Journal of Geriatric Psychiatry and Neurology最新文献

Educational Heterogeneity in the Relationship Between Internet Use and Episodic Memory Among Older Adults. 老年人网络使用与情景记忆关系的教育异质性。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-04-01 DOI: 10.1177/08919887251330311

Xiaohang Zhao, Skylar Biyang Sun

{"title":"Educational Heterogeneity in the Relationship Between Internet Use and Episodic Memory Among Older Adults.","authors":"Xiaohang Zhao, Skylar Biyang Sun","doi":"10.1177/08919887251330311","DOIUrl":"10.1177/08919887251330311","url":null,"abstract":"ObjectiveThis study aims to examine educational heterogeneity in the relationship between internet use and episodic memory among older adults in China, within the context of advancing Chinese modernization.MethodsData from the 2018 and 2020 waves of China Health and Retirement Longitudinal Study (CHARLS) were used for analysis. By employing a longitudinal study design with lagged predictors and the inverse probability of treatment weighting (IPTW) approach alongside its extension-the marginal structural model (MSM) for sufficient cause interactions-this study mitigated potential reverse causality and self-selection biases related to internet use and educational attainment.ResultsThe findings indicate a significant positive longitudinal association between internet use and delayed word recall in older women, incorporating delayed and immediate recall scores at baseline as covariates for predicting propensity scores of internet use. Additionally, the preservation of delayed word recall linked to internet use was more pronounced among older women with less than an elementary school education. Doubly robust estimation results further confirmed the reliability of the core findings. Furthermore, we investigated the longitudinal associations between specific online activities and episodic memory. The results show that posting on social media and engaging in online chatting positively correlated with episodic memory in older women, whereas browsing news online was positively associated with episodic memory in older men.ConclusionThese findings support the cognitive enrichment hypothesis, which asserts that internet use serves as a mentally stimulating activity that may help delay cognitive aging, especially among individuals with limited cognitive stimuli.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"362-377"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Views of Healthcare Professionals on iFall, a Smartphone Application for Falls Reporting in Parkinson's Disease: A Qualitative Study. 医疗保健专业人员对iFall的看法，一个智能手机应用程序跌倒报告帕金森病：一个定性研究。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-02-01 DOI: 10.1177/08919887251317728

Michael C Kelly, Jenni Naisby, Jill Wales, Elaine Webster, Gerry Standerline, Gill Barry, Annee Amjad, Jason Moore, Natasha Ratcliffe, Alan Godfrey, Rosie Morris

{"title":"The Views of Healthcare Professionals on iFall, a Smartphone Application for Falls Reporting in Parkinson's Disease: A Qualitative Study.","authors":"Michael C Kelly, Jenni Naisby, Jill Wales, Elaine Webster, Gerry Standerline, Gill Barry, Annee Amjad, Jason Moore, Natasha Ratcliffe, Alan Godfrey, Rosie Morris","doi":"10.1177/08919887251317728","DOIUrl":"10.1177/08919887251317728","url":null,"abstract":"Background: Accurate falls reporting is important in the management of Parkinson's disease. One way in which to improve accuracy is by providing a smartphone app to log fall events. This qualitative study sought to gain insights from healthcare professionals based in the United Kingdom on a novel smartphone application co-developed by people with Parkinson's (PwP) disease for falls reporting. Research Methods: A purposive sample of n=11 healthcare professionals with expertise in Parkinson's were recruited to take part in a focus group to explore their views on the smartphone app. Framework analysis was utilised to interpret the data. Results: Participants discussed the applications role in clinical practice, research, and provided recommendations for future improvements. Within the overarching theme of implementation of iFall in clinical and research practice, three subthemes emerged: (1) applicability to clinical practice, (2) the future of iFall in research and (3) future developments. The application was viewed positively, exhibiting potential to address important contemporary issues within falls reporting and research, whilst being clear, simple and easy to use. Implementation challenges of the application, such as IT integration were highlighted, while enhancements such as voice recognition were suggested. Conclusions: Incorporating suggestions from healthcare professionals and piloting of the application with PwP will increase the likelihood of successful implementation of the iFall app into clinical practice and research.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"405-416"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and Safety of Novel Continuous Subcutaneous Levodopa Infusion Therapies ND0612 and ABBV-951 for Parkinson's Disease: A Systematic Review. 新型左旋多巴持续皮下输注疗法ND0612和ABBV-951治疗帕金森病的疗效和安全性：系统评价

