International psychogeriatrics最新文献

{"title":"Social determinants of health in older adults: Current and emerging challenges.","authors":"David Facal, Raimundo Mateos","doi":"10.1016/j.inpsyc.2026.100217","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100217","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100217"},"PeriodicalIF":4.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837841","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":"Large language model-supported companion robots for loneliness in older people: A UK-Japan qualitative study integrating focus groups and in-home deployment.","authors":"Yuto Satake, Minna Nygren, Clare Yu, Kunihiko Katsuki, Ippei Endo, Akira Tsuboi, Daiki Ishimaru, Kazuhiro Umemura, Penny Rapaport, Nadia Bianchi-Berthouze, Manabu Ikeda, Robert Howard","doi":"10.1016/j.inpsyc.2026.100216","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100216","url":null,"abstract":"<p><strong>Background: </strong>Conversational companion robots have been studied as one approach to ameliorating loneliness in older people. Large language models (LLMs) can enable flexible conversational ability in companion robots, but acceptability and suitability remain uncertain. We explored older people's expectations and concerns regarding an LLM-supported companion robot for loneliness support, with a focus on acceptability rather than efficacy.</p><p><strong>Methods: </strong>We conducted a UK-Japan qualitative study comprising hands-on focus groups for community-dwelling older adults in London (n = 17) and a one-week in-home use with follow-up interviews in Osaka among outpatients with mild cognitive impairment (MCI; n = 8). Transcripts were analysed using reflexive thematic analysis; for cross-site reporting, Japan themes/codes were mapped onto the thematic structure generated from the larger UK dataset. Descriptive questionnaire measures and at-home conversational log metrics were collected to contextualise qualitative findings.</p><p><strong>Results: </strong>Participants saw value of the companion robot as a support for older people with loneliness but emphasised that acceptability depends on interaction mechanics and user agency. Three cross-context themes were identified: (1) Practical use and functionality (response latency, turn-taking, desired features, and controllability in home use); (2) Emotional connection and engagement (social presence alongside perceived limits in conversational fit and depth); and (3) Ethical and societal reflections (privacy/data governance, access, and concerns about substituting for human contact).</p><p><strong>Conclusions: </strong>LLM-supported companion robots may provide acceptable low-intensity support for some older people, including those with MCI, provided that usability, user-adjustable control and ethical governance are prioritised. Longer deployments are needed to evaluate potential sustained benefit and burden.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100216"},"PeriodicalIF":4.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837824","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":"Nursing staff attitudes towards the prevention of adverse events among hospitalized people with dementia: Qualitative systematic review and evidence synthesis.","authors":"Lucía Catalán, Amy Pepper, Anne Margriet Pot, Paula Brun, Karen Harrison-Dening, Déborah Oliveira","doi":"10.1016/j.inpsyc.2026.100210","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100210","url":null,"abstract":"<p><strong>Introduction: </strong>Negative attitudes among nursing staff are linked to adverse events in hospitalized people with dementia, but no qualitative synthesis has thoroughly explored this issue.</p><p><strong>Aim: </strong>To synthesize existing qualitative evidence regarding the attitudes of nursing staff towards the prevention of adverse events (AE) among hospitalized people with dementia.</p><p><strong>Methods: </strong>Literature searches were conducted across PubMed, CINAHL, APA PsycINFO, Web of Science, BVS, Scopus, Cochrane Library, and Google Scholar. All primary qualitative or mixed-methods studies with a qualitative component published in peer-reviewed journals in English, Portuguese, or Spanish were eligible. The search covered all records from each database's start date to July 21. Methodological quality was assessed using the JBI tool. A meta-aggregative approach extracted and synthesized evidence with JBI's SUMARI. Confidence was graded using ConQual.</p><p><strong>Results: </strong>Eight high-income country studies yielded 122 findings in 18 categories, resulting in four synthesized findings: (1) Perceptions related to the organizational barriers to the provision of safe nursing care for people with dementia; (2) Misconceptions, negative emotions, and perception of lack of preparedness among nursing staff relate to negative attitudes towards prevention AE; (3) Perception of supportive organizational strategies fosters positive attitudes towards prevention AE; (4) Personal and emotional attributes were linked with a positive predisposition towards taking responsibility for safety practices in this context. The confidence in the findings was low.</p><p><strong>Conclusion: </strong>These attitudes reflect organizational conditions and personal beliefs, emotions, and experiences, which influence care practices. Although more studies are needed, hospitals might benefit from fostering empathetic and proactive attitudes among staff to prevent adverse events.