Clinical Gerontologist最新文献_第7页

Video Family Visit for Persons Living with Dementia in Long-Term Service and Support Settings: A Family Perspective. 长期服务和支持环境中的痴呆症患者视频家庭探访：家庭视角。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-10-27 DOI: 10.1080/07317115.2025.2579127

Sohyun Kim, Noelle Fields

{"title":"Video Family Visit for Persons Living with Dementia in Long-Term Service and Support Settings: A Family Perspective.","authors":"Sohyun Kim, Noelle Fields","doi":"10.1080/07317115.2025.2579127","DOIUrl":"10.1080/07317115.2025.2579127","url":null,"abstract":"Objectives: This study explored family perspectives on a six-week video family visit intervention for persons living with dementia in long-term service and support settings, focusing on its barriers and benefits.Methods: Semi-structured interviews were conducted with five family members. A conventional content analysis was performed to analyze transcript narratives and identify shared meanings of their experiences during the intervention.Results: Four themes emerged: (1) Facilitating family connections and emotional well-being; (2) Technology as a barrier and a bridge; (3) The need for structured support; and (4) Adaptability in scheduling. Families noted that video family visits provided opportunities to bridge physical distance and maintain family relationships.Conclusions: Video family visits can serve as a valuable tool to facilitate family connections in long-term service and support settings. By addressing technological barriers, incorporating structured support, and adapting to the specific needs of families and persons living with dementia, video family visits can enhance the quality of life for both patients and their families.Clinical implications: Healthcare professionals can adapt video family visits to support psychosocial well-being of persons living with dementia and their families. Appropriate training for facilitators and families is important for meaningful and quality video family visits.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"888-901"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145376338","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

Active music therapy reduces depressive symptoms and enhances sleep and daily-life autonomy in older adults. 积极的音乐疗法可以减轻老年人的抑郁症状，提高睡眠和日常生活的自主性。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-12-21 DOI: 10.1080/07317115.2025.2606708

Simone Migliore, Rossella Spinoso, Lucia Serenella De Federicis, Ilaria Di Pompeo, Martina Marcaccio, Michela Alemanno, Daniele Lozzi, Giuseppe Curcio

{"title":"Active music therapy reduces depressive symptoms and enhances sleep and daily-life autonomy in older adults.","authors":"Simone Migliore, Rossella Spinoso, Lucia Serenella De Federicis, Ilaria Di Pompeo, Martina Marcaccio, Michela Alemanno, Daniele Lozzi, Giuseppe Curcio","doi":"10.1080/07317115.2025.2606708","DOIUrl":"10.1080/07317115.2025.2606708","url":null,"abstract":"Objectives: This study investigated the impact of active music therapy on mood, sleep, and daily functioning in institutionalized older adults without dementia.Methods: Eighty-five participants aged 65 and older were randomly assigned to an experimental group (n = 39; mean age = 73.5 ± 5.1) receiving active music therapy involving singing, rhythmic instruments, and movement, or a control group (n = 46; mean age = 72.8 ± 5.7) engaged in passive music listening. Sessions lasted one hour, three times weekly for ten weeks. Assessments before and after the intervention included the Mini-Mental State Examination, Geriatric Depression Scale, Pittsburgh Sleep Quality Index, and Everyday Competence Questionnaire.Results: Compared to controls, participants in the active therapy group showed significant reductions in depressive symptoms and sleep disturbances, alongside improved everyday competence, with medium-to-large effect sizes. Cognitive performance remained stable in both groups.Conclusions: Active music therapy thus emerges as a safe, low-cost, and non-pharmacological intervention that enhances emotional well-being, sleep quality, and autonomy among cognitively preserved institutionalized older adults.Clinical implications: These findings highlight music therapy as an engaging and effective strategy to reduce depressive symptoms, improve subjective sleep perception and daytime functioning, and promote independence and resilience in aging populations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"928-939"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145803414","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

Caregiver-Targeted Online Multicomponent Intervention and Quality of Life in Alzheimer's Disease: A Randomized Controlled Trial. 阿尔茨海默病护理者目标在线多组分干预和生活质量：一项随机对照试验

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2026-04-14 DOI: 10.1080/07317115.2026.2659355

