International psychogeriatrics最新文献

{"title":"Dementia training for healthcare professionals: A systematic policy and evidence review.","authors":"Sedigheh Zabihi, Saskia Delray, Malvika Muralidhar, Sube Banerjee, Clarissa Giebel, Karen Harrison Dening, Yvonne Birks, Rachael Hunter, Mohammed Akhlak Rauf, Charlotte Kenten, Madeleine Walpert, Claudia Cooper","doi":"10.1016/j.inpsyc.2025.100088","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100088","url":null,"abstract":"<p><strong>Objective: </strong>To review the effectiveness of healthcare professionals' dementia training and consider implications for policy and practice.</p><p><strong>Design: </strong>Systematic and policy review SETTING: Healthcare services PARTICIPANTS: Healthcare professionals INTERVENTION: Training MEASUREMENTS: We searched electronic databases for primary research studies (2015-2024) evaluating dementia training for healthcare professionals. We assessed risk of bias using the Mixed Methods Appraisal Tool, prioritising studies scoring 4 + , of interventions supported by Randomised Controlled Trial evidence; reporting outcomes using Kirkpatrick's framework. To explore how evidence might translate to practice, using England as a case study, we reviewed relevant policies and consulted professional stakeholders.</p><p><strong>Results: </strong>We reviewed 63 primary research studies. One met priority criteria; it evaluated a Train-the-Trainer (TTT), team-based reflective practice model, which improved primary care nurses' and doctors' learning, and self-reported practice over ≥ 3 months. Higher quality, controlled studies evaluated a TTT programme for hospital staff, improving client outcomes (agitation) over ≤ 5 days; an expert-led two-day interactive training for inpatient nurses that reduced role strain; and expert-led, nine-week, occupational therapy-derived training programme that improved retirement community staff strategies for client activity engagement. Sixteen policies and related documents highlighted concerns about limited implementation of the Dementia Core Skills Education and Training Framework (DCSETF). Eight focus group attendees considered time a limiting factor to evidence implementation, but valued group training to share experiences; and TTT models to enable tailoring to local contexts.</p><p><strong>Conclusions: </strong>By increasing reach of dementia training and embedding learning in practice, Train-the-Trainer models can increase care quality and support evidence-based policy implementation.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100088"},"PeriodicalIF":4.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110614","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":"Subjective memory complaints at age 90 + in relation to cognition and risk of incident dementia: The 90 + Study.","authors":"Zarui A Melikyan, Colette Aguirre, Zeinah Al-Darsani, Katherine A Colcord, Annlia Paganini-Hill, Sarah E Tomaszewski Farias, Luohua Jiang, Claudia H Kawas, María M Corrada","doi":"10.1016/j.inpsyc.2025.100083","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100083","url":null,"abstract":"<p><strong>Background and aims: </strong>Associations of Subjective Memory Complaints (SMC) with cognition and future dementia are poorly understood in the oldest old (age 90 +), who have high incidence and prevalence of cognitive impairment. This study aims to (1) report SMC frequency, (2) assess cross-sectional associations between SMC and cognitive test scores, and (3) compare the abilities of SMC, Mini-mental state examination (MMSE), and cognitive diagnosis to predict dementia in the oldest old.</p><p><strong>Method: </strong>The 90 + Study participants without baseline dementia and with baseline SMC, MMSE, at least one other cognitive test, and cognitive diagnosis were included in cross-sectional analysis. A subset of this group with follow-up cognitive diagnosis was included in longitudinal analysis. Cross-sectional association between SMC and cognitive test scores was explored using linear regression. Risk of incident dementia in relation to baseline SMC, MMSE, and cognitive diagnosis was explored using three Cox regression models. Concordance Index (C-index) was used to compare model performance.</p><p><strong>Results: </strong>In 893 participants with average age 93 years (range 90-102), 43 % had SMC. Cross-sectionally, SMC were associated with lower scores on memory, language, executive function. After 3.5 years of follow-up (range 0.4-16), 325 of 789 participants developed dementia. SMC, compared with no SMC, was associated with twice the risk of incident dementia (HR=2.16, 95 %CI, 1.72-2.72; p < 0.01). SMC predicted incident dementia as well as MMSE (p = 0.12), but not as well as cognitive diagnosis (p < 0.01).