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-04-20 DOI: 10.1177/08919887251335011

Matheus de Medeiros Fernandes, Luis Otávio Souza Nogueira, Isabella Soares Marques Rabelo, Louise Dalla Corte Dallé, Angela Maria Sandini Corso, Fernanda Medeiros Santos, Roberta Arb Saba Rodrigues Pinto, Vanderci Borges, Henrique Ballalai Ferraz, Dayany Leonel Boone

{"title":"Efficacy and Safety of Novel Continuous Subcutaneous Levodopa Infusion Therapies ND0612 and ABBV-951 for Parkinson's Disease: A Systematic Review.","authors":"Matheus de Medeiros Fernandes, Luis Otávio Souza Nogueira, Isabella Soares Marques Rabelo, Louise Dalla Corte Dallé, Angela Maria Sandini Corso, Fernanda Medeiros Santos, Roberta Arb Saba Rodrigues Pinto, Vanderci Borges, Henrique Ballalai Ferraz, Dayany Leonel Boone","doi":"10.1177/08919887251335011","DOIUrl":"10.1177/08919887251335011","url":null,"abstract":"IntroductionRecent research in Parkinson's disease (PD) has highlighted the potential therapies of continuous subcutaneous infusions (CSCI) of levodopa/carbidopa (ND0612) and foslevodopa/foscarbidopa (ABBV-951). This systematic review aims to explore their effectiveness and safety for PD.MethodsGuided by the PRISMA statement, we systematically searched 3 electronic databases: MEDLINE, Embase, and Cochrane Central. We combined quantitative and qualitative data for synthesis and descriptive analysis. Quality assessment and risk of bias were evaluated by ROBINS-1 and Rob-2 criteria.ResultsWe included 6 records with a total of 698 patients. CSCI therapies reduced motor symptoms in PD patients with levodopa-related motor fluctuations and clinical improvements. Infusions-site reactions were the main adverse event recorded.ConclusionsND0612 and ABBV-951 are promising options for enhancing motor control and quality of life in PD patients. However, further research is needed to assess long-term efficacy, safety, and comparisons with oral levodopa and device-aided treatments.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"326-338"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential Risk Factors for Psychosis in Parkinson's Disease: A Review of Cohort and Case-Control Studies. 帕金森病精神病的潜在危险因素：队列和病例对照研究综述

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-02-10 DOI: 10.1177/08919887251319558

Dimitry S Davydow, Michael S Okun, Gregory M Pontone

{"title":"Potential Risk Factors for Psychosis in Parkinson's Disease: A Review of Cohort and Case-Control Studies.","authors":"Dimitry S Davydow, Michael S Okun, Gregory M Pontone","doi":"10.1177/08919887251319558","DOIUrl":"10.1177/08919887251319558","url":null,"abstract":"BackgroundAmong neuropsychiatric sequelae of Parkinson's disease (PD), psychosis may have the most adverse impacts on prognosis and quality of life.ObjectivesTo summarize and critically review the literature on potential risk factors for psychosis in PD, with particular focus on potentially modifiable risk factors.MethodsWe conducted a literature review using PubMed and EMBASE. We included articles if: (1) the study population was comprised of patients with PD, (2) the presence of psychosis was systematically ascertained through clinician diagnosis, clinical outcome assessments and/or administrative data, and (3) potential risk factors were examined prior to the onset of psychosis.ResultsTwenty-six studies (15 prospective cohort, 10 retrospective cohort, 1 retrospective case-control) of 21 patient cohorts (n = 15,535 unique patients) were included in the review. Ten studies included minor phenomena in their definition of psychosis. The most consistent potential risk factors for psychosis were sleep disturbances, particularly rapid eye movement sleep behavior disorder and autonomic dysfunction. Potentially modifiable risk factors for psychosis included excessive daytime sleepiness and exposure to anticholinergic medications and levodopa. Possible biomarkers for psychosis in PD included reduced striatal dopamine transporter binding on imaging and mutations in the GBA gene.ConclusionsSeveral studies have identified potentially modifiable risk factors for the development of psychosis in PD. Future studies should utilize consistent, validated definitions of psychosis and focus on increasing understanding of, and developing interventions for, potentially modifiable risk factors for psychosis in patients with PD.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"311-325"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of the Parkinson's Disease Specific Anxiety Inventory (PDSAI). 帕金森病特异性焦虑量表（PDSAI）的开发和验证。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-04-08 DOI: 10.1177/08919887251332660