Jordina Muñoz-Padros, Maite Garolera, Emma Puigoriol-Juvanteny, Anna Bartés-Plans, Teresa Romero Mas, Pere Roura-Poch, Quintí Foguet-Boreu

{"title":"Caregiver-Targeted Online Multicomponent Intervention and Quality of Life in Alzheimer's Disease: A Randomized Controlled Trial.","authors":"Jordina Muñoz-Padros, Maite Garolera, Emma Puigoriol-Juvanteny, Anna Bartés-Plans, Teresa Romero Mas, Pere Roura-Poch, Quintí Foguet-Boreu","doi":"10.1080/07317115.2026.2659355","DOIUrl":"10.1080/07317115.2026.2659355","url":null,"abstract":"Objectives: To examine whether a brief, fully online caregiver-targeted multicomponent psychological intervention improves self-reported quality of life (QoL) in people with Alzheimer's disease (AD).Methods: In this randomized controlled trial, 56 people with AD and their informal caregivers were assigned to an intervention (n = 28) or usual-care control group (n = 28). Caregivers in the intervention group completed an 8-week online program combining psychoeducation and mindfulness. Outcomes were assessed at baseline and post-intervention by blinded assessors. The primary outcome was QoL assessed with the QoL-AD. Group-by-time effects were analyzed using linear mixed-effects models.Results: Compared with controls, people with AD in the intervention group showed greater improvement in QoL-AD (p < .001). Neuropsychiatric symptoms worsened in the control group but remained stable in the intervention group (group × time p = .039). No significant effects were observed for cognitive performance.Conclusions: A brief caregiver-targeted online intervention was associated with improved QoL and stabilization of neuropsychiatric symptoms in people with AD.Clinical implications: Trial registration: ClinicalTrials.gov, NCT04280861 (registered 17 February 2020).","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"984-998"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of an act-Based Cognitive Intervention on Quality of Life and Cognitive Function in Older Adults Residents with MCI. 基于行为的认知干预对老年轻度认知损伤患者生活质量和认知功能的影响。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-08-10 DOI: 10.1080/07317115.2025.2543868

Victoria Pérez-Rugosa, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo

{"title":"Effectiveness of an act-Based Cognitive Intervention on Quality of Life and Cognitive Function in Older Adults Residents with MCI.","authors":"Victoria Pérez-Rugosa, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo","doi":"10.1080/07317115.2025.2543868","DOIUrl":"10.1080/07317115.2025.2543868","url":null,"abstract":"Objectives: To evaluate the effectiveness of an Acceptance and Commitment Therapy (ACT)-based cognitive intervention on quality of life (QOL) and cognitive function among older adult residents with mild cognitive impairment (MCI) in residential care.Methods: A randomized controlled trial was conducted with 215 older adults residents from six senior care facilities in southern Spain, allocated to an intervention group (n = 103) and a control group (n = 112). The intervention group participated in ACT-based cognitive training sessions twice weekly for 12 weeks. Assessments were conducted at baseline, post-intervention, and six months post-intervention. Structural equation modeling (SEM) examined relationships among intervention exposure, cognitive outcomes, emotional well-being, and QOL.Results: The intervention group demonstrated significant improvements in cognitive function (MMSE +2.1 points, p < .001) and QOL (QOL-AD + 4.1 points, p < .001), while the control group showed slight declines. SEM analysis (χ² = 98.45, df = 72, p < .01; CFI = .94; RMSEA = .04) identified psychological flexibility (β = .35, p < .001) and social engagement (β = .21, p < .01) as significant predictors of QOL, explaining 42% of its variance (R² = .42).Conclusions: ACT-based interventions effectively enhance QOL and cognitive function in older adult residents with MCI. Psychological flexibility and social engagement are key contributors to improved outcomes.Clinical implications: Integrating structured ACT-based cognitive interventions in long-term care settings may support mental resilience, well-being, and cognitive health in older populations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"902-914"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815920","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 Randomised Controlled Trial of Acceptance and Commitment Therapy Group Intervention for Family Caregivers of People with Dementia in Brazil. 巴西痴呆症患者家庭照顾者接受和承诺治疗小组干预的随机对照试验。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2026-01-16 DOI: 10.1080/07317115.2026.2615707

