Clinical Gerontologist最新文献_第4页

Feasibility of Implementing Dementia Collaborative Coaching into Routine Care in Nursing Homes. 在疗养院的常规护理中实施痴呆症协作辅导的可行性。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-10-06 DOI: 10.1080/07317115.2024.2411281

Natalie F Douglas, Joan Carpenter, Kimberly Van Haitsma, Katherine M Abbott

{"title":"Feasibility of Implementing Dementia Collaborative Coaching into Routine Care in Nursing Homes.","authors":"Natalie F Douglas, Joan Carpenter, Kimberly Van Haitsma, Katherine M Abbott","doi":"10.1080/07317115.2024.2411281","DOIUrl":"10.1080/07317115.2024.2411281","url":null,"abstract":"Objectives: The study evaluated the feasibility of implementing Dementia Collaborative Coaching (DCC) into the routine workflow of speech-language pathologists (SLPs) working in nursing homes (NHs). DCC is an intervention delivered by SLPs to train nursing assistants (CNAs) in communication strategies to support people living with dementia (PLWD).Methods: We assessed the feasibility of identifying eligible PLWD; estimated intervention fidelity; evaluated suitability of outcome measures; and determined the preliminary impact on behavioral and psychological symptoms of distress (BPSD) among PLWD. SLPs completed a semi-structured interview to collect further acceptability data.Results: Four SLPs in four NHs completed DCC with 10 CNAs and 15 eligible PLWD that they appropriately identified from their caseloads. SLPs conducted 90 DCC sessions with 64% fidelity and billed Medicare for all sessions. The outcome measure of Minimum Data Set item E0200B: Rejection of Care did not vary enough to be useful, but positive changes were noted on the Cohen-Mansfield Agitation Inventory, t(14) = 10.51, p < .001, Cohen's d = 2.76. Interviews further indicated feasibility.Conclusions: It is feasible to implement DCC into the workflow of SLPs in NHs.Clinical implications: Given the feasibility and preliminary positive impacts, SLPs could consider implementing DCC in routine care.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"940-952"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379176","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

Substance Use Screening in Geriatric Primary Care: Cultural Issues and Alcohol Consumption in the Deep South. 老年初级保健中的药物使用筛查：深南地区的文化问题和酒精消费。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-03-12 DOI: 10.1080/07317115.2024.2326523

Rebecca S Allen, Shayne S H Lin, Timothy K Ly, M Lindsey Jacobs, Robert E McKinney, Brian S Cox, Amy E Albright, Deanna M Dragan, Dana Carroll, Anne Halli-Tierney

{"title":"Substance Use Screening in Geriatric Primary Care: Cultural Issues and Alcohol Consumption in the Deep South.","authors":"Rebecca S Allen, Shayne S H Lin, Timothy K Ly, M Lindsey Jacobs, Robert E McKinney, Brian S Cox, Amy E Albright, Deanna M Dragan, Dana Carroll, Anne Halli-Tierney","doi":"10.1080/07317115.2024.2326523","DOIUrl":"10.1080/07317115.2024.2326523","url":null,"abstract":"Objectives: To investigate indicators of potentially hazardous alcohol use among older adults living in a region with high substance use stigma.Methods: Patients at a university-affiliated geriatrics clinic in the Deep South of theUS completed behavioral health screenings including self-reported alcohol use, symptoms of depression or anxiety, and cognitive functioning between 2018 and 2022.Results: Participants (N = 278) averaged 76.04 years of age (SD = 9.25), were predominantly female (70.9%), and non-Hispanic white (84.5%), with an averageof 6.08 comorbid diagnoses (SD = 2.86). Race/ethnicity, age, and symptoms of anxiety were associated with alcohol use and hazardous alcohol use, with non-Hispanic whites, younger individuals, and those with more anxiety symptoms reporting more alcohol use. Notably, alcohol use and hazardous alcohol use were associated with cognitive functioning in the dementia range.Conclusion: Self-reported alcohol use is low in geriatric primary care in the Deep South, US, differs by race/ethnicity, and is predictive of cognitive impairment when alcohol use is hazardous. Issues of trust and stigma may play a role in self-report ofstigmatized behaviors.Clinical implications: Self-reported alcohol intake must be considered within the cultural context of regional stigma. Recommendations to address this are provided.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1246-1254"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101179","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 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub 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":"1223-1234"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","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

Feasibility and Preliminary Efficacy of an Intervention to Support Long-Distance Family Caregivers of Older Adults with Dementia. 支持老年痴呆患者远程家庭照顾者干预的可行性和初步效果。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-02-11 DOI: 10.1080/07317115.2025.2464869

