International psychogeriatrics最新文献

{"title":"Transitions of loneliness and lonely life expectancy: A longitudinal study across 24 countries.","authors":"Jingjie Zhu, Zeyu Huang, Shitong Yang, Junjia Jiang, Huazhen You, Junling Gao","doi":"10.1016/j.inpsyc.2025.100134","DOIUrl":"10.1016/j.inpsyc.2025.100134","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore individual- and country-level factors associated with loneliness' transitions and estimate total life expectancy (TLE) and lonely life expectancy (LLE) at age 60 across 24 countries.</p><p><strong>Design: </strong>This is a longitudinal study.</p><p><strong>Setting: </strong>Data were drawn from five harmonized multinational cohorts.</p><p><strong>Participants: </strong>This study included 61,511 older adults aged 60 and above MEASUREMENTS: A multistate Markov model was used to estimate the life expectancy of older adults in states of loneliness and non-loneliness, and factors associated with the state transition probabilities.</p><p><strong>Results: </strong>Female, low education, multimorbidity, and psychological disorders were associated with higher risk of transitioning from \"Not lonely\" to \"Lonely\", while physical activity was linked to recovery. Beyond individual-level factors, high GDP, civil society participation, and accessible public transport were linked to lower loneliness risk. However, civil society participation and transport access had limited effects on mortality. TLE for older adults aged 60 was 23.14 years, with a LLE of 4.31 years. Older adults in high-GDP countries had a 1.25-year longer TLE and a 2.40-year shorter LLE. Greater civil society participation was linked to a 0.75-year increase in TLE and a 2.78-year reduction in LLE. In contrast, higher urbanization was associated with a slightly longer TLE but a higher LLE. Public transport accessibility correlated with a significantly reduced LLE by 1.97 years.</p><p><strong>Conclusions: </strong>This study highlights the longitudinal associations between individual behaviors, socioeconomic factors and loneliness, offering valuable insights for promoting healthy aging globally.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100134"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954011","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":"Cultural pathways to well-being in aging Japan: Exploring the meaning of \"Good to Have Been Alive\" through generativity, nature, and intergenerational connection.","authors":"Kiichi Hirayama, Carl Becker, Taizo Wada, Yasuko Ishimoto, Michiko Fujisawa, Yumi Kimura, Mitsuhiro Nose, Shigeru Ohtsuru, Kozo Matsubayashi, Ryota Sakamoto","doi":"10.1016/j.inpsyc.2025.100171","DOIUrl":"10.1016/j.inpsyc.2025.100171","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the cultural and psychosocial foundations of well-being among older Japanese adults by focusing on the sentiment \"good to have been alive,\" a culturally embedded expression of life affirmation.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 382 community-dwelling older adults in rural Japan. The main outcome, \"good to have been alive,\" was analyzed as an ordinal variable (1-5). Measures included generativity, perceived connections to nature, ancestors, and future generations, social support, depressive symptoms, subjective health, financial satisfaction, and life satisfaction. Ordinal logistic regression models were used to identify independent correlates.</p><p><strong>Results: </strong>Responses were highly skewed toward life affirmation, with 84 % selecting 4 or 5. In fully adjusted models, stronger perceived connections-to nature (OR = 1.44, 95 % CI 1.03-2.00), ancestors (OR = 1.74, 95 % CI 1.09-2.78), and future generations (OR = 1.52, 95 % CI 1.01-2.30)-were independently associated with higher life affirmation. Social support (OR = 1.38, 95 % CI 1.20-1.58) and subjective health and financial satisfaction were also significant. Parallel ordinal models for life satisfaction and subjective happiness showed consistent patterns.</p><p><strong>Conclusion: </strong>The expression \"good to have been alive\" reflects a multidimensional sense of well-being rooted in vertical (generational) and holistic (natural) connections. It complements global indicators by capturing culturally embedded sources of fulfillment in later life. Incorporating such expressions may enhance well-being assessment and policy design in aging societies. Further cross-cultural and qualitative research is needed to clarify how this sentiment resonates across different sociocultural contexts.