Clinical Gerontologist最新文献_第9页

Dementia Worry as a Behavioral Health Construct in Older Adults: Associations with Stigma and Subjective Memory Complaints and Turkish Validation of the Modified Dementia Worry Scale. 老年痴呆忧虑作为一种行为健康结构：与病耻感和主观记忆抱怨的关系以及改良痴呆忧虑量表的土耳其验证

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-06-11 DOI: 10.1080/07317115.2026.2686296

Fatma Ozge Kayhan Koçak, Elif Güngör Genç, Sibel Çavdar, Akın Buğra İncekara

{"title":"Dementia Worry as a Behavioral Health Construct in Older Adults: Associations with Stigma and Subjective Memory Complaints and Turkish Validation of the Modified Dementia Worry Scale.","authors":"Fatma Ozge Kayhan Koçak, Elif Güngör Genç, Sibel Çavdar, Akın Buğra İncekara","doi":"10.1080/07317115.2026.2686296","DOIUrl":"https://doi.org/10.1080/07317115.2026.2686296","url":null,"abstract":"Objectives: This study aimed to culturally adapt the Modified Dementia Worry Scale (MDWS) into Turkish, and to examine dementia worry within a broader behavioral health framework in community-dwelling older adults.Methods: A total of 242 cognitively healthy adults aged ≥ 60 years were included. Construct validity was examined through convergent, known-groups, and incremental validity approaches. Structural validity was evaluated using confirmatory factor analysis. Multivariable and hierarchical linear regression analyses were conducted to examine associations with subjective memory complaints, perceived stigma, anxiety, and depressive symptoms.Results: The Turkish MDWS demonstrated excellent internal consistency (Cronbach's α = 0.93) and high test - retest reliability (ICC = 0.895). Confirmatory factor analysis supported a unidimensional structure. Dementia worry was strongly associated with subjective memory complaints and moderately associated with perceived stigma and anxiety, while showing no significant association with age or depressive symptoms in adjusted models. Dementia-specific psychosocial variables explained substantial additional variance beyond general emotional distress.Conclusions: The MDWS is a reliable and valid instrument for assessing dementia worry in community-dwelling older adults. Findings support dementia worry as a distinct behavioral health construct, shaped primarily by subjective cognitive appraisal and stigma-related processes rather than objective aging or depressive symptomatology.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216748","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

Effects of an Age-Adapted Mindfulness-Based Cognitive Therapy Program on Psychological Well-Being, Mindfulness, and Sleep Quality in Older Adults. 年龄适应性正念认知治疗项目对老年人心理健康、正念和睡眠质量的影响。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-06-05 DOI: 10.1080/07317115.2026.2684974

Fadime Yel, Emriye Gümüş, Özgür Nalbant

{"title":"Effects of an Age-Adapted Mindfulness-Based Cognitive Therapy Program on Psychological Well-Being, Mindfulness, and Sleep Quality in Older Adults.","authors":"Fadime Yel, Emriye Gümüş, Özgür Nalbant","doi":"10.1080/07317115.2026.2684974","DOIUrl":"https://doi.org/10.1080/07317115.2026.2684974","url":null,"abstract":"Objectives: This study examined the effects of an age-adapted mindfulness-based cognitive therapy (MBCT) program on depression, anxiety, stress, mindfulness, and sleep quality among older adults.Methods: A quasi-experimental pretest - posttest design with intervention and control groups was used. Sixty-two community-dwelling adults aged 60 years and older completed the study. The intervention group participated in an eight-week, age-adapted, group-based MBCT program, while the control group received no psychological intervention. Outcomes were assessed using validated self-report measures. Within-group changes were analyzed using paired samples t-tests, and between-group differences were examined using analysis of covariance (ANCOVA) controlling for baseline scores. Effect sizes were calculated using Cohen's dz for within-group comparisons and Cohen's d for between-group differences.Results: The intervention group showed significant improvements in mindfulness, sleep quality, depression, and stress symptoms compared to the control group, while anxiety scores showed improvement trends. ANCOVA confirmed these gains after adjusting for baseline differences. Large effect sizes suggest clinically meaningful effects.Conclusions: Age-adapted MBCT appears to be a feasible and clinically meaningful non-pharmacological intervention for older adults.Clinical implications: Group-based, age-adapted mindfulness interventions may serve as a valuable component of geriatric mental health services and can be successfully integrated into community-based programs.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175526","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 Transdiagnostic Group Intervention for Managing Depression and Anxiety in Older Adults: A Prospective Single-Arm Pre-Post and Follow- UP Study. 管理老年人抑郁和焦虑的跨诊断组干预：一项前瞻性单臂前后随访研究。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-22 DOI: 10.1080/07317115.2026.2679577