</p><p><strong>Conclusions: </strong>Single SMC question might be useful to identify oldest old with cognitive impairment or at risk of dementia.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100083"},"PeriodicalIF":4.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987562","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":"Self-reported diagnosis of mental disorders, psychological distress, and risk of incident dementia in New Zealand.","authors":"Etuini Ma'u, Naaheed Mukadam, Gill Livingston, Gary Cheung, Sarah Cullum","doi":"10.1016/j.inpsyc.2025.100075","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100075","url":null,"abstract":"<p><strong>Objectives: </strong>With increasing prevalence of psychological distress and mental health disorders over recent decades, both globally and in New Zealand (NZ), it is important to understand their potential association with dementia.</p><p><strong>Design: </strong>Cohort study SETTING & PARTICIPANTS: The NZ Health Survey from 2011/12 to 2018/19 was used to create a cohort and followed up until 31st March 2022. Incident cases of dementia were identified in routinely collected health data.</p><p><strong>Measurements: </strong>Cox regression models calculated the hazard ratio for dementia for self-reported diagnoses of anxiety, depression, bipolar affective disorder, and Kessler K10 psychological distress score after adjustment for age and sex, and cardiovascular risk factors.</p><p><strong>Results: </strong>74,184 individuals aged ≥ 30 years were followed up for 452,867 person-years (mean duration of follow up 6.1 years), with 1963 (2.6 %) developing dementia. All three mental health disorders were associated with an increased hazard ratio of dementia, ranging from 1.31 (95 % CI 1.12-1.54) increased hazard for anxiety to a 2.69 (95 % CI 1.87-3.86) increased hazard for bipolar disorder. The increased dementia hazard associated with anxiety was no longer evident after adjusting for comorbid depression (HR 1.04 95 % CI 0.94-1.17). Higher K10 scores were associated with an increased dementia hazard of 2.19 (95 % CI 1.90-2.51) at the recommended score cut-off of 20.</p><p><strong>Conclusions: </strong>This study demonstrates an increased dementia risk associated with mental disorders and psychological distress in NZ. Our findings reinforce the need for timely and appropriate management of mental health distress and disorders in NZ.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100075"},"PeriodicalIF":4.6,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015540","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":"Nation-wide Japanese FTD consortium FTLD-J: Utility of case review meetings.","authors":"Shunsuke Sato, Kohji Mori, Michihito Masuda, Maki Suzuki, Daiki Taomoto, Akihiro Takasaki, Kazue Shigenobu, Shinji Ouma, Shunichiro Shinagawa, Ryota Kobayashi, Yasuhiro Watanabe, Akitoshi Takeda, Yusuke Miyagawa, Aya Kawanami, Naoko Tsunoda, Kazuhiro Hara, Maki Hotta, Yosuke Hidaka, Kenji Yoshiyama, Hisanori Kowa, Masahisa Katsuno, Akira Tsujino, Takeshi Ikeuchi, Ichiro Yabe, Masayuki Nakamura, Fumiaki Tanaka, Shinobu Kawakatsu, Tetsuaki Arai, Osamu Yokota, Yuishin Izumi, Mari Yoshida, Mamoru Hashimoto, Hirohisa Watanabe, Gen Sobue, Manabu Ikeda","doi":"10.1016/j.inpsyc.2025.100078","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100078","url":null,"abstract":"<p><strong>Objectives: </strong>To clarify the characteristics of Japanese patients with frontotemporal dementia (FTD), we have established a nationwide multicenter registry named the Frontiers of Time course and Living specimen registry and Disease-modifying therapy development in Japanese patients with FTLD (FTLD-J). To ensure diagnostic consistency, we implemented case review meetings in the registry and evaluated their utility.</p><p><strong>Methods: </strong>Between February 2016 and August 2024, 269 patients with behavioral variant FTD (bvFTD), semantic dementia (SD), or progressive nonfluent aphasia (PNFA) were registered. Fifteen case review meetings, open to all participating facilities, were held, where the clinical course, neuropsychiatric-neuropsychological evaluations, and neuroimaging analysis of 238 out of 269 cases were presented. Initial diagnoses were approved or revised based on discussions among specialists regarding whether the cases met the diagnostic criteria. We examined the diagnostic stability in participants initially diagnosed with bvFTD, SD, and PNFA. Given the limited number of PNFA cases, we compared the rate of diagnostic changes between bvFTD and SD using the chi-square test.