International psychogeriatrics最新文献

{"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":"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":"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}

{"title":"Harmonized Cognitive Assessment Protocol in the English Longitudinal Study of Ageing: Contrasting approaches to evaluation of factor structure.","authors":"Ying Liu, Shabina Hayat, Sarah Assaad, Dorina Cadar, Andrew Steptoe, Jinkook Lee, Alden L Gross","doi":"10.1016/j.inpsyc.2025.100042","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100042","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive theories and previous research on cognitive performance suggest a hierarchical pattern of interrelationships among cognitive tests, but the psychometric properties of the same tests may change when adapted for a different context or applied to a different population. We evaluated the factor structure of a cognitive battery of tests using an exploratory, data-driven approach and a confirmatory, theory-driven approach.</p><p><strong>Design: </strong>We estimated exploratory factor analyses (EFA) and confirmatory factor analysis (CFA). Agreement between the results based on the EFA and CFA approaches was evaluated by contrasting the identified domains and their corresponding items.</p><p><strong>Setting: </strong>Epidemiologic cohort study in England.</p><p><strong>Participants: </strong>Adults aged 65+ in the English Longitudinal Study of Ageing (ELSA).</p><p><strong>Measurements: </strong>Harmonized Cognitive Assessment Protocol battery of cognitive tests, adapted for the English context.</p><p><strong>Results: </strong>Both the EFA and CFA solutions yielded adequate model fit (RMSEA's < 0.05; CFI's > 0.92; SRMR's<0.06). However, only after multiple iterative steps, the EFA produced a factor structure that largely conformed to a priori theory of human cognitive abilities.</p><p><strong>Conclusions: </strong>This study provides an important cautionary tale for factor analytic approaches to evaluating domain structures when the tests available for factor analysis do not encompass a broad enough content of the construct: a factor solution is only as good as the bank of available items.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100042"},"PeriodicalIF":4.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364878","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":"Indicative biomarkers of Lewy body disease as predictors of treatment resistance in late-onset depression.","authors":"Hitomi Matsui, Takehiro Tamura, Masashi Kameyama, Ko Furuta, Yuki Omori, Takashi Takeuchi, Hidehiko Takahashi, Genichi Sugihara","doi":"10.1016/j.inpsyc.2025.100043","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2025.100043","url":null,"abstract":"<p><p>Late-onset depression (LOD) may indicate the prodromal phase of Lewy body disease (LBD) and is often associated with treatment resistance. However, the relationship between treatment resistance and indicative biomarkers of LBD is still unknown. This retrospective study investigated whether ¹²³I-ioflupane dopamine transporter single-photon emission computed tomography (DaT-SPECT) and ¹²³I-metaiodobenzylguanidine (MIBG) cardiac scintigraphy can predict treatment resistance in hospitalized patients with LOD. The study included 79 inpatients diagnosed with LOD between October 2018 and September 2023 at a geriatric psychiatry ward. DaT-SPECT and MIBG cardiac scintigraphy were used to assess dopaminergic and autonomic function, respectively. Treatment resistance was defined as an inadequate response to antidepressant monotherapy, where cases require electroconvulsive therapy (ECT) analyzed as a distinct group. Logistic regression showed that DaT-SPECT abnormalities significantly predicted nonresponse to antidepressant monotherapy (OR = 4.70, p = 0.013). While oral sensory hallucinations, another clinical marker linked to dopaminergic dysfunction, did not significantly predict treatment response, MIBG cardiac scintigraphy findings enhanced predictive accuracy for severe cases requiring ECT. Additionally, the Cochran-Armitage test indicated that the likelihood of nonresponse to antidepressant monotherapy and the need for ECT increased significantly with a higher number of abnormal LBD biomarkers (z = 7.37, p = 0.007; z = 10.91, p < 0.001, respectively). These results suggest that neurodegenerative processes in the prodromal phase of LBD may contribute to treatment resistance in LOD. The combination of DaT-SPECT and MIBG cardiac scintigraphy improves early identification of treatment resistance, supporting more timely and personalized interventions for hospitalized patients with LOD.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100043"},"PeriodicalIF":4.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074656","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":"Can neuromodulation alleviate cognitive deficits?","authors":"Miklos Argyelan, Sohag Sanghani","doi":"10.1016/j.inpsyc.2024.100021","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2024.100021","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 1","pages":"100021"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382362","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":"Sexuality among older adults or too old having sex: Can healthcare professionals challenge the existing taboo?","authors":"Katerina Beji Sedlackova, Lidmila Hamplova, Alzbeta Bartova, Iva Holmerova","doi":"10.1016/j.inpsyc.2024.100016","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2024.100016","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 1","pages":"100016"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382435","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":"Who are the best informants of neuropsychiatric symptoms across the continuum of cognitive decline?","authors":"Analuiza Camozzato, Lucas Primo de Carvalho Alves","doi":"10.1016/j.inpsyc.2024.100008","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2024.100008","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 1","pages":"100008"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382450","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":"\"Rome wasn't built in a day\"- Iterative adaptations in developing effective cognitive remediation interventions for older adults with schizophrenia: Commentary on \"Cognitive Remediation for Patients with Late-Life Schizophrenia: A Follow-up Pilot Study\" by Golas et al. (2024).","authors":"Mahesh Menon","doi":"10.1016/j.inpsyc.2024.100014","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2024.100014","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 1","pages":"100014"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382346","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":"Social convoy: A potential social prescribing intervention to mitigate depressive symptoms in middle-aged and older Chinese adults: Commentary on \"The structure, function, and quality of the social convoy for improvements in depressive symptoms in urban and rural China: A 3-year longitudinal cohort study\" by Xu et al.","authors":"Rui-Yao Wu, Bao-Liang Zhong","doi":"10.1016/j.inpsyc.2024.100015","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2024.100015","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"37 1","pages":"100015"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382436","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}