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100171"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774507","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 determinants of health associated with neuropsychiatric symptoms of dementia and mild cognitive impairment: A narrative review.","authors":"Jeonghyun Shin, Rajesh Tampi, Pallavi Joshi, Dylan J Jester, Dilip V Jeste","doi":"10.1016/j.inpsyc.2025.100152","DOIUrl":"10.1016/j.inpsyc.2025.100152","url":null,"abstract":"<p><strong>Objective: </strong>To understand the relationship between social determinants of health (SDoH) and neuropsychiatric symptoms (NPS) of dementia and mild cognitive impairment (MCI) such as depression, agitation, psychosis, and apathy.</p><p><strong>Methods: </strong>The study extracted data from papers published before January 27, 2025, from PubMed, PsycINFO, and Embase. A total of 2034 articles were identified, and after critical assessment, 18 articles were included in our narrative review.</p><p><strong>Results: </strong>Of the 18 studies, 14 assessed the relationship between NPS and SDoH in participants with dementia, one studied participants with MCI, and three studied those with either dementia or MCI. The majority of the studies (n = 10) had a cross-sectional design, while others had a longitudinal design. Most studies (n = 13) used the Neuropsychiatric Inventory (NPI) or its variants for measuring NPS. Education (n = 8) was the most studied SDoH, with studies overall showing that more education is associated with less NPS (n = 4), although some studies showed mixed (n = 1), null (n = 1), and reverse (n = 2) associations. Studies showed that increased social connectedness and marriage overall was associated with decreased NPS (4 out of 6 studies). Two studies showed that increased religiosity and spirituality was associated with decreased NPS. Poor nutrition, and immigrant status/speaking English as a second language were associated with increased NPS.</p><p><strong>Conclusion: </strong>This narrative review shows that while several studies report an association between SDoHs and NPS in dementia and MCI, more studies are needed to understand the relationship, particularly elucidating how it affects different symptoms of NPS. That could inform clinical practice and public policy. Future studies also need to focus on understanding the causality of the relationship and possible interventions.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100152"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308002","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":"Media use and well-being in older adults: The mediating role of social inclusion and subjective accelerated aging.","authors":"Naama Nebenzahl-Elitzur, Maya Kagan, Ester Zychlinski","doi":"10.1016/j.inpsyc.2025.100179","DOIUrl":"10.1016/j.inpsyc.2025.100179","url":null,"abstract":"<p><strong>Aims: </strong>With the rise in global life expectancy, interest in older adults' mental well-being is growing. Media use is currently seen as potentially contributing to well-being. The study is guided by the Stimulus-Organism-Response (S-O-R) model, positing that external stimuli are linked to internal processes and may be associated with specific outcomes. Accordingly, the study examines whether social inclusion and subjective accelerated aging mediate the association between media use and well-being in older adults.</p><p><strong>Methods: </strong>A structured questionnaire was distributed to older adults via multiple channels. The sample included 636 Israeli participants aged 64 and older. Mediation analysis was conducted to estimate the indirect association of media use with well-being through social inclusion and subjective accelerated aging.</p><p><strong>Results: </strong>In the mediation model, the direct association between media use and well-being was not significant. However, full mediation occurred through the proposed mediators. Media use was positively associated with social inclusion and negatively with subjective accelerated aging. Social inclusion was negatively associated with subjective accelerated aging and positively with well-being, whereas subjective accelerated aging was negatively associated with well-being.</p><p><strong>Conclusion: </strong>The study shows that media use is associated with better older adults' well-being only by contributing to social inclusion and subjective accelerated aging. The findings strengthen the conceptualization of subjective accelerated aging as a meaningful construct. They also highlight the need to promote and strengthen digital literacy and media-based programs for adults, including integrating media use into community initiatives, which can promote a sense of inclusion, reduce subjective accelerated aging, and contribute to mental well-being.