informed care combined with community activity participation is preferable to loneliness-focused intervention alone.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1320-1334"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808300","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

Tossing and Turning Together: A Cross-Lagged Panel Analysis of Sleep Interdependence Among Care Dyads. 一起辗转反侧：一个交叉滞后的面板分析睡眠相互依赖的护理夫妇。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2025-08-05 DOI: 10.1080/07317115.2025.2541763

Dexia Kong, Chihua Li, Xiaoling Xiang, Peiyi Lu

{"title":"Tossing and Turning Together: A Cross-Lagged Panel Analysis of Sleep Interdependence Among Care Dyads.","authors":"Dexia Kong, Chihua Li, Xiaoling Xiang, Peiyi Lu","doi":"10.1080/07317115.2025.2541763","DOIUrl":"10.1080/07317115.2025.2541763","url":null,"abstract":"Objectives: Care recipients and caregivers share similar stressors and living environments and may thus present concordance in health-related outcomes, yet their sleep interdependence remains understudied. This study examined sleep interdependence among care dyads.Methods: Longitudinal data from the National Health and Aging Trends Study and National Study of Caregiving were analyzed, including 2,204 dyads (2015 baseline; 2017 follow-up). Sleep disruptions were assessed as trouble falling back asleep. Cross-lagged panel models examined concurrent/longitudinal sleep interdependence; multiple group analyses ascertained whether the relationships differed by caregiving contexts (dementia/non-dementia) and living arrangements (co-residing/living apart).Results: A stable actor effect emerged: Care recipients' and caregivers' sleep disruptions in 2015 predicted their own sleep disruptions in 2017. No cross-lagged partner effects were significant (p > .05). There was a significant synchronous partner effect in 2017 (β = 0.118, 95% CI = 0.048, 0.187). These relationships remained significant for dementia-care and co-residing dyads but not for non-dementia or living-apart care dyads.Conclusions: This first longitudinal dyadic study identified sleep interdependence among care dyads, highlighting the importance of early intervention to reduce sleep disruptions. Targeted support for dementia caregivers and co-residing dyads is critical.Clinical implications: Sleep hygiene interventions should leverage the interconnectedness of sleep within caregiving relationships.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1163-1174"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788418","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

Psychosocial Resources and Constraints: Distinct Pathways to Positive and Negative Self-Perceptions of Aging in Diverse Older Adults. 社会心理资源和约束：不同老年人对衰老的积极和消极自我认知的不同途径。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-05-09 DOI: 10.1080/07317115.2026.2671908

Yiqing Yang, Kelin Li

{"title":"Psychosocial Resources and Constraints: Distinct Pathways to Positive and Negative Self-Perceptions of Aging in Diverse Older Adults.","authors":"Yiqing Yang, Kelin Li","doi":"10.1080/07317115.2026.2671908","DOIUrl":"10.1080/07317115.2026.2671908","url":null,"abstract":"Objectives: Self-perceptions of aging (SPA) predict behavioral health outcomes in later life, yet whether positive and negative attitudes arise from distinct psychosocial pathways remain unclear. This study examined correlates of positive and negative SPA among diverse older adults.Methods: Community-dwelling adults aged 65 and older (N = 150; 30.7% born outside the United States) completed assessments of psychological, social, religious, health, and sociodemographic factors. Post-LASSO variable selection identified correlates of positive and negative Attitudes Toward Own Aging (ATOA) dimensions from 25 candidate variables.Results: Positive and negative SPA reflected distinct yet related pathways. Purpose in life was most strongly associated with both dimensions. Positive SPA was uniquely associated with greater life satisfaction, higher self-esteem, and more frequent social contact. Negative SPA was uniquely associated with greater perceived constraints, less diverse social networks, and greater multimorbidity. Religious affiliation was associated with more positive SPA, whereas higher religiosity was associated with less positive and greater negative SPA. Nativity and race/ethnicity were not significantly associated with either dimension. Models explained 51.7% (R2 = .517) and 42.4% (R2 = .424) of variance, respectively (both ps < .001).Conclusions: Findings support distinct psychosocial pathways underlying SPA, with implications for targeted behavioral health interventions in later life.Clinical implications: Assessing positive and negative self-perceptions of aging separately may support more targeted clinical decision-making. Interventions may be strengthened by addressing both psychological resources and perceived constraints. Purpose in life may serve as a cross-cutting focus for assessment and intervention.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1467-1477"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863532","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