Nadeeka N Dissanayaka, Dana Pourzinal, Gerard Byrne, Nancy A Pachana, John D O'Sullivan, Elizabeth White, Tiffany Au, Jihyun Yang, Alejandro Interian, Kailyn Rodriguez, Roseanne D Dobkin

{"title":"Development and Validation of the Parkinson's Disease Specific Anxiety Inventory (PDSAI).","authors":"Nadeeka N Dissanayaka, Dana Pourzinal, Gerard Byrne, Nancy A Pachana, John D O'Sullivan, Elizabeth White, Tiffany Au, Jihyun Yang, Alejandro Interian, Kailyn Rodriguez, Roseanne D Dobkin","doi":"10.1177/08919887251332660","DOIUrl":"10.1177/08919887251332660","url":null,"abstract":"BackgroundAnxiety is poorly recognized and inadequately treated in persons with Parkinson's disease (PD).ObjectiveThe present study aimed to develop and validate a new clinical screening and research outcome measure to identify triggers and manifestations of anxiety specific to PD, the Parkinson's disease Specific Anxiety Inventory (PDSAI).MethodData from PDSAI derived from 172 people with PD across Australia and the United States was used to assess the reliability and validity of the inventory. Construct validity was assessed.ResultsFrequency analyses revealed low rates of missing data across the 40 items. The inventory demonstrated high reliability (Cronbach's a = 0.93, split-half = 0.68) and mid to high concurrent validity between the PDSAI and (i) Hamilton Anxiety Scale (r = 0.51), (ii) Liebowitz Social Anxiety Scale (r = 0.697) and Parkinson's Anxiety Scale (r = 0.747).ConclusionsThe PDSAI is a valid and reliable tool designed to capture PD specific triggers and manifestations of anxiety in people with PD.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"353-361"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to Break Stubborn Association Between Hearing Loss and Cognitive Impairment: A Systematic Review and Meta-Analysis of Moderators and Mediators. 如何打破听力损失与认知障碍之间的顽固联系：调节因子和调节因子的系统回顾和荟萃分析。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-03-19 DOI: 10.1177/08919887251328880