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100210"},"PeriodicalIF":4.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771205","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":"Mild cognitive impairment: New directions in predictors, diagnosis and biomarkers.","authors":"Corinne E Fischer","doi":"10.1016/j.inpsyc.2026.100211","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100211","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100211"},"PeriodicalIF":4.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771166","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":"Beyond the biological decline of aging: The evolution of critical phenomenology.","authors":"George S Alexopoulos","doi":"10.1016/j.inpsyc.2026.100214","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100214","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100214"},"PeriodicalIF":4.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771191","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":"Beyond the biological decline of aging: From phenomenology to 4E cognitive science.","authors":"George S Alexopoulos","doi":"10.1016/j.inpsyc.2026.100215","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100215","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100215"},"PeriodicalIF":4.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771249","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":"Treatment patterns of agitation associated with Alzheimer's dementia (AAD) patients in Canada.","authors":"Veronique Littmann-Crites, A Marilise Marrache, Ceryl Tan, Natalie Nightingale, Calum S Neish, Francois Therrien, Zahinoor Ismail","doi":"10.1016/j.inpsyc.2026.100209","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100209","url":null,"abstract":"<p><strong>Objectives: </strong>Explore treatment patterns of Canadian patients with AAD to understand variability in clinical management.</p><p><strong>Design: </strong>This retrospective study used public claims data from Ontario and New Brunswick in IQVIA databases.</p><p><strong>Setting: </strong>Inferred patients with AAD were identified through claims for cognitive enhancers and medications used off-label to treat AAD, i.e., antipsychotics (AP), anticonvulsants (AC), antidepressants (ADT), benzodiazepines (benzo).</p><p><strong>Participants: </strong>Patients (≥55 years) were identified between 2011-2018, indexed on their first AP/AC/AD/benzo and followed until the earlier of their fourth line (4L) of therapy or September 30, 2023. An all-history lookback to 2003 was used to ensure no prior claims for these therapies.</p><p><strong>Measurements: </strong>Descriptive analyses explored treatment utilization patterns.</p><p><strong>Results: </strong>23,732 patients with AAD were identified, mostly from Ontario (98.7%). Patients with AAD tended to move to long-term care, with these increasing with more treatment trials from 24% (1 L therapy) to 54% (4 L therapy). Patients received between 500 and 2000 unique combinations across therapy lines. Citalopram, escitalopram, gabapentin, lorazepam, mirtazapine, pregabalin, quetiapine, risperidone, sertraline, and trazodone ranked in the top 10 therapies. Risperidone accounted for 7.2% of claims and ranked as the 6th most common 1 L therapy. Although trazodone remained the most common therapy for patients with AAD, it had one of the lowest persistence rates. Most patients remained on their 3 L - 4 L therapy, and ≥ 80% were adherent across all therapy lines. Average daily doses were lower than those described in the product monographs.</p><p><strong>Conclusions: </strong>AAD treatment varies widely, underscoring the need for approved treatments and enhanced clinical education.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100209"},"PeriodicalIF":4.3,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716629","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 role of verbal episodic memory in progression to mild cognitive impairment: The influence of serial position effects.","authors":"María Campos-Magdaleno, Alba Felpete, M Helena Agrafojo-Nieto, Ana Nieto-Vieites, Sabela C Mallo, Onésimo Juncos-Rabadán, Cristina Lojo-Seoane","doi":"10.1016/j.inpsyc.2026.100212","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100212","url":null,"abstract":"<p><strong>Background: </strong>Subjective cognitive decline (SCD) may be linked to subtle memory loss. The aim of this study was to determine the influence of verbal episodic memory measures, particularly serial position effects, on the progression from SCD to mild cognitive impairment (MCI).</p><p><strong>Methods: </strong>Study participants (N = 315), aged ≥ 50, diagnosed as cognitively unimpaired (CU) (N = 211) or with SCD (N = 104) at baseline and then classified as Stable or Worsening at follow-up, were compared using measures from the California Verbal Learning Test (CVLT). ANCOVA was used to compare SCD and CU performance at baseline; General Linear Models (GLMs) with repeated measures were used to compare groups at baseline and at follow-up, considering age, years of education, depressive symptoms, and time between assessments as covariates.