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100179"},"PeriodicalIF":6.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145948344","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":"Comparative efficacy of digital cognitive training regimens on verbal fluency in older adults: A systematic review and network meta-analysis.","authors":"Xvdie Hu, Zi Wang, Yingying Wang, Qing Hu, Qiwen Yu, Changhao Jiang","doi":"10.1016/j.inpsyc.2026.100246","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100246","url":null,"abstract":"<p><strong>Background: </strong>Verbal fluency is a core marker for early cognitive decline in older adults. This study aimed to compare the relative efficacy of different digital cognitive training (DCT) regimens on verbal fluency in older adults, and identify the optimal intervention and moderators.</p><p><strong>Methods: </strong>A search was conducted across PubMed, Web of Science, PsycINFO and IEEE Xplore from January 2015 to November 2025, and included randomized controlled trials (RCTs) of DCT for verbal fluency in adults aged ≥ 65 years. We conducted pairwise meta-analysis and frequentist network meta-analysis (NMA), with Bayesian model validation, subgroup analysis and meta-regression. Risk of bias was assessed with RoB 2.0, and evidence quality with GRADE.</p><p><strong>Findings: </strong>20 RCTs with 1358 participants were included. Compared with passive control, computerized cognitive training (CCT) combined with social/language activities had the optimal efficacy (SMD=0.47, 95%CI [0.02, 0.93], SUCRA=0.84), with greater benefits in older adults with cognitive impairment and lower education level. Furthermore, optimal therapeutic gains were observed following an initial acclimation period (i.e., >20 h of intervention duration).</p><p><strong>Conclusions: </strong>CCT combined with social/language activities is the most effective DCT regimen to improve verbal fluency in older adults, especially for those with cognitive impairment and lower education level.The research protocol has been pre-registered on the Open Science Framework (OSF)( Registration DOI: 10.17605/OSF.IO/UGR7Y).This work was supported by the National Natural Science Foundation (NNSF) of China under Grant Nos. 32371132.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100246"},"PeriodicalIF":6.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148648675","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":"Recommendations for a national strategy for dementia care in Nigeria: Elevating a public health priority through a modern service framework.","authors":"Oluwatoyin Sorinmade, Olufisayo Elugbadebo, Tolulope Olufunlayo, Olusegun Baiyewu","doi":"10.1016/j.inpsyc.2026.100251","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100251","url":null,"abstract":"<p><p>Nigeria's rapidly expanding older adult population, mirroring a global demographic shift, is driving a surge in dementia cases. Currently 4.9% of Nigerian older adults have dementia and this figure is set to increase. Fragmented care delivery, weak institutional infrastructure, and pervasive social stigma severely hinder effective diagnosis, treatment, and structural support. This paper proposes a Modern Service Framework for Dementia Care in Nigeria; a proactive, evidence-based national strategy designed to overhaul Nigerian healthcare delivery through six critical, intersecting pillars. The proposed framework establishes a coordinated intervention pathway by: (1). Creating integrated, communicative health systems, (2). Promoting healthy ageing and life-course prevention, (3). Driving diagnostic innovation and primary-care screening, (4). Raising targeted community, traditional, and religious awareness, (5). Scaling workforce capacity alongside sustainable funding mechanisms, and (6). Fostering cross-sectoral partnerships to safeguard vulnerable individuals. Rapid, formal adoption of this comprehensive framework is vital to mitigate the immense economic and caregiving burdens placed on families and the broader healthcare system, ultimately ensuring that every Nigerian living with dementia receives equitable, dignified, and rights-based support.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100251"},"PeriodicalIF":6.