Clinical Gerontologist最新文献_第5页

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 2.6 3区医学

Clinical Gerontologist Pub 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":"https://doi.org/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":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia. 痴呆症患者家庭照顾者负担、心理弹性过程和焦虑的关系

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-09 DOI: 10.1080/07317115.2025.2464868

Areum Han, Ho Kyung Lee, Ickpyo Hong

{"title":"Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia.","authors":"Areum Han, Ho Kyung Lee, Ickpyo Hong","doi":"10.1080/07317115.2025.2464868","DOIUrl":"https://doi.org/10.1080/07317115.2025.2464868","url":null,"abstract":"Objectives: This cross-sectional study examined the relationships among caregiver burden, anxiety, and key psychological flexibility processes - cognitive fusion, experiential avoidance, and values-driven actions - in family caregivers of individuals with dementia.Methods: Data were collected from 191 caregivers in the United States. Structural equation modeling was used to assess direct and indirect relationships among caregiver burden, anxiety, and key psychological flexibility processes.Results: The model showed excellent fit. Caregiver burden had a significant direct effect on anxiety (59.1% of the total effect), while indirect effects accounted for 40.9%. Cognitive fusion was the only significant mediator between caregiver burden and anxiety, accounting for 20.8% of the total effect. Additionally, experiential avoidance - both alone and when preceded by cognitive fusion - significantly mediated the relationship between caregiver burden and reduced engagement in values-driven actions.Conclusions: These findings highlight cognitive fusion as a key mechanism linking caregiver burden to anxiety. Furthermore, both cognitive fusion followed by experiential avoidance and experiential avoidance alone appear to influence the relationship between caregiver burden and values-driven actions.Clinical implications: Clinicians may consider implementing skills training targeting cognitive fusion and experiential avoidance to mitigate the negative impact of caregiver burden on anxiety and values-driven actions.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381762","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

Evaluating the Effectiveness of a Culturally Adapted Dementia Prevention Animation on Ethnically Diverse participants' Knowledge of Dementia Prevention. 评估文化适应性痴呆预防动画对不同种族参与者痴呆预防知识的有效性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-28 DOI: 10.1080/07317115.2025.2453710

Bianca Brijnath, Simona Markusevska, Kayla Lock, Kathleen Doherty, Claire Eccleston, Carolina Navarro Medel, Andrew S Gilbert, Josefine Antoniades, Marina Cavuoto

{"title":"Evaluating the Effectiveness of a Culturally Adapted Dementia Prevention Animation on Ethnically Diverse participants' Knowledge of Dementia Prevention.","authors":"Bianca Brijnath, Simona Markusevska, Kayla Lock, Kathleen Doherty, Claire Eccleston, Carolina Navarro Medel, Andrew S Gilbert, Josefine Antoniades, Marina Cavuoto","doi":"10.1080/07317115.2025.2453710","DOIUrl":"https://doi.org/10.1080/07317115.2025.2453710","url":null,"abstract":"Objectives: To determine whether culturally adapted dementia prevention animations increased dementia prevention knowledge in ethnically diverse communities.Methods: A before-and after survey conducted online and in-person between 1 February and 5 June 2022. Participants viewed the animation in Arabic, Hindi, Tamil, Cantonese, Mandarin, Greek, Italian, Spanish, Vietnamese or English. Dementia knowledge was measured using two subscales from the dementia risk reduction knowledge instrument (KoDeRR), measuring knowledge of dementia risk factor mitigation strategies and appraisal of dementia risk factors (misconceptions).Results: Among the 318 respondents there was a significant increase in dementia knowledge in most languages after viewing the animation (ps < 05; except for English). Mean performance on knowledge of dementia risk factor mitigation strategies significantly increased after viewing the animation (p < .001), with a clinically meaningful effect (mean change = 3.63). Appraisal of dementia risk factor misconceptions significantly increased in the Spanish group (mean change = 1.29, p < .001), but significantly decreased in the English group (mean change = -1.09, p < .001).Conclusions: Viewing the animation in a language other than English was associated with an increase in KoDeRR scores for both the recognition of mitigation strategies and identification of misconceptions subscales.Clinical implications: Codesigned, culturally adapted in-language dementia prevention animations improve dementia prevention awareness in ethnically diverse communities.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051606","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