Zeyi Zhang, Tingting Wang, Heng Cao, Longshan Yang, Xue Chen, Yu Han

{"title":"How to Break Stubborn Association Between Hearing Loss and Cognitive Impairment: A Systematic Review and Meta-Analysis of Moderators and Mediators.","authors":"Zeyi Zhang, Tingting Wang, Heng Cao, Longshan Yang, Xue Chen, Yu Han","doi":"10.1177/08919887251328880","DOIUrl":"10.1177/08919887251328880","url":null,"abstract":"BackgroundHearing loss has been related to impaired cognition among older adults. The cost effectiveness of existing hearing support tools is controversial. Other potential modifying strategies that could effectively intervene in this prevalent and far-reaching association between hearing loss and cognitive decline remain unclear. This study aimed to narratively and quantitatively synthesize the mediators and moderators involved in the link between hearing loss and cognitive impairment from a psycho-social and physical point of view.MethodWe searched 6 databases for articles exploring mediating or moderating associations of hearing loss-cognition association from inception to March, 2024. Data were synthesized narratively and quantitatively by meta-analytic approaches.ResultsThe search yielded 63 included studies. Social (social engagement, social support, age, sex, ethnicity, cognitive reserve)-psycho (depression, anxiety, loneliness, resilience)-physical (cardiovascular diseases and risk factors, perceived health, disability, APOE carrier, vision impairment, gait speed) variables mediated or moderated the relationship between hearing loss and cognitive impairment to varying degrees. Subgroup analyses identified susceptible populations at greater risk for cognitive decline, including women, younger elders with hearing loss, and older adults with dual sensory loss.ConclusionCombined interventions targeting these modifiable variables across psycho-social and physical dimensions may be more cost-effective for intervening in the ensemble of hearing loss-cognitive impairment in older adults.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"339-352"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contributors to Gender Disparities in Parkinson's Disease Caregiving. 帕金森氏症护理中的性别差异。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-03-21 DOI: 10.1177/08919887251329957

Sarah Horn, Yunfeng Dai, Samuel S Wu, Nabila Dahodwala

引用次数: 0

Pupil and Eye Blink Response Abnormalities During Emotional Conflict Processing in Late-Life Depression. 晚年抑郁症患者情绪冲突加工中的瞳孔和眨眼反应异常。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-09-01 Epub Date: 2025-04-14 DOI: 10.1177/08919887251334999

Yao-Tung Lee, Yi-Hsuan Chang, Cesar Barquero, Chi-Shin Wu, Shu-Ping Chao, David Yen-Ting Chen, Jui-Tai Chen, Yih-Giun Cherng, Chin-An Wang

{"title":"Pupil and Eye Blink Response Abnormalities During Emotional Conflict Processing in Late-Life Depression.","authors":"Yao-Tung Lee, Yi-Hsuan Chang, Cesar Barquero, Chi-Shin Wu, Shu-Ping Chao, David Yen-Ting Chen, Jui-Tai Chen, Yih-Giun Cherng, Chin-An Wang","doi":"10.1177/08919887251334999","DOIUrl":"10.1177/08919887251334999","url":null,"abstract":"IntroductionThis study aims to investigate the locus coeruleus-norepinephrine system (LC-NE) function in late-life depression (LLD) patients by examining task-evoked pupil dilation in the emotional face-word Stroop task, given the recently established coupling between task-evoked pupil dilation and LC-NE activation.Materials and MethodsUsing video-based eye-tracking and principal component analysis, we explored task-evoked pupil responses and eye blinks in LLD patients (N = 25) and older healthy controls (CTRL) (N = 29) to determine whether there were alterations in pupil responses and eye blinks in LLD compared to CTRL.ResultsLLD patients exhibited significantly different pupil and eye-blink behavior compared to CTRL, with dampened task-evoked pupil dilation associated with emotional congruency and valence processing mediated by the sympathetic system compared to CTRL. Eye-blink rates associated with emotional valence were also altered in LLD compared to CTRL Moreover, Geriatric Depression Scale-15 scores in LLD correlated with emotional congruency effects revealed by task-evoked pupil dilation.ConclusionThe findings demonstrate that LLD patients display altered pupil behavior compared to CTRL. These altered responses correlated with the severity of depressive symptoms, indicating their potential as objective biomarkers for use in large at-risk populations for LLD.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"378-393"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usability of the Rhode Island Mobile Cognitive Assessment Tool for Self-Administration in Detecting Cognitive Impairment in Older Adults. 罗德岛移动认知评估工具在检测老年人认知障碍中的自我管理的可用性。

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-08-30 DOI: 10.1177/08919887251375475

Sydney C Sullivan, Melissa G Zammitti, Taylor Maynard, Kunal Mankodiya, Nicholas Constant, Laura E Korthauer, Brian R Ott, Charles Denby, Alyssa N De Vito, Geoffrey Tremont

