Robert S Wilson, Ana W Capuano, Carolina Sampaio, Sue E Leurgans, Lisa L Barnes, Jose M Farfel, David A Bennett
{"title":"The link between social and emotional isolation and dementia in older black and white Brazilians.","authors":"Robert S Wilson, Ana W Capuano, Carolina Sampaio, Sue E Leurgans, Lisa L Barnes, Jose M Farfel, David A Bennett","doi":"10.1017/S1041610221000673","DOIUrl":"10.1017/S1041610221000673","url":null,"abstract":"<p><strong>Objective: </strong>To examine the link between social and emotional isolation and likelihood of dementia among older black and white Brazilians.</p><p><strong>Design: </strong>Cross-sectional clinical-pathological cohort study.</p><p><strong>Setting: </strong>Medical center in Sao Paulo, Brazil.</p><p><strong>Participants: </strong>As part of the Pathology, Alzheimer's and Related Dementias Study, we conducted uniform structured interviews with knowledgeable informants (72% children) of 1,493 older (age > 65) Brazilian decedents.</p><p><strong>Measurements: </strong>The interview included measures of social isolation (number of family and friends in at least monthly contact with decedent), emotional isolation (short form of UCLA Loneliness Scale), and major depression plus the informant portion of the Clinical Dementia Rating Scale to diagnose dementia and its precursor, mild cognitive impairment (MCI).</p><p><strong>Results: </strong>Decedents had a median social network size of 8.0 (interquartile range = 9.0) and a median loneliness score of 0.0 (interquartile range = 1.0). On the Clinical Dementia Rating Scale, 947 persons had no cognitive impairment, 122 had MCI, and 424 had dementia. In a logistic regression model adjusted for age, education, sex, and race, both smaller network size (odds ratio [OR] = 0.975; 95% confidence interval [CI]: 0.962, 0.989) and higher loneliness (OR = 1.145; 95% CI: 1.060, 1.237) were associated with higher likelihood of dementia. These associations persisted after controlling for depression (present in 10.4%) and did not vary by race. After controlling for depression, neither network size nor loneliness was related to MCI.</p><p><strong>Conclusion: </strong>Social and emotional isolation are associated with higher likelihood of dementia in older black and white Brazilians.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"831-837"},"PeriodicalIF":4.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9113829/pdf/nihms-1802471.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10247704","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":"Applying the construct of social determinants of health to imaging-based brain changes.","authors":"David C Steffens","doi":"10.1017/S1041610223000339","DOIUrl":"10.1017/S1041610223000339","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"710-713"},"PeriodicalIF":4.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9267249","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}
Tiffany F Hughes, Xinhui Ran, Fang Fang, Erin Jacobsen, Beth E Snitz, Chung-Chou H Chang, Mary Ganguli
{"title":"Psychosocial implications of early COVID-19 restrictions on older adults in a small-town region in Southwestern, Pennsylvania (USA).","authors":"Tiffany F Hughes, Xinhui Ran, Fang Fang, Erin Jacobsen, Beth E Snitz, Chung-Chou H Chang, Mary Ganguli","doi":"10.1017/S1041610222000977","DOIUrl":"10.1017/S1041610222000977","url":null,"abstract":"<p><strong>Objectives: </strong>The restrictions put in place in 2020 to mitigate the spread of the coronavirus disease 2019 limited or eliminated social connections that are vital for psychosocial well-being. The objectives of this research were to examine the impact of early pandemic-related restrictions on feelings of loneliness, depression, and anxiety as well as social activity disruption and their concomitant associations in a sample of community-dwelling older adults residing in a small-town region in the USA.</p><p><strong>Design and setting: </strong>Cross-sectional data collected from an ongoing population-based cohort study in Southwestern, Pennsylvania.</p><p><strong>Participants: </strong>Analyses included 360 adults aged 65 years and older whose annual study assessment occurred during the first 120 days of pandemic-related restrictions.</p><p><strong>Measurements: </strong>Self-reported feelings of loneliness, depression, and anxiety due to the pandemic-related restrictions were each measured using a single question. Depressive symptoms and anxiety were also assessed with the modified Center for Epidemiologic Studies-Depression and Generalized Anxiety Disorder-7 item tools. Disruption in a variety of common social activities was also assessed.</p><p><strong>Results: </strong>Feeling lonely affected 36% of participants who were more likely to be female, not currently married, and living alone. Giving up in-person visits with family was associated with significantly higher odds of feeling lonely, and feeling lonely was associated with significantly higher odds of feelings of anxiety and depression.</p><p><strong>Conclusions: </strong>Loneliness is a serious outcome of pandemic-related restrictions among older adults, potentially linked to loss of connection with family, and may be associated with increased feelings of depression and anxiety.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"762-771"},"PeriodicalIF":4.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10218734","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}