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630349","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":"Large language model-supported companion robots and late-life loneliness: A critical reappraisal of relational AI in cross-cultural care.","authors":"Wita Septiani Rahmaputri, Veno Dwi Krisnanda, Punaji Setyosari","doi":"10.1016/j.inpsyc.2026.100247","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100247","url":null,"abstract":"<p><p>The growing use of large language model-supported companion robots in later-life care warrants closer scrutiny beyond conversational performance alone. While the original cross-cultural study offers valuable qualitative insights from the United Kingdom and Japan, its findings also expose unresolved questions regarding cross-cultural generalisability, sustained relational value, and the ethical implications of embedding generative AI in companionship technologies. Meaningful support for loneliness in older adults cannot be inferred from dialogue fluency alone, because loneliness is a multidimensional condition shaped by social context, identity, and care environment. This commentary therefore argues for a more context-sensitive and longitudinal research agenda that prioritises adaptive memory, culturally attuned interaction design, and human oversight within hybrid care models. By reframing companion robots as supportive tools rather than substitutes for human relationships, the discussion advances a critical perspective on how relational AI should be developed, evaluated, and governed in psychogeriatric care.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100247"},"PeriodicalIF":6.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148619948","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":"Dynamic MRI reveals early brain function changes in subcortical small vessel disease patients with depressive symptoms.","authors":"Xinbei Li, Yingqi Lu, Jianxiang Chen, QiuYang Qian, Yue Wang, Wei Wang, Jinping Xu, Bofeng Zhao, Xiude Qin, Jianjun Wang, Hanqing Lyu","doi":"10.1016/j.inpsyc.2026.100239","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100239","url":null,"abstract":"<p><strong>Background: </strong>Subcortical vascular mild cognitive impairment (svMCI) is an early stage of cognitive decline, frequently accompanied by emotional disturbances like depressive symptoms. While previous studies have explored cognitive and emotional symptoms in svMCI, research on the associated brain functional changes remains limited. Dynamic functional magnetic resonance imaging (fMRI) provides a novel approach to examining temporal variability in brain activity, offering insights into dynamic neural function changes. This study aims to investigate alterations in dynamic fMRI metrics in svMCI patients and analyze their relationships with cognitive function and depressive symptom.</p><p><strong>Methods: </strong>This study enrolled 116 patients with svMCI (60 with depressive symptoms (svMCI+D) and 56 without depressive symptoms (svMCI-D)) and 36 healthy controls (HC). All participants underwent resting-state functional magnetic resonance imaging (fMRI). Dynamic amplitude of low-frequency fluctuations (dALFF), dynamic fractional ALFF (dfALFF), and dynamic regional homogeneity (dReHo) were calculated as key indices. Group differences were tested using one-way analysis of covariance (ANCOVA) with age and gender as covariates, followed by post hoc two-sample t-tests for pairwise comparisons. Partial correlation analyses examined associations between dynamic metrics and cognitive performance (MMSE and MoCA) as well as affective symptoms (HAMD and HAMA). Mediation analyses were then conducted to further probe potential pathways linking altered brain dynamics to clinical measures.</p><p><strong>Results: </strong>Compared with HC, both the svMCI + D and svMCI-D showed significantly reduced dALFF in several regions, including the left lingual gyrus, left superior temporal gyrus, left cuneus, and right paracentral lobule. In addition, the svMCI + D group exhibited increased dALFF in the right hippocampus. The svMCI-D group showed lower dALFF in the left gyrus rectus and left cuneus. For dReHo, the svMCI + D group demonstrated higher values in the right cingulate gyrus and adjacent cortex, along with lower values in the left thalamus and left inferior frontal gyrus. These altered dynamic measures were positively correlated with depressive severity and negatively correlated with cognitive performance.</p><p><strong>Conclusions: </strong>The study showed that patients with svMCI, especially those with depressive symptoms, exhibited significant alterations in dynamic fMRI metrics across multiple brain regions. These changes were associated with cognitive performance and depressive symptom severity. Dynamic measures, including dALFF and dReHo, provide neurobiological markers to better characterize cognitive and emotional disturbances in svMCI.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100239"},"PeriodicalIF":6.