Clinical Gerontologist最新文献_第3页

Psychometric Evaluation of an Arabic Language Version of the Geriatric Sleep Questionnaire-6 Items (GSQ-6) in Community-Dwelling Older Adults. 社区居住老年人阿拉伯文版老年睡眠问卷-6项（GSQ-6）的心理测量评估

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-03-23 DOI: 10.1080/07317115.2025.2481118

Marwa Ibrahim Mahfouz Khalil, Reem Said Shaala, Mayar Elnakeeb, Enas Fouad Sayed Mousa, Feten Fekih-Romdhane, Souheil Hallit

{"title":"Psychometric Evaluation of an Arabic Language Version of the Geriatric Sleep Questionnaire-6 Items (GSQ-6) in Community-Dwelling Older Adults.","authors":"Marwa Ibrahim Mahfouz Khalil, Reem Said Shaala, Mayar Elnakeeb, Enas Fouad Sayed Mousa, Feten Fekih-Romdhane, Souheil Hallit","doi":"10.1080/07317115.2025.2481118","DOIUrl":"10.1080/07317115.2025.2481118","url":null,"abstract":"Objectives: Assessing sleep quality and patterns in later life is essential for accurately diagnosing and effectively treating sleep problems and their associated consequences. The Geriatric Sleep Questionnaire-6 (GSQ-6) is a widely used self-report questionnaire that assesses sleep quality and disturbances specifically among older adults. This study aimed to translate the scale into Arabic and evaluate its psychometric properties in an older Arabic-speaking adults' population.Methods: The GSQ-6 was translated into Arabic using forward and backward translation procedures, and was administered to a convenience sample of 539 older adults.Results: The CFA results supported the unidimensional factor structure proposed by the developers. The McDonald's omega value was of 0.70, indicating acceptable internal consistency. The measurement model had an equivalent factor structure across sex. GSQ-6 scores correlated negatively with quality of life and resilience, and positively with neglect and abuse scores, supporting the validity of our Arabic translation.Conclusions: The Arabic GSQ-6 demonstrated good psychometric properties. The findings support its use as a valid and reliable measure for evaluating sleep quality among the Arabic-speaking older adult population.Clinical implications: The Arabic GSQ-6 now provides clinicians with an evidence-based means of incorporating routine sleep quality evaluation as part of their patient assessments.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"570-581"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association Between Childhood Adversity and Cognitive Aging Trajectory in Later Life: Evidence from the China Health and Retirement Longitudinal Study (CHARLS). 童年逆境与晚年认知衰老轨迹的关系：来自中国健康与退休纵向研究的证据

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2026-01-27 DOI: 10.1080/07317115.2026.2619127

Hua Wang, Xiagang Song, Zichuan Wang, Kai Hu

{"title":"The Association Between Childhood Adversity and Cognitive Aging Trajectory in Later Life: Evidence from the China Health and Retirement Longitudinal Study (CHARLS).","authors":"Hua Wang, Xiagang Song, Zichuan Wang, Kai Hu","doi":"10.1080/07317115.2026.2619127","DOIUrl":"10.1080/07317115.2026.2619127","url":null,"abstract":"Objectives: This study examined the association between childhood adversity and cognitive aging trajectories among Chinese older adults, exploring the mediating role of depressive symptoms.Methods: Using five waves of the China Health and Retirement Longitudinal Study (CHARLS 2011-2020), we applied the group-based trajectory model, multinomial logistic regression and mediation analysis.Results: Cognitive aging trajectories in older Chinese adults were classified into three patterns: high baseline with slow decline (HBSD), medium baseline with moderate decline (MBMD), and low baseline with rapid decline (LBRD). Childhood adversity increased the likelihood of being in the LBRD (OR: 1.21, 95% CI: 1.15-1.27) and MBMD (OR: 1.11, 95% CI: 1.06-1.15) compared with HBSD, and in the LBRD relative to MBMD (OR: 1.09, 95% CI: 1.05-1.15). Depressive symptoms significantly mediated the associations between childhood adversity and cognitive aging trajectories.Conclusions: Childhood adversity has a direct effect and an indirect effect on cognitive aging trajectories through the depressive symptoms. Addressing depressive symptoms may help mitigate the long-term negative impact of early-life adversity on cognitive aging in older adults.Clinical implications: Targeting depressive symptoms may be a key intervention point for promoting healthy cognitive aging in older adults who experienced childhood adversity.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"757-769"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060412","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

Social Engagement and Cognitive Function Among Older Mexican Heritage Latinos. 老年墨西哥裔拉美人的社会参与和认知功能。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-12-04 DOI: 10.1080/07317115.2025.2596782

