Clinical Gerontologist最新文献_第3页

Psychometric Properties of the Acceptance and Action Questionnaire-II (AAQ-II) in Older Adult Primary Care Patients. 老年初级保健患者接受和行动问卷II（AAQ-II）的心理测量特性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2023-10-29 DOI: 10.1080/07317115.2023.2276291

Shayne S-H Lin, Mary Lindsey Jacobs, Anne Halli-Tierney, Dana G Carroll, Rebecca S Allen

{"title":"Psychometric Properties of the Acceptance and Action Questionnaire-II (AAQ-II) in Older Adult Primary Care Patients.","authors":"Shayne S-H Lin, Mary Lindsey Jacobs, Anne Halli-Tierney, Dana G Carroll, Rebecca S Allen","doi":"10.1080/07317115.2023.2276291","DOIUrl":"10.1080/07317115.2023.2276291","url":null,"abstract":"Objectives: Considering that the examination of psychological flexibility measures among older adults is scant, this study explores the psychometric properties of the Acceptance and Action Questionnaire-II (AAQ-II) among outpatient geriatrics primary care clinic patients in a university-affiliated medical center in the Deep South.Methods: On average, patients who consented to participate in research (N = 119) were 75.42 (SD = 9.14) years old. Approximately 74% were women, 91% were non-Hispanic white, and 86% lived in urban areas. Measures included psychological inflexibility, subjective health literacy, depression, anxiety, and global cognitive functioning.Results: The AAQ-II demonstrated adequate internal reliability, Cronbach's α = 0.79, and good test-retest reliability, r(28) = .84, p < .001. With the removal of item 4, confirmatory factor analysis demonstrated adequate construct validity for the use of AAQ-II with older adults. As predicted, the AAQ-II exhibited concurrent, predictive, discriminant, and incremental validity within this older adult sample.Conclusions: These results demonstrate meaningful scientific and clinical implications. This is the first study to examine the psychometric properties of the Acceptance and Action Questionnaire-II (AAQ-II) in an older adult sample.Clinical implications: The AAQ-II is a psychometrically sound measurement that can be clinically used on older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"480-493"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410981","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

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

The Relationship Between Cognitive Reserve and Attachment Styles in Adult Romantic Relationships. An Exploratory Study. 成人恋爱关系中认知保留与依恋类型的关系。探索性研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-17 DOI: 10.1080/07317115.2025.2493246

Barbara Colombo, Luca Milani

{"title":"The Relationship Between Cognitive Reserve and Attachment Styles in Adult Romantic Relationships. An Exploratory Study.","authors":"Barbara Colombo, Luca Milani","doi":"10.1080/07317115.2025.2493246","DOIUrl":"https://doi.org/10.1080/07317115.2025.2493246","url":null,"abstract":"Objectives: This cross-sectional study aims to investigate the relationship between cognitive reserve (a well-known protective factor in aging) and attachment style in a sample of healthy older individuals.Methods: The study assessed the cognitive reserve and attachment styles of 160 older adults (all involved in a romantic relationship at time of data collection).Results: Findings highlighted high avoidance-based styles in aging individuals. Data also highlighted how individuals with avoidant attachment are more likely to have a higher cognitive reserve.Conclusions: Based on the results, cognitive reserve training might be useful to reduce anxiety in individuals with anxious attachment styles, who appeared to be the least engaged in activities that could benefit their cognitive reserve.Clinical implications: Therapists should identify and address avoidant attachment styles in older clients, use strategies to increase cognitive reserve for those with avoidant attachment, and incorporate cognitive reserve-building activities into anxiety reduction programs for clients with anxious attachment styles.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955450","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 Role of Family and Supporter Accommodation in Late-Life Anxiety. 家庭和支持者调节在晚年焦虑中的作用。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-15 DOI: 10.1080/07317115.2025.2492132

Courtney Muir, Viviana M Wuthrich, Carly J Johnco

{"title":"The Role of Family and Supporter Accommodation in Late-Life Anxiety.","authors":"Courtney Muir, Viviana M Wuthrich, Carly J Johnco","doi":"10.1080/07317115.2025.2492132","DOIUrl":"https://doi.org/10.1080/07317115.2025.2492132","url":null,"abstract":"Objectives: Family accommodation (e.g. providing excessive reassurance, facilitating avoidance) is widespread and exacerbates anxiety in children and young adults, however has not been examined in older adults. There are reasons to expect that family accommodation may also exacerbate anxiety in later life. However, it is important to consider that age-related changes in physical or cognitive abilities may necessitate the need for functional assistance from others during assessment. This study aimed to examine the phenomenology and clinical correlates of family accommodation in older adults.Methods: Participants were 32 community-dwelling older adults, aged 60-88 (M = 69.78, SD = 8.62; 31% with a probable anxiety disorder) and their supporters. Dyads reported on supporter accommodation, mental health and functional ability and completed a behavioral stress task designed to elicit behavioral accommodation (intrusiveness, reassurance, and avoidance).Results: 80% of supporters of older adults with anxiety engaged in accommodation.Accommodation was associated with greater anxiety severity, but not functional ability.Conclusions: Family accommodation is common from supporters of older adults with anxiety, and linked to increased anxiety. Assessment and modification of these environmental reinforcers may be important targets for treatment.Clinical implications: Accommodation is an important environmental factor maintaining late-life anxiety, and should be reduced.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-18"},"PeriodicalIF":2.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966681","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

