Clinical Gerontologist最新文献_第3页

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 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub 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":"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":"1099-1111"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","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

Uncovering Psychosocial Contexts in Goals of Care Conversations: A Qualitative Study in a Multi-Centered Randomized Controlled Trial. 揭示护理对话目标中的社会心理背景：一项多中心随机对照试验的定性研究。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-02-17 DOI: 10.1080/07317115.2025.2464023

Julia Gambino, Lindsay M Schlichte, Marie C Haverfield, Craig Libman, David B Bekelman, Jessica E Ma

{"title":"Uncovering Psychosocial Contexts in Goals of Care Conversations: A Qualitative Study in a Multi-Centered Randomized Controlled Trial.","authors":"Julia Gambino, Lindsay M Schlichte, Marie C Haverfield, Craig Libman, David B Bekelman, Jessica E Ma","doi":"10.1080/07317115.2025.2464023","DOIUrl":"10.1080/07317115.2025.2464023","url":null,"abstract":"Objectives: Patients often struggle with psychological and social stressors that accompany life-limiting chronic illness. Because psychosocial concerns may be conveyed through emotional sentiments, this study aimed to identify emotional expressions to describe psychosocial contexts communicated during goals of care conversations.Methods: This qualitative study evaluated 26 transcripts of goals of care conversations using a \"goals of communication guide\" from the ADvancing system Alleviation with Palliative Treatment (ADAPT) trial in VA Eastern Colorado and Puget Sound Health Systems. Using an inductive and deductive approach, a codebook was developed to examine participants' expressed emotions regarding overall goals of care, illness, end of life, and family involvement. Major themes around psychosocial concerns were summarized.Results: Four themes on psychosocial contexts in goals of care conversations emerged, with instances of both positive and negative affect. Participants commonly discussed contexts relating to: acceptance of illness, the feeling of being a burden; illness transitions; and suffering from disease.Conclusions: Unprompted within these conversations, patient emotional sentiments in goals of care conversations highlight psychosocial contexts important to patient values and preferences around treatment decisions.Clinical implications: Emphasis on clinician recognition of these psychosocial contexts may help clinicians better support and elicit patient goals and preferences.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1320-1327"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432430","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

Home-Based Attentional Bias Modification with Webcam-Based Eye Tracking with Persons with Cognitive Impairment: A Feasibility Study. 基于网络摄像头的眼动追踪对认知障碍患者家庭注意偏见矫正的可行性研究。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-06-26 DOI: 10.1080/07317115.2025.2523049

Anne-Marie Greenaway, Faustina Hwang, Slawomir Nasuto, Aileen K Ho

{"title":"Home-Based Attentional Bias Modification with Webcam-Based Eye Tracking with Persons with Cognitive Impairment: A Feasibility Study.","authors":"Anne-Marie Greenaway, Faustina Hwang, Slawomir Nasuto, Aileen K Ho","doi":"10.1080/07317115.2025.2523049","DOIUrl":"10.1080/07317115.2025.2523049","url":null,"abstract":"Objectives: Remotely delivered attentional bias modification (ABM) studies involving persons with cognitive impairment are lacking. Thus, the feasibility of an adapted ABM paradigm with webcam-based eye tracking was explored.Methods: Four of the eight participants recruited (males, Mage = 69 years, Alzheimer's disease = 3, mild cognitive impairment = 1) completed up to four daily ABM sessions. Tasks comprised pre- and post-intervention depression (PHQ-9), anxiety (GAD-7), and rumination (RRS) measures, a cognitive screen (TICS) (A), affect (PANAS) (B) and dot-probe AB measures (C), and dot-probe ABM (D) (Session 1-A, B, C, D, C, and B; Sessions 2 to 4-B, D, C, and B).Results: The intervention was feasible (as defined by completion rates) and appeared beneficial in this small sample (as defined by post-intervention improvements in mood). Sessions were long, and task completion/adherence was impacted by task access/participants' ability to complete tasks independently. Mind wandering, stimuli familiarity, and eye/fatigue were reported.Conclusions: The intervention requires further adaptation (e.g. fewer eye-tracking tasks per session). Limitations include participant self-selection/loss, a lack of control group, and that the determinants of mood change are unclear.Clinical implications: ABM, a novel intervention, may be an effective mood-disorder treatment for individuals with cognitive impairment.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1008-1025"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495011","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 Relationships Among Family Functioning, Sleep Quality and Quality of Life in Chinese Community-Dwelling Older Adults with Insomnia: A Structural Equation Model. 中国社区失眠老年人的家庭功能、睡眠质量和生活质量之间的关系：结构方程模型