Moustafa Yacoub

{"title":"A Transdiagnostic Group Intervention for Managing Depression and Anxiety in Older Adults: A Prospective Single-Arm Pre-Post and Follow- UP Study.","authors":"Moustafa Yacoub","doi":"10.1080/07317115.2026.2679577","DOIUrl":"https://doi.org/10.1080/07317115.2026.2679577","url":null,"abstract":"Objectives: This study explored the preliminary efficacy and feasibility of a transdiagnostic group intervention integrating the Unified Protocol (UP) and Process-Based Therapy (PBT) for older adults with comorbid depression and anxiety.Methods: A prospective single-arm pre - post and follow - up study was conducted with 36 older adults (Mean Age = 68.4, SD = 2.8, Range = 60-71). Assessments (PHQ-9, GAD-7, and WHOQOL-OLD) occurred at baseline(n = 36), post-intervention (n = 34), and 3-month follow-up (n = 32).Results: Retention was 88.9%. Significant improvements (p < .001) were observed across all measures. Effect sizes were substantial: depression reached 2.67 (post-treatment) and 2.03 (follow-up). Quality of life increased from 1.79 to 2.39. While these results are promising, the lack of a control group limits causal inferences.Conclusions: The 10-week transdiagnostic group intervention integrates UP and PBT, providing a culturally adaptable framework for late-life emotional disorders. While large observed effects were noted for depression (d_z = 2.67) and quality of life (d_z = 2.39), strict caution is required due to the single-arm design. Results warrant further evaluation through randomized controlled trial.Clinical implications: This culturally adapted, time-limited group framework offers a scalable, resource-efficient model for comorbid older adults. It enhances treatment accessibility, fosters resilience, and reduces healthcare burden.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005021","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

Distinct Impacts of Somatic and Cognitive-Affective Depressive Symptom Trajectories on Osteoporosis Risk in Adults Aged 50 Years and Older. 躯体和认知-情感抑郁症状轨迹对50岁及以上成人骨质疏松风险的显著影响

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-20 DOI: 10.1080/07317115.2026.2675036