Liza Talavera-Garza, Michiyo Hirai, Joseph D Hovey

{"title":"Social Engagement and Cognitive Function Among Older Mexican Heritage Latinos.","authors":"Liza Talavera-Garza, Michiyo Hirai, Joseph D Hovey","doi":"10.1080/07317115.2025.2596782","DOIUrl":"10.1080/07317115.2025.2596782","url":null,"abstract":"Objectives: The current study examined the relationship between social engagement and cognitive function among older Mexican heritage Latinos in the U.S. Although social engagement has been identified as a factor that is protective against cognitive decline and dementia, its association with cognitive health in Mexican heritage Latinos is understudied.Methods: Data on cognitive health, social network characteristics, perceived social support, and social engagement were collected in a sample of older Mexican heritage Latinos in South Texas.Results: Social network characteristics, perceived social support, and social engagement were significantly correlated with cognitive health. A hierarchical multiple regression analysis was used to test the relative strength of these factors in predicting cognitive health, while controlling for relevant covariates. Social engagement was found to be a significant predictor of cognitive function, beyond the effects of perceived social support and social network characteristics.Conclusions: Findings highlight social engagement as a modifiable behavioral factor that may support cognitive health in aging Mexican heritage Latinos.Clinical implications: The results suggest that screening for and enhancing social engagement may be a valuable clinical strategy for preserving cognitive function in older Latinos at risk of poor cognitive health outcomes.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"729-743"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667110","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

An Empirical Evaluation of a Non-Directive Storytelling Program for Spiritual Well-Being and Quality of Life in Dementia. 对痴呆患者精神健康和生活质量的非指导性讲故事计划的实证评估。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-04-27 DOI: 10.1080/07317115.2026.2663004

T Richelle Lyon, Judy Weintraub

{"title":"An Empirical Evaluation of a Non-Directive Storytelling Program for Spiritual Well-Being and Quality of Life in Dementia.","authors":"T Richelle Lyon, Judy Weintraub","doi":"10.1080/07317115.2026.2663004","DOIUrl":"https://doi.org/10.1080/07317115.2026.2663004","url":null,"abstract":"Objectives: People living with dementia (PLWD) often experience disruptions to meaning, identity, and spiritual well-being that are insufficiently addressed by existing psychosocial interventions. This study reports findings from a pilot evaluation examining the feasibility, acceptability, and descriptive quality-of-life outcomes of a non-directive nondenominational storytelling program designed to support personal identity, social connection, and spiritual well-being.Methods: A convergent mixed-methods pilot evaluation was conducted with six participants over 20 weeks. Quality of life (QoL) was assessed across three time points using the Quality of Life in Alzheimer's Disease scale (QOL-AD). Semi-structured interviews were analyzed using reflexive thematic analysis, with findings integrated across methods.Results: QOL-AD scores increased modestly from baseline to mid-program and returned to near-baseline levels at program completion, reflecting overall stability in group-level QoL alongside increasing individual variability across time. Qualitative analysis yielded two overarching themes, Finding Meaning Through Storytelling and Belonging as Healing, describing how narrative engagement and relational safety supported meaning making, identity continuity, and spiritually resonant well-being.Conclusions: Findings provide early evidence that non-directive, narrative-based group programs are feasible, acceptable, and clinically relevant forms of spiritually integrative psychosocial support.Clinical implications: This storytelling-based group program offers a scalable approach clinicians can implement to support QoL and spiritual well-being in PLWD without requiring religious content or specialized spiritual training.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764543","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

Methodological Considerations for Comorbidity of Anxiety and Depression in Later-Life Psychotherapy Trials: A Scoping Review. 晚年心理治疗试验中焦虑和抑郁共病的方法学考虑：范围回顾。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-04-27 DOI: 10.1080/07317115.2026.2661906