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-05-23 DOI: 10.1080/07317115.2024.2357583

Wenfen Zhu, Fangyi Wang, Yuanyuan Cao, Qian Wu

{"title":"The Relationships Among Family Functioning, Sleep Quality and Quality of Life in Chinese Community-Dwelling Older Adults with Insomnia: A Structural Equation Model.","authors":"Wenfen Zhu, Fangyi Wang, Yuanyuan Cao, Qian Wu","doi":"10.1080/07317115.2024.2357583","DOIUrl":"10.1080/07317115.2024.2357583","url":null,"abstract":"Objectives: The proportion of individuals with insomnia is increasing, and many older adults have insomnia. This study aimed to explore the relationships between family functioning and quality of life (QOL) among community-dwelling older adults with insomnia, as well as to explore the mediating role of sleep quality in this relationship.Methods: The participants were 225 older adults with insomnia from community health service centers in Chongqing, China. The Family Care Index (APGAR) was used to assess family functioning, the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality, and the 36-item Short-Form Health Survey (SF-36) was used to assess QOL.Results: The results showed that family functioning would be positively associated with QOL (p = .005) and that this relationship would be partially mediated by higher sleep quality (p < .001).Conclusions: Family functioning has a direct effect on QOL and an indirect effect on QOL through the regulation of sleep quality. Maintaining good family functioning is important for improving sleep quality and QOL in older adults with insomnia.Clinical implications: Developing family functioning-based assessments and targeted intervention strategies could be beneficial for older adults with insomnia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1126-1139"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141086785","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 Gerotranscendence Leading to Optimal Well-Being [GLOW] Program: A Feasibility Study in a Long-Term Care Facility. 老年超越导致最佳福祉[GLOW]计划：长期护理机构的可行性研究。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-03-08 DOI: 10.1080/07317115.2025.2474983

Taiane Abreu, Lia Araújo, Laetitia Teixeira, Oscar Ribeiro

{"title":"The Gerotranscendence Leading to Optimal Well-Being [GLOW] Program: A Feasibility Study in a Long-Term Care Facility.","authors":"Taiane Abreu, Lia Araújo, Laetitia Teixeira, Oscar Ribeiro","doi":"10.1080/07317115.2025.2474983","DOIUrl":"10.1080/07317115.2025.2474983","url":null,"abstract":"Objectives: Gerotranscendence has gained recognition as an important psychosocial theory, with leading studies promoting it through intervention programs. However, to date, few interventions have involved older adults living in Long-Term Care (LTC) facilities. This study aimed to explore the viability of implementing six-week program on gerotranscendence [GLOW] in an LTC facility.Methods: A feasibility study was conducted with a group of six residents. Screening, consent, retention, adherence, and social validity indicators were considered. A Non-Pharmacological Therapy Experience Scale (NPT-ES) was used to assess the participation and engagement of each participant throughout the sessions. A focus group was also conducted.Results: The consent, retention, and adherence rates for the program were satisfactory (100%), while the screening rate (22.22%) was lower due to the inclusion criteria. Participants agreed that the program was important and interesting. The scores of NPT-ES were high and increased over the course of the sessions.Conclusions: The GLOW program can be considered a feasible, acceptable, and valuable tool for promoting gerotranscendence in older adults living in an LTC.Clinical implications: Promoting an intervention rooted in gerotranscendence can be beneficial for older adults who live in LTC facilities on educational and emotional levels.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"964-975"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582226","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

Befriending, Loneliness, and Quality of Life of Older Adults: A Pilot Evaluation Study. 结交朋友、孤独感和老年人的生活质量：试点评估研究

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-03-21 DOI: 10.1080/07317115.2025.2481124

Joanna McHugh Power, Eimíle Holton, Brian A Lawlor, Frank Kee, Thomas Scharf, Seán Moynihan, Michelle E Kelly, Caoimhe Hannigan