Chung-Chih Liao, Ke-Ru Liao, Jung-Miao Li

{"title":"Distinct Impacts of Somatic and Cognitive-Affective Depressive Symptom Trajectories on Osteoporosis Risk in Adults Aged 50 Years and Older.","authors":"Chung-Chih Liao, Ke-Ru Liao, Jung-Miao Li","doi":"10.1080/07317115.2026.2675036","DOIUrl":"https://doi.org/10.1080/07317115.2026.2675036","url":null,"abstract":"Objectives: To examine whether 8-year trajectories of total, cognitive-affective, and somatic depressive symptoms are associated with 10-year incident osteoporosis in adults aged 50 years and older.Methods: We analyzed 2,816 participants from the English Longitudinal Study of Aging without osteoporosis at baseline or during the exposure period. Depressive symptoms were assessed across four waves using the 8-item Center for Epidemiologic Studies Depression Scale. Participants were classified into five predefined trajectories: consistently low, decreasing, increasing, consistently high, and fluctuating. Cox proportional hazards models were used to estimate hazard ratios and 95% confidence intervals.Results: Compared with consistently low trajectories, decreasing and fluctuating total depressive symptom trajectories were associated with higher osteoporosis risk in fully adjusted models. For cognitive-affective symptoms, only the consistently high trajectory predicted incident osteoporosis. For somatic symptoms, both consistently high and fluctuating trajectories were independently associated with increased risk.Conclusions: Associations between depressive symptom trajectories and osteoporosis risk differed by symptom dimension. Total symptom trajectories showed more heterogeneous patterns after covariate adjustment, whereas domain-specific analyses revealed clearer associations, particularly for somatic symptoms.Clinical implications: Monitoring persistent or fluctuating somatic depressive symptoms may help identify older adults who could warrant closer attention to osteoporosis risk assessment and preventive counseling.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147971079","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

Examining the Nomological Network of the Gerontological Personality Disorders Scale in Late-Life Psychopathology. 老年精神病理中老年人格障碍量表的法理学网络检验。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-12 DOI: 10.1080/07317115.2026.2673124

Nikola Doubková, Gina Rossi, Krystle A P Penders, Sebastiaan P J van Alphen

{"title":"Examining the Nomological Network of the Gerontological Personality Disorders Scale in Late-Life Psychopathology.","authors":"Nikola Doubková, Gina Rossi, Krystle A P Penders, Sebastiaan P J van Alphen","doi":"10.1080/07317115.2026.2673124","DOIUrl":"10.1080/07317115.2026.2673124","url":null,"abstract":"Objectives: Older adults (≥60 years) remain underrepresented in research on personality dysfunction despite its prevalence and associated impairments. This study examined how the Gerontological Personality Disorders Scale (GPS) relates to a broader network of psychopathology and personality constructs using a multi-informant design.Methods: Data from 320 older adults and informant dyads were analyzed. Age-specific and age-neutral measures of psychopathology and personality pathology were included. The GPS nomological network was examined using correlations and the Bass-Ackwards method.Results: GPS demonstrated a broad nomological network. Both self- and informant-reported GPS were associated with internalizing symptoms, but informant reports indicated stronger associations with maladaptive traits. Hierarchical analysis identified a general factor on which both GPS versions loaded strongly. At lower levels, the structure differentiated by reporting perspective: self-reported GPS aligned with the internalizing thought-disorder factor, whereas informant-reported GPS aligned with the insecurity factor.Conclusions: In later life, personality dysfunction appears closely linked to general psychological distress, with perspective-dependent differentiation emerging at more specific levels. Results suggest that self- and informant-reported GPS capture distinct aspects of dysfunction.Clinical implications: Multi-informant assessment is particularly important in older adults, as self- and informant reports provide complementary information about subjective distress and observable patterns of maladaptive behavior.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147873753","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

Effects of 3-Month Vitamin D₃ Supplementation on Motor and Non-Motor Symptoms in Parkinson's Disease: A Single-Arm Interventional Study. 补充3个月维生素D3对帕金森病运动和非运动症状的影响：一项单组介入研究

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-10 DOI: 10.1080/07317115.2026.2669192

Fatma Oznur Afacan, Serdar Aykac, Birsen Demirel, Nihan Kucuk Yilmaz, Didem Onay Derin