</p><p><strong>Results: </strong>Of the 126 participants enrolled as bvFTD, 75 were confirmed as bvFTD. In the remaining 51 patients, the diagnoses changed during the meeting. Of the 95 participants enrolled as SD, 77 were confirmed as SD, and in 18 cases, the diagnoses changed. Of the 17 participants enrolled as PNFA, 15 were confirmed as PNFA; bvFTD had a predominantly higher rate of diagnostic change than those with SD (p < 0.001).</p><p><strong>Conclusions: </strong>Our results suggested that case review meetings in a multicenter study may improve diagnostic consistency, especially in bvFTD.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100078"},"PeriodicalIF":4.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023912","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":"Do changed behaviors predict cognitive decline in a community sample?","authors":"Jason Chen, Katya Numbers, Jessica Lo, Perminder S Sachdev, Nicole A Kochan, John D Crawford, Henry Brodaty","doi":"10.1016/j.inpsyc.2025.100076","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100076","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether later-life development of neuropsychiatric symptoms (NPS) or a modified diagnosis of mild behavioral impairment (MBI) are associated with future cognitive decline.</p><p><strong>Design: </strong>Prospective Cohort Study SETTING: Community PARTICIPANTS: 823 individuals without dementia aged 70-90 years from the Sydney Memory and Ageing Study, followed over six years.</p><p><strong>Measurements: </strong>Biennially, cognition was assessed through neuropsychological testing, and clinical diagnoses of mild cognitive impairment (MCI) and dementia were made by expert consensus. NPS was evaluated using the Bayer Activities of Daily Living scale and Neuropsychiatric Inventory (NPI). Based on published algorithms, modified diagnoses of MBI (MBI-Lite) were obtained. The relationship between behavior at baseline and neuropsychological test scores six years later was examined using linear regression. Cox regression was performed to evaluate associations between behavior and both incident dementia and incident categorical progression. Apolipoprotein E ε4 allele carrier status and cardiovascular disease risk were controlled for in all analysis.</p><p><strong>Results: </strong>Higher total NPI scores were associated with worse global cognition scores at six years (β = -0.03, p = .007) and increased risk of incident dementia over six years (HR=1.06, p = .003). Presence of NPS of clinically significant severity and frequency was associated with worse global cognition scores for those with normal cognition (β = -0.44, p = .001), but not those with MCI at baseline (β = 0.22, p = .389). Diagnosis with MBI-Lite, was also associated with worse global cognition scores (β = -0.28, p = .028).</p><p><strong>Conclusions: </strong>Certain measures of NPS in cognitively normal older adults may herald future cognitive decline and be useful for early diagnosis and dementia research.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100076"},"PeriodicalIF":4.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024061","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":"Performance of the Brain Health Test-7, Mini-Mental State Examination, and Montreal Cognitive Assessment for detecting subjects with mild cognitive impairment.","authors":"Yi-Ting Lin, Pei-Ning Wang, Jiahn-Jyh Chen, Cheng-Sheng Chen, Chih-Cheng Hsu, Tzung-Jeng Hwang","doi":"10.1016/j.inpsyc.2025.100077","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100077","url":null,"abstract":"<p><strong>Objectives: </strong>The Brain Health Test-7 (BHT-7), Mini-Mental State Examination (MMSE), and Montreal Cognitive Assessment (MoCA) are valid dementia and mild cognitive impairment (MCI) screening tools. Relevant validation studies have usually used receiver operating characteristic (ROC) curve analysis or a fixed-threshold approach. In this study, we adopted stratum-specific likelihood ratio (SSLR) analysis to capture more information about their performance in detecting MCI.</p><p><strong>Design: </strong>Cross-sectional multi-site study.</p><p><strong>Setting: </strong>Hospitals in northern and southern Taiwan.</p><p><strong>Participants: </strong>1090 subjects aged 50 years or older were assigned to a cognitively normal group, an MCI group, or a dementia group.</p><p><strong>Measurements: </strong>BHT-7, MMSE, and MoCA to differentiate cognitively normal subjects from those with MCI or dementia.</p><p><strong>Results: </strong>The three cognitive assessment tools were valid for detecting subjects with MCI or dementia according to ROC analysis. The overall area under the ROC curve (AUC) of the BHT-7 was significantly higher than that of the MoCA and MMSE in differentiating MCI or dementia from controls. Five strata were generated by SSLR analysis for the BHT-7 and MoCA, while 4 for the MMSE. The five strata of the BHT-7 and MoCA well represented the different degrees of probabilities of having MCI. However, it was still difficult to rule out the presence of MCI even by a test score within the highest-score stratum of the MMSE.