Michele Gomes Ferreira, Renata Caetano Vieira de Faria, Naoko Kishita, Paulo Caramelli

{"title":"A Pilot Randomised Controlled Trial of Acceptance and Commitment Therapy Group Intervention for Family Caregivers of People with Dementia in Brazil.","authors":"Michele Gomes Ferreira, Renata Caetano Vieira de Faria, Naoko Kishita, Paulo Caramelli","doi":"10.1080/07317115.2026.2615707","DOIUrl":"10.1080/07317115.2026.2615707","url":null,"abstract":"Objectives: Investigate the effectiveness of an Acceptance and Commitment Therapy (ACT) group intervention on anxiety symptoms in Brazilian family caregivers of people with dementia (PWD).Methods: Single-center, unblinded, double-arm, pilot randomized controlled trial. Fifty-seven family caregivers of PWD with mild to severe anxiety symptoms were randomized to intervention group (n = 29) or waiting list group (n = 28). The intervention group received eight videoconference sessions of group ACT. Participants completed measures of anxiety and depressive symptoms, caregiver burden, psychological flexibility and quality of life (QOL) at Weeks 0, 9 and 20.Results: Participants in the intervention group had lower scores of anxiety compared to control at weeks 9 and 20, when assessed using the GAD-7. No between-group effects were observed for depressive symptoms, caregiver burden (ZBI-12), QOL, or psychological flexibility. In the completer analysis only, a significant reduction in anxiety symptoms measured by HADS-A was observed at Week 20.Conclusions: This pilot study provides initial evidence that group ACT may reduce anxiety symptoms in family caregivers of PWD. Larger, fully powered trials are needed to confirm these findings and to clarify effects on other caregiver outcomes.Clinical implications: Videoconference Group ACT, shows potential as a scalable intervention to reduce family caregivers' anxiety.This study was registered in the Brazilian Clinical Trial Registry (Registro Brasileiro de Ensaios Clínicos - REBEC; Identifier: RBR-10m9tg2r).","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1014-1030"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145988367","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

Long-Term Effects of Mindfulness-Based Stress Reduction on Sleep Quality in Family Caregivers of People With Alzheimer's Disease: The Mediating Role of Anxiety. 正念减压对阿尔茨海默病患者家庭照护者睡眠质量的长期影响：焦虑的中介作用

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-08-19 DOI: 10.1080/07317115.2025.2544933

Jia-Hui Nie, Yu-Jia Xu, Qian-Yu Liu, Chao Yan

{"title":"Long-Term Effects of Mindfulness-Based Stress Reduction on Sleep Quality in Family Caregivers of People With Alzheimer's Disease: The Mediating Role of Anxiety.","authors":"Jia-Hui Nie, Yu-Jia Xu, Qian-Yu Liu, Chao Yan","doi":"10.1080/07317115.2025.2544933","DOIUrl":"10.1080/07317115.2025.2544933","url":null,"abstract":"Objectives: The present study aimed to examine the immediate and long-term effects of mindfulness-based stress reduction (MBSR) on sleep problems and emotional health (depression and anxiety) of family caregivers of people with Alzheimer's disease (AD), along with the mediating role of improvements in emotional health resulting from the intervention.Methods: A randomized controlled trial was conducted to allocate 80 family caregivers with sleep problems from a Shanghai community to either an 8-week MBSR (n = 40) or usual care (n = 40). Sleep quality, fatigue, depression, and anxiety were assessed at the baseline after the intervention and at 25-weeks follow-up.Results: All symptoms were better in the MBSR group than in controls immediately after the intervention and at the follow-up. Mediation analysis suggested that anxiety rather than depression mediated the effect of MBSR on sleep quality.Conclusions: These findings validated the long-term effects of MBSR on the sleep quality of family caregivers for individuals with AD and demonstrated that MBSR improved sleep quality by alleviating anxiety.Clinical implications: MBSR could be integrated into targeted intervention programs for family caregivers for individuals with AD to enhance their sleep quality and emotional well-being.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"999-1013"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871777","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

Cuidando Juntos: A Culturally Adapted Psychoeducation Program for Latino Dementia Caregivers. guidando Juntos：拉丁裔痴呆症护理人员的文化适应心理教育计划。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-10-18 DOI: 10.1080/07317115.2025.2576139