{"title":"Effects of 3-Month Vitamin D3 Supplementation on Motor and Non-Motor Symptoms in Parkinson's Disease: A Single-Arm Interventional Study.","authors":"Fatma Oznur Afacan, Serdar Aykac, Birsen Demirel, Nihan Kucuk Yilmaz, Didem Onay Derin","doi":"10.1080/07317115.2026.2669192","DOIUrl":"10.1080/07317115.2026.2669192","url":null,"abstract":"Objectives: To evaluate the effects of three months of vitamin D3 supplementation on vitamin D status, motor function, sleep quality, and depressive symptoms in patients with Parkinson's disease and vitamin D insufficiency.Methods: In this open-label, single-arm pre - post interventional study, 49 patients with Parkinson's disease received oral vitamin D3 supplementation (7500 IU/day) for three months. Serum 25(OH)D levels and clinical outcomes were assessed at baseline and post-intervention using the Unified Parkinson's Disease Rating Scale (UPDRS), Hoehn and Yahr stage, Pittsburgh Sleep Quality Index (PSQI), and Beck Depression Inventory (BDI).Results: Mean serum 25(OH)D levels increased significantly from 15.91 to 26.45 ng/mL (p < .001). UPDRS total and parts I - III scores improved significantly, while part IV showed no change. PSQI and BDI scores also decreased significantly. However, changes in 25(OH)D levels were not correlated with clinical outcomes, and subgroup analyses showed no differences according to post-intervention vitamin D status.Conclusions: Vitamin D3 supplementation improved biochemical and clinical measures in patients with Parkinson's disease and vitamin D insufficiency. However, the increase in vitamin D levels was not associated with clinical changes.Clinical implications: Assessment and correction of vitamin D insufficiency may be considered in Parkinson's disease, but potential clinical benefits should be interpreted cautiously until confirmed by randomized controlled trials.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.4,"publicationDate":"2026-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147867094","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

Associations Between Quality of Care Interactions, Behavioral and Psychological Symptoms of Dementia, and Function-Focused Care Participation Among Hospitalized Older Adults with Dementia. 住院老年痴呆患者护理互动质量、痴呆行为和心理症状以及功能护理参与之间的关系

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-04 DOI: 10.1080/07317115.2026.2666574

Rachel McPherson, Barbara Resnick, Marie Boltz, Ashley Kuzmik, Elizabeth Galik, Brittany Burch, Nayeon Kim, Shijun Zhu

{"title":"Associations Between Quality of Care Interactions, Behavioral and Psychological Symptoms of Dementia, and Function-Focused Care Participation Among Hospitalized Older Adults with Dementia.","authors":"Rachel McPherson, Barbara Resnick, Marie Boltz, Ashley Kuzmik, Elizabeth Galik, Brittany Burch, Nayeon Kim, Shijun Zhu","doi":"10.1080/07317115.2026.2666574","DOIUrl":"https://doi.org/10.1080/07317115.2026.2666574","url":null,"abstract":"Objectives: Positive staff-patient interactions are essential in acute care settings, and particularly important for patients living with dementia. The purpose of this study was to determine whether the quality of care interactions was associated with behavioral and psychological symptoms of dementia (BPSD) and function focused care participation.Methods: This study was a secondary data analysis using baseline data from the Function Focused Care for Acute Care intervention study, with a total sample of 346 patients. Descriptive statistics and multiple linear regression analyses were used.Results: The findings indicated that there was a significant relationship between quality of care interactions, BPSD, and function focused care participation. Exposure to more positive care interactions was associated with less BPSD and increased participation in function focused care activities.Conclusions: The quality of staff-patient care interactions is a modifiable factor, making it well positioned to inform future intervention approaches to improve behavioral and functional outcomes.Clinical implications: Importance should be placed on effective and positive staff-patient communication, and acute care staff should consider the use of positive interactions to manage BPSD and optimize participation in function focused care among hospitalized patients living with dementia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811805","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

Examining the Associations Between Objectively Measured Sleep Quality and Multidimensional Mental Health in Older Adults. 研究客观测量的老年人睡眠质量与多维心理健康之间的关系。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-12-28 DOI: 10.1080/07317115.2025.2606711

Jisu Kim, Nicolas Griepentrog, Jonathan Kenyon, Jessica Geller, Jaehoon Lee, Youngdeok Kim

