International psychogeriatrics最新文献

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-09-19 DOI: 10.1017/s104161022400070x

Jonas Dörner, Kathrin Wehner, Margareta Halek, Martin N. Dichter

{"title":"Sleep-related measurements to assess sleep disturbances among people living with dementia in nursing homes: a systematic review","authors":"Jonas Dörner, Kathrin Wehner, Margareta Halek, Martin N. Dichter","doi":"10.1017/s104161022400070x","DOIUrl":"https://doi.org/10.1017/s104161022400070x","url":null,"abstract":"Background:There is a high prevalence of sleep disturbances among people living with dementia (PLWD) in nursing homes. Reliable and valid measurements are needed to assess these disturbances. The aim of this systematic review was to identify, analyze and synthesize studies of sleep-related measurements to assess sleep disturbances in PLWD.Methods:The databases PubMed, CINAHL, and PsycINFO were systematically searched in 2019; the search was updated in March 2024. The inclusion criteria were as follows: participants with dementia or probable dementia in any care setting; and studies that reported at least one of the following aspects: (I) theoretical and conceptual frameworks, (II) user or patient involvement by type of users in measurement development, (III) feasibility and practicability of measurements, and (IV) results of psychometric analyses. The quality of the included studies was evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria and the quality appraisal tool for studies of diagnostic reliability (QAREL) tool.Results:A total of 5169 studies were identified; ultimately, 15 studies describing three self-administered measurements, three proxy-administered measurements and two technological measurements were included. No sleep-related measurement showed acceptable psychometric properties in any of the COSMIN domains.Conclusions:No measurement without adaptation can be recommended for PLWD in nursing homes. If existing measurements are used in clinical practice, the self-perspective of PLWD should be taken into account. If this is no longer fully possible, proxy-rating perspectives in combination could be an option. Future research on sleep-related measurements should be strictly based on international consensus-based psychometric quality criteria.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"52 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Measuring clinically relevant change in apathy symptoms in ADMET and ADMET 2 测量 ADMET 和 ADMET 2 中冷漠症状的临床相关变化

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-09-19 DOI: 10.1017/s1041610224000711

Shankar Tumati, Nathan Herrmann, Jaime Perin, Paul B. Rosenberg, Alan J. Lerner, Jacobo Mintzer, Prasad R. Padala, Olga Brawman-Mintzer, Christopher H. van Dyck, Anton P. Porsteinsson, Suzanne Craft, Allan Levey, David Shade, Krista L. Lanctôt

{"title":"Measuring clinically relevant change in apathy symptoms in ADMET and ADMET 2","authors":"Shankar Tumati, Nathan Herrmann, Jaime Perin, Paul B. Rosenberg, Alan J. Lerner, Jacobo Mintzer, Prasad R. Padala, Olga Brawman-Mintzer, Christopher H. van Dyck, Anton P. Porsteinsson, Suzanne Craft, Allan Levey, David Shade, Krista L. Lanctôt","doi":"10.1017/s1041610224000711","DOIUrl":"https://doi.org/10.1017/s1041610224000711","url":null,"abstract":"Objectives:Among participants with Alzheimer's disease (AD) we estimated the minimal clinically important difference (MCID) in apathy symptom severity on three scales.Design:Retrospective anchor- and distribution-based analyses of change in apathy symptom scores.Setting:Apathy in Dementia Methylphenidate Trial (ADMET) and ADMET 2 randomized controlled trials conducted at three and ten clinics specialized in dementia care in United States and Canada, respectively.Participants:Two hundred and sixty participants (60 ADMET, 200 ADMET 2) with clinically significant apathy in Alzheimer’s disease.Measurements:The Clinical Global Impression of Change in Apathy scale was used as the anchor measure and the MCID on the Neuropsychiatric Inventory – Apathy (NPI-A), Dementia Apathy Interview and Rating (DAIR), and Apathy Evaluation Scale-Informant (AES-I) were estimated with linear mixed models across all study visits. The estimated thresholds were evaluated with performance metrics.Results:Among the MCID was a decrease of four points (95% CI: −4.0 to −4.8) on the NPI-A, 0.56 points (95% CI: −0.47 to −0.65) on the DAIR, and three points on the AES-I (95% CI: −0.9 to −5.4). Distribution-based analyses were largely consistent with the anchor-based analyses. The MCID across the three measures showed ∼60% accuracy. Sensitivity analyses found that MMSE scores and apathy severity at baseline influenced the estimated MCID.Conclusions:MCIDs for apathy on three scales will help evaluate treatment efficacy at the individual level. However, the modest correspondence between MCID and clinical impression of change suggests the need to consider other scales.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"20 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 Cambodia training program on older persons' mental health and well-being: what International Psychogeriatric Association members have to offer. 柬埔寨老年人心理健康和幸福培训计划：国际老年心理学协会成员的贡献。

