Geriatrics & Gerontology International最新文献

{"title":"Trajectories and Interrelationships of Compassion Fatigue, Burnout, and Compassion Satisfaction Among Family Caregivers of Disabled Older Adults: A Longitudinal Analysis.","authors":"Yun-Die Chen, Tian-Wen Huang, Lan Luo, Qi Zhang","doi":"10.1111/ggi.70751","DOIUrl":"10.1111/ggi.70751","url":null,"abstract":"<p><strong>Aims: </strong>To explore the trajectories and interrelationships of compassion fatigue, burnout, and compassion satisfaction among family caregivers of older adults with disabilities over 6 months.</p><p><strong>Methods: </strong>A three-wave longitudinal study was conducted with 264 family caregivers in Guangzhou, China. Latent growth modeling and cross-lagged panel analysis were used to assess changes and interrelationships among the variables.</p><p><strong>Results: </strong>Of the 264 participants, 169 completed all waves. Burnout declined over time, while both compassion fatigue and compassion satisfaction increased. Higher baseline compassion fatigue predicted subsequent higher burnout and lower compassion satisfaction. Initial burnout was associated with later compassion fatigue.</p><p><strong>Conclusions: </strong>The findings highlight the complex dynamics of caregiving, as evidenced by a reduction in burnout and concurrent increases in both compassion satisfaction and compassion fatigue over a 6-month period. The cyclical relationship between compassion fatigue and burnout underscores the need for timely interventions. Higher compassion satisfaction was concurrently correlated with lower burnout, emphasizing the importance of enhancing caregivers' sense of accomplishment. These results call for targeted support and policies to sustain caregiver well-being.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70751"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the Evolution of Communication Partner Training for Dementia Caregivers: A Bibliometric Analysis (1981-2025).","authors":"Puspa Maniam, Nurul Hidayah Md Fadzil, Chai Siaw Chui, Chu Shin Ying","doi":"10.1111/ggi.70685","DOIUrl":"10.1111/ggi.70685","url":null,"abstract":"<p><strong>Background: </strong>Communication decline in dementia creates substantial challenges for caregivers struggling to maintain meaningful connections. Communication partner training (CPT) has emerged as a critical intervention; however, no comprehensive analysis has mapped the evolution of this research domain.</p><p><strong>Objective: </strong>To conduct the first bibliometric analysis mapping the evolution of CPT research in dementia caregiving over four decades, identifying its intellectual foundations, geographic distribution, and emerging research directions.</p><p><strong>Methods: </strong>We analyzed 1280 Web of Science-indexed publications (1981-July 2025) using performance metrics and VOSviewer science mapping to delineate trajectories, clusters, and networks.</p><p><strong>Results: </strong>Publication output increased markedly after 2010, with the USA contributing to 42.3% of articles. The most-cited publications addressed broad caregiving challenges rather than CPT specifically, demonstrating that specialized communication interventions have evolved from foundational caregiving frameworks. Five thematic clusters emerged: (1) communication-centered interventions, (2) non-pharmacological symptom management, (3) psychological burden and cultural adaptation, (4) stress and institutional care transitions, and (5) digital platforms. Geographic analysis revealed a concentration in high-income Anglophone countries, with limited representation from low- and middle-income countries. Many regions with rapidly aging populations and high projected dementia burden, such as Southeast Asia, Africa, and Latin America, contribute relatively few publications to this corpus. The field has evolved from foundational work on general caregiving challenges to increasingly specialized communication interventions and recent digital innovations.</p><p><strong>Conclusions: </strong>This exploratory mapping reveals that CPT research has evolved from embedded components within general caregiving interventions into increasingly specialized programs, predominantly delivered face-to-face, with an emerging interest in technology-enhanced delivery. Future priorities include expanding research in underrepresented regions, developing culturally adapted interventions, and exploring hybrid delivery models to ensure equitable global access to communication support for dementia care. These priorities can guide funders, clinicians, and policymakers in targeting investments toward contextually relevant, scalable CPT models, particularly in low- and middle-income settings where communication support is underdeveloped.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70685"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13438685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Japanese Dietary Pattern and All-Cause and Cardiovascular Disease Mortality Across Diverse Topographical Settings: The Japan Collaborative Cohort Study.","authors":"Akio Shimizu, Yasutake Tomata, Junji Miyazaki, Takashi Kimura, Kenji Wakai, Ryo Momosaki","doi":"10.1111/ggi.70810","DOIUrl":"https://doi.org/10.1111/ggi.70810","url":null,"abstract":"<p><strong>Objective: </strong>We examined whether the association between adherence to the Japanese dietary pattern and all-cause and cardiovascular disease (CVD) mortality is consistent across diverse residential topographical settings in Japan.</p><p><strong>Methods: </strong>This prospective cohort study included 48 479 adults aged 40-79 years from the Japan Collaborative Cohort Study, with baseline dietary assessment in 1988-1990. Adherence was quantified by the Japanese Diet Index 8 (JDI-8), with components dichotomized at sex-specific medians. Residential municipalities were classified as coastal, urban inland, flat/intermediate inland, or mountainous inland. Shared frailty Cox proportional hazards models with a municipality-level random intercept (33 municipalities) estimated hazard ratios (HRs) and 95% confidence intervals (CIs). We tested effect modification by residential area using interaction tests and stratified analyses.