{"title":"Examining the Associations Between Objectively Measured Sleep Quality and Multidimensional Mental Health in Older Adults.","authors":"Jisu Kim, Nicolas Griepentrog, Jonathan Kenyon, Jessica Geller, Jaehoon Lee, Youngdeok Kim","doi":"10.1080/07317115.2025.2606711","DOIUrl":"10.1080/07317115.2025.2606711","url":null,"abstract":"Objectives: This study investigated the associations between objective sleep quality parameters and multidimensional mental health, including depression and quality of life (QoL), in community-dwelling older adults.Methods: The data came from an ongoing cross-sectional study involving older adults aged ≥60, residing in an urban city. Nighttime sleep metrics were derived from wrist-worn actigraphy (ActiGraph-GT9X). Domain-specific QoL and depression were assessed using the standardized WHO-QoL-BREF and CES-D scales, respectively. Correlation and regression analyses examined the associations of interest, and subgroup analyses explored sex-specific patterns.Results: Among 47 participants [mean age = 70.3 ± 6.1 years; female = 53.2%], most participants had short total sleep time (TST; mean = 6.8 h). Significant associations were observed between sleep quality and mental health (rs = .4), with TST serving as a significant predictor of the QoL-Physical [β (95% CI) = 0.005 (0.0001-0.011), p = .042] and QoL-Social [β (95% CI) = 0.005 (0.0001, 0.010), p = .039]. Associations between TST and the QoL-Psychological [β (95% CI) = 0.008 (0.0001-0.017), p = .047] and QoL-Social [β (95% CI) = 0.011 (0.001-0.021), p = .036] were significant only in males.Conclusion: Actigraphy-measured sleep quality, particularly increased TST, was associated with better domain-specific mental health in older adults, with patterns differing by sex.Clinical implications: These findings underscore the need for targeted strategies to promote adequate sleep and well-being in the older population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"652-668"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846289","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 : 2026-05-01 Epub 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":"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":"596-604"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","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

The Impact of Behavioral and Psychological Symptoms on Financial Decision-Making Capacity in Mild to Moderate Dementia. 行为和心理症状对轻中度痴呆患者财务决策能力的影响。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2026-05-01 Epub Date: 2025-04-18 DOI: 10.1080/07317115.2025.2493254

Valeska Delineau, Ana Rita Ferreira, Ivone Duarte, Luísa Castro, Lia Fernandes

{"title":"The Impact of Behavioral and Psychological Symptoms on Financial Decision-Making Capacity in Mild to Moderate Dementia.","authors":"Valeska Delineau, Ana Rita Ferreira, Ivone Duarte, Luísa Castro, Lia Fernandes","doi":"10.1080/07317115.2025.2493254","DOIUrl":"10.1080/07317115.2025.2493254","url":null,"abstract":"Objectives: The study aims to assess the impact of behavioral and psychological symptoms on financial decision-making in individuals with mild to moderate dementia.Methods: A cross-sectional quantitative study assessed cognitive status, behavioral and psychological symptoms as well as financial capacities. A multiple regression hierarchical model determined the relative contributions of demographic, cognitive, and behavioral and psychological symptoms to financial capacity.Results: A total of 87 participants, with a median age of 84 years, were included in the study. Nearly all participants (94.5%) exhibited one or more behavioral and psychological symptoms. Greater dementia severity, increased behavioral and psychological symptoms, and lower educational levels were associated with poorer financial capacity.Conclusions: This study underlines the impact of behavioral and psychological symptoms on financial decision-making in individuals with mild to moderate dementia, even when accounting education and dementia severity. Further research is necessary to elucidate the connection between these symptoms and financial capacity.Clinical implications: The critical need for early diagnosis of dementia and its associated behavioral and psychological symptoms is highlighted. Additionally, implementing timely behavioral and psychological management strategies and encouraging patients to engage in lifetime intellectual enrichment may be helpful for preserving financial capacity and promoting independence in individuals with dementia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"681-691"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955216","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