Geriatrie et psychologie neuropsychiatrie du vieillissement最新文献

{"title":"UX-MEDSCAPE: Exploring the satisfaction of medical students with an escape game on the risk of falling.","authors":"Calliste Poichotte, Enzo Poisson, Cédric Annweiler, Olivier Brière, Alexis Bourgeais","doi":"10.1684/pnv.2025.1255","DOIUrl":"10.1684/pnv.2025.1255","url":null,"abstract":"<p><p>Escape games are attracting growing interest in the educational field. Few studies have been carried out with medical students, and none on undergraduate