International psychogeriatrics最新文献

{"title":"Regional atrophy and hypoperfusion mediate the association between affective symptoms and cognitive impairment in Alzheimer's disease.","authors":"Jincao Wang, Guanqun Zhao, Qingzheng Lu, Xiaoyi Zhang, Zhiyan Piao, Aolei Lin, Siqi Wang, Qixin Feng, Xiaoqing Wen, Wen Qin, Nan Zhang","doi":"10.1016/j.inpsyc.2026.100304","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100304","url":null,"abstract":"<p><strong>Objective: </strong>Affective symptoms are common and associated with poor cognitive outcomes in patients with Alzheimer's disease (AD); however, their underlying neural correlations remain poorly understood.</p><p><strong>Methods: </strong>This study included 105 patients with AD. Patients were classified into an AD with affective symptoms (AD-A) group and an AD without affective symptoms (AD-NA) group according to scores obtained on the depression and anxiety items of the Neuropsychiatric Inventory. All of the participants underwent neuropsychological assessments and multimodal magnetic resonance imaging (MRI) scans.</p><p><strong>Results: </strong>Compared with the AD-NA group, the AD-A group was younger and exhibited more severe, widespread cognitive impairments. Neuroimaging revealed that the AD-A group exhibited reduced grey matter volume (GMV) in the bilateral posterior cerebellum and right fusiform gyrus, along with reduced global cerebral blood flow (CBF) and lower CBF in the left parieto-temporo-occipital region. Mediation analyses revealed significant indirect associations between affective symptoms and cognitive function via cerebellar GMV and left parieto-temporo-occipital CBF.</p><p><strong>Conclusion: </strong>Cerebellar structural atrophy and left parieto-temporo-occipital hypoperfusion are associated with both affective symptoms and cognitive impairment and may represent neural correlates of the affective-cognitive association in AD patients.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100304"},"PeriodicalIF":6.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149206841","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}

{"title":"Changes in modifiable dementia risk factors and subjective cognitive decline in mid and later life.","authors":"Joanne Allen, Michelle Kelly, Gill Livingston, Christine V Stephens, Fiona M Alpass","doi":"10.1016/j.inpsyc.2026.100303","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100303","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to modifiable dementia risk factors (MDRFs) contributes substantially to dementia risk across the life course. Less is known about persistence and changes in these factors during mid- and later life and how they relate to early neurophysiological changes associated with dementia. This study examined rates and changes in MDRFs over two years and their associations with subjective cognitive decline (SCD) among older adults.</p><p><strong>Design: </strong>Cohort study.</p><p><strong>Setting and participants: </strong>Participants were 2370 adults aged 55-92 years (M = 68.54, SD = 7.15; 56.5% female) who completed the 2018 and 2020 waves of a longitudinal survey of ageing in New Zealand.</p><p><strong>Measurements: </strong>Self-reported hypertension, diabetes, hearing impairment, vision impairment, current smoking, hazardous alcohol use, physical inactivity, depression, and loneliness were classified into four categories across waves: stable absence, reduction, onset, and stable presence. SCD was assessed in 2020. Logistic regression models were used to examine associations between MDRF categories and SCD.</p><p><strong>Results: </strong>Survey-weighted responses indicated 8.6% of older adults experienced SCD. Diabetes, hearing impairment, current vision impairment, stable presence of physical inactivity, depression, and current loneliness were associated with increased odds of SCD.</p><p><strong>Conclusions: </strong>Both the onset and reduction of psychosocial and sensory MDRFs in mid- and later life have measurable implications for subjective cognitive outcomes in a general population sample. Prevention and reduction of diabetes, sensory loss, physical inactivity, depression, and social isolation represent meaningful targets for supporting cognitive well-being among older adults.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100303"},"PeriodicalIF":6.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193715","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}