{"title":"Usability of the Rhode Island Mobile Cognitive Assessment Tool for Self-Administration in Detecting Cognitive Impairment in Older Adults.","authors":"Sydney C Sullivan, Melissa G Zammitti, Taylor Maynard, Kunal Mankodiya, Nicholas Constant, Laura E Korthauer, Brian R Ott, Charles Denby, Alyssa N De Vito, Geoffrey Tremont","doi":"10.1177/08919887251375475","DOIUrl":"https://doi.org/10.1177/08919887251375475","url":null,"abstract":"ObjectiveThis study evaluated the usability of the Rhode Island Mobile Cognitive Assessment Tool (RIMCAT), a proctored digital cognitive screening measure to assess its potential for self-administration.Methods100 participants (Healthy Controls [HC] n = 50; Cognitively Impaired [CI] n = 50) were recruited, and 90 completed the RIMCAT twice, with verbal prompts when necessary. Participants then completed an exit survey regarding their experience.ResultsAll HC completed the RIMCAT, but four CI individuals could not. Most finished in under 30 min. HC (M = 2.18, SD = 1.93) required significantly fewer prompts during the first RIMCAT administration compared to the CI group (M = 3.82, SD = 2.87). Both groups needed fewer prompts on the second visit, with prompts often related to input methods, button use, and instruction comprehension.ConclusionsThe RIMCAT shows promise for self-administration, particularly with minor modifications that could improve clarity, interface design, and user experience for optimal usability and self-administration.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"8919887251375475"},"PeriodicalIF":2.5,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare Service Utilisation of People Living With Non-Alzheimer's Dementia: A Systematic Review. 非阿尔茨海默氏痴呆症患者的医疗服务利用：一项系统综述

IF 2.5 4区医学

Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-08-28 DOI: 10.1177/08919887251371725

Anna Tjin, Leng Leng Thang, Harsharon Kaur Sondh, Robert Stewart

{"title":"Healthcare Service Utilisation of People Living With Non-Alzheimer's Dementia: A Systematic Review.","authors":"Anna Tjin, Leng Leng Thang, Harsharon Kaur Sondh, Robert Stewart","doi":"10.1177/08919887251371725","DOIUrl":"https://doi.org/10.1177/08919887251371725","url":null,"abstract":"IntroductionThe global rise in dementia presents significant challenges for healthcare systems. While Alzheimer's disease (AD) dominates dementia care, people with non-Alzheimer's dementias (non-AD), such as dementia with Lewy bodies (DLB), frontotemporal dementia (FTD), vascular dementia (VD), and Parkinson's disease dementia (PDD), often have distinct and unmet healthcare needs.AimThis systematic review aimed to summarise evidence on healthcare utilisation (HCU) patterns and factors affecting care among people living with non-AD dementias.MethodsFollowing a PROSPERO-registered protocol (CRD42024568391), comprehensive searches of Embase, Ovid MEDLINE, Global Health, PsycINFO, and PubMed were conducted in February and June 2024. Peer-reviewed English-language studies reporting on HCU or its determinants in DLB, FTD, VD, or PDD were included. Reviews, case reports, grey literature, and studies without subtype-specific data were excluded. Quality was assessed using the Newcastle-Ottawa Scale.ResultsThirty-one studies (16 cohort; 10 cross-sectional, 4 case-description, and 1 chart review) were included. HCU varied by dementia subtype and was influenced by sociodemographic, cognitive, and clinical factors. Compared with AD, non-AD dementias had higher healthcare use and costs. PDD showed the highest inpatient, outpatient, and skilled nursing care use, driven by severe cognitive decline. DLB was linked to unplanned hospital admissions and frequent ambulance use, often due to falls and pneumonia. FTD resulted in extended hospital stays related to behavioural symptoms, while VD incurred high costs due to chronic comorbidities and long-term care needs.ConclusionPeople with non-AD dementias have greater and distinct healthcare needs. Future research should develop standardised measures and tailored interventions to address their complex socioeconomic and clinical requirements.","PeriodicalId":16028,"journal":{"name":"Journal of Geriatric Psychiatry and Neurology","volume":" ","pages":"8919887251371725"},"PeriodicalIF":2.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0