A Pilot Intervention to Prevent Financial Exploitation. 防止金融剥削的试点干预。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-23 DOI: 10.1080/07317115.2025.2454311

Peter A Lichtenberg, Latoya Hall

{"title":"A Pilot Intervention to Prevent Financial Exploitation.","authors":"Peter A Lichtenberg, Latoya Hall","doi":"10.1080/07317115.2025.2454311","DOIUrl":"10.1080/07317115.2025.2454311","url":null,"abstract":"Objectives: Based on previous empirical research on financial stressors and resources and using a prevention science framework, this pilot study examined the effect and acceptability of a three-session older adult financial exploitation prevention intervention.Methods: Forty-five older adults participated in the study. Each participant completed three 30- to 45-minute sessions. The sessions included financial exploitation vulnerability, financial literacy, techniques used by scammers, choosing a trusted advocate, and creating a financial inventory. At the end of each session, participants were asked how relevant and trustworthy the information presented was. Primary outcome measures were financial vulnerability and financial literacy. Secondary outcomes were other mental health and stress factors, as well as how many participants reported choosing a trusted advocate and creating a financial inventory.Results: Financial literacy and financial vulnerability scores after the prevention intervention differed significantly from baseline scores. Participants' ratings after each session, with respect to usefulness and trustworthiness, were extremely positive.Conclusions: The financial exploitation prevention intervention program demonstrated acceptability and a positive effect on reducing vulnerability to financial exploitation.Clinical implications: Proper assessment of an older client's financial history and of plans to safeguard their financial future is integral to the overall well-being and health of older clients.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022161","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

Psychological Factors Associated with Fear of Falling and Fear of Falling Avoidance Behavior in Older Adults: Results from a National Sample. 老年人害怕跌倒和害怕避免跌倒行为的相关心理因素：来自全国样本的结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-22 DOI: 10.1080/07317115.2025.2453712

John V Rider, Nirmala Lekhak, Daniel L Young, Merrill R Landers

{"title":"Psychological Factors Associated with Fear of Falling and Fear of Falling Avoidance Behavior in Older Adults: Results from a National Sample.","authors":"John V Rider, Nirmala Lekhak, Daniel L Young, Merrill R Landers","doi":"10.1080/07317115.2025.2453712","DOIUrl":"https://doi.org/10.1080/07317115.2025.2453712","url":null,"abstract":"Objectives: This study aimed to identify psychological factors and characteristics associated with fear of falling (FOF) and fear of falling avoidance behavior (FFAB) among older adults.Methods: This cross-sectional study used data from the National Health and Aging Trends Study (Wave 9, n = 4,977).Results: We found that increased fall history, more frequent depression and anxiety, and poorer perceived overall health were significantly higher among older adults with FFAB compared to FOF (ps < .001). Perceived overall health, depression, and anxiety explained a significant amount of variance in FOF and FFAB. Lastly, demographic characteristics differ between older adults reporting no FOF/FFAB, FOF, and FFAB.Conclusions: FOF and FFAB are prevalent among older adults. Older adults experiencing FFAB had poorer health perceptions, more falls, and more frequent depression and anxiety than those experiencing FOF. The association of psychological factors and demographic characteristics with FOF and FFAB may indicate potential treatment targets. Clinical Implications: Addressing psychological variables, such as health perception, anxiety, and depression among older adults, may mitigate the impact of FOF and the development of FFAB; however, further research is needed.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000566","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

Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity. 老年关节炎和多重疾病患者的疾病侵入性、感知控制和生活质量。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-22 DOI: 10.1080/07317115.2025.2454977