Zaira Torres, José M Tomás, Trinidad Sentandreu-Mañó, Irene Fernández, Nuria Pla-Sanz
{"title":"Social participation, loneliness, and physical inactivity over time: evidence from SHARE.","authors":"Zaira Torres, José M Tomás, Trinidad Sentandreu-Mañó, Irene Fernández, Nuria Pla-Sanz","doi":"10.1017/S1041610224000504","DOIUrl":"10.1017/S1041610224000504","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to explore the reciprocal effects of social participation, loneliness, and physical inactivity over a period of 6 years in a representative sample of European adults over 50 years old.</p><p><strong>Design: </strong>A longitudinal study with a six-year follow-up period was conducted.</p><p><strong>Setting: </strong>Four waves of the Survey of Health, Ageing and Retirement in Europe project were used.</p><p><strong>Participants: </strong>This study includes 64,887 participants from Europe and Israel, who were aged 50 or older at the first time.</p><p><strong>Measurements: </strong>The relationship between participation in social activities, loneliness and physical inactivity was analyzed, controlling for age, gender, and disability. A series of cross-lagged panel models (CLPMs) were applied to analyze the relationships among these variables.</p><p><strong>Results: </strong>A CLPM with equal autoregressive cross-lagged effects across waves was the best fit to the data (<i>χ</i><sup>2</sup> = 7137.8, CFI = .972, RMSEA = .049, SRMR = .036). The autoregressive effects for the three variables showed high stability across waves, and all the cross-lagged effects in the model were statistically significant. Social activity and physical inactivity maintained a strong negative cross-lagged effect, while their cross-lagged effects on loneliness were comparatively smaller. Social activity had a positive cross-lagged effect on loneliness, while physical inactivity had a negative cross-lagged effect on loneliness.</p><p><strong>Conclusions: </strong>These findings highlight the importance of promoting physical activity and social participation and addressing loneliness through targeted interventions in older adults.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"799-807"},"PeriodicalIF":4.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335637","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":"Financial exploitation and mental health among Holocaust survivors: the moderating role of posttraumatic symptoms.","authors":"Gali H Weissberger, Moshe Bensimon, Amit Shrira","doi":"10.1017/S1041610223000625","DOIUrl":"10.1017/S1041610223000625","url":null,"abstract":"<p><strong>Objectives: </strong>We examined whether anxiety and depressive symptoms associated with self-reported history of financial exploitation (FE) are more pronounced among Holocaust survivors (HS), especially those with high-level posttraumatic stress disorder (PTSD) symptoms.</p><p><strong>Design: </strong>Self-report questionnaires completed online via Qualtrics.</p><p><strong>Setting: </strong>An online-based survey conducted in Israel.</p><p><strong>Participants: </strong>A community-based cohort of 137 Israeli older adults born prior to 1945 were included in the study sample. HS (<i>n</i> = 61) were participants who reported living in a European country occupied or dominated by Nazi or pro-Nazi regimes between 1939 and 1945. Groups were further subdivided into survivors with low or high levels of PTSD symptoms (≥31 on the PTSD Checklist; PCL-5).</p><p><strong>Measurements: </strong>Questionnaires assessed FE history, posttraumatic symptoms (PCL-5), depressive symptoms (PHQ-9), and anxiety (GAD-7). Age, education, self-rated health, and non-Holocaust lifetime adversity were also measured and included as covariates.</p><p><strong>Results: </strong>Hierarchical linear regression models revealed that relationships between FE and depressive and anxiety symptoms were significant only among survivors (<i>p</i> = 0.005 and <i>p</i> = 0.008, respectively). The interaction between PTSD symptom level group and FE was also significant for both depressive (<i>p</i> = 0.007) and anxiety (<i>p</i> = 0.012) symptoms, such that survivors with PTSD who reported FE had significantly greater symptoms of depression and anxiety compared to all other groups.