Maria M Quiñones, Dolores Gallagher-Thompson, Jianaa Ghosh, Roberto Velasquez, Ann Bilbrey, Julian Montoro-Rodriguez

{"title":"Cuidando Juntos: A Culturally Adapted Psychoeducation Program for Latino Dementia Caregivers.","authors":"Maria M Quiñones, Dolores Gallagher-Thompson, Jianaa Ghosh, Roberto Velasquez, Ann Bilbrey, Julian Montoro-Rodriguez","doi":"10.1080/07317115.2025.2576139","DOIUrl":"10.1080/07317115.2025.2576139","url":null,"abstract":"Objectives: This study describes the cultural adaptation of Cuidando Juntos (derived from the evidence-based Caregiver Thrive, Learn, Connect) for Latino dementia caregivers, guided by the Cultural Adaptation Behavioral Stage Model, and presents preliminary findings from a Stage Ia trial evaluating preliminary program acceptability.Methods: A Community Advisory Board comprising Latinas from three U.S. regions collaborated with a bilingual research team to inform adaptations. All modifications were documented using the Framework for Reporting Adaptations and Modifications - Enhanced (FRAME). A Stage Ia trial of the adapted intervention was conducted with five Latino caregivers. Post-intervention, participants completed a focus group; data were analyzed using rapid qualitative analysis.Results: Nineteen adaptations were made: 13 pre-trial and six after trial completion. Adaptations focused on content alignment with cultural values, dementia-specific modules, and goal-setting exercises to increase social connection. Qualitative feedback from participants and facilitators indicated high satisfaction, practical utility, and cultural relevance. Three themes were identified from the qualitative feedback: extending session time, expanding content, and increasing group activities.Conclusions: The adaptation process was systematic, community-driven, and culturally responsive. Preliminary findings support the program's acceptability among Latino dementia caregivers.Clinical implications: Cuidando Juntos shows promise as a culturally attuned intervention to enhance caregiver well-being among Latinos.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1031-1044"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145312552","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

Internet-Based Cognitive Behavioral Therapy with Layperson Support: A mixed-Methods Evaluation of Empower@Home. 基于互联网的认知行为治疗与外行人的支持：一个混合方法的评估Empower@Home。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-07-02 DOI: 10.1080/07317115.2025.2528238

Xiaoling Xiang, Xinyin Zhang, Elyse Narbut, Skyla Turner, Samson Ash, Caroline Ciagne, Dexia Kong

{"title":"Internet-Based Cognitive Behavioral Therapy with Layperson Support: A mixed-Methods Evaluation of Empower@Home.","authors":"Xiaoling Xiang, Xinyin Zhang, Elyse Narbut, Skyla Turner, Samson Ash, Caroline Ciagne, Dexia Kong","doi":"10.1080/07317115.2025.2528238","DOIUrl":"10.1080/07317115.2025.2528238","url":null,"abstract":"Objectives: This study evaluates Empower@Home, an older adult-centered, layperson-supported internet-based cognitive behavioral therapy (iCBT) program for depression using a concurrent mixed-methods design.Methods: Adults aged 50+ with at least mild depressive symptoms enrolled in the program and were assessed pre- and post-treatment (N = 224). A subset participated in qualitative interviews post-treatment (N = 148). Paired t-tests and mixed-effects modeling assessed quantitative program effects, while qualitative data identified key themes of impact.Results: Program completion was 90%. Depression symptoms significantly decreased (Cohen's d = 0.9 overall; d = 1.4 for those with moderate depression at baseline). Anxiety and social isolation also declined significantly. Moderation analyses showed that participants with lower education, antidepressant use, and more childhood adversities experienced faster symptom reduction. Qualitative findings aligned with quantitative results, highlighting acquisition and application of CBT skills and improved emotional well-being. Additional themes included increased insight and self-awareness, improved social relationships, empowerment, self-worth, and self-care.Conclusions: Older adult-centered, layperson-supported iCBT shows promise in reducing depression and improving mental well-being in older adults.Clinical implications: Findings offer insights for improving mental health treatment and outcomes for older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"847-861"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144552429","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

STEPPS for Over-Controlled and Under-Controlled Emotional Dysregulation in Older Adults with Personality Disorders: A Case Study. 老年人格障碍患者情绪调节过度控制和控制不足的步骤：个案研究。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-05-19 DOI: 10.1080/07317115.2025.2506769