Verena R Cimarolli, Richard E Chunga, Francesca Falzarano, Catherine Riffin, Nathan Tintle, Sara Czaja, Kathrin Boerner

{"title":"Feasibility and Preliminary Efficacy of an Intervention to Support Long-Distance Family Caregivers of Older Adults with Dementia.","authors":"Verena R Cimarolli, Richard E Chunga, Francesca Falzarano, Catherine Riffin, Nathan Tintle, Sara Czaja, Kathrin Boerner","doi":"10.1080/07317115.2025.2464869","DOIUrl":"10.1080/07317115.2025.2464869","url":null,"abstract":"Objectives: The purpose of this pilot study was to evaluate the implementation feasibility and to establish preliminary efficacy of LDCare - a remotely delivered, manualized, multi-component intervention developed to support long-distance family caregivers (LDCs) of older adults with dementia.Methods: The study design was a one-arm pre-post-intervention trial involving 40 LDCs - those living at least two hours away from their care recipient - who experienced significant caregiver burden. Feasibility was evaluated in terms of three indicators: recruitment capability, intervention acceptability and suitability. Preliminary efficacy of LDCare for reducing burden, strains, and depression from pre- to immediate post intervention was determined. Feasibility indicators were tracked over time, and participants completed pre-intervention and immediate post-intervention assessments.Results: LDCs were recruited within the planned timeframe. The acceptability of LDCare was excellent, as demonstrated by high study retention (90%) and overall intervention adherence (95%) rates. The suitability of LDCare for addressing LDCs' needs was rated high. Wilcoxon Signed-Rank tests revealed statistically significant decreases in caregiver burden, strains, and depression from pre- to immediate post-intervention.Conclusions: LDCare demonstrated high feasibility and preliminary efficacy among burdened LDCs.Clinical implications: LDCare has potential for scalability and eventual integration within service offerings of caregiver support organizations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"976-986"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390267","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

Evidence for Building an Integrated Dementia Healthcare System: A Systematic Review. 建立一个综合的痴呆症医疗保健系统的证据：一个系统的回顾。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-05-16 DOI: 10.1080/07317115.2025.2505577

George Lin, Tracy Kuo Lin, Mohammed Alluhidan, Rana Saber, Mariam M Hamza, Severin Rakic, Abdulrahman Alfaisal, Adwaa Alamri, Volkan Cetinkaya, Nahar Alazmi

{"title":"Evidence for Building an Integrated Dementia Healthcare System: A Systematic Review.","authors":"George Lin, Tracy Kuo Lin, Mohammed Alluhidan, Rana Saber, Mariam M Hamza, Severin Rakic, Abdulrahman Alfaisal, Adwaa Alamri, Volkan Cetinkaya, Nahar Alazmi","doi":"10.1080/07317115.2025.2505577","DOIUrl":"10.1080/07317115.2025.2505577","url":null,"abstract":"Objectives: Proponents of integrated healthcare systems suggest that such system can improve healthcare experience for individuals with dementia by amalgamating personal and structured resources.Methods: We assessed systematically available evidence on the current state of integrated healthcare systems viewed in terms of different levels and dimensions of integration, emphasizing multiple stakeholders' simultaneous perspectives. Studies were eligible for inclusion if they (1) evaluated a health system, (2) adopted a network or integrated care model, (3) cared for individuals with dementia, and (4) provided real-world data.Results: Our review included 31 studies. Main components of the healthcare system included care mediation, multidisciplinary care, primary care integration, long-term care, community-based service, digital technology, and one undefined. Most studies involved meso-level integration (n = 23), followed by micro-level (n = 12) and macro-level integration (n = 5).Conclusions: Key factors that promote an integrated healthcare system for dementia include supportive organizational structure, multidisciplinary collaboration, effective leadership, clear roles, streamlined referral, and community involvement. Macro-level integration should be considered with greater emphasis in conjunction with both meso- and micro-level integration.Clinical implications: Successful development of comprehensive integrated healthcare network will require thoughtful implementation and transition across all levels of the system.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"879-895"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086115","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

Application of the Need-Driven Dementia-Compromised Behavior Model in Dementia Care: A Scoping Review. 需求驱动痴呆妥协行为模型在痴呆护理中的应用：范围综述。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-06-30 DOI: 10.1080/07317115.2025.2525246

