Geriatrie et psychologie neuropsychiatrie du vieillissement最新文献

{"title":"[Health care needs comprehensive assessment of caregivers of elderly patients with cognitive disorders].","authors":"Emmanuel Vesin-Valz, Valerie Cerase, Michel Grino, Nour Mannai, Matthieu de Stampa","doi":"10.1684/pnv.2026.1302","DOIUrl":"https://doi.org/10.1684/pnv.2026.1302","url":null,"abstract":"<p><p>Many caregivers provide home care for older adults with cognitive impairment, potentially putting their own health at risk. To assess caregivers' self-reported healthcare needs and identify risk factors for caregiver stress. This cross-sectional study included 133 caregiver-older adult dyads involving older adults with cognitive impairment followed at the Centre Gérontologique Départemental 13 in Marseille, France, in 2023. Caregiver needs were assessed using the interRAI SCaN (Self-Reported Carer Needs) comprehensive assessment tool. High caregiver stress was defined as a desire to reduce or discontinue caregiving. Most caregivers were women, with a mean age of 65 years, and 41.4% had been providing care for more than 5 years. Anxiety was reported by 65%, depression by 59%, sleep disturbances by 72%, and daily pain by 57%. High caregiver stress affected 24% of the sample. In multivariable analysis, high caregiver stress was significantly associated with symptoms of depression (OR = 1.6), difficulties providing care in a timely manner (OR = 2.7), and lack of time for leisure activities (OR = 5.5). Caregivers reported substantial mental health difficulties. Factors associated with caregiver stress were multidimensional, while engagement in social and leisure activities may play a protective role. Early comprehensive assessment of caregivers' healthcare needs and support for maintaining leisure activities may help prevent caregiver burnout.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"315-325"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Understanding the Relationship Between Hearing and Cognition to Improve Neuropsychological Assessment in Adults Aged 45 Years and Older: A Population-Based Study].","authors":"Romane Dornier, Pascaline Cassagnaud, Philippine Toulemonde, Manon Lenain, Coralie Berthier, Eric Boulanger, Christophe Vincent, Christine Moroni","doi":"10.1684/pnv.2026.1303","DOIUrl":"https://doi.org/10.1684/pnv.2026.1303","url":null,"abstract":"<p><p>Age-related cognitive changes occur alongside sensory changes, including presbycusis, which notably affects speech understanding in noisy environments. Although typically diagnosed after the age of 60, hearing difficulties may begin insidiously as early as midlife. Given the well-established association between sensorineural hearing loss and cognitive functioning, we aimed to investigate 1) the associations between hearing abilities and cognitive performance in adults aged 45 years and older from the general population; and 2) the cognitive profile of middle-aged adults (45-65 years) with impaired speech intelligibility in noise. We used two complementary measures of hearing ability: pure-tone audiometry and a rapid speech-in-noise audiometry test (VRB). A total of 280 participants underwent audiometric testing and neuropsychological assessment as part of a preventive health screening programme. Multiple regression analyses were performed to examine neuropsychological performance in the overall sample, with pure-tone hearing loss and the speech-in-noise intelligibility threshold (SIB 50) included as predictors. Pure-tone hearing loss was not associated with cognitive performance. In contrast, the speech-in-noise intelligibility threshold was associated with global cognitive performance and verbal episodic memory. Among middle-aged participants, poorer speech intelligibility in noise was associated with lower global cognitive performance and poorer spontaneous cognitive flexibility. This retrospective population-based study highlights associations between speech intelligibility in noise and specific cognitive abilities from midlife onwards.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"326-335"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Early Onset and Independence of Prospective Memory Impairments in Alzheimer's Disease - A Challenge for Diagnosis].","authors":"Jeanne Eygasier, Pascale Piolino, Alexia Baudouin","doi":"10.1684/pnv.2026.1299","DOIUrl":"https://doi.org/10.1684/pnv.2026.1299","url":null,"abstract":"<p><p>Prospective memory (PM) refers to the ability to remember to carry out an intended action at a specific point in the future. Despite its crucial role in autonomy and quality of life, this cognitive function remains understudied and is still rarely assessed in patients with Alzheimer's disease (AD). This review examines whether PM impairments emerge independently and at an early stage of AD. Some studies suggest that PM deficits appear earlier than, and independently of, retrospective memory (RM) deficits. They may therefore constitute a valuable complementary marker for the early identification of cognitive profiles consistent with Alzheimer's disease. However, other studies indicate that PM impairments may primarily reflect declines in RM or executive functioning. PM thus appears to lie at the interface between memory processes and cognitive control and may represent an early manifestation of cognitive decline. The heterogeneity of the findings, partly attributable to methodological differences, precludes a clear consensus. Nevertheless, assessing PM appears clinically relevant, both for refining the characterization of patients' cognitive profiles and for better capturing the functional impact of AD on everyday functioning.