</p><p><strong>Conclusions: </strong>The BHT-7 performed slightly better than MoCA and MMSE in detecting subjects with MCI. The strata generated from the SSLR analysis were more informative than single cutoff values.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100077"},"PeriodicalIF":4.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997397","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":"Effect of aging on resting state functional connectivity between basal forebrain and dentate gyrus in humans.","authors":"Yuting Luo, Rong Lin, Yuanjiao Yan, Chenshan Huang, Xiaochun Chen, Hong Li","doi":"10.1016/j.inpsyc.2025.100072","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100072","url":null,"abstract":"<p><p>The basal forebrain and dentate gyrus are integral to various cognitive functions. Prior research has identified structural alterations in these regions associated with aging. Nonetheless, the functional interactions between the basal forebrain and dentate gyrus over the lifespan are not well elucidated. In this study, we analyzed resting-state functional magnetic resonance imaging data from a convenience sample of 102 adults aged 56-85 years. Our findings reveal a significant negative correlation between age and the strength of functional connectivity between the basal forebrain and the dentate gyrus across all participants. These results enhance our understanding of the interaction between the basal forebrain and dentate gyrus within the context of aging in the human brain.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100072"},"PeriodicalIF":4.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035228","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 meta-review and synthesis of the effectiveness of psychosocial interventions for people living with dementia nearing the end of life and their family carers.","authors":"Nathan Davies, Yolanda Barrado-Martín, Jesutofunmi Aworinde, Victoria Vickerstaff, Kirsten Moore, Charlotte Kenten, Sarah McMullen, Catherine Evans, Elizabeth L Sampson","doi":"10.1016/j.inpsyc.2025.100068","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100068","url":null,"abstract":"<p><strong>Background: </strong>Dementia, is a leading cause of death internationally, affecting 55 million people. A palliative approach, emphasizing holistic and psychosocial care, is increasingly recognised as essential for addressing the complex needs of people with dementia and their carers. However, little research has explored the interface between psychosocial interventions for people with dementia near the end of life and palliative care, necessitating a synthesis to guide integrated, person-centred care.</p><p><strong>Aim: </strong>To establish a framework of evidence-based psychosocial interventions in dementia palliative care.</p><p><strong>Methods: </strong>We conducted a systematic review using narrative synthesis. Three electronic databases (Epistemonikos, MEDLINE and ASSIA) were searched (January 1980-May 2024), for systematic reviews, guided by the methods of Cochrane overview of reviews. This is part of a series of reviews with the focus for this manuscript on psychosocial interventions for people with dementia.</p><p><strong>Results: </strong>Thirty-four reviews were included, published between 2009 and 2023. No reviews of interventions covered all domains of dementia palliative care. The majority focussed on neuropsychiatric symptom management and promoting wellbeing. There were no reviews which covered managing care transitions, continuity of care and care co-ordination, or information for people with dementia.</p><p><strong>Conclusions: </strong>There is significant progress in the development and evaluation of interventions targeting behavioural and psychological symptoms of dementia (BPSD). However, a critical gap persists in addressing other essential aspects of quality of life and dementia care, with a notable gap in addressing many crucial aspects of palliative dementia care, such as care co-ordination, transitions, and carer support.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100068"},"PeriodicalIF":4.