Clarissa Giebel, Megan Rose Readman, Marco Brigiano, Catherine Talbot, Flavia Borges-Machado, Rabih Chattat, Iva Holmerova, Barbora Holubova, Louise Hopper, Jurate Macijauskiene, Oscar Ribeiro, Dorota Szczesniak, Kiran Lalwani, Aiste Pranckeviciene, Adrianna Senczyszyn, Jacqui Cannon, Gill Windle
{"title":"The fragmentation of health and social care for people with dementia and their carers: An 8-European-country qualitative study.","authors":"Clarissa Giebel, Megan Rose Readman, Marco Brigiano, Catherine Talbot, Flavia Borges-Machado, Rabih Chattat, Iva Holmerova, Barbora Holubova, Louise Hopper, Jurate Macijauskiene, Oscar Ribeiro, Dorota Szczesniak, Kiran Lalwani, Aiste Pranckeviciene, Adrianna Senczyszyn, Jacqui Cannon, Gill Windle","doi":"10.1016/j.inpsyc.2026.100259","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100259","url":null,"abstract":"<p><strong>Background: </strong>People with dementia and their carers often fail to receive the right care and can be delayed receiving the right diagnosis. A disconnect between health and social care systems and professionals is one of the main reasons. However, it remains unclear how health and social care services fail to connect, and what examples of good practice may support improved care service connectivity more widely.</p><p><strong>Methods: </strong>This qualitative study involved semi-structured interviews with health and social care professionals, unpaid carers, and people with dementia from eight European countries (Czech Republic, Ireland, Italy, Lithuania, Netherlands, Poland, Portugal, United Kingdom). Data were analysed by six researchers using framework analysis guided by the Dementia Inequalities Model as underpinning theory.</p><p><strong>Results: </strong>A total of 86 participants took part between October 2025 and February 2026, including health (n = 22) and social care professionals (n = 13), unpaid carers (n = 37), and people with dementia (n = 14). Five themes were generated: (1) Lack of adequate formal structures of connection; (2) Silo working; (3) Lack of knowledge and awareness; (4) Impacts on unpaid carers; (5) Solutions to care fragmentation. There were notable similarities across countries and care infrastructures, including health care professionals often working in silo within their care sector, whilst solutions varied across countries.</p><p><strong>Conclusions: </strong>This is the first study to have shown detailed care fragmentation in dementia across Europe. Some solutions to support linked up care delivery need to be explored in greater detail, with a potential of adaptation to other country settings.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100259"},"PeriodicalIF":6.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850746","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":"Comment on \"A systematic review and meta-analysis on physical activity for the treatment of anxiety in older adults\".","authors":"Patil Saurabh Shrirang, Priyanka Bansal, Vikrant Abbot, Shitharth Sharma","doi":"10.1016/j.inpsyc.2026.100258","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100258","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100258"},"PeriodicalIF":6.0,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817786","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}
David Desatnik, Tom Boker, Sara Carmel, Ella Cohn-Schwartz, Victoria H Raveis, Hava Tovel, Norm O'Rourke
{"title":"Direct and indirect effects of loneliness on depression in late life: Persistent loneliness as a primary longitudinal pathway.","authors":"David Desatnik, Tom Boker, Sara Carmel, Ella Cohn-Schwartz, Victoria H Raveis, Hava Tovel, Norm O'Rourke","doi":"10.1016/j.inpsyc.2026.100257","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100257","url":null,"abstract":"<p><strong>Objectives: </strong>Loneliness is a well-established longitudinal predictor of depression in later life, yet the mechanisms through which this association unfolds remain unclear. This study examined the direct and indirect effects of loneliness on subsequent depressive symptoms in late life, with particular emphasis on persistent loneliness over time.</p><p><strong>Methods: </strong>Community-dwelling, older Israeli adults (N = 1216; M age = 81.1 years) completed annual assessments of loneliness and depressive symptoms over three years. Structural equation modelling was used to estimate autoregressive pathways, prospective effects of loneliness on subsequent depressive symptoms, and indirect effects operating through the persistent loneliness. Models were adjusted for age, sex, education, marital status, financial status, self-rated health, living arrangement, religiosity, and Holocaust survivor status.</p><p><strong>Results: </strong>Loneliness and depressive symptoms both demonstrated substantial temporal stability over time. After adjusting for prior depressive symptoms and sociodemographic covariates, loneliness remained a significant prospective predictor of subsequent depressive symptoms. Decomposition of longitudinal effects, however, indicated that indirect pathways, transmitted through persistent loneliness, accounted for a greater proportion of the total longitudinal association than direct prospective effects. In fact, direct prospective effects were not statistically significant after accounting for indirect pathways. Baseline loneliness and depressive symptoms did not predict study attrition, supporting the robustness of the longitudinal findings.</p><p><strong>Conclusions: </strong>The association between loneliness and subsequent depressive symptoms in later life appears to operate primarily through persistent loneliness rather than through direct prospective effects. These findings suggest that chronic loneliness functions as a longitudinal pathway sustaining depressive symptoms over time. Interventions that mitigate loneliness in late life may also reduce depression among older adults.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100257"},"PeriodicalIF":6.0,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792968","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}
Déborah Oliveira, Patricia Morsch, Pablo Villalobos Dintrans
{"title":"Thinking about long-term care and mental health in Latin America and the Caribbean.","authors":"Déborah Oliveira, Patricia Morsch, Pablo Villalobos Dintrans","doi":"10.1016/j.inpsyc.2026.100262","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100262","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100262"},"PeriodicalIF":6.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792979","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}
Gabriella Šlemarová, Blanka Novotná, Alžběta Bártová, Iva Holmerová
{"title":"Availability without access: Improving pathways to psychotherapy for older adults.","authors":"Gabriella Šlemarová, Blanka Novotná, Alžběta Bártová, Iva Holmerová","doi":"10.1016/j.inpsyc.2026.100256","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100256","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100256"},"PeriodicalIF":6.0,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792855","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}