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"289-301"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda.","authors":"","doi":"10.1684/pnv.2026.1305","DOIUrl":"https://doi.org/10.1684/pnv.2026.1305","url":null,"abstract":"","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"343"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Heatwaves and advanced age: the challenge of care in a warming world].","authors":"Cédric Annweiler, Marie-Christine Gély-Nargeot","doi":"10.1684/pnv.2026.1304","DOIUrl":"https://doi.org/10.1684/pnv.2026.1304","url":null,"abstract":"","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"245-248"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Vaccination against respiratory infections in older adults: Covid-19, respiratory syncytial virus, influenza and pneumococcus].","authors":"Marc Paccalin, Paul Loubet","doi":"10.1684/pnv.2026.1300","DOIUrl":"10.1684/pnv.2026.1300","url":null,"abstract":"<p><p>Population aging increases the risk of severe respiratory infections and their complications in older adults, largely because of immunosenescence. Beyond pneumonia, these infections can lead to cardiac and respiratory decompensation, acute cardiovascular events, loss of functional independence, and institutionalization. Vaccination remains the cornerstone of prevention. This review provides an update on four vaccine-preventable respiratory infections that are particularly common or severe in older adults: coronavirus disease 2019 (COVID-19), respiratory syncytial virus (RSV) infection, seasonal influenza, and pneumococcal disease. For each infection, we review the epidemiological burden, associated complications-particularly cardiovascular and functional outcomes-as well as recent real-world evidence on vaccine effectiveness and the 2026 French recommendations. The evidence is consistent: safe and effective vaccines are available for all four infections, yet vaccination coverage remains far below target among older adults and is even lower among healthcare workers, a situation that has worsened since the COVID-19 pandemic. The pandemic has durably reshaped attitudes towards vaccination, shifting from initial acceptance to growing hesitancy. Improving information and education for both the public and healthcare professionals, particularly those working in geriatric care settings, appears to be the most effective strategy for reducing this preventable burden. Clear, consistent communication and the integration of vaccination into personalized care plans are essential to translate well-established recommendations into effective protection.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"261-270"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Heatwaves and Resilience of Hospital Geriatric Care Pathways: Results of the Repeated National PUGG FLASH-HEATWAVE 2026 survey].","authors":"Cédric Annweiler, Jacques Boddaert, Jean-Pierre Aquino, Gaëtan Gavazzi, Sylvie Bonin-Guillaume","doi":"10.1684/pnv.2026.1301","DOIUrl":"https://doi.org/10.1684/pnv.2026.1301","url":null,"abstract":"<p><p>Extreme heat disproportionately affects frail older adults and may simultaneously disrupt hospital capacity, working conditions, and geriatric care pathways. We aimed to describe thermal conditions, capacity strain, and organizational adaptations in acute geriatric units (AGUs) during a heatwave and one week later, and to describe conditions in medical rehabilitation units (MRUs). PUGG FLASH-HEATWAVE was a repeated national observational, non-interventional service-level survey. Phase 1 surveyed AGUs on 25-26 June 2026; phase 2 surveyed AGUs and MRUs on 2-3 July 2026. Data were aggregated at the service level. Because no stable unit identifier was available, AGU data from the two survey waves were compared as independent samples using chi-square or Fisher's exact tests. Exploratory Mann-Whitney tests assessed the association between room cooling and reported events in phase 1. One hundred and twelve AGUs, representing 4,268 usual beds, participated in phase 1; phase 2 included 30 AGUs (1,007 beds) and 26 MRUs (1,490 beds). In phase 1, 45.5% of AGUs considered patient-room temperatures to be intolerable, 71.4% reported excessive room temperatures as an operational difficulty, and 88.4% reported staff fatigue. Major or critical emergency-department strain affected 57.1% of units, while 64.3% reported capacity strain with consequences for admissions. Downstream rehabilitation and other care capacity was considered insufficient by 87.5% of AGUs. One week later, the proportion of AGUs reporting at least partly tolerable room temperatures had increased from 53.6% to 100.0% (p < 0.001), while at least moderate emergency-department strain decreased from 91.1% to 63.3% (p < 0.001), capacity strain with operational consequences from 64.3% to 40.0% (p = 0.016), and staff fatigue from 88.4% to 50.0% (p < 0.001). Downstream capacity insufficiency remained unchanged (87.5% versus 86.7%; p = 0.903). Among MRUs, 65.4% reported patient rooms that were intolerable or only partly tolerable, 73.1% had postponed or refused admissions, and 88.5% had adapted rehabilitation activities. In phase 1, units with at least partly cooled rooms reported fewer heat-related complications and heatstroke events in unadjusted exploratory analyses. The heatwave acted as a stress test for an already fragile system. Improvements in several indicators of acute strain did not resolve the persistent downstream bottleneck. A national multi-year policy should integrate thermal adaptation of healthcare facilities, protected seasonal capacity, adequate workforce resources, and regional coordination across geriatric care pathways.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"249-260"},"PeriodicalIF":0.