{"title":"Understanding happiness and life-satisfaction in older persons across 22 countries: A cross-national meta-analysis of the Global Flourishing Study.","authors":"Matthew J Lennon, Joseph Suttie, Xavier Symons, Lynette Lam","doi":"10.1016/j.inpsyc.2026.100301","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100301","url":null,"abstract":"<p><strong>Background: </strong>Older people (65 +) are the fastest growing population group globally, yet factors associated with their happiness and life satisfaction remain underexamined, particularly in low- and middle-income countries.</p><p><strong>Methods: </strong>Data was taken from Wave 1 of the Global Flourishing Study, an internationally representative survey of ~200,000 participants across 22 countries. Happiness/life satisfaction, the main outcome, was measured as the mean of two 0-10 scales. Predictor variables included demographic, behavioural, psychosocial and wellbeing measures. Missing predictor variable data was imputed by multiple imputation. Generalised linear models were estimated by country and synthesised using random-effects meta-analyses.</p><p><strong>Results: </strong>Mean happiness/life satisfaction of those aged 65 + (n = 34,821) was greater than that of those younger than 65 (n = 168,017) (7.31 vs 6.82), with highest scores in Brazil, Mexico and Sweden and lowest in India, Tanzania and Turkey. The strongest predictors of happiness/life satisfaction for 65 + were meaning/purpose (B=0.387; p < 0.0001), close social relationships (B=0.167; p < 0.0001), physical health (B=0.161; p < 0.0001), financial stability (B=0.130; p < 0.0001) and being free from bodily pain (B=0.27, p = 0.0001). Fewer predictors were significant in the older group compared to younger adults, including education, employment, and marital status.</p><p><strong>Conclusion: </strong>Older adults reported higher happiness/life satisfaction than younger adults. Life satisfaction varied across countries, with middle-income nations reporting higher scores than wealthier countries. Life satisfaction in later life is associated with stable elements including health, purpose and social connectedness.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100301"},"PeriodicalIF":6.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181935","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}

{"title":"Predictors of unhealthy aging.","authors":"Byron Creese","doi":"10.1016/j.inpsyc.2026.100297","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100297","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100297"},"PeriodicalIF":6.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166809","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}

{"title":"Caregiving dyad typologies and trajectories of care partner burden following hospitalization in persons living with dementia.","authors":"Marie Boltz, Yin Liu, Ahmed-Rufai Yahaya, Azza Mubarak Al-Harrasi, Jessica Wellington, Ashley Kuzmik","doi":"10.1016/j.inpsyc.2026.100295","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100295","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To identify subtypes of care partner-person living with dementia dyads and examine how dyad subtype membership was associated with trajectories of care partner burden during the post-hospitalization transition period.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Secondary analysis of longitudinal observational data from the Family-Centered Function-Focused Care (Fam-FFC) study using latent class analysis (LCA) and multilevel growth curve modeling.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Post-hospitalization transition period among community-dwelling persons living with dementia and their informal care partners.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants: &lt;/strong&gt;The sample included 461 dyads of persons living with dementia and their informal care partners (i.e., 922 individuals).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Measurements: &lt;/strong&gt;Dyad-level indicators included care partner and care recipient demographic, relational, and clinical characteristics. Care partner indicators included age, sex, kin relationship, co-residence, and self-rated health. Person living with dementia indicators included age, sex, cognitive status (Montreal Cognitive Assessment), comorbidities, functional status, and neuropsychiatric symptoms (Neuropsychiatric Inventory Questionnaire [NPI-Q]). Care partner burden was measured using the 12-item Zarit Burden Interview (ZBI-12) at discharge and at 2 and 6 months post-discharge.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Four dyad classes were identified: adult child care partner-low NPI (33%), adult child care partner-high NPI (36%), wife/female care partner (21%), and husband/male care partner (10%). Across classes, mean burden scores increased from discharge to 2 months and declined by 6 months. The adult child-high NPI class had the highest burden levels at discharge, 2 months, and 6 months (1.75, 1.88, and 1.70, respectively), compared with the adult child-low NPI (1.35, 1.79, 1.31), wife/female care partner (1.64, 1.84, 1.46), and husband/male care partner (1.46, 1.69, 1.18) classes. In growth curve models, the adult child-high NPI class had higher overall burden than the husband/male care partner reference class (β = 0.421, SE = 0.153, p = .006) and showed less decline over time, as indicated by a significant quadratic interaction (β = 0.267, SE = 0.120, p = .027). Although the four-class solution was not statistically superior to the three-class solution based on the Lo-Mendell-Rubin test (p = .971), it was retained for clinical meaningfulness and interpretability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Distinct dyadic caregiving subtypes were identified, which were associated with different trajectories of care partner burden at discharge and 6-month post-hospitalization. In particular, adult-child dyads characterized by higher neuropsychiatric symptoms appeared most vulnerable to sustained care burden. These findings highlight heterogeneity in dementia caregiving during hospital-to-home transitions and may help inform future dyad-centered transitional care","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100295"},"PeriodicalIF":6.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165782","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}

{"title":"Creating a context for late-life wisdom to emerge: A view from contemporary philosophy.","authors":"George S Alexopoulos","doi":"10.1016/j.inpsyc.2026.100294","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100294","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100294"},"PeriodicalIF":6.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136455","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}