Sama Joshi, M Carrington Reid, Irina Mindlis

{"title":"Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity.","authors":"Sama Joshi, M Carrington Reid, Irina Mindlis","doi":"10.1080/07317115.2025.2454977","DOIUrl":"10.1080/07317115.2025.2454977","url":null,"abstract":"Objectives: Arthritis is associated with poor quality of life (QOL) among older adults; and QOL is even worse among those with arthritis and multimorbidity (MM). Illness intrusiveness and perceived control have been identified in studies of single illnesses as modifiable mechanisms for QOL, but are understudied in older adults with arthritis and MM. We investigated the role of these potential mechanisms with QOL among older adults with arthritis and MM.Methods: Secondary analysis of a sample of older adults aged ≥ 62 years with arthritis and MM (N = 228) using PROCESS macro for SPSS.Results: Participants were on average 72 years with 4 chronic illnesses, and high levels of pain intensity and illness intrusiveness. Perceived control was a significant mediator (but not moderator) in the relationship between illness intrusiveness and QOL, even after adjustment for pain intensity [β = -0.16, 95% CI (-0.13, -0.06)].Conclusions: Lower levels of illness intrusiveness were associated with improved QOL through greater perceived control. Longitudinal studies are needed to further assess these mechanisms in older adults with arthritis and MM to adapt existing interventions.Clinical implications: Perceived control may be a target for future behavioral interventions to improve QOL in this population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001359","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

Harmonizing Cognitive and Psychosocial Needs in Cognitive Training: Lessons Learned from Piano Training in Persons Living with Mild Cognitive Impairment. 协调认知训练中的认知和社会心理需求：轻度认知障碍患者钢琴训练的经验教训。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-09 DOI: 10.1080/07317115.2024.2447839

Rose Lin, Laura M Robinson, Jing Jing Su, Elinor Freer, Sally Norton, Benzi M Kluger, Kathi L Heffner

{"title":"Harmonizing Cognitive and Psychosocial Needs in Cognitive Training: Lessons Learned from Piano Training in Persons Living with Mild Cognitive Impairment.","authors":"Rose Lin, Laura M Robinson, Jing Jing Su, Elinor Freer, Sally Norton, Benzi M Kluger, Kathi L Heffner","doi":"10.1080/07317115.2024.2447839","DOIUrl":"https://doi.org/10.1080/07317115.2024.2447839","url":null,"abstract":"Objectives: This qualitative study explored the potential of piano training as a holistic intervention to enhance both cognitive and emotional well-being. The study aims to detail the experiences of older adults living with mild cognitive impairment (MCI) in a piano training program and recommend strategies to boost engagement.Methods: Fourteen individuals (seven older adults with MCI and their family members) participated in individual semi-structured interviews before and after a 12-week group-based piano training program. These interviews were recorded, transcribed, open-coded, and analyzed by conventional content analysis.Results: Participants with MCI reported improvements in mood, cognitive function, and social interaction. The learning process elicited mixed emotions, with both enjoyment and frustration occurring during the learning phases. Skill mastery and positive social interactions were crucial for sustained engagement throughout the program, although group settings sometimes led to negative self-comparisons.Conclusions: Findings highlighted the need to address both cognitive and emotional needs in interventions for MCI. Neglecting these aspects can exacerbate feelings of low self-esteem and other negative emotions.Clinical implications: Recommendations for cognitive training programs include positive reinforcement, personalized support, mental preparation for challenges, and rapport building to enhance participant motivation and adherence.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945793","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

Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations. 老年人中儿童虐待：心理治疗干预和临床考虑的叙述性回顾。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-05-31 DOI: 10.1080/07317115.2023.2219671

Rachel Zack Ishikawa, Ilana Ander, Dominique L Popescu, Chirag M Vyas, Olivia I Okereke

{"title":"Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations.","authors":"Rachel Zack Ishikawa, Ilana Ander, Dominique L Popescu, Chirag M Vyas, Olivia I Okereke","doi":"10.1080/07317115.2023.2219671","DOIUrl":"10.1080/07317115.2023.2219671","url":null,"abstract":"Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories.Methods: Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma.Results: Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy.Conclusions: While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population.Clinical implications: Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"22-36"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706559","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

