International psychogeriatrics最新文献

{"title":"Psychometric properties, factor structure, and functional correlates of the PTSD checklist for DSM-5 in a U.S. national sample of older veterans.","authors":"Joan M Cook, Michelle J Bovin, Mia Maria Günak, Karen A Lawrence, Robert H Pietrzak","doi":"10.1016/j.inpsyc.2024.100027","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2024.100027","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the psychometric properties of an assessment measure for posttraumatic stress disorder (PTSD) that corresponds with the current version of the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) in older adults.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Nationally representative web-based survey (National Health and Resilience in Veterans Study; NHRVS) between November 18, 2019 and March 8, 2020.</p><p><strong>Participants: </strong>A total of 3001 veterans aged 60 years and older (mean age=73.2 years) MEASUREMENTS: PTSD symptoms were assessed using the PTSD Checklist for DSM-5 (PCL-5).</p><p><strong>Results: </strong>PCL-5 scores demonstrated excellent internal consistency, and strong convergent and discriminant validity. Veterans who met criteria for probable PTSD and subthreshold PTSD had higher rates of childhood and adult trauma exposure than those who did not meet criteria for either of these groups. A recently proposed 8-factor model provided the best fit to item-level PCL-5 data, with dysphoric (i.e., anhedonia, dysphoric arousal) symptoms having the strongest most consistent associations with measures of functioning.</p><p><strong>Conclusions: </strong>This is the first known study to examine the psychometric properties of the PCL-5 among older veterans. Results indicate that the PCL-5 is a reliable and valid instrument for use with community-dwelling older veterans. The finding that dysphoric symptoms of PTSD were most consistently linked to measures of functioning underscores the importance of targeting these symptoms as part of prevention, assessment, and treatment efforts in this population.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 2","pages":"100027"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630055","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":"Associations of neurocognitive functioning with behavioral pathology in older adults.","authors":"Dilip V Jeste","doi":"10.1016/j.inpsyc.2025.100047","DOIUrl":"10.1016/j.inpsyc.2025.100047","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100047"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407943","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":"Fostering an active daily life: An ethnographic study unravelling the mechanisms of Green Care Farms as innovative long-term care environment for people with dementia.","authors":"Katharina Rosteius, Bram de Boer, Gijs Steinmann, Hilde Verbeek","doi":"10.1016/j.inpsyc.2024.100017","DOIUrl":"10.1016/j.inpsyc.2024.100017","url":null,"abstract":"<p><strong>Objectives: </strong>Green Care Farms (GCFs) are gaining attention as innovative dementia care environment. Compared with regular nursing homes, first studies suggested a more active daily life, more social interaction and a higher quality of life of GCF residents. Regular facilities aiming to redesign and implement GCF elements might be hindered to do so by a lack of space for meadows or regulations prohibiting animals. Therefore, this study explored the underlying mechanisms by which GCFs may generate the positive effects.</p><p><strong>Design: </strong>This study is an observational, explorative study using multiple methods.</p><p><strong>Setting: </strong>One GCF and one traditional nursing home aiming to implement GCF elements.</p><p><strong>Participants: </strong>Residents, family members, staff, managers, and other involved individuals of the two nursing homes.</p><p><strong>Measurements: </strong>Ethnographic observations (n = 52 days), semi-structured interviews (n = 67) and a focus group with experts from various disciplines were conducted. Data was analyzed thematically and triangulated.</p><p><strong>Results: </strong>We identified six possible mechanisms of GCFs encouraging an active daily life. These are: 1) stimulating the senses, 2) promoting engagement in purposeful activities tailored to the individual, 3) creating a community, 4) promoting freedom and autonomy in a responsible way, 5) integrating the vision in all actions, and 6) continuously transforming to carry out the vision in practice.</p><p><strong>Conclusions: </strong>Our results provide first insights into environmental working mechanisms, which are relatively generic and have the potential to be transferred to other settings. Hence, this study provides other care organizations with guidance on implementing the care vision of GCFs in their local context.</p><p><strong>What is already known: </strong>WHAT THIS PAPER ADDS.