{"title":"Lay cousellor-delivered wisdom-enhancement narrative-therapy and empathy-focused interventions to reduce loneliness among older adults: A three-arm randomized controlled trial.","authors":"Da Jiang, Vivien Foong Yee Tang, Esther Oi-Wah Chow, Maninder Kahlon, Dannii Yuen-Lan Yeung, Rhonda Aubrey, Jing Liao, Jing Yu, Phoenix Kit-Han Mo, Kee-Lee Chou","doi":"10.1016/j.inpsyc.2026.100299","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100299","url":null,"abstract":"<p><strong>Objectives: </strong>Given the high prevalence and substantial adverse effects of loneliness, scalable psychosocial interventions to alleviate loneliness among older adults must be rigorously evaluated. Existing interventions focus on addressing perceived weaknesses rather than leveraging older adults strengths to mitigate loneliness. The objective is to assess the 6 and 12 months efficacy of two telephone-based interventions-wisdom enhancement narrative therapy (Tele-NT) and an empathy-focused intervention (Tele-EP)-compared with an active control group (ACG) in reducing loneliness.</p><p><strong>Design and setting: </strong>In this one-year, three-arm, assessor-blinded randomized controlled trial conducted in Hong Kong, participants were randomly assigned in equal groups to Tele-NT, Tele-EP, or ACG.</p><p><strong>Measures: </strong>Loneliness was assessed by the revised UCLA Loneliness Scale (UCLA-LS) and De Jong Gierveld Loneliness Scale (DJGL). Secondary outcomes were perceived social support, symptoms of depression, sleep quality, and social networks. Assessments were carried out prior to intervention and at 1, 6, and 12 months.</p><p><strong>Participants: </strong>A total of 287 were recruited (M_age=76.16 years [SD=7.20]; 206 [71.8%] female) and randomly assigned to three groups.</p><p><strong>Results: </strong>Analyses were adjusted for age, marital status, years of education, and the baseline value of each outcome. For loneliness, no significant overall between-group differences were found on the UCLA-LS. However, Tele-NT significantly reduced overall loneliness on the DJGL at 6 and 12 months. Among the secondary outcomes, Tele-NT and Tele-EP significantly reduced emotional loneliness at 12 months, whereas Tele-NT significantly reduced social loneliness at 6 months and improved sleep quality at 12 months.</p><p><strong>Conclusions: </strong>This RCT demonstrated that Tele-NT significantly alleviated feelings of loneliness at 6 and 12 months.</p><p><strong>Registration: </strong>ChiCTR2300070179, Chinese Clinical Trial Registry.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100299"},"PeriodicalIF":6.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136505","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}

{"title":"Memantine in Korean Alzheimer's disease: A prospective real-world REMIND study.","authors":"Seunghee Na, Hyun Sook Kim, Geon Ha Kim, Oh Dae Kwon, Yong Soo Shim, Chan-Nyoung Lee, Hak Young Rhee, Hojin Choi, Yun Jeong Hong, JaeYeon Lee, So Young Moon, Kee Hyung Park","doi":"10.1016/j.inpsyc.2026.100298","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100298","url":null,"abstract":"<p><strong>Objectives: </strong>Prospective real-world evidence on memantine in Korean patients with Alzheimer's disease remains limited. This study evaluated its real-world effectiveness and tolerability over 24 weeks of routine clinical practice.</p><p><strong>Design & setting: </strong>Multicenter, prospective, single-arm observational study conducted at twelve university-affiliated tertiary hospitals in Korea.</p><p><strong>Participants: </strong>Patients aged ≥ 50 years with Alzheimer's disease (Mini-Mental State Examination score of 5-20 and either a Clinical Dementia Rating of 2-3 or a Global Deterioration Scale score of 4-7) initiated on memantine (Ebixa®) 10-20 mg/day. The safety set comprised 401 patients and the effectiveness set 339.</p><p><strong>Measurements: </strong>The primary outcome was change in the Clinical Dementia Rating global score at Week 24. Secondary outcomes were changes in the Clinical Dementia Rating Sum of Boxes, Mini-Mental State Examination, Neuropsychiatric Inventory, and Zarit Burden Interview at Weeks 12 and 24, together with treatment persistence and adverse events.</p><p><strong>Results: </strong>At Week 24, 86.6% of 339 effectiveness-set patients remained within their baseline Clinical Dementia Rating category, 10.5% worsened, and 2.9% improved. Mini-Mental State Examination scores increased and Neuropsychiatric Inventory total scores decreased at both visits (all p < 0.05), with small standardized effect sizes (absolute d 0.08-0.17). Zarit Burden Interview scores increased at both visits. Treatment persistence was 89.5% at Week 24, and drug-related adverse events occurred in 17.7%.</p><p><strong>Conclusion: </strong>Over 24 weeks of memantine treatment, most patients remained within their baseline Clinical Dementia Rating category, cognitive and neuropsychiatric scores showed small within-patient changes, caregiver burden increased, and tolerability was acceptable.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100298"},"PeriodicalIF":6.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109516","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}

