Clinical Gerontologist最新文献_第8页

Correction. 修正。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-07-01 Epub Date: 2024-12-23 DOI: 10.1080/07317115.2024.2446044

引用次数: 0

Profiles of Family Caregivers for Patients with Dementia in China: Implications for Tailored Intervention Development. 中国痴呆症患者的家庭照顾者概况：对量身定制干预发展的影响

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-06-29 DOI: 10.1080/07317115.2025.2526629

Fang Chen, Shihua Pan, Jing Mei, Xiaomin Ding, Huimin Sun

{"title":"Profiles of Family Caregivers for Patients with Dementia in China: Implications for Tailored Intervention Development.","authors":"Fang Chen, Shihua Pan, Jing Mei, Xiaomin Ding, Huimin Sun","doi":"10.1080/07317115.2025.2526629","DOIUrl":"https://doi.org/10.1080/07317115.2025.2526629","url":null,"abstract":"Objectives: To identify psychological profiles of Chinese dementia caregivers and examine how socio-demographic factors influence high-risk profiles.Methods: In this cross-sectional study, 209 primary family caregivers were assessed using validated scales measuring caregiver stress, negative emotions, and cognitive/affective empathy. Latent profile analysis classified caregivers based on these measures, and multinomial logistic regression identified predictors of profile group.Results: Four profiles emerged: (1) Rational (7%: low stress/negative emotions, high cognitive empathy); (2) Adaptive (36%: moderate stress, balanced empathy); (3) Substantial Stress - High Affective Empathy (45%: near-clinical stress (CPSS = 29.59), high affective empathy); and (4) High Stress - Low Cognitive Empathy (12%: extreme stress (CPSS = 37.24), lowest cognitive empathy). Lack of caregiving assistance increased odds of high-risk profiles (OR = 6.09 and 4.84, p <.05). Low income strongly predicted membership in High Stress-Low Cognitive Empathy group (OR = 8.03, p = .006).Conclusions: Over half of the caregivers (57%) fall into high-risk profiles characterized by dominance affective empathy, with systemic factors (e.g. lack of assistance and low income) exacerbating vulnerability. Cultural norms (e.g. filial piety) may contribute to these psychological patterns.Clinical implications: Targeted cognitive empathy training for high-affective-empathy profile, income-based subsidies and respite care and culturally adapted interventions (e.g. reframing filial responsibility as shared duty) are recommended.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526682","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 Relationship Between Self-Reported Hearing Loss and Depression Among Older Adults: The Moderating Effect of Digital Device Use. 老年人自述听力损失与抑郁的关系：数字设备使用的调节作用

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-26 DOI: 10.1080/07317115.2025.2510285

Jayeong Kim, Yeji Hwang

{"title":"The Relationship Between Self-Reported Hearing Loss and Depression Among Older Adults: The Moderating Effect of Digital Device Use.","authors":"Jayeong Kim, Yeji Hwang","doi":"10.1080/07317115.2025.2510285","DOIUrl":"https://doi.org/10.1080/07317115.2025.2510285","url":null,"abstract":"Objectives: This study aimed to investigate the relationship between hearing loss and depression of older adults and examine how digital device use moderates the relationship between hearing loss and depression.Methods: Secondary data analyses were conducted using data from the 2020 National Survey of Older Koreans (N = 9,920). Weighted linear regression analyses were conducted to examine the relationship between hearing loss and depression and moderating effect of digital device use.Results: Approximately 23.2% of the participants reported hearing loss. Hearing loss was significantly associated with increased depression (β = 0.074, p = .005). Digital device use had a marginally significant moderating effect on the relationship between hearing loss and depression (β = 0.050, p = .054).Conclusions: Hearing loss is associated with greater depression among older adults. Our findings suggest that digital device use does not alleviate depression in older adults with hearing loss. Future studies should consider the specific aspects of digital device use and post-COVID-19 changes to better understand the impact of digital device use on hearing loss and depression.Clinical implications: Since hearing loss is significantly associated with higher levels of depression in older adults, mental health should be assessed if healthcare professionals work with older adults with hearing loss.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149604","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

Patient Values Influence Clinician Judgment of Medical Decision-Making Capacity. 患者价值观影响临床医生对医疗决策能力的判断。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-25 DOI: 10.1080/07317115.2025.2505581