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763604","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 characteristics and functional abilities in older adults with subjective cognitive complaints: A potential new target for early intervention.","authors":"Jaclyn M Fox, Danielle J Harvey, Christine N Pons, Yichu Chen, Samina Rahman, Michael J Ryan, Jagnoor Randhawa, Alyssa M Weakley, Michelle L Chan, Maureen Schmitter-Edgecombe, Sarah Tomaszewski Farias","doi":"10.1016/j.inpsyc.2025.100066","DOIUrl":"10.1016/j.inpsyc.2025.100066","url":null,"abstract":"<p><strong>Objectives: </strong>Positive psychological characteristics may help to bolster daily functioning in older adults even in the presence of subjective or subtle objective cognitive weaknesses. The purpose of the present study was to examine which specific psychological characteristics may contribute to better functional abilities, independent of cognitive performance, among a sample of older adults with subjective cognitive decline (SCD).</p><p><strong>Design, setting, and participants: </strong>Participants included 277 older adults recruited from the community who were enrolled in a randomized controlled trial examining the impact of training in memory support strategies and healthy lifestyle behaviors. The current study was based on baseline data prior to intervention randomization.</p><p><strong>Measurements: </strong>Linear regression was used to assess associations between positive psychological characteristics (positive affect, life satisfaction, purpose in life, resiliency, self-management of health, and perceived competence), one negative psychological characteristic (negative affect), and functional abilities controlling for demographic variables. A final model assessed for associations between functional abilities and any of the significant characteristics identified in the linear regressions while controlling for global cognition (measured with the Modified Neuropsychological Test Battery composite score), depression, and demographic variables.</p><p><strong>Results: </strong>In the individual regressions, most of the psychological characteristics were significantly associated with functional abilities. In the final model, positive and negative affect remained significantly associated with functional abilities.</p><p><strong>Conclusions: </strong>This is one of the first studies to show that greater positive affect is associated with better functional abilities, even after controlling for objective cognitive performance. Positive affect in older adults may represent a modifiable target for intervention.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100066"},"PeriodicalIF":4.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of enhanced group cognitive behaviour therapy for older adults (CBT-OA) with depression and anxiety: A replication study.","authors":"Anna Skosireva, Linda Gobessi, Gail Eskes, Keri-Leigh Cassidy","doi":"10.1016/j.inpsyc.2024.100013","DOIUrl":"10.1016/j.inpsyc.2024.100013","url":null,"abstract":"<p><strong>Objectives: </strong>Enhanced cognitive behavioural therapy for older adults (CBT-OA) modifies standard CBT to better address the needs of older adults, considering age-related impacts on learning. This study evaluated the effectiveness of Cassidy's manualized CBT-OA protocol (Cassidy, 2016a, 2016b) for late-life depression or anxiety in a larger sample at a different center.</p><p><strong>Design: </strong>This retrospective observational study used a within-subject pre-/post-data design to evaluate the CBT-OA group for seniors with depression or anxiety. Outcome measure were compared before and after the CBT-OA intervention. A post-hoc analysis examined differential effects of age ('young-old' versus 'old-old').</p><p><strong>Setting: </strong>CBT-OA groups were held in an urban, community-based geriatric psychiatry outpatient setting from 2015-2019.</p><p><strong>Participants: </strong>The analysis included forty community-dwelling outpatients over 65 years old with symptoms of late-life depression and/or anxiety.</p><p><strong>Intervention: </strong>Cassidy's manualized CBT-OA protocol for late-life depression or anxiety was used. Five CBT-OA series were held, each lasting 7-9 weeks (average of 8 weeks) with 2-h weekly sessions, involving 6-9 participants per series.</p><p><strong>Measurements: </strong>Outcome measures included the self-reported Beck Depression Inventory-II, Beck Anxiety Inventory, and Perceived Quality of Life Questionnaire.</p><p><strong>Results: </strong>CBT-OA significantly improved mood, anxiety, and perceived quality of life, with the greatest gains in 'young-old' participants.</p><p><strong>Conclusion: </strong>This first replication study of Cassidy's CBT-OA protocol for late-life depression or anxiety showed similar positive findings. Future research should use a randomized-controlled design to examine CBT-OA's efficacy, considering different age groups, longer-term follow-up, and well-being measures aligned with positive psychiatry.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 2","pages":"100013"},"PeriodicalIF":4.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630441","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}