Online Acceptance and Commitment Therapy for Chronic Pain in an Older Adult: A Telehealth Approach Amid COVID-19. 老年人慢性疼痛的在线接受和承诺治疗：COVID-19期间的远程医疗方法

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-14 DOI: 10.1080/07317115.2025.2487008

Rebecca Campbell, Sai Durga Vara Prasada Rao Podugu, Mary Morris

{"title":"Online Acceptance and Commitment Therapy for Chronic Pain in an Older Adult: A Telehealth Approach Amid COVID-19.","authors":"Rebecca Campbell, Sai Durga Vara Prasada Rao Podugu, Mary Morris","doi":"10.1080/07317115.2025.2487008","DOIUrl":"https://doi.org/10.1080/07317115.2025.2487008","url":null,"abstract":"Objectives: This case study evaluates the effectiveness of online Acceptance and Commitment Therapy (ACT) for chronic pain management in an older adult, expanding on prior research (Campbell, Podugu, and Morris, 2021) by assessing its adaptation for telehealth during COVID-19.Methods: A 78-year-old woman with chronic pain completed a structured, eight-session ACT program delivered via telehealth. Quality of life (QoL), depression, physical activity, and ACT-specific measures were assessed at baseline, post-treatment, and across multiple phases.Results: Online ACT was associated with improvements in chronic pain and overall functioning. The participant demonstrated excellent therapy adherence, achieved clinically significant gains in physical activity, and improvement in pain. Positive outcomes were observed across key variables.Conclusions: Online ACT is a feasible and effective approach for chronic pain management in older adults. Telehealth adaptations can enhance accessibility and treatment outcomes, addressing barriers such as mobility limitations and geographical constraints. These findings align with existing evidence supporting ACT for chronic pain in older adults.Clinical implications: Findings support the role of online ACT in chronic pain management for older adults, and its potential in telehealth-based interventions. Further research is needed to evaluate its long-term effectiveness and generalizability across diverse populations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981142","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

Adverse Childhood Events, Personality Disorders, and Multimorbidity in Older Adults: Exploring the Connections. 儿童期不良事件、人格障碍和老年人多病：探索两者之间的联系。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-09 DOI: 10.1080/07317115.2025.2487673

Semmy Op den Camp, Julie Schulkens, Sebastiaan van Alphen, Ellen Gielkens, Silvan Licher, Therèse van Amelsvoort, Sjacko Sobczak

{"title":"Adverse Childhood Events, Personality Disorders, and Multimorbidity in Older Adults: Exploring the Connections.","authors":"Semmy Op den Camp, Julie Schulkens, Sebastiaan van Alphen, Ellen Gielkens, Silvan Licher, Therèse van Amelsvoort, Sjacko Sobczak","doi":"10.1080/07317115.2025.2487673","DOIUrl":"10.1080/07317115.2025.2487673","url":null,"abstract":"Objectives: We investigated the association between adverse childhood events, personality disorders and multimorbidity in older adults.Methods: This is a cross-sectional analysis in a population of older adults including 40 people with a personality disorder and 75 healthy controls. The Childhood Traumatic Events Scale was used to assess adverse childhood events. Multimorbidity was defined as the presence of 2 or more predetermined chronic somatic and psychiatric disorders. Logistic regression analysis was used to assess the association between adverse childhood events, personality disorders and multimorbidity.Results: No significant association was found between adverse childhood events and multimorbidity (OR = 1.03, 95% CI = 0.96-1.09). The presence of a personality disorder was significantly associated with multimorbidity (OR = 12.95, 95% CI = 4.28-39.14).Conclusions: Overall, we did not find an association between adverse childhood events and multimorbidity in older adults. Multimorbidity was more prevalent in subjects with personality disorders compared to healthy controls.Clinical implications: The findings suggest that personality disorders are associated with both mental and physical health challenges, underscoring the importance of integrated care approaches to address both aspects in clinical practice.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810716","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

Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm. 有直接和间接自我伤害风险的社区居住老年人的生物心理社会特征。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-04-01 DOI: 10.1080/07317115.2025.2487003

Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens

{"title":"Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm.","authors":"Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens","doi":"10.1080/07317115.2025.2487003","DOIUrl":"https://doi.org/10.1080/07317115.2025.2487003","url":null,"abstract":"Objectives: A biopsychosocial model of self-harm risk factors in older adults was explored, distinguishing between direct and indirect self-harm.Methods: A cross-sectional, matched pair sample was drawn from a community-dwelling sample of 625 adults aged 60 years and over, including 44 participants with and 44 without self-harm. Mean age was 68.7 years (age range = 60-91). Data were gathered using a survey composed of validated instruments and additional self-developed items.Results: From our total sample, 8.2% had engaged in self-harm at age 60 and over. Indirect methods (e.g. substance misuse, not eating) were most common. The presence of a mental disorder, emotional loneliness, cognitive and physical frailty, and a lack of resilience were identified as potential risk factors. Those who have engaged in direct or both types of self-harm exhibit higher levels of these factors. A stepwise regression model showed that only emotional loneliness and mental disorder(s) were significantly associated with self-harm in old age.Conclusions: Investigating self-harm (subtypes) among community-dwelling older adults is vital, especially in those with a mental disorder and emotional loneliness.Clinical implications: Clinicians should be vigilant for self-harm in older adults, particularly for indirect methods and among those with a mental disorder and who experience emotional loneliness.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763252","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