</p><p><strong>Conclusions: </strong>Findings suggest that the experience of FE may be particularly impactful among survivors who continue to struggle with posttraumatic symptoms related to the Holocaust. Future studies may consider examining whether findings are relevant to other groups with PTSD.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"772-784"},"PeriodicalIF":4.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071835","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 relationship between social media use and psychosocial outcomes in older adults: A systematic review.","authors":"Xiaojing Lei, Diana Matovic, Wing-Yin Leung, Abhirami Viju, Viviana M Wuthrich","doi":"10.1017/S1041610223004519","DOIUrl":"10.1017/S1041610223004519","url":null,"abstract":"<p><strong>Objectives: </strong>Social isolation and loneliness are prevalent in older adults and are detrimental to physical and mental health. Social media use has been shown to be effective in maintaining social connections and improving older adults' psychosocial outcomes. This study aimed to systematically review and synthesize current research on this topic.</p><p><strong>Design: </strong>Searches were conducted in November 2021 (and updated in October 2023) in PsycINFO, PubMed, and CINAHL. Inclusion criteria: (1) participants ≥ 65 years (mean, median, or minimum age) and (2) reported impact of social media use on psychosocial outcomes (including loneliness, depression, anxiety, social connectedness, wellbeing, life satisfaction, and quality of life). Quality appraisal tools were utilized, and results were synthesized using narrative synthesis.</p><p><strong>Results: </strong>Sixty-four papers met inclusion criteria, including cross-sectional (<i>n</i> = 38), observational longitudinal (<i>n</i> = 6), interventional (<i>n</i> = 9), mixed-methods (<i>n</i> = 4), and qualitative (<i>n</i> = 7) studies. Participant numbers ranged from 6 to 16,925. While associations between social media use and positive psychosocial outcomes were generally reported in cross-sectional studies, the impact of social media use over time from longitudinal studies was mixed and inconclusive.</p><p><strong>Conclusions: </strong>While social media use is associated with positive psychosocial outcomes, casual conclusions cannot be drawn. Few longitudinal and randomized controlled trial studies existed, and these reported mixed findings. Large variations in study methodology including participants, measurement of social media use, and outcome measures contributed to the inconsistencies of findings. Addressing this heterogeneity through standardized approaches and more rigorous research may enhance understanding.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"714-746"},"PeriodicalIF":4.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575145","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 patterns of psychological distress associated with acculturation and caregiving among diverse Californian adults.","authors":"Migita M D'cruz","doi":"10.1017/S1041610223000790","DOIUrl":"10.1017/S1041610223000790","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"625-627"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149907","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}
Inge Knippenberg, Ruslan Leontjevas, Ine Declercq, Jacques van Lankveld, Patricia De Vriendt, Debby Gerritsen
{"title":"Agreement between nursing home caregivers' observations of residents' depression, well-being, and quality of life.","authors":"Inge Knippenberg, Ruslan Leontjevas, Ine Declercq, Jacques van Lankveld, Patricia De Vriendt, Debby Gerritsen","doi":"10.1017/S1041610223000741","DOIUrl":"10.1017/S1041610223000741","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"694-696"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41130687","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 life course approach to social relations, loneliness, and positive solitude: Where should we go from here?","authors":"Liat Ayalon, Dikla Segel-Karpas","doi":"10.1017/S1041610224000851","DOIUrl":"https://doi.org/10.1017/S1041610224000851","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 8","pages":"609-611"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768593","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":"Exploring the long-term effects of employment on social networks.","authors":"Peter C Sun","doi":"10.1017/S1041610224000814","DOIUrl":"https://doi.org/10.1017/S1041610224000814","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 8","pages":"618-620"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768753","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}