</p><p><strong>Results: </strong>SCD participants were older, had fewer years of education, more depressive symptoms, and more subjective cognitive complaints than CU participants. There were no differences between groups at baseline in any of the cognitive measures. The GLMs revealed that the baseline performance of CU and SCD participants who worsened was already poorer than that of the stable participants in free recall measures; only the Worsening SCD participants had significant poorer recall of middle position items at baseline than Stable participants.</p><p><strong>Conclusion: </strong>Free recall CVLT measures at baseline can effectively identify progression of cognitive decline in participants without cognitive objective impairment, and the middle position effect at baseline can differentiate SCD participants who will progress to MCI and those who will remain stable.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100212"},"PeriodicalIF":4.3,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716649","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":"Psychological treatment of depression in older adults: A network meta-analysis.","authors":"Pim Cuijpers, Clara Miguel, Eirini Karyotaki, Mathias Harrer","doi":"10.1016/j.inpsyc.2026.100213","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100213","url":null,"abstract":"<p><strong>Objectives: </strong>Several psychological treatments for depression in older adults have been found to be effective compared to control conditions. It is less clear, however, if these treatments have comparable effects. We aimed to examine the relative effects of these treatments.</p><p><strong>Design: </strong>Systematic review and network meta-analysis.</p><p><strong>Setting: </strong>Any outpatient setting.</p><p><strong>Participants, interventions, measurements: </strong>We included randomized controlled trials examining the effects of psychological treatments in older adults with depression, and comparing a treatment with another treatment or a control condition (care-as-usual and waitlist). Only treatments with at least five trials were included.</p><p><strong>Results: </strong>We included 86 randomized trials (10,165 participants) examining five types of treatment: cognitive behavior therapy (CBT), behavioral activation therapy (BAT), problem-solving therapy (PST), supportive therapy (SUP) and life review therapy (LRT). The network was relatively well connected. CBT, BAT, PST and LRT were more effective than CAU (SMD range: 0.52-0.99) and WL (SMD range: (0.62-1.10). SUP was not more effective than WL or CAU. All therapies were more effective than SUP (SMD range: 0.43-0.80), except for BAT. LRT was more effective than CBT and BAT. However, we found a significant difference between direct and indirect evidence. After excluding outliers, the general conclusions were similar, except that LRT was no longer superior to other therapies.</p><p><strong>Conclusions: </strong>CBT, LRT, BAT and PST are effective interventions in the treatment of depression in older adults, and they probably have comparable effects. LRT and CBT have lower drop-out and may be preferrable as first treatment.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100213"},"PeriodicalIF":4.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698633","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":"Undiagnosed dementia in underserved African American populations: Missed opportunities for care.","authors":"Gabriela Cohen, Mariam B Mati, Olivia J Woodward, Kenneth Hepburn, Molly M Perkins","doi":"10.1016/j.inpsyc.2026.100208","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100208","url":null,"abstract":"<p><strong>Background: </strong>Missed and late diagnoses of dementia are frequent in underserved populations and impact the implementation of dementia interventions.</p><p><strong>Methods: </strong>Twenty dyads of persons living with dementia and comorbidity, new to the principal investigator's panel at a Geriatrics Clinic, and their caregivers. Quantitative Assessment: geriatric assessment, cognitive and staging scales, review of all medical records. Qualitative analysis: interviews with the dyad, coding for factors for late diagnosis and impact of the non-diagnosis.</p><p><strong>Results: </strong>Ninety percent women, mean age: 78 years (range 65-96), all African- American. Diagnosis distribution: Alzheimer's disease (11), mixed dementia (7), vascular dementia (1), Lewy Body Disease (1). Calculated mean time from the first symptom of dementia to diagnosis: 3.3 years (range: 1-10). Of the 20 cases, 15 did not have a prior formal diagnosis of dementia; their staging at diagnosis was: severe dementia: 5, moderate dementia: 4, mild dementia: 6. Eight cases had a delay in diagnosis of at least 4 years. We estimated the impact on health outcomes of years of living with undiagnosed dementia and found a high frequency of non-compliance with medications, uncontrolled comorbid conditions, weight loss, and multiple health transitions.</p><p><strong>Conclusions: </strong>We observed a significant time delay in the diagnosis of dementia, while many participants had moderate to severe dementia when diagnosed. Strategies to improve screening and dementia diagnosis in primary care settings are needed to increase access to dementia-specific services and improve care and well-being in this vulnerable African American population and their caregivers.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100208"},"PeriodicalIF":4.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615946","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}