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-09-18 DOI: 10.1017/s1041610224000693

Carmelle Peisah,Roisin Browne,Kim Savuon,Sotheara Chhim,Mao Heng

引用次数: 0

The effect of study partner characteristics on the reporting of neuropsychiatric symptoms across the neurocognitive spectrum 研究伙伴的特征对神经认知谱系中神经精神症状报告的影响

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-09-18 DOI: 10.1017/s1041610224000590

Dylan X. Guan, Dinithi Mudalige, Catherine E. Munro, Rachel Nosheny, Eric E. Smith, Zahinoor Ismail

{"title":"The effect of study partner characteristics on the reporting of neuropsychiatric symptoms across the neurocognitive spectrum","authors":"Dylan X. Guan, Dinithi Mudalige, Catherine E. Munro, Rachel Nosheny, Eric E. Smith, Zahinoor Ismail","doi":"10.1017/s1041610224000590","DOIUrl":"https://doi.org/10.1017/s1041610224000590","url":null,"abstract":"Objectives: We explored the influence of study partner (SP) characteristics on SP-reported neuropsychiatric symptoms (NPS) presence across the neurocognitive spectrum and on the prognostic utility of mild behavioral impairment (MBI). Design, setting, and participants: We performed cross-sectional (n = 26,748) and longitudinal (n = 12,794) analyses using participant-SP dyad data from the National Alzheimer’s Coordinating Center. Participants were cognitively normal (CN; n = 11,951) or had mild cognitive impairment (MCI; n = 5686) or dementia (n = 9111). Measurements: SPs rated NPS using the Neuropsychiatric Inventory Questionnaire. We used multivariable logistic regression to model the association between SP characteristics (age, sex, and relationship to participant [spouse, child, and other]) and NPS status (outcome). Cox regressions assessed SP characteristics as moderators of MBI associations with incident dementia or as predictors of incident dementia in MBI + participants only. Results: Among CN persons, younger, female, and spouse SPs reported NPS more frequently. In MCI, younger SPs and those who were spouses or children of participants reported higher NPS odds. For dementia participants, NPS odds were higher in female and spouse SPs. MBI associations with incident dementia were slightly weaker when SPs were older but did not depend on SP sex or relationship to participant. Among MBI + participants with spouse or child SPs, hazard for dementia was higher when compared to MBI + participants with other SPs. Conclusions: SP age, sex, and relationship to participant influence NPS reporting across the neurocognitive spectrum, with potential implications for MBI prognosis. Considering SP characteristics may enhance the accuracy of NPS assessments, which may facilitate therapy planning and prognosis.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"98 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Unveiling hope: how social support reciprocity shields against the shadows of intimate partner violence and suicidal ideation in rural Chinese older adults 揭开希望的面纱：社会支持互惠如何抵御中国农村老年人亲密伴侣暴力和自杀意念的阴影

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-09-18 DOI: 10.1017/s1041610224000681