Wenxuan Zhao, Jie Song, Haiwen Chen, Nan Zhang, Jinfang Wang, Xiao Cong

{"title":"Application of the Need-Driven Dementia-Compromised Behavior Model in Dementia Care: A Scoping Review.","authors":"Wenxuan Zhao, Jie Song, Haiwen Chen, Nan Zhang, Jinfang Wang, Xiao Cong","doi":"10.1080/07317115.2025.2525246","DOIUrl":"10.1080/07317115.2025.2525246","url":null,"abstract":"Objectives: To review the need-driven dementia-compromised behavior (NDB) model and its application in dementia care.Methods: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Review guidelines. We searched electronic databases including Embase, PubMed, Web of Science, Cochrane Library, Scopus, and the Chinese databases CNKI, Wanfang, VIP, and SinoMed from November 1996 to December 2024.Results: Overall, 22 studies were included. Eleven studies explored the factors influencing behavioral and psychological symptoms of dementia (BPSD), 10 focused on nursing interventions to meet patients' needs in dementia care, and only 1 developed an assessment tool to evaluate trigger factors of BPSD.Conclusions: Identifying and assessing the background and proximal factors of patients with dementia can assist nurses and family caregivers in the early identification of patients at risk of BPSD. The NDB model-based assessment tool is used to assess possible BPSD triggers. Nursing interventions based on the NDB model positively affect BPSD and mood in people with dementia. These interventions can be tailored based on the background or target proximal factors of patients in specific settings.Clinical implications: Using the NDB model, caregivers can identify triggers of BPSD in patients with dementia and implement personalized intervention measures.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"862-878"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526681","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

Depression, Anxiety, and Insomnia Among Older Adults in South Dakota: The Role of Social Isolation. 南达科他州老年人的抑郁、焦虑和失眠：社会孤立的作用。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-09-22 DOI: 10.1080/07317115.2025.2562512

Abdallah M Badahdah, Filip Viskupič, David Wiltse

{"title":"Depression, Anxiety, and Insomnia Among Older Adults in South Dakota: The Role of Social Isolation.","authors":"Abdallah M Badahdah, Filip Viskupič, David Wiltse","doi":"10.1080/07317115.2025.2562512","DOIUrl":"https://doi.org/10.1080/07317115.2025.2562512","url":null,"abstract":"Objectives: Social isolation is a serious public health issue with adverse physical and mental health problems. This cross-sectional study investigated the association between the number of friends and depression, anxiety, and insomnia in a sample of older adults in South Dakota.Methods: A sample of 363 adults aged older than 59 (M = 69.78, SD = 6.72) completed self-report measures on their number of close friends and symptoms of depression, anxiety, and insomnia. Most of the participants were non-Hispanic White (96.3%), mostly married (81.1%), Republican (44.4%), and had two or fewer years of college education (44.0%).Results: A series of logistic regression analyses showed that a smaller number of close friends was associated with high levels of depressive symptoms, anxiety, and insomnia.Conclusions: The results showed that late-life close friendship is a significant protector against mental health problems.Clinical implications: Screening for loneliness and social isolation is important for timely interventions. Clinicians are encouraged to use a brief valid measure to identify the presence of social isolation among older adults, especially those in rural communities.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124286","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

Family Functioning and Depression in Chinese Nursing Home Residents: The Serial Mediating Role of Perceived Stress and Psychological Resilience. 家庭功能与中国养老院居民抑郁：感知压力和心理弹性的系列中介作用。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-09-04 DOI: 10.1080/07317115.2025.2556032

Wenfen Zhu, Ruiming Gu, Yutong Wang

{"title":"Family Functioning and Depression in Chinese Nursing Home Residents: The Serial Mediating Role of Perceived Stress and Psychological Resilience.","authors":"Wenfen Zhu, Ruiming Gu, Yutong Wang","doi":"10.1080/07317115.2025.2556032","DOIUrl":"https://doi.org/10.1080/07317115.2025.2556032","url":null,"abstract":"Objectives: This study examined the associations between family functioning and depressive symptoms among older adults in Chinese nursing homes, focusing on the mediating roles of perceived stress and psychological resilience.Methods: A cross-sectional survey was conducted among 229 older adults from five nursing homes in Southwest China. Standardized instruments were used, including the Family APGAR Index, Geriatric Depression Scale (GDS), Chinese Perceived Stress Scale (CPSS), and the 10-item Connor - Davidson Resilience Scale (CD-RISC-10).Results: Family functioning was negatively associated with depressive symptoms (β = -0.82, p < .01). Perceived stress and psychological resilience were found to be significant mediators. The total indirect effect accounted for 49.56% of the overall association.Specifically, perceived stress (12.47%) and psychological resilience (26.91%) each served as independent mediators. A serial mediation pathway through perceived stress and then psychological resilience explained an additional 10.2% of the total effect.Conclusions: Family functioning was associated with depressive symptoms among institutionalized older adults both directly and indirectly. The serial mediation model highlights potential pathways linking external and internal psychosocial resources to mental health in nursing homes.Clinical implications: Interventions focusing on family support, stress reduction, and resilience enhancement may be relevant to the psychological well-being of older adults in nursing homes.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991612","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