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584430","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":"Relational inequalities and loneliness: How diverse family forms shape loneliness among heterosexual and LGBTQ+ adults in later life.","authors":"Ile Kermel-Schiffman, Ella Cohn-Schwartz, Yaacov G Bachner","doi":"10.1016/j.inpsyc.2026.100243","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100243","url":null,"abstract":"<p><strong>Objectives: </strong>Loneliness is a major concern in later life, yet disparities between heterosexual and LGBTQ+ older adults remain insufficiently understood. This study examined how families of origin and families of choice relate to loneliness among adults aged 50 +, and whether these associations differ by sexual orientation.</p><p><strong>Design: </strong>Data were collected via online surveys in Israel and compared two groups: LGBTQ+ and heterosexual adults aged 50 +.</p><p><strong>Participants: </strong>The analytic sample included 948 participants.</p><p><strong>Measurements: </strong>Loneliness was assessed using the brief UCLA Loneliness Scale. Participants identified close members of their family of origin and family of choice, and rated relationship commitmentstability and negativity. Hiererchical regression analyses examined the predictors of loneliness and the interactions of social relationships with sexual orientation group.</p><p><strong>Results: </strong>LGBTQ+ participants reported fewer traditional family ties (e.g., children, partners) but more siblings and friends in their close networks. Overall, having a partner, a close sibling, and reporting higher commitment and stability in both family types were associated with lower loneliness, whereas greater negativity in family of choice relationships was associated with higher loneliness. Interaction analyses showed that the protective effects of partnership and high commitmentstability within families of choice were stronger for LGBTQ+ aging adults.</p><p><strong>Conclusions: </strong>The findings highlight the central role of chosen family, particularly committed, stable partnerships, in buffering loneliness among LGBTQ+ older adults. Practice and policy in relation to later life should recognize diverse kinship structures and address inequities that shape relational resources in later life, especially among LGBTQ+ aging adults.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100243"},"PeriodicalIF":6.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561922","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":"Polysocial risk score and depressive symptoms in Chinese older adults: Evidence from network analyses.","authors":"Yan Xu, Xiangchen Kong, Liangwen Ning, Shang Gao, Jiaqi Zhang, Xihe Yu","doi":"10.1016/j.inpsyc.2026.100242","DOIUrl":"https://doi.org/10.1016/j.inpsyc.2026.100242","url":null,"abstract":"<p><strong>Objectives: </strong>Depressive symptoms are influenced by multiple social factors, but their association with the polysocial risk score (PsRS) remains unclear. This study aimed to examine the association between PsRS and depressive symptoms, including its network structure.</p><p><strong>Design: </strong>Population-based cross-sectional study.</p><p><strong>Setting: </strong>Jilin Province, China, from June to December 2025.</p><p><strong>Participants: </strong>A total of 1740 older adults were included in the analysis.</p><p><strong>Measurements: </strong>PsRS was measured using 10 indicators across three domains: socioeconomic status, psychosocial factors, and living environment. Depressive symptoms were assessed using the Patient Health Questionnaire-9. Logistic regression and network analyses were performed.</p><p><strong>Results: </strong>The prevalence of depressive symptoms among older adults was 33.85%. The participants with depressive symptoms had higher PsRS (4.49 ± 1.94) than those without (3.82 ± 1.89). Higher PsRS was associated with higher odds of depressive symptoms (OR = 1.21, 95% CI: 1.14-1.28). Compared with the low-PsRS group, the odds of depressive symptoms were higher in the moderate-PsRS and high-PsRS groups (moderate: OR = 1.57, 95% CI: 1.25-1.97; high: OR = 2.38, 95% CI: 1.71-3.32; P for trend < 0.001). Each of the three domains was significantly associated with depressive symptoms. Network analysis identified social isolation, psychosocial factors, and worthlessness as structurally important nodes.</p><p><strong>Conclusions: </strong>Higher PsRS was associated with a greater likelihood of depressive symptoms. Social isolation and worthlessness played important roles in linking polysocial adversity to depressive symptoms.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"100242"},"PeriodicalIF":6.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561910","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}