</p><p><strong>Results: </strong>During a median follow-up of 19.2 years, 9304 all-cause deaths and 2685 CVD deaths occurred. Comparing the highest with the lowest JDI-8 quartile, HRs were 0.929 (95% CI, 0.872-0.990; p for trend = 0.034) for all-cause mortality and 0.862 (95% CI, 0.766-0.970; p for trend = 0.023) for CVD mortality. Interactions by residential area were not statistically significant (p for interaction = 0.246 for all-cause and 0.185 for CVD mortality). Component-level distributions varied by area, with urban inland residents having lower proportions of miso soup, rice, and fish intake.</p><p><strong>Conclusions: </strong>Higher adherence to the Japanese dietary pattern was associated with lower all-cause and CVD mortality, with directionally consistent associations across diverse residential settings. The absence of significant heterogeneity supports generalizability within Japan, although stratified estimates are exploratory.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70810"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13487901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148791240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sample Representativeness and Test-Retest Reliability in the Japanese Everyday Ageism Scale: A Methodological Reconsideration.","authors":"Chenjian Qiu, Huan Du","doi":"10.1111/ggi.70725","DOIUrl":"10.1111/ggi.70725","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70725"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Muscle Mass: Interpreting TBMM as a Marker of Geriatric Vulnerability in Acute Heart Failure.","authors":"Yaqun Tang, Mengying Hu","doi":"10.1111/ggi.70747","DOIUrl":"10.1111/ggi.70747","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70747"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Statistical and Clinical Limitations in the NMN Retinal Thickness Trial.","authors":"Songxiahe Zhao, Jinrui Lin, Yibin Du","doi":"10.1111/ggi.70780","DOIUrl":"10.1111/ggi.70780","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70780"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Department-Initiated Frailty Screening: An Overlooked Opportunity to Promote Healthy Employment in Later Life.","authors":"Shih-Chieh Yen, Jih-Yuan Lin, Chien-Chieh Hsieh","doi":"10.1111/ggi.70772","DOIUrl":"10.1111/ggi.70772","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70772"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Total Body Muscle Mass: The Necessity of Incorporating Muscle Function for Risk Stratification in Heart Failure.","authors":"Lei Xu","doi":"10.1111/ggi.70783","DOIUrl":"10.1111/ggi.70783","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70783"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Monthly Outpatient Claim-Recorded Lecanemab Drug Amount in Japan During Fiscal Year 2024.","authors":"Takuya Omura, Takahiro Kamihara","doi":"10.1111/ggi.70808","DOIUrl":"10.1111/ggi.70808","url":null,"abstract":"<p><p>Nationwide claim-recorded lecanemab drug amount for outpatient administration within medical institutions increased from 1.05 million mg in April 2024 to 7.73 million mg in March 2025. Under a 60-kg scenario, these amounts corresponded to 807 and 5924 standardized monthly treatment-volume equivalents; these aggregate measures are not patient counts.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70808"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Continuity: A Binary-Outcome Cross-Lagged Panel Model of Ikigai and Social Interaction Among Community-Dwelling Older Adults.","authors":"Yu Pei, Aki Yazawa, Chie Nitta, Tetsuhiro Maeno, Kumi Watanabe Miura, Yuko Sawada, Akihiro Kakuda, Tokie Anme","doi":"10.1111/ggi.70755","DOIUrl":"10.1111/ggi.70755","url":null,"abstract":"<p><strong>Aim: </strong>To examine the longitudinal and potentially bidirectional association between Ikigai and social interaction among community-dwelling older adults, and to evaluate the feasibility of a binary-outcome cross-lagged panel model (CLPM).</p><p><strong>Methods: </strong>This study analyzed data from the Community Empowerment and Care (CEC) cohort in T-village in central Japan. A total of 504 participants aged ≥ 65 years who took part in both the 2017 and 2020 surveys were analyzed. Ikigai was assessed by a self-reported question. Social interaction was measured with the Index of Social Interaction (ISI). A two-wave CLPM with binary outcomes was modeled using the weighted least squares mean and variance adjusted (WLSMV) estimator in Mplus 8.7, and baseline-adjusted logistic regression analyses were additionally conducted using SPSS 30.0. Covariates assessed at baseline included age, gender, subjective economic status, depressive symptoms, subjective cognitive complaints, negative life events (NLE), chronic diseases, smoking behavior, drinking behavior, social interaction, and Ikigai.</p><p><strong>Results: </strong>In the CLPM, richer social interaction in 2017 significantly predicted Ikigai in 2020 (β = 0.165, p = 0.006), whereas the reverse pathway from baseline Ikigai to subsequent social interaction did not reach conventional statistical significance (β = 0.102, p = 0.060). Autoregressive effects for both Ikigai and social interaction were substantial, and overall model fit indices indicated an acceptable fit.</p><p><strong>Conclusions: </strong>Over 3 years, richer social interaction prospectively supported Ikigai, while Ikigai alone did not translate into greater subsequent interaction once temporal dependencies were modeled. Binary-outcome CLPM proved feasible and informative for examining categorically measured psychosocial constructs in aging research. Interventions that expand opportunities for meaningful social interaction may help sustain Ikigai in later life.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70755"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}