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 2","pages":"100017"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630444","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":"Suicidal ideation among informal caregivers of older adults: The role of family values, care stigma, and care gains.","authors":"Larissa Zwar, Hans-Helmut König, André Hajek","doi":"10.1016/j.inpsyc.2025.100052","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100052","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to analyze the association between care-specific psychosocial factors in terms of familism, care stigma, caregiver burden, and gains with suicidal ideation of informal caregivers of older adults in Germany.</p><p><strong>Method: </strong>Data from the Attitudes Towards Informal Caregivers Project (ATTIC) of 433 informal caregivers of adults aged ≥ 60 years was used to analyze the research question. The Internalized Caregiver Stigma Scale was used to measure the internalized attitudes and behavior of informal caregivers regarding care provision for older adults, suicidal ideation was measuring passive suicide thoughts, care gains were measured with positive aspects of care scale and familism was measured with the short attitudinal familism scale. Linear regression analysis with robust standard errors were calculated and adjusted for contextual and personal factors (e.g., co-residence, personality, social support).</p><p><strong>Results: </strong>Stronger beliefs in negative internalized care stigma were associated with higher frequency of suicide thoughts, while stronger positive internalized care stigma, familism, and care gains were not significantly associated with suicidal ideation. The associations were also found in additional analysis with a log-transformed outcome of suicidal ideation and in analyses excluding mental health as covariate (except for burden, which was significantly associated with suicidal ideation).</p><p><strong>Conclusion: </strong>Care-specific psychosocial factors in terms of negative care stigma are important to the risk for suicidal ideation. Thus, changing negative thoughts, evaluations and expectations about informal care and its performance could be helpful to prevent informal caregivers experiencing (high levels of) suicidal ideation.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100052"},"PeriodicalIF":4.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515695","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":"How do caregivers successfully cope with behavioral and psychological symptoms of dementia? A web-based, preliminary analysis using a hybrid approach.","authors":"Katsuo Yamanaka, Dai Noguchi, Shunsuke Sato, Naoko Kosugi, Hideki Kanemoto, Kenji Yoshiyama, Manabu Ikeda, Hiroaki Kazui","doi":"10.1016/j.inpsyc.2025.100050","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100050","url":null,"abstract":"<p><strong>Objectives: </strong>There has been no systematic analysis of coping strategies for behavioral and psychological symptoms of dementia (BPSD) using large-scale cumulative data. We preliminarily examined the characteristics of successful and unsuccessful coping strategies for BPSD.</p><p><strong>Design: </strong>We employed a deductive and inductive analysis (hybrid approach) of the data derived from \"Ninchisho Chienowa-net,\" a web-based system that collects caregivers' coping strategies for BPSD. Antecedent control procedure and consequence manipulation in applied behavior analysis (ABA) were used as theory-driven codes for deductive classification.</p><p><strong>Cases: </strong>We targeted 1049 cases except \"others\" among BPSD's categories submitted from January 2016 to January 2019, and finally, 1027 were selected.</p><p><strong>Measurements: </strong>Subsequently, nine sub-codes of coping strategies were inductively generated through a trial classification in the first BPSD category, applying these to remaining categories.</p><p><strong>Results: </strong>Success frequencies varied significantly across coping strategy sub-codes: strategies \"assisting the person in performing other activities,\" \"addressing setting events,\" \"listening to the person and accepting her/his challenges,\" and \"multi-coping strategies\" had higher success frequencies than expected. Conversely, \"explaining reality\" and \"inhibiting BPSD\" had higher failure frequencies than expected. As for the BPSD category \"problems due to forgetting,\" \"prompting the person to do an appropriate behavior\" was more successful than other coping strategies.</p><p><strong>Conclusions: </strong>This investigation systematically elucidated the efficacy of various coping strategies, delineating successful ones from those that were not. The discerned patterns across all categories of BPSD and within each individual category will provide valuable insights for caregivers.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100050"},"PeriodicalIF":4.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501310","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":"Longitudinal association between creative arts participation with cognitive function in late life.","authors":"Darina V Petrovsky, Abeer M Mobarki, Justine S Sefcik, Zahra Rahemi, Juanita-Dawne R Bacsu, Matthew Lee Smith, Bei Wu","doi":"10.1016/j.inpsyc.2025.100048","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100048","url":null,"abstract":"<p><strong>Objectives: </strong>Examine relationships between arts participation in high school and later life, cognition, and cognitive change among older adults in the United States.