Lilla A Brody, Berlyn S Fife, Sataya-Nefetari Otoo, Brenna N Renn

{"title":"Methodological Considerations for Comorbidity of Anxiety and Depression in Later-Life Psychotherapy Trials: A Scoping Review.","authors":"Lilla A Brody, Berlyn S Fife, Sataya-Nefetari Otoo, Brenna N Renn","doi":"10.1080/07317115.2026.2661906","DOIUrl":"https://doi.org/10.1080/07317115.2026.2661906","url":null,"abstract":"Objectives: Anxiety and depression are highly comorbid in older adults, especially considering subthreshold symptom presentations. Psychotherapies treating both conditions in this population are not well established. This scoping review aimed to quantify how frequently psychotherapy trials for anxiety/depression in older adults utilize measures of the other disorder and describe methodology pertaining to comorbidity.Methods: Articles were screened by two reviewers at all stages. Articles published between January 2010 and November 2024 were searched; eligible articles used randomized control (RCT) designs, primarily enrolled older adults, evaluated a psychotherapy for anxiety and/or depression, and included anxiety and/or depression as primary outcomes.Results: In total, 1,066 studies were screened at the title/abstract stage, 264 at the full text stage, and 91 were included. While most RCTs for anxiety included depression outcomes, only a minority of depression trials assessed anxiety. No trials accounted for comorbidity or presence of the other disorder in their primary statistical analyses.Conclusions: Though highly comorbid in practice, most RCTs for anxiety/depression in older adults do not measure the other disorder.Clinical implications: Current RCTs of anxiety/depression in later life overlook the reality of comorbidity and complex symptom presentations. Future trials should attend to comorbidity and consider transdiagnostic treatments.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.4,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764531","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

Large-Screen Group Digital Reminiscence Therapy Reduces BPSD in Dementia: Findings from a Crossover Comparative Study. 大屏幕组数字回忆疗法减少痴呆患者的BPSD：一项跨界比较研究的结果。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-04-25 DOI: 10.1080/07317115.2026.2664051

Tomoaki Asano, Kana Izumi, Takashi Ishikawa

{"title":"Large-Screen Group Digital Reminiscence Therapy Reduces BPSD in Dementia: Findings from a Crossover Comparative Study.","authors":"Tomoaki Asano, Kana Izumi, Takashi Ishikawa","doi":"10.1080/07317115.2026.2664051","DOIUrl":"https://doi.org/10.1080/07317115.2026.2664051","url":null,"abstract":"Objectives: This study evaluated the effectiveness of group‑based digital reminiscence therapy (GDRT) delivered via large‑screen visual stimuli optimized for the perceptual characteristics of people with dementia. The primary aim was to reduce behavioral and psychological symptoms of dementia (BPSD) and caregiver burden.Methods: A crossover study was conducted with 44 residents from four long‑term care facilities. Participants received five weeks of GDRT and five weeks of conventional activities in alternating sequences, separated by a 12‑week washout period. GDRT employed visually enhanced photographs and videos projected on a 100‑inch screen. Primary outcomes were BPSD and caregiver burden assessed using the NPI‑NH; secondary outcomes included cognitive function (MMSE‑J) and verbal fluency.Results: Compared with conventional activities, GDRT resulted in significantly greater reductions in overall BPSD (r = 0.56, p = .001) and caregiver burden (r = 0.44, p = .011). Significant improvements were observed in apathy. Cognitive function improved during the GDRT phase (r = 0.44), whereas verbal fluency showed no significant change.Conclusions: GDRT tailored to visual and cognitive characteristics of people with dementia effectively reduces apathy, BPSD and caregiver burden.Clinical implications: Visually optimized, large‑screen digital reminiscence materials represent a practical and resource‑efficient approach for dementia care.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764470","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

Bedtime Inhalation-Based Relaxation for Sleep Quality and Depressive Symptoms in Institutionalized Older Adults: A Pilot Randomized Controlled Trial. 睡前吸入放松对制度化老年人睡眠质量和抑郁症状的影响：一项随机对照试验

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-04-25 DOI: 10.1080/07317115.2026.2661909

Li Fen Wang, Zih Cing Syu, Chung Hsien Lo, Bin Wha Chang

{"title":"Bedtime Inhalation-Based Relaxation for Sleep Quality and Depressive Symptoms in Institutionalized Older Adults: A Pilot Randomized Controlled Trial.","authors":"Li Fen Wang, Zih Cing Syu, Chung Hsien Lo, Bin Wha Chang","doi":"10.1080/07317115.2026.2661909","DOIUrl":"https://doi.org/10.1080/07317115.2026.2661909","url":null,"abstract":"Objectives: Poor sleep quality and depressive symptoms are common among institutionalized older adults. This pilot study examined the preliminary effects of bedtime inhalation-based aromatherapy on sleep and mood.Methods: A pilot, single-blind, two-arm randomized controlled trial was conducted in a Taiwanese long-term care facility. Thirty-seven residents completed the study (intervention: n = 19; control: n = 18). The intervention group inhaled bergamot and clary sage essential oils for 15 minutes nightly over four weeks, while the control group received unscented almond oil. Outcomes were assessed using the Geriatric Depression Scale-15 (GDS-15) and Pittsburgh Sleep Quality Index (PSQI). One participant in the intervention group discontinued due to mild intolerance.Results: Compared with the control group, the intervention group showed greater improvements in sleep quality (B = 2.41, p < .001) and reductions in depressive symptoms (B = 2.28, p < .001). No serious adverse events occurred.Conclusions: Bedtime inhalation-based aromatherapy appears safe and feasible, with potential to improve sleep and mood in institutionalized older adults.Clinical implications: Incorporating bedtime inhalation-based aromatherapy into routine care may provide a safe, complementary non-pharmacological approach to support sleep and mood in institutionalized older adults. These findings are preliminary and require confirmation in larger trials.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764524","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 2.4 3区医学