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated research: an approach suited to research in geriatric medicine.","authors":"Gilles Berrut, Cédric Annweiler, Jean Bousquet, Hubert Blain","doi":"10.1684/pnv.2026.1298","DOIUrl":"https://doi.org/10.1684/pnv.2026.1298","url":null,"abstract":"<p><p>\"Integrated research\" appears increasingly in the biomedical literature yet is rarely defined. We describe the concept and examine its relevance to aging research. In a scoping review, PubMed was searched without date restriction for articles whose title contained the exact phrase \"integrated research\". Records were charted by year, field, article type and integration dimension. One hundred and six articles (1980-2026) spanned nursing, environmental science, imaging, pharmacology, oncology, infectious disease, psychiatry, public health and geriatrics. Six recurring meanings emerged: integration of research with clinical care; across disciplines; with education; with policy and management; with practice and implementation; and of data, infrastructures and methods. Few addressed aging directly, mainly via research-practice partnerships, longitudinal cohorts and community-based sites. Integrated research is a polysemous, unifying construct, not a standardized method. Montpellier's Integrated Research Center for Autonomy and Longevity (Ircal) fosters collaborative aging research uniting hospitals, care providers, health systems and economic partners.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"0"},"PeriodicalIF":0.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Management of Acute Ischemic Stroke in Older Adults: What's New in Thrombolysis and Thrombectomy up to 24 Hours?]","authors":"Jean-Baptiste Brunet de Courssou, Pierre Clerin, Sandrine Deltour","doi":"10.1684/pnv.2026.1297","DOIUrl":"https://doi.org/10.1684/pnv.2026.1297","url":null,"abstract":"<p><p>Population aging is increasing the absolute number of ischemic strokes. At the same time, indications for intravenous thrombolysis and mechanical thrombectomy are expanding through patient selection based on perfusion imaging or MRI findings. Landmark trials have shown that the benefits of intravenous alteplase are maintained in very elderly patients when treatment is initiated early. Tenecteplase is also emerging as an alternative thrombolytic agent, including for older patients. In patients with proximal large-vessel occlusions, mechanical thrombectomy improves functional outcomes across all age groups, and recent trials in patients with large ischemic cores suggest a benefit in carefully selected individuals. Chronological age alone should therefore not be used as an exclusion criterion for reperfusion therapies. Decisions regarding reperfusion in older patients should integrate pre-stroke functional status (modified Rankin Scale [mRS]), frailty, comorbidities, stroke severity, imaging findings, and the patient's goals of care.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"0"},"PeriodicalIF":0.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Rethinking aging, autonomy and disability in France: A University-driven, territory-based, and prevention-oriented transformation of the health system - Position of the French Conference of Deans of Medical Faculties].","authors":"Cédric Annweiler, Marc Paccalin, Gilles Rode, Jean Michel Viton, Marc Humbert, Isabelle Laffont","doi":"10.1684/pnv.2026.1295","DOIUrl":"10.1684/pnv.2026.1295","url":null,"abstract":"<p><p>Population ageing, the increasing burden of chronic diseases, and the growing prevalence of disability are major challenges for the French health system. These trends expose the limitations of a model that remains largely organized around disease and dependency, with fragmented coordination between healthcare, social care, and community services. This fragmentation results in disrupted care pathways, delayed identification of functional decline, territorial inequalities, and an increasing burden on patients, caregivers, and health professionals. This position paper presents the vision of the French Conference of Deans of Medical Schools for transforming the French health system through a paradigm shift: moving from the late management of dependency towards the preservation, maintenance, and restoration of functioning throughout the life course. This approach is consistent with the World Health Organization's framework on Healthy Ageing, the International Classification of Functioning, Disability and Health, and the Rehabilitation 2030 initiative. It places functioning, autonomy, participation, and environmental factors at the core of health policy and healthcare organization. Three strategic priorities are proposed: developing integrated territorial organizations to support autonomy; making the prevention of functional decline and the preservation of functioning the foundation of the health system; and strengthening the attractiveness, education, and career pathways of professionals working in the fields of autonomy, geriatrics, physical and rehabilitation medicine, rehabilitation professions, and long-term care. Drawing on their missions in education, research, healthcare, and regional engagement, universities should play a pivotal role in supporting this transformation. Establishing a national academic plan for ageing, autonomy, functioning, and rehabilitation would provide a coherent framework to coordinate existing initiatives, strengthen education, translational and health services research, and support the sustainable transformation of the French health system to better address the challenges of ageing, disability, and loss of autonomy.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"24 3","pages":"0"},"PeriodicalIF":0.3,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}