{"title":"Befriending, Loneliness, and Quality of Life of Older Adults: A Pilot Evaluation Study.","authors":"Joanna McHugh Power, Eimíle Holton, Brian A Lawlor, Frank Kee, Thomas Scharf, Seán Moynihan, Michelle E Kelly, Caoimhe Hannigan","doi":"10.1080/07317115.2025.2481124","DOIUrl":"10.1080/07317115.2025.2481124","url":null,"abstract":"Objectives: An aggregated interventional N-of-1 or single-case design was used to assess the impact of a befriending intervention on a) health-related quality of life (HR-QoL), and b) the association between loneliness on HR-QoL among older adults.Methods: Participants were n = 33 new users of the service, aged 60 + . Outcomes were measured at 13 timepoints across 26 weeks, and data were analyzed using generalized additive modeling (GAM) with a subset of data analyzed using supplementary visual analysis.Results: Results indicate that the befriending service may reduce decline of HR-QoL (i.e. HR-QoL declined in the baseline phase over time: edf = 3.893, F = 3.0, p = .002, while in the treatment phase, HR-QoL remained more stable: edf = 5.98, F = 2.98, p = .008). The intervention also suppressed the impact of loneliness on HR-QoL.Conclusions: Befriending interventions may prevent declines in HR-QoL, and may moderate the impact of loneliness on HR-QoL.Clinical implications: Our preliminary findings suggest that befriending services may be useful if clinicians have concerns about the health impacts of loneliness for older people. It is difficult to evaluate community-based services, and we consider the challenges we faced, with a view to assisting others planning similar evaluations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"998-1007"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669182","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

Decomposing Racial and Ethnic Disparities in Risk and Protective Factors of Dementia in the U.S. 分解美国痴呆症风险和保护因素的种族和民族差异

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-07-17 DOI: 10.1080/07317115.2025.2534651

Nasim B Ferdows, María P Aranda

{"title":"Decomposing Racial and Ethnic Disparities in Risk and Protective Factors of Dementia in the U.S.","authors":"Nasim B Ferdows, María P Aranda","doi":"10.1080/07317115.2025.2534651","DOIUrl":"10.1080/07317115.2025.2534651","url":null,"abstract":"Objectives: This study investigates racial/ethnic disparities in dementia risk and protective factors using data from the Health and Retirement Study (HRS) and the Harmonized Cognitive Assessment Protocol (HCAP).Methods: A retrospective analysis of 3,495 individuals aged 65+ from the 2016 HCAP linked to the HRS was conducted. Cognitive status was assessed using the Mini-Mental State Examination (MMSE) scores. Risk factors included midlife cardiovascular conditions, hearing loss, current smoking, depression, and physical inactivity. Protective factors were education and wealth. The Oaxaca-Blinder decomposition method was used to quantify the contribution of these factors in explaining racial/ethnic disparities in cognitive functioning.Results: Black participants had 2.883 times higher odds of developing dementia compared to Whites, while Hispanic participants had 1.230 times higher odds (not statistically significant). Mid- and late-life risk and protective factors explained 32% of the cognitive gap between Black and White participants, and 70% between Hispanic and White participants, leaving 68% and 30% unexplained, respectively.Conclusions: Addressing disparities in education, wealth, cardiovascular risks, depression, and hearing loss can reduce cognitive dysfunction in older adults.Clinical implications: Clinicians should target modifiable risk factors like depression and physical inactivity, particularly in minority populations. Addressing socioeconomic disparities is also crucial for improving cognitive health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1186-1199"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12349561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648754","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

Sleep Pattern Trajectories and Incident Mild Cognitive Impairment and Dementia: Results from the HELIAD Study. 睡眠模式轨迹与轻度认知障碍和痴呆的发生：来自HELIAD研究的结果。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-07-25 DOI: 10.1080/07317115.2025.2537696

Panagiota Koutsimani, Angeliki Tsapanou, Mary Yannakoulia, Paraskevi Sakka, Georgios M Hadjigeorgiou, Efthimios Dardiotis, Nikolaos Scarmeas, Mary H Kosmidis

{"title":"Sleep Pattern Trajectories and Incident Mild Cognitive Impairment and Dementia: Results from the HELIAD Study.","authors":"Panagiota Koutsimani, Angeliki Tsapanou, Mary Yannakoulia, Paraskevi Sakka, Georgios M Hadjigeorgiou, Efthimios Dardiotis, Nikolaos Scarmeas, Mary H Kosmidis","doi":"10.1080/07317115.2025.2537696","DOIUrl":"10.1080/07317115.2025.2537696","url":null,"abstract":"Objectives: We explored the trajectories of sleep patterns and their relationship with conversion to MCI or dementia in a sample of older adults.Methods: A total of 1984 participants ( >64 years old) in a population-based, longitudinal study (HELIAD), provided information regarding their sleep patterns. A full neurological exam and a comprehensive neuropsychological assessment were conducted to determine MCI and dementia diagnoses. Baseline and three-year follow-up associations of sleep patterns with cognitive status (healthy, MCI, dementia), age, education and sex were analyzed with the utilization of generalized estimating equation models.Results: Baseline sleep patterns did not differentiate between initially healthy participants who converted either to MCI or dementia and those who remained healthy at follow-up. Baseline healthy participants who converted to MCI at follow-up reported more frequent sleep quality problems at follow-up than the consistently healthy participants (p = .032). Baseline healthy participants who converted to dementia at follow-up conveyed less frequent sleep disturbances(p = .009), greater sleep adequacy ratings (p = .006) and longer sleep duration (p = .001) at follow-up compared to their consistently healthy counterparts.Conclusions: Sleep pattern trajectories were not associated with cognitive diagnosis. Sleep pattern alterations do not appear to predate conversion to MCI or dementia among cognitively healthy older adults.Clinical implications: Discrepancies in self-reports might reflect a compromise in the ability to form objective judgments. These discrepancies may help differentiate between MCI and early dementia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1140-1155"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144706580","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