</p><p><strong>Design: </strong>Longitudinal retrospective SETTING: Health and Retirement Survey (HRS) including the Life History Mail Surveys (LHMS) and Consumption and Activities Mail Survey (CAMS).</p><p><strong>Participants: </strong>A sample of HRS respondents with cognition data from Wave 3 (1996) through Wave 14 (2018). We merged LHMS and CAMS responses (2017 and 2019) about high school arts participation, eliminating respondents < 50 years of age, without cognitive data in the last three waves, or with normal cognition following previously reported dementia.</p><p><strong>Measurements: </strong>Respondents were categorized into 4 groups for musical and for visual arts): (1) lifelong learners; (2) high school learners; (3) current learners; and (4) no interest. Cognitive function was measured as a continuous summary score on a 27-point cognitive battery of items in the Langa-Weir Classification total Telephone Interview for Cognitive Status, TICS.</p><p><strong>Results: </strong>Musical arts participation at time of the survey was associated with a slower rate of cognitive decline in the entire sample (3505 participants in musical and 3507 in visual arts) and the War Babies cohort. Those who participated in musical arts at the time of the survey and while in high school experienced a slower rate of cognitive decline in the AHEAD-CODA cohort only. No relationships were found between cognition and times of visual arts participation.</p><p><strong>Conclusions: </strong>Some types of arts participation at different periods of life may benefit cognition later in life.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100048"},"PeriodicalIF":4.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476619","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":"Geographical inequalities in dementia diagnosis and care: A systematic review.","authors":"Clarissa Giebel, Megan Rose Readman, Abigail Godfrey, Annabel Gray, Joan Carton, Megan Polden","doi":"10.1016/j.inpsyc.2025.100051","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100051","url":null,"abstract":"<p><strong>Background: </strong>People with dementia can be disadvantaged in accessing health and social care services for diagnosis and care depending on where they live (including rural vs suburban vs. urban; postcode; country). Without an existing comprehensive synthesis of the evidence to date, the aim of this systematic review was to explore the evidence on geographical inequalities in accessing services for dementia diagnosis and care.</p><p><strong>Methods: </strong>Five databases were searched in June 2024, including studies conducted in any country, published from 2010 onwards, and in English or German. Titles and abstracts, and then full texts, were screened by at least two reviewers each. Any discrepancies were resolved in discussion with a third reviewer. Data were extracted by two researchers and synthesised narratively.</p><p><strong>Results: </strong>From 1321 studies screened and 49 full texts read, 32 studies were included in the final review. Most studies were conducted in the US, followed by the UK. Geographical inequalities in dementia are most often evidenced in relation to availability and suitability of services in different regions within a country, or a lack thereof. People with dementia residing in rural areas often experience challenges in receiving a timely diagnosis and accessing health and social care. No research has addressed geographical inequalities in accessing residential care. Innovative models on improving efficiency and quantity of diagnosis rates in rural Canada and Australia emerged.</p><p><strong>Conclusions: </strong>Health and social care services in rural areas need to be increased and made more suitable to the needs of people with dementia. More research needs to explore inequalities experienced by people with rarer forms of dementia. National strategies to overhaul the health and social care system need to focus on the rurality issue and recommend strategies to improve service access.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100051"},"PeriodicalIF":4.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476618","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":"Mental health outcomes and loneliness in older transgender individuals receiving long-term gender-affirming hormone therapy compared with older cisgender individuals.","authors":"Jason O van Heesewijk, Inge L de Groot, Koen M A Dreijerink, Chantal M Wiepjes, Almar A L Kok, Natasja M van Schoor, Martijn Huisman, Martin den Heijer, Baudewijntje P C Kreukels","doi":"10.1016/j.inpsyc.2025.100049","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100049","url":null,"abstract":"<p><strong>Objectives: </strong>Many older adults experience mental health challenges and loneliness which negatively affect other health aspects. This data is largely lacking in older transgender adults. This study aimed to determine differences in depressive symptoms, anxiety and loneliness between older transgender individuals receiving gender-affirming hormone therapy (GHT), and cisgender (non-transgender) individuals, and to assess the contribution of financial, psychological, somatic, and social-contact related factors.