Assessment of suicidal ideation and behavior in community-dwelling older adults: a systematic review. 社区居住老年人自杀意念和行为的评估：一项系统回顾。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-09-04 DOI: 10.1080/07317115.2025.2548431

Beau Nieuwenhuijs, Nico De Witte, Ellen Gorus

{"title":"Assessment of suicidal ideation and behavior in community-dwelling older adults: a systematic review.","authors":"Beau Nieuwenhuijs, Nico De Witte, Ellen Gorus","doi":"10.1080/07317115.2025.2548431","DOIUrl":"https://doi.org/10.1080/07317115.2025.2548431","url":null,"abstract":"Objectives: This systematic review aims to provide a comprehensive overview of the available instruments to detect suicidal ideation and behavior in community-dwelling older adults. We further aim to evaluate the instruments' psychometric properties, diagnostic accuracy, and practical utility.Methods: A systematic review of PubMed, PsycINFO, Sociological Abstracts, and Web of Science databases was carried out. Risk of bias was evaluated with the COSMIN risk of bias checklist or the QUADAS 2 tool.Results: 22 studies detailing 22 instruments were found. Instruments either assessed suicidality directly or indirectly, through the assessment of depression or known risk factors. Psychometric evaluation showed that the validity was better in the original instruments rather than shortened instruments. Evidence for reliability was not always sufficient. All instruments had good diagnostic accuracy. Most instruments were suitable for primary care settings, but their use is context dependent.Conclusions: A variety of instruments are used. Additional research is required for validation and practical use.Clinical implications: Valid instruments assessing suicidality, depression, or risk factors can be used to detect suicide risk in community-dwelling older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-19"},"PeriodicalIF":2.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991670","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

Validation of the Patient-Rated Version of the Parkinson Anxiety Scale in Iranian People with Parkinson's Disease. 伊朗帕金森病患者帕金森焦虑量表患者评分版本的验证

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-09-02 DOI: 10.1080/07317115.2025.2555573

Maryam Mehdizadeh, Negin Eissazade, Seyed-Mohammad Fereshtehnejad, Mohsen Shati, Seyede Salehe Mortazavi, Sayed Amir Hasan Habibi, Masoumeh Bayat, Farzaneh Fendereski, Reihaneh Akbari, Parvaneh Taghavi Azar Sharabiani, Ghorban Taghizadeh

{"title":"Validation of the Patient-Rated Version of the Parkinson Anxiety Scale in Iranian People with Parkinson's Disease.","authors":"Maryam Mehdizadeh, Negin Eissazade, Seyed-Mohammad Fereshtehnejad, Mohsen Shati, Seyede Salehe Mortazavi, Sayed Amir Hasan Habibi, Masoumeh Bayat, Farzaneh Fendereski, Reihaneh Akbari, Parvaneh Taghavi Azar Sharabiani, Ghorban Taghizadeh","doi":"10.1080/07317115.2025.2555573","DOIUrl":"https://doi.org/10.1080/07317115.2025.2555573","url":null,"abstract":"Objectives: To evaluate the psychometric properties of the Patient-Rated Parkinson's Anxiety Scale (PAS-PR) in people with Parkinson's Disease (PwPD).Methods: In this cross-sectional study, we assessed Persian-speaking PwPD using the PAS-PR. Psychometric evaluation included: exploratory factor analysis (EFA); internal consistency (Cronbach's α), test - retest reliability (Intraclass Correlation Coefficient); PAS-PR/observer-rated PAS (PAS-OR) agreement (Bland-Altman); and convergent validity against Geriatric Anxiety Inventory (GAI), the Hospital Anxiety and Depression Scale-Anxiety (HADS-A), the Beck Anxiety Inventory (BAI), and the 21-item Depression, Anxiety, and Stress Scale (DASS-21).Results: Among 191 PwPD (58% male, mean age 69.2 ± 4.6 years; Hoehn & Yahr stages 1-4: 36.7%, 42.4%, 18.3%, and 2.6%, respectively), EFA revealed the expected three-factor structure. The PAS-PR demonstrated excellent reliability (α = 0.88; ICC = 0.96) and strong agreement with PAS-OR (96.19%). Convergent validity was established through significant correlations with GAI, HADS-A, BAI and DASS-21 (r = 0.61-0.75).Conclusions: The PAS-PR, with its acceptable psychometric properties, proves to be a valuable tool for assessing anxiety in the Persian-speaking PwPD.Clinical implications: The PAS-PR offers a practical, tailored tool for identifying diverse anxiety symptoms in Parkinson's patients, streamlining screening in clinical settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-9"},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945346","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