Emilee M Ertle, Darby M Simon, Benjamin T Mast

{"title":"Patient Values Influence Clinician Judgment of Medical Decision-Making Capacity.","authors":"Emilee M Ertle, Darby M Simon, Benjamin T Mast","doi":"10.1080/07317115.2025.2505581","DOIUrl":"https://doi.org/10.1080/07317115.2025.2505581","url":null,"abstract":"Objectives: Medical decision-making capacity assessments commonly focus on patient communication, understanding, appreciation, and reasoning, with less emphasis on patient values or preferences that could influence their medical decision. The current study investigates the role of patient values in capacity assessments.Methods: One hundred and ten clinicians with experience conducting medical decision-making capacity assessments completed an online survey. Participants read two vignettes about a patient with questionable capacity and were asked to determine whether the patient had capacity. For the second vignette, participants were randomly assigned to read a vignette which contained information about the patient's longstanding values or a vignette without this information.Results: When information about the patient's values and preferences was included in the vignette, participants were significantly more likely to determine the patient had capacity to make a medical decision. Other significant contributors to a clinician's judgment included experience conducting medical decision-making capacity assessments in a VA hospital and whether the clinician prioritized the patient's autonomy or their health and safety.Conclusions: A patient's values and preferences provide important context which significantly influences clinician judgment of capacity.Clinical implications: Clinicians should regularly assess a patient's values and preferences when conducting capacity assessments, as this may promote patient autonomy.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141600","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

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 2.6 3区医学

Clinical Gerontologist Pub 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":"https://doi.org/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":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2025-05-19","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

Mental Health Consequences of Age-Related Macular Degeneration: Exploring Depression Prevalence and Severity in Wet and Dry Forms. 年龄相关性黄斑变性的心理健康后果：探索抑郁症的患病率和严重程度在湿和干形式。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-15 DOI: 10.1080/07317115.2025.2506768

Nikolaos Gouliopoulos, Nikolaos Bouratzis, Stylianos Kympouropoulos, Ioannis Datseris, Ilias Georgalas, Panagiotis Theodossiadis, Alexandros Rouvas

{"title":"Mental Health Consequences of Age-Related Macular Degeneration: Exploring Depression Prevalence and Severity in Wet and Dry Forms.","authors":"Nikolaos Gouliopoulos, Nikolaos Bouratzis, Stylianos Kympouropoulos, Ioannis Datseris, Ilias Georgalas, Panagiotis Theodossiadis, Alexandros Rouvas","doi":"10.1080/07317115.2025.2506768","DOIUrl":"https://doi.org/10.1080/07317115.2025.2506768","url":null,"abstract":"Objectives: Age-related macular degeneration (AMD) is a leading cause of vision loss, affecting quality of life. Although AMD is associated with an increased risk of depression, differences between dry and wet forms are not well understood. This study examined depressive symptoms in Greek patients with dry and wet AMD compared to healthy-controls using the Zung Self-Rating Depression Scale (SDS).Methods: A cross-sectional study included 146 AMD patients (74 dry, 72 wet) and 60 controls. Depressive symptoms were assessed using the Zung SDS. Demographic and clinical data were collected. Statistical analyses compared depression severity and prevalence between groups, adjusting for potential confounders.Results: Wet AMD patients had significantly higher Zung SDS scores (50.4 ± 7.81) than dry AMD (44.8 ± 6.75) and controls (41.4 ± 7.85, p < .001). Depression prevalence was 56% in wet, 27% in dry AMD, and 20% in controls. After adjusting for visual acuity, age, sex, and other factors, wet AMD remained significantly associated with greater depression severity (p < .001).Conclusions: Wet AMD is associated with higher depression severity compared to dry AMD, emphasizing the need for integrated ophthalmologic and mental health care.Clinical implications: Depression is common among AMD patients, particularly those with wet AMD. Screening and psychological support should be incorporated into AMD management.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076608","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 Exergame Intervention on Depressive Symptoms, Daily Living Activities, and Fear of Falling in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Exergame干预对老年人抑郁症状、日常生活活动和跌倒恐惧的有效性：随机对照试验的系统回顾和荟萃分析

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-15 DOI: 10.1080/07317115.2025.2503250