Clinical Gerontologist Pub 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":"https://doi.org/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":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-04-24","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

The Paradox of Filial Piety: A Review of Loneliness and Depressive Symptoms Among Older Adults. 孝道的悖论：老年人孤独感与抑郁症状的研究综述。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-04-24 DOI: 10.1080/07317115.2026.2664050

Josily Achamma Mathew, Vijayalaya Srinivas Thiagarajan

{"title":"The Paradox of Filial Piety: A Review of Loneliness and Depressive Symptoms Among Older Adults.","authors":"Josily Achamma Mathew, Vijayalaya Srinivas Thiagarajan","doi":"10.1080/07317115.2026.2664050","DOIUrl":"https://doi.org/10.1080/07317115.2026.2664050","url":null,"abstract":"Introduction: Modern society is witnessing socio-cultural shifts that challenge traditional familial virtues and intergenerational relationships. A similar Confucian family virtue is Filial piety, which emphasizes care, respect, and obedience toward older parents. However, changing family dynamics have led to filial discrepancies - the gap between expected and actual support from children, which may have significant psychological implications.Methods: Scopus, PubMed, PsycINFO, Google Scholar, JSTOR, and SpringerLink were searched for relevant publications within the last 15-year period (2011-2025). The articles were collected using Zotero, and the rigor of the selected articles was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools.Results: Studies highlighted a strong association of filial discrepancies with late-life depressive symptomology and loneliness. Across studies, the quality of parent-child relations has been observed to outweigh physical proximity. Perceived inadequacy of support from children was linked to intense psychological distress.Conclusions: Filial discrepancies and their psychological interpretations appear to be associated with depressive symptoms and loneliness among older adults. Relational reciprocity and emotionally meaningful intergenerational bonds are of utmost importance.Clinical implications: The findings suggest that filial piety may represent an important factor for clinicians to consider when working with older adults in Confucian cultural contexts.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764508","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

How Can We Promote Meaning in Life in Older Adults? A Systematic Review and Narrative Synthesis of Interventions. 我们如何促进老年人生活的意义？干预措施的系统回顾与叙事综合。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-04-23 DOI: 10.1080/07317115.2026.2661901

Iris Crespo, Denise Pergolizzi, Juliana Rojas-Rincón, Alanna Cuvelier, Claudia Rossy, Maria Gámiz-Sanfeliu, Maria Fernández-Capo

{"title":"How Can We Promote Meaning in Life in Older Adults? A Systematic Review and Narrative Synthesis of Interventions.","authors":"Iris Crespo, Denise Pergolizzi, Juliana Rojas-Rincón, Alanna Cuvelier, Claudia Rossy, Maria Gámiz-Sanfeliu, Maria Fernández-Capo","doi":"10.1080/07317115.2026.2661901","DOIUrl":"https://doi.org/10.1080/07317115.2026.2661901","url":null,"abstract":"Objective: We aim to synthesize interventions for older adults that report positive effects on meaning in life (MiL).Methods: This systematic review, conducted in accordance with the PRISMA 2020 guidelines, synthesized findings from 22 studies examining interventions targeting MiL in adults aged 60 years and older. Study quality was appraised using the Critical Appraisal Skills Program (CASP) tools.Results: Most studies used heterogeneous, quasi-experimental designs and assessed MiL as a secondary outcome; interventions commonly relied on life review, narrative, and dialogical approaches, often delivered in group formats, with outcomes shaped by cultural context, health status, and the therapeutic relationship.Conclusions: Overall, the strength of evidence was moderate and limited by study design and variability in outcome definitions. Future research should prioritize more precise conceptualization of MiL, improved methodological rigor, and culturally sensitive approaches to enhance the applicability of findings across diverse older adult populations.Clinical implications: The findings indicate that clinical interventions may engage MiL across multiple dimensions, that their impact varies by individual and contextual factors in older adults, and that validated MiL measures should be used to assess change.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-16"},"PeriodicalIF":2.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764478","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