Dan Zhao, Chengchao Zhou

{"title":"Unveiling hope: how social support reciprocity shields against the shadows of intimate partner violence and suicidal ideation in rural Chinese older adults","authors":"Dan Zhao, Chengchao Zhou","doi":"10.1017/s1041610224000681","DOIUrl":"https://doi.org/10.1017/s1041610224000681","url":null,"abstract":"The paper titled “A systematic review of psychosocial protective factors against suicide and suicidality among older adults” by Ki and colleagues is a thought-provoking review that emphasizes the importance of improving protective factors for the development of suicide prevention and intervention in older adults, rather than just focusing on risk factors. Since the coronavirus disease 2019 (COVID-19) pandemic, media coverage of mental health and suicide has gained widespread attention. Suicide may become a more pressing issue due to the enormous economic and social toll of the spreading epidemic. Therefore, this systematic review is relevant in preventing suicide among older adults in the “post-pandemic” periods of COVID-19. In this study, the authors highlight the importance of examining the moderating or mediating role of protective factors in suicide, due to the fact that suicide prevention must take into account a variety of factors simultaneously. More importantly, most studies focused primarily on received support among interpersonal protective factors, neglecting the role of support given to others, which might be more beneficial for older adults’ well-being. The thought that ensues is what role will social support reciprocity play in specific risk factors and suicidal behavior.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"18 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Are there sensitive age ranges at which disrupted sleep differentially affects cognition? 睡眠中断对认知产生不同影响的敏感年龄段是否存在？

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-05-31 DOI: 10.1017/S104161022400053X

Kyler Mulhauser, Greta Raglan

引用次数: 0

Effects of age on the relationship between sleep quality and cognitive performance: Findings from the Human Connectome Project-Aging cohort - CORRIGENDUM. 年龄对睡眠质量与认知能力之间关系的影响：人类连接组计划--老龄化队列的研究结果 - CORRIGENDUM.

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-05-29 DOI: 10.1017/S1041610224000644

Daniel E Cohen, Hyun Kim, Alina Levine, Davangere P Devanand, Seonjoo Lee, Terry E Goldberg

引用次数: 0

Well-being domains in U.S. military veterans: identifying modifiable factors to promote whole health. 美国退伍军人的福祉领域：确定促进整体健康的可改变因素。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-05-21 DOI: 10.1017/S1041610224000589

Ian C Fischer, Peter J Na, David B Feldman, Alex H Krist, Harold S Kudler, Dilip V Jeste, Robert H Pietrzak

{"title":"Well-being domains in U.S. military veterans: identifying modifiable factors to promote whole health.","authors":"Ian C Fischer, Peter J Na, David B Feldman, Alex H Krist, Harold S Kudler, Dilip V Jeste, Robert H Pietrzak","doi":"10.1017/S1041610224000589","DOIUrl":"10.1017/S1041610224000589","url":null,"abstract":"The U.S. Department of Veterans Affairs is actively transitioning away from a disease-centric model of healthcare to one that prioritizes disease prevention and the promotion of overall health and well-being. Described as Whole Health, this initiative aims to provide personalized, values-centered care that optimizes physical, behavioral, spiritual, and socioeconomic well-being. To inform this initiative, we analyzed cross-sectional data from a nationally representative sample of primarily older U.S. military veterans to estimate levels of well-being across these domains, and identify sociodemographic, military, and potentially modifiable health and psychosocial correlates of them. Results revealed that, overall, veterans reported high domain-specific well-being (average scores ranging from 6.7 to 8.3 out of 10), with the highest levels in the socioeconomic domain and lowest in the physical domain. Several modifiable factors, including purpose in life, resilience, and social support, were strongly associated with the examined well-being domains. Interventions targeting these constructs may help promote well-being among U.S. veterans.","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"1-7"},"PeriodicalIF":4.6,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Dementia risk and cognitive decline: the impacts of socioeconomic status and modifiable risk factors from a longitudinal Maastricht Aging Study. 痴呆症风险和认知能力下降：马斯特里赫特老龄化纵向研究中社会经济地位和可改变风险因素的影响。

IF 7 2区医学

International psychogeriatrics Pub Date : 2024-05-13 DOI: 10.1017/S1041610224000632

James Watson

引用次数: 0

Novel international research on late-life suicide. 关于晚年自杀的国际新研究。

IF 4.6 2区医学

International psychogeriatrics Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.1017/S1041610224000619

Dimitris N Kiosses

引用次数: 0