International Journal of Geriatric Psychiatry最新文献

{"title":"Beyond Memory: Why Aesthetic Wellbeing Matters in Dementia Care","authors":"Jeff Clyde G. Corpuz","doi":"10.1002/gps.70167","DOIUrl":"https://doi.org/10.1002/gps.70167","url":null,"abstract":"","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 10","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272869","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}

{"title":"Childhood Adversity and Cognitive Function Across Physical-Mental-Cognitive Health Trajectories: A 10-Year Longitudinal Study of Chinese Older Adults.","authors":"Yin Wang, Jiazhou Yu, Yiqiong Yang, Shanquan Chen","doi":"10.1002/gps.70162","DOIUrl":"https://doi.org/10.1002/gps.70162","url":null,"abstract":"<p><strong>Background: </strong>Cognitive decline commonly co-occurs with dynamic physical and mental health changes in older adults. While early-life adversity has been linked to various later-life health outcomes, its relationship with cognitive function considering different health trajectories remains unclear.</p><p><strong>Objectives: </strong>To identify distinct clusters of physical-mental-cognitive health trajectories among Chinese older adults and to examine the association between childhood adversities and cognitive function across these trajectories.</p><p><strong>Methods: </strong>Using data from the China Health and Retirement Longitudinal Study (2011-2020), we included 6178 adults aged ≥ 60 years. Latent Class Growth Modeling was used to identify trajectory patterns of functional limitations, depressive symptoms, and cognitive function. Mixed linear models examined associations between childhood adversities and cognitive function overall and across different identified trajectory patterns.</p><p><strong>Results: </strong>Four distinct trajectory classes were identified: healthy individuals (59.8%), rapid cognitive decline with gradual physical-mental decline (16.5%), mild cognitive decline with physical-mental improvement (14.4%), and moderate cognitive decline with rapid physical and moderate mental decline (9.4%). Experience of multiple childhood adversities was significantly associated with lower cognitive function (β = -0.36, 95% CI [-0.58, -0.14]), independent of adulthood factors and consistent across various trajectory patterns. Among individuals showing rapid cognitive decline with gradual physical-mental deterioration, experiencing two childhood adversities predicted lower cognitive function (β = -0.88, 95% CI [-1.62, -0.14]).</p><p><strong>Conclusion: </strong>Childhood adversities are associated with cognitive impairment regardless of physical-mental-cognitive health trajectories in older Chinese adults. These findings highlight the long-term impact of early-life experiences on cognitive health in later life.</p>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 10","pages":"e70162"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286059","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}

{"title":"Older People Abuse in China: How Can Technologies Help?","authors":"Zhaohui Su, Xue Yang, Ruijie Zhang, Francis Mungai Kaburu, Chaojun Tong, Dean McDonnell, Barry L Bentley, Xiang Zou, Jing-Bao Nie, Claudimar Pereira da Veiga, Yu-Tao Xiang","doi":"10.1002/gps.70161","DOIUrl":"https://doi.org/10.1002/gps.70161","url":null,"abstract":"<p><strong>Objectives: </strong>Nanny-induced elder abuse is a persistent issue in China. Unlike certified nurses and care workers who undergo extensive evaluation processes, elder-care nannies or \"bao mu\" often have little to no professional training. Background screening procedures are also highly variable and selective, depending on the specific labour agencies involved. This paper aims to discuss technologies with the potential to detect, prevent, and reduce nanny-induced elder abuse.</p><p><strong>Methods: </strong>This study reviews existing literature and case reports to explore how digital technologies-such as surveillance cameras and smart wearables-have been used to uncover and monitor elder abuse in home care settings. It also examines policy gaps and technological interventions relevant to the Chinese context.</p><p><strong>Results: </strong>Recent discoveries of elder abuse in China-including verbal, physical, psychological, financial, and sexual abuse-have primarily come to light through the use of digital surveillance. Smart technologies, from home-care robots to network monitoring systems, have all demonstrated potential in alerting families and caregivers to abnormal and abusive behaviors by hired care professionals like nannies. However, while surveillance technologies can play an important role in detecting and documenting elder abuse by nannies, they are regarded as limited technical aids rather than comprehensive solutions. Overreliance on monitoring devices may generate a series of ethical and social concerns.</p><p><strong>Conclusions: </strong>While systemic reforms like mandatory training and evaluation procedures may take time to implement, technological solutions such as surveillance and wearable monitoring offer relatively cost-effective, immediate tools to address elder abuse. However, ethical considerations-particularly regarding privacy and data security-must be rigorously upheld to protect older people's digital health rights.</p>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 10","pages":"e70161"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280227","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}