Modified Prolonged Exposure Therapy for Posttraumatic Stress Disorder with an 85-Year-Old Native American Cajun Man With Late-Onset Deafness: A Case Report. 改良延长暴露疗法治疗创伤后应激障碍：一名 85 岁患有晚期耳聋的美国原住民卡真人：病例报告。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-02-02 DOI: 10.1080/07317115.2023.2173693

Adam M Lewis

{"title":"Modified Prolonged Exposure Therapy for Posttraumatic Stress Disorder with an 85-Year-Old Native American Cajun Man With Late-Onset Deafness: A Case Report.","authors":"Adam M Lewis","doi":"10.1080/07317115.2023.2173693","DOIUrl":"10.1080/07317115.2023.2173693","url":null,"abstract":"Objectives: Few studies of exposure therapy with adults 85 years and older exist. This case report presents results of prolonged exposure (PE) for posttraumatic stress disorder (PTSD) modified for an 85-year-old Native American Cajun man with late-onset deafness, who used a cochlear implant, and reported high Western/non-Native American acculturation. The following modifications were made primarily in response to the client's individual, disability-related barriers to completing the standard PE protocol: (a) inclusion of the client's spouse in aspects of treatment planning and homework assignments; (b) variable session length and frequency; (c) homework was limited to the daily practice of breathing retraining and in vivo exposure to triggering images; and (d) therapist reliance on nonverbal indicators of distress during imaginal exposures.Methods: The PTSD Checklist for DSM-5 (PCL-5) and 15-item Geriatric Depression Scale (GSD-15) were primary progress and outcome measures.Results: The modified treatment was associated with clinically significant decreases in baseline PTSD (19 points) and depressive (8 points) symptoms.Conclusions: PE protocol modifications did not compromise treatment outcomes for this client.Clinical implications: PE protocols should be modified based on the individual needs of diverse older adults underrepresented in efficacy research.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"182-189"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9212594","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

Perceived Need, Mental Health Literacy, Neuroticism and Self- Stigma Predict Mental Health Service Use Among Older Adults. 感知需求、心理健康素养、神经质和自我污名预测老年人心理健康服务的使用。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2022-04-10 DOI: 10.1080/07317115.2022.2058440

Corey S Mackenzie, Lily Pankratz

{"title":"Perceived Need, Mental Health Literacy, Neuroticism and Self- Stigma Predict Mental Health Service Use Among Older Adults.","authors":"Corey S Mackenzie, Lily Pankratz","doi":"10.1080/07317115.2022.2058440","DOIUrl":"10.1080/07317115.2022.2058440","url":null,"abstract":"Objectives: Older adults are the least likely age group to seek mental health services. However, few studies have explored a comprehensive range of sociodemographic, psychological, and social barriers and facilitators to seeking treatment in later life.Methods: A cross-sectional, national sample of Canadian older adults (55+, N = 2,745) completed an online survey including reliable and valid measures of predisposing, enabling, and need characteristics, based on Andersen's behavioral model of health, as well as self-reported use of mental health services. Univariate and hierarchical logistic regressions predicted past 5-year mental health service use.Results: Mental health service use was most strongly and consistently associated with greater perceived need (OR = 11.48) and mental health literacy (OR = 2.16). Less self-stigma of seeking help (OR = .65) and greater neuroticism (OR = 1.57) also predicted help-seeking in our final model, although their effects were not as strong or consistent across gender, marital status, and age subgroups.Conclusions: The need category was crucial to seeking help, but predisposing psychological factors were also significant barriers to treatment.Clinical implications: Interventions that target older adults high in neuroticism by improving perceptions of need for treatment, mental health literacy, and self-stigma of seeking help may be particularly effective ways of improving access to mental health services.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":"1 1","pages":"161-174"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47347970","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