Erol Ekiz, Arjan C Videler, Machteld A Ouwens, Sebastiaan P J van Alphen

{"title":"STEPPS for Over-Controlled and Under-Controlled Emotional Dysregulation in Older Adults with Personality Disorders: A Case Study.","authors":"Erol Ekiz, Arjan C Videler, Machteld A Ouwens, Sebastiaan P J van Alphen","doi":"10.1080/07317115.2025.2506769","DOIUrl":"10.1080/07317115.2025.2506769","url":null,"abstract":"Objectives: This paper aims to present a clinical illustration of under-controlled and over-controlled emotional dysregulation behaviors in older adults with personality disorders (PD). Furthermore, another aim is to explore how Systems Training for Emotional Predictability and Problem Solving for Older Adults (STEPPS-OA) can be useful for both types of emotional dysregulation.Methods: A 65-year-old woman with emotional under-control and a 67-year-old woman with emotional over-control participated in STEPPS-OA. STEPPS-OA is a treatment program consisting of 21 weekly group sessions, individual sessions and support group meetings.Results: The participant with under-control struggled with impulsivity and destructive behaviors. She learned to use techniques to recognize the buildup of tension and manage emotions. The participant with over-control struggled with difficulties in differentiating and expressing emotions. She learned to use techniques to recognize suppressed feelings and began practicing assertive behaviors.Conclusions: Emotional dysregulation can occur from either over-controlled or under-controlled behaviors in older adults with PD. STEPPS-OA seems to be a promising treatment option for both types of behavior because the interventions seem to fit both cases.Clinical implications: STEPPS-OA is a promising treatment option for older adults with PD and emotional over-controlled and under-controlled behaviors.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1045-1052"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092847","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

Early Nursing-Home Psychoeducation for Family Caregivers: Feasibility and Preliminary Changes in Anxiety, Depression, and Coping. 早期疗养院心理教育对家庭照顾者的可行性及焦虑、抑郁和应对的初步改变。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2026-04-01 DOI: 10.1080/07317115.2026.2653581

Souad Damnée, Jean-Sébastien Vidal, Jules Mercier, Maribel Pino, Sébastien Dacunha, Catherine Bayle, Inge Cantegreil, Anne-Sophie Rigaud, Hermine Lenoir

{"title":"Early Nursing-Home Psychoeducation for Family Caregivers: Feasibility and Preliminary Changes in Anxiety, Depression, and Coping.","authors":"Souad Damnée, Jean-Sébastien Vidal, Jules Mercier, Maribel Pino, Sébastien Dacunha, Catherine Bayle, Inge Cantegreil, Anne-Sophie Rigaud, Hermine Lenoir","doi":"10.1080/07317115.2026.2653581","DOIUrl":"10.1080/07317115.2026.2653581","url":null,"abstract":"Objectives: To examine the feasibility of an on-site psychoeducational program for family caregivers after nursing-home admission and to describe short-term pre-post changes in anxiety, depression, and coping.Methods: In a single-arm pre-post implementation study across 70 nursing homes in the Paris area, 138 caregivers attended seven weekly 2-hour workshops led by a geriatrician, psychologists, and an advanced practice nurse. Outcomes at baseline and one week after the last session were Hospital Anxiety and Depression Scale (HADS-A/HADS-D) scores and the 38-item Caregiver Assessment of Managing Index (CAMI). Feasibility indicators were program reach, post-enrollment retention, and fidelity.Results: Of 147 volunteers screened, 138 were enrolled and completed both assessments, with no post-enrollment drop-out. The program reached 70 nursing homes; random audio monitoring of 10% of workshops showed at least 85% adherence to manualised content. Anxiety decreased from 8.7 to 7.9 (p = .001) and depression from 5.2 to 4.6 (p = .012). After multiplicity control, two CAMI items changed, whereas category means and coping diversity remained stable.Conclusions: The program appeared feasible and was associated with small short-term reductions in caregiver distress without broad coping reconfiguration.Clinical implications: Brief transition-focused programs may be scalable in routine nursing-home practice.Trial registration: NCT05651555.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"969-983"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590465","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