{"title":"Prevalence of Chronic Diseases by Cognitive Function Level and Age Group Among Middle-Aged and Older Korean Adults","authors":"Sanghun Nam,&nbsp;Sojung Park,&nbsp;Suyeong Bae,&nbsp;Ickpyo Hong","doi":"10.1002/gps.70159","DOIUrl":"https://doi.org/10.1002/gps.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to investigate the age-dependent association between new cognitive classification and chronic diseases among middle-aged and older adults using Poisson regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We included 6940 people from the 2018 Korean Longitudinal Study of Aging. Cognitive status was classified as normal, moderate, and severe based on the participants' Korean Mini-Mental State Examination scores and instrumental activities of daily living. Poisson regression analysis was performed to predict the number of chronic diseases in middle-aged and older adults with grade three cognitive status. The number of predicted events at each cognitive level was calculated according to age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the normal cognitive group, most of the participants were females 2515 (54.03), and the average age was 66.50 (SD = 8.62). Compared to the normal cognitive group (<i>n</i> = 4665), the incidence of chronic disease in the moderate cognitive impairment group (<i>n</i> = 1316) was 0.07 times that of the normal group, whereas, in the severe cognitive impairment group (<i>n</i> = 420), it was 0.21 times that of the normal group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Higher levels of cognitive impairment and older age were associated with a higher probability of having multiple chronic conditions. The study findings highlight the importance of integrative care with cognitive function and age in managing multiple chronic conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 10","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/gps.70159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145135619","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}

{"title":"Relationship Between Clusters of Multimorbidity and Dementia Risk: A Systematic Review","authors":"Tiago Wiesner,&nbsp;Paula Grammatikos,&nbsp;Veerle van Gils,&nbsp;Sarah Bauermeister","doi":"10.1002/gps.70158","DOIUrl":"10.1002/gps.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Emerging evidence demonstrates that multimorbidity, defined as the co-occurrence of at least two chronic conditions, may elevate the risk of dementia especially when certain conditions co-occur. Therefore, we investigated the available evidence on the relationship between clusters of multimorbidity and dementia risk in adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Embase, PsycINFO, and Ovid MEDLINE were searched until the ninth of February 2025. Included studies reported dementia risk or incidence in adult populations in relation to different clusters of multimorbidity. A narrative synthesis was structured according to the identified clusters across studies, their associations with dementia risk, and any moderation or stratification analyses for APOE ε4 allele carriership and C-reactive protein (CRP), among others. The Quality In Prognosis Studies (QUIPS) tool was used for quality assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 870 abstracts screened, 7 were included in the final synthesis. Significant relationships between clusters of multimorbidity and an elevated risk of dementia were identified in all studies. The most consistent findings related to cardiometabolic and mental health/neuropsychiatric clusters evidencing the highest dementia risk. Other multimorbidity clusters were less well studied and results regarding dementia risk varied across studies. Moderation and stratification analyses for APOE ε4 and CRP, where available, yielded inconsistent findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This systematic review highlights the importance of understanding multimorbidity clusters for early identification of dementia risk and targeted treatment approaches. Further research is required to explore relationships between multimorbidity clusters and dementia risk across different ethnic groups as well as the potential moderating role of lifestyle factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/gps.70158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130725","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}

{"title":"Professionals' Views on Social Care Planning and Provision for People With Young-Onset Dementia and Their Families in England: Findings From the DYNAMIC Study","authors":"Catherine Quinn,&nbsp;Helen Young,&nbsp;Vasileios Stamou,&nbsp;Kate Gridley,&nbsp;Clare Mason,&nbsp;Jan Oyebode","doi":"10.1002/gps.70155","DOIUrl":"10.1002/gps.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Access to appropriate social care post-diagnosis is crucial for people with young onset dementia (YOD) and their families. Yet care is hugely variable, frequently lacking, and poorly coordinated. We aimed to establish levels of awareness, knowledge, and practice among professionals regarding social care provision for people with YOD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A short survey (24 items) was developed based on previous research and through consultation with experts by experience and the project steering group. The aim was to establish awareness, knowledge, and practice among professionals regarding social care needs, care planning, and provision for people YOD. The survey was available online.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 139 responses from health and social care professionals. A wide range of situations triggered referrals to social care, illustrating the holistic impact of YOD. However, most referrals were triggered by crises rather than a proactive approach and were in response to carers' needs rather than those of the person with YOD. Referrals for advice and guidance around financial impacts were common. Most respondents reported there was no agreed care pathway and no YOD-specific guidelines in their service. Areas of good practice in social care provision included: person-centred and reablement based approaches; multi-disciplinary and multi-agency working; support from peers and the third sector; seamless care pathways and dedicated YOD services; support for carers; and personal budgets.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Staff need accurate knowledge and awareness of specific YOD-related issues to provide effective social care for those with YOD and their families. The current system tends to be reactive at point of crisis, whereas proactive planning and provision could pre-empt crises and provide more effective support. YOD-specific care pathways and guidance are needed to improve social care for this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/gps.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091840","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}