Sholeh Khodadad Kashi, Vahid Saatchian

{"title":"Effectiveness of Exergame Intervention on Depressive Symptoms, Daily Living Activities, and Fear of Falling in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Sholeh Khodadad Kashi, Vahid Saatchian","doi":"10.1080/07317115.2025.2503250","DOIUrl":"https://doi.org/10.1080/07317115.2025.2503250","url":null,"abstract":"Objectives: This systematic review evaluated exergame interventions' efficacy in older adults, focusing on depressive symptoms, activities of daily living (ADLs), and fear of falling.Methods: We searched five electronic databases from inception to June 2024. Data were synthesized using the inverse-variance method, reporting standardized mean differences (SMDs) with 95% confidence intervals (CIs).Results: Twenty-four randomized controlled trials (RCTs) with 1,128 participants were included. Exergames significantly improved depressive symptoms (SMD = -0.76, 95% CI: -1.11 to -0.40, p < .001). Meta-regression showed no influence of sample size, health status, intervention duration, gender, or gaming device. No significant effects were found for ADLs (SMD = 0.01, 95% CI: -0.75 to 0.76, p = .988) or fear of falling (SMD = -0.16, 95% CI: -0.40 to 0.08, p = .189).Conclusions: Exergames enhance mental health in older adults but lack clear effects on physical function or fear of falling. High-quality, long-term studies are needed.Clinical implications: Exergames offer an engaging intervention to reduce depressive symptoms, complementing mental health therapies. Clinicians should use modern platforms and combine exergames with physical or behavioral interventions to address ADLs and fear of falling.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076607","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

Reflective Functioning and Financial Exploitation Vulnerability in Older Adults: The Importance of Significant Others. 老年人的反思功能和经济剥削脆弱性：重要他人的重要性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-02-22 DOI: 10.1080/07317115.2024.2320921

Gali H Weissberger, Yoav S Bergman

{"title":"Reflective Functioning and Financial Exploitation Vulnerability in Older Adults: The Importance of Significant Others.","authors":"Gali H Weissberger, Yoav S Bergman","doi":"10.1080/07317115.2024.2320921","DOIUrl":"10.1080/07317115.2024.2320921","url":null,"abstract":"Objectives: Financial exploitation of older adults results in devastating economic, social, and psychological losses to older adults, their families, and society at large. This study examined the relationship between reflective functioning and financial exploitation vulnerability (FEV) and whether relationship status moderated the association.Methods: A community-based sample of 156 Israeli older adults age 60 and over responded to demographic questions and questionnaires assessing reflective functioning and FEV.Results: A hierarchical linear regression analysis covarying for age, sex, education, income, and sum of illnesses, revealed that higher reflective functioning was associated with lower FEV (p = .011). A main effect of relationship status was not found, but a significant interaction of reflective functioning × relationship status was discovered (p = .008), adding 4.2% to the total variance of the model. Probing the interaction revealed that the reflective functioning-FEV association was significant only for older adults not in a relationship.Conclusions: Findings suggest that low reflective functioning may be associated with increased risk of financial exploitation, specifically in certain populations of older adults.Clinical implications: Care providers of older adults may consider assessing for, and identifying older adults with low reflective functioning, in order to prevent or intervene in the event of a potentially exploitative situation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"449-458"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930362","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

New Research to Advance Assessment in Geriatric Mental Health. 推进老年心理健康评估的新研究

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/07317115.2025.2486900

Jennifer Moye

引用次数: 0

Perceived Financial Vulnerability, Wealth, and Wealth Change: The Health and Retirement Study. 感知的财务脆弱性、财富和财富变化：健康与退休研究》。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-08-20 DOI: 10.1080/07317115.2024.2393761

Madison Maynard, Emily V Flores, Daniel Paulson, Peter A Lichtenberg, Boon Peng Ng

{"title":"Perceived Financial Vulnerability, Wealth, and Wealth Change: The Health and Retirement Study.","authors":"Madison Maynard, Emily V Flores, Daniel Paulson, Peter A Lichtenberg, Boon Peng Ng","doi":"10.1080/07317115.2024.2393761","DOIUrl":"10.1080/07317115.2024.2393761","url":null,"abstract":"Objectives: The 6-item Perceived Financial Vulnerability (PFV) scale assesses awareness and psychological vulnerability regarding finances. Prior findings using the Health and Retirement Study (HRS) identified significant associations of PFV with wealth, demographics, and health status. This study examines the relationship between wealth, changes in wealth, and PFV.Methods: Data from HRS respondents were analyzed (N = 1,056). Total assets at baseline (2016) and changes in total assets over two waves (2016 to 2018) were stratified into deciles and used as primary predictors of PFV in 2018. Multiple linear regression models examined the influence of demographics, wealth change (linearly and curvilinearly), and baseline wealth on PFV.Results: Wealth change and baseline wealth were associated with PFV. When controlled for baseline wealth, wealth loss linearly predicted increased PFV.Conclusions: These findings support the utility of the PFV. Findings underscore the importance of integrating multifaceted financial and demographic information when conceptualizing subjective financial welfare.Clinical implications: Financial wellbeing is crucial in older clients and should be assessed over time. The 6-item PFV effectively evaluates contextual aspects of financial decision-making across socioeconomic statuses, making it valuable for clinical assessments.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"440-448"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008399","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