Broken Bonds, Lonely Hearts? A Mediation Analysis of Childhood Adversity, Relationship Quality, and Loneliness in Later Life. 破碎的纽带，孤独的心？童年逆境、人际关系质量与晚年孤独的中介分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-01-12 DOI: 10.1080/07317115.2026.2613866

Xiaoling Xiang, Xiafei Wang, Dexia Kong, Salma Habash

{"title":"Broken Bonds, Lonely Hearts? A Mediation Analysis of Childhood Adversity, Relationship Quality, and Loneliness in Later Life.","authors":"Xiaoling Xiang, Xiafei Wang, Dexia Kong, Salma Habash","doi":"10.1080/07317115.2026.2613866","DOIUrl":"10.1080/07317115.2026.2613866","url":null,"abstract":"Objectives: This study examined whether the link between adverse childhood experiences (ACEs, including child maltreatment, financial hardship, and household dysfunction) and later-life loneliness was mediated by quality of social relationships.Methods: Data came from the Health and Retirement Study (N = 11,700). Five path models were tested: four individual relationship types (spouse, children, relatives, and friends) and one combining all relationship types.Results: In the spouse model, child maltreatment and financial hardship increased loneliness via lower support and higher strain; household dysfunction showed no significant indirect effect. In the children and other relatives models, child maltreatment and financial hardship again showed significant indirect effects via lower support and higher strain, whereas household dysfunction had a small indirect effect via higher strain only. In the friendship model, only child maltreatment had a significant indirect effect on loneliness. In the combined model, child maltreatment was consistently associated with lower support and higher strain across relationship types, except for strain with friends.Conclusions: ACEs increased loneliness partly by reducing social support and increasing social strain, with patterns varying by ACE and relationship type.Clinical implications: Loneliness interventions should address skills for rebuilding trust and supportive social ties.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1306-1319"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145951678","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

Associations Between Information and Communication Technology Use and Depression in Community-Dwelling Older Adults: The Potential Role of Social Participation. 社区居住老年人信息和通信技术使用与抑郁之间的关系：社会参与的潜在作用。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-10-01 Epub Date: 2026-02-17 DOI: 10.1080/07317115.2026.2628722

Mina Hwang, Yeji Hwang

{"title":"Associations Between Information and Communication Technology Use and Depression in Community-Dwelling Older Adults: The Potential Role of Social Participation.","authors":"Mina Hwang, Yeji Hwang","doi":"10.1080/07317115.2026.2628722","DOIUrl":"10.1080/07317115.2026.2628722","url":null,"abstract":"Objectives: Previous studies have reported associations between information and communication technology (ICT) use and depression among older adults, but these associations remain unclear. This study examined associations between different types of ICT use, social participation, and depression.Methods: This study used data from the National Health and Aging Trends Study Round 13 (N = 6,722). Participants were categorized as non-users, CT users, IT users, or ICT users, and social participation was classified as formal or informal. Multiple parallel mediation analyses were conducted.Results: ICT use showed significant direct (B = -0.397) and indirect associations with depression, observed in relation to both formal (B = -0.117) and informal (B = -0.144) social participation. CT use was indirectly associated with depression in models including formal (B = -0.047) and informal (B = -0.096) social participation, with no direct association observed. Similarly, IT use was indirectly associated with depression involving formal (B = -0.026) and informal (B = -0.047) social participation, whereas no direct association was found.Conclusions: ICT use was associated with depression among older adults, with formal and informal social participation potentially being relevant factors, and associations varied by ICT use type.Clinical implications: Social participation may be an important consideration when examining the relationship between ICT use and mental health among older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1363-1375"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212402","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