{"title":"Eliminating Inequity in Depressive Disorders for Older Adults: Call for Action","authors":"Bingyi Wang,&nbsp;Shizhou Deng,&nbsp;Liwei Wan,&nbsp;Xian Zhang,&nbsp;Fang Yang","doi":"10.1002/gps.70148","DOIUrl":"https://doi.org/10.1002/gps.70148","url":null,"abstract":"","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058073","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}

{"title":"Climate-Induced Heat and the Mental Health of Older Adults: An Overlooked Challenge","authors":"John Jamir Benzon R. Aruta","doi":"10.1002/gps.70157","DOIUrl":"https://doi.org/10.1002/gps.70157","url":null,"abstract":"","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038376","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}

{"title":"Rapid Review of Interventions Designed to Enhance Personalised Care for People With Dementia When There Are Concerns About Reduced Awareness of Difficulties","authors":"Catherine M. Alexander,&nbsp;Hannah Earle,&nbsp;Anthony Martyr,&nbsp;Linda Clare","doi":"10.1002/gps.70153","DOIUrl":"https://doi.org/10.1002/gps.70153","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Awareness of difficulties varies in people with dementia. Low awareness, also termed anosognosia, has been implicated in carer stress and safety concerns, and can be a barrier to effective clinical communication. Little is known about how to manage situations arising from low awareness. This review looked for evidence of existing interventions to enhance care in situations regarding low awareness, and considered their utility, feasibility and acceptability when delivering personalised care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used systematic review methodology, adapted for a rapid timeline, searching five databases and grey literature sources. The review built on an earlier scoping review about measuring awareness in dementia. The protocol was registered on PROSPERO (CRD42024626367). Interventions were included if targeted at people with any dementia type in any setting, or dyads or informal carers, or clinicians. Interventions of any type were eligible where awareness had been measured and addressed, and quantitative outcome data were available. Risk of bias of included articles was assessed. The review is reported as a narrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From the database search, 6042 articles were screened, with additional findings from grey literature. Seven articles were included, describing heterogenous interventions. Two interventions aimed to enhance awareness as the primary goal. No intervention was aimed at informal carers or clinicians, and none addressed specific everyday concerns arising from low awareness. Five non-pharmacological interventions used methods involving music, a garden, a cognitive programme, interview-based psychosocial approaches or staff training. These appeared generally acceptable to care recipients, with some feasibility of use, but with limited efficacy. Intervention goals regarding awareness were poorly defined. Outcomes on awareness were mixed in comparison with control groups, with slowing of decline at best. Some improvement in mood, quality of life and coping was observed. Two drug interventions showed a reduction in neuropsychiatric symptoms but limited utility regarding awareness. Available public guidance about awareness issues is relevant but lacks a clear evidence-base.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The review identified evidence gaps for suitable interventions for managing low awareness in dementia. Existing interventions have limited efficacy and application regarding awareness. There is scope for fu","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/gps.70153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012188","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}

{"title":"Analysis of Professionals' Perceptions of Suicide in Older Adults Living in Care Homes","authors":"Rita Redondo,&nbsp;Carolina Pinazo-Clapés,&nbsp;Irene Checa,&nbsp;Sacramento Pinazo-Hernandis,&nbsp;Alicia Sales","doi":"10.1002/gps.70152","DOIUrl":"https://doi.org/10.1002/gps.70152","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Suicide among older adults living in care homes is a major public health challenge. This study analyses the perceptions and attitudes of professionals working in care homes towards suicidal ideation and suicide attempts in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 338 nursing home professionals from Spain participated in the study. A vignette-based methodology was used, in which cases of suicidal ideation or suicide attempts were described, varying the gender of the actor. Responses to a questionnaire assessed perceived frequency, attention-seeking behaviour, ageism, experienced anxiety, perceived risk and likelihood of future suicide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Professionals perceived suicidal ideation to be more common and normative in older adults, particularly women. However, they attributed a higher risk and likelihood of suicide to cases involving suicide attempts, which also elicited more anxiety. No significant differences were found in the perception of these situations as ‘attention-seeking behaviour'.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Acceptance of suicidal ideation as normal behaviour of suicidal ideation in older adults may reduce the perceived urgency to intervene, highlighting the need for specialised training to help identify risk signals and act promptly. This study highlights the importance of addressing age and gender bias in suicide prevention in care homes and advocates the development of evidence-based strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14060,"journal":{"name":"International Journal of Geriatric Psychiatry","volume":"40 9","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/gps.70152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144998947","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}