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Gender identity clinic; general population.</p><p><strong>Participants: </strong>Seventy-two transgender women and 39 transgender men (56-84 y) receiving GHT for ≥ 10 y, age-matched 1:3 with cisgender women and men from the general population.</p><p><strong>Measurements: </strong>Depressive symptoms, anxiety and loneliness were assessed with questionnaires. Differences were compared using linear regression analyses with log-transformed variables, and back-transformed for presentation. Additionally, models were adjusted for financial, psychological, somatic and social-contact related factors.</p><p><strong>Results: </strong>Transgender women scored higher than cisgender women and cisgender men, respectively, on depressive symptoms (1.92, 95 % confidence interval (CI) 1.52-2.42; 2.66, CI 2.11-3.37), anxiety (1.43, CI 1.17-1.75; 1.89, CI 1.54-2.32) and loneliness (2.42, CI 1.96-2.97; 2.32, CI 1.92-2.82). Transgender men scored higher than cisgender men on depressive symptoms (2.10, CI 1.50-2.94), anxiety (1.67, CI 1.27-2.19) and loneliness (1.50, CI 1.16-1.93), and higher than cisgender women on loneliness (1.57, CI 1.20-2.05). These differences were largely explained by differences in financial, psychological, somatic and social-contact related factors.</p><p><strong>Conclusions: </strong>Mental health outcomes and loneliness are compromised in older transgender individuals compared to cisgender individuals, particularly in transgender women. The socio-economic, psychological and somatic risk factors identified warrant further research and awareness.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100049"},"PeriodicalIF":4.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467941","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":"Inter- or intragenerational conflict: Insights from clinical experience.","authors":"Tsuyoshi Okamura, Chiaki Ura","doi":"10.1016/j.inpsyc.2025.100053","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100053","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100053"},"PeriodicalIF":4.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433121","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":"A systematic review and meta-analysis on physical activity for the treatment of anxiety in older adults.","authors":"Zahra Goodarzi, AnneMarie Levy, Carly Whitmore, Titus Chan, Juliette Mojgani, Iulia Niculescu, Abitha Suthakaran, Alastair Flint, Amy Gough, Sébastien Grenier, Heli Juola, Kristin Reynolds, Sarah Neil-Sztramko, Shanna C Trenaman, Erica Weir, Michael Van Ameringen, Anthony Yeung, Andrea Iaboni","doi":"10.1016/j.inpsyc.2025.100044","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100044","url":null,"abstract":"<p><strong>Objectives: </strong>Symptoms of anxiety and anxiety disorders negatively impact the quality of life of older adults. Physical activity is a potentially accessible intervention with other health benefits and minimal risk, yet its impact on anxiety in older adults is unclear.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Setting: </strong>Included databases were MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, PsycINFO and CINHAL were searched from inception to June 23, 2023.</p><p><strong>Participants, interventions, measurements: </strong>We included randomized controlled trials of older adults who reported anxiety symptoms or disorders at baseline, that compared physical activity interventions with a non-physical activity comparator. All steps were done in duplicate, and certainty of evidence was with Grading of Recommendations, Assessment, Development, and Evaluations. Random effects meta-analyses were performed.</p><p><strong>Results: </strong>10,763 citations were reviewed, 13 studies were included in meta-analyses. At baseline, participants self-reported low to moderate levels of anxiety and different levels of fitness. In the meta-analysis, the physical activity intervention had a medium effect in decreasing the severity of anxiety symptoms compared to the control (standardized mean differences (SMD) - 0.66; 95 % Confidence Interval (CI) - 0.89, - 0.43). Subgroup analyses indicated reductions in symptom severity when only assessing the effects of in-person interventions (SMD: - 0.59; 95 %CI: - 0.79, - 0.38), studies of participants without pre-existing diseases (SMD: - 0.74; 95 % CI: - 0.99, - 0.50), resistance training (SMD: - 0.76; 95 % CI: - 1.15, - 0.38) and aerobic exercise (SMD: - 0.82; 95 % CI: - 1.15, - 0.49). Studies had small sample sizes and high risk of bias.</p><p><strong>Conclusions: </strong>Physical activity reduces symptoms of anxiety in older adults and is an acceptable and promising intervention to incorporate into care planning.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100044"},"PeriodicalIF":4.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424807","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}