Cannabidiol Use Among Older Adults: Associations with Cannabis Use, Physical and Mental Health, and Other Substance Use. 老年人使用大麻二酚：老年人使用大麻：与大麻使用、身心健康和其他物质使用的关系》（Cannabidiol Use Among the Older Adults: Associations with Cannabis Use, Physical and Mental Health, and Other Substance Use.

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-11-22 DOI: 10.1080/07317115.2024.2429595

Namkee G Choi, C Nathan Marti, Bryan Y Choi

{"title":"Cannabidiol Use Among Older Adults: Associations with Cannabis Use, Physical and Mental Health, and Other Substance Use.","authors":"Namkee G Choi, C Nathan Marti, Bryan Y Choi","doi":"10.1080/07317115.2024.2429595","DOIUrl":"10.1080/07317115.2024.2429595","url":null,"abstract":"Objectives: To examine older adults' cannabidiol (CBD) use and its associations with cannabis use and physical/mental health and other substance use problems.Methods: Using the 2022 National Survey on Drug Use and Health (N = 10,516 respondents age 50+), we fitted generalized linear models (GLM) with Poisson and log link using CBD as the dependent variable in the 50-64 and the 65+ age groups.Results: In the 50-64 age group, 18.3% and 18.0% reported past-year CBD and cannabis, respectively, use. In the 65+ age group, the percentages were 14.3% and 8.0%. GLM results showed significant positive associations with both medical and non-medical cannabis use in both age groups. CBD use was positively associated with physical/mental health and illicit drug use problems in the 50-64 age group and with disordered psychotherapeutic drug use in the 65+ age group. Minoritized older adults had a lower likelihood of CBD use.Conclusions: CBD use is common, more so than cannabis especially in the 65+ age group and positively correlated with both medical and nonmedical cannabis use.Clinical implications: Research is needed to examine therapeutic benefits and negative effects of CBD use in late life. Public health education is needed for growing numbers of older-adult CBD users.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1255-1267"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686255","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

Association between Multimorbidity and Psychological Distress among Older Adults in India: The Moderating Role of Elder Abuse. 印度老年人的多病症与心理压力之间的关系：虐待老人的调节作用

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-02-05 DOI: 10.1080/07317115.2024.2309942

Sathya Thennavan, Yesuvadian Selvamani, Nagarajan Rangasamy, Mathew Arumai

{"title":"Association between Multimorbidity and Psychological Distress among Older Adults in India: The Moderating Role of Elder Abuse.","authors":"Sathya Thennavan, Yesuvadian Selvamani, Nagarajan Rangasamy, Mathew Arumai","doi":"10.1080/07317115.2024.2309942","DOIUrl":"10.1080/07317115.2024.2309942","url":null,"abstract":"Objectives: In this study, we examine the association between multimorbidity and psychological distress and to what extent elder abuse mediates the association.Methods: We analyzed cross-sectional nationally representative data from the \"Building Knowledge Base on Population Ageing in India (BKPAI).\" Multivariate logistic regression was used to understand the association between multimorbidity and psychological distress. We used Karlson-Holm- Breen (KHB) method to understand the role of elder abuse in mediating the association between multimorbidity and psychological distress.Results: Older adults who ever experienced abuse (OR = 1.92 95%CI = 1.62, 2.26, p < .001) or in last one month (OR = 2.09 95%CI = 1.65, 2.64, p < .001) reported higher odds of psychological distress. Further, older adults with four or more chronic diseases are thrice more likely to report psychological distress (OR = 3.03 95%CI = 2.38, 3.82, p < .001). The results further suggest the mediating role of abuse on the association between multimorbidity and psychological distress.Conclusions: The results suggest the role of elder abuse on the association between multimorbidity and psychological distress among older population in India.Clinical implications: Creating an environment to reduce the abuse among older adults who have multimorbidity will be essential to reducing the psychological distress among older adults in India.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1235-1245"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691400","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