{"title":"Spouse-side heterogeneity in widowhood: Preloss cognitive performance and survivors' depressive-symptom change.","authors":"Wei Luo, Hanjia Mo, Zhenkun Shi, Xinxin Lai, Hanshuang Hu, Xiaojun Liu","doi":"10.1016/j.inpsyc.2026.100300","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100300","url":null,"abstract":"<p><strong>Objectives: </strong>Widowhood research has documented substantial heterogeneity in survivors' psychological adjustment, but explanations have focused mainly on survivor-side characteristics. Using Health and Retirement Study waves 3-15, we examined whether variation in the spouse who is lost constitutes another dimension of this heterogeneity, focusing on preloss spouse cognitive performance.</p><p><strong>Methods: </strong>We identified 4983 first observed married-to-widowed transitions. Fully adjusted comparisons included 3190 widowhood intervals; the risk-set design comprised 99,335 intervals from 20,617 respondents, and 2967 respondents formed the common within-widowhood sample. OLS interaction models compared spouse-cognition slopes across first-widowhood and married-to-married intervals, followed by functional-role and attribution analyses.</p><p><strong>Results: </strong>In the fully adjusted risk-set model, the spouse-cognition slope for CES-D8 change was negative during married intervals (b = -0.039) and positive during first-widowhood intervals (b = 0.150), yielding a slope difference of b = 0.188 (p < .001). The restrictive comparison yielded a similar slope difference of b = 0.171 (p < .001). Within widowhood, receipt of spouse help was associated with greater symptom increases, and adjustment for that help modestly reduced the spouse-cognition coefficient; adjustment for care provided to the spouse produced no comparable reduction. These directional patterns were compatible with a resource-removal interpretation, although the role measures came from different samples and time windows. Spouse education and measured marital quality changed the cognition estimate little, whereas demographic adjustment including both spouses' ages attenuated it.</p><p><strong>Conclusions: </strong>Preloss spouse cognition was differently associated with survivors' depressive-symptom change across first-widowhood and continuing-marriage intervals. This spouse-side contrast broadens accounts of widowhood heterogeneity, while age sensitivity limits attribution to cognition specifically.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100300"},"PeriodicalIF":6.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109603","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}

{"title":"The SOAR project: Developing a framework for screening for older adults' abuse risk.","authors":"Yoram Barak, Paul Glue, Linda Hobbs, Lara Vlietstra, Robin Turner","doi":"10.1016/j.inpsyc.2026.100277","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100277","url":null,"abstract":"<p><strong>Objective: </strong>Globally one in six older adults experience abuse; however, abuse of older people (AOP) remains under-detected and under-reported. Existing screening instruments often lack sufficient psychometric robustness and cultural responsiveness to effectively identify those at risk. This study aimed to identify key physical and psychosocial variables associated with AOP to inform development of a concise, evidence-based screening tool for use in Aotearoa New Zealand.</p><p><strong>Methods: </strong>First, Principal Component Analysis (PCA) of International Resident Assessment Instrument, Home Care (interRAI-HC) data was conducted to identify variables explaining the greatest variance across the Abuse - Clinical Assessment Protocol (A-CAP). Second, a Delphi consensus survey engaged multidisciplinary experts and stakeholders to prioritise variables from the A-CAP subset for inclusion in the screening tool.</p><p><strong>Results: </strong>PCA identified four primary indicators explaining the greatest variability in AOP risk: fear, neglect, conflict with family, and poor hygiene. Secondary indicators included low body mass index, weight loss, reduced social interactions and informal helper stress. The Delphi panel endorsed seven key variables: five derived from the A-CAP (fear, neglect, poor hygiene, conflict with family, and informal helper stress) and two additional items (financial abuse and lack of independence in decision making). These variables informed a framework of six evidence-based domains across three categories: relational, physical and psychological impacts of AOP.</p><p><strong>Conclusions: </strong>These findings support development of a short screening tool guided by the Screening for Older adults' Abuse Risk (SOAR) framework. Validation and integration of SOAR into routine community healthcare practice may enhance early detection and response to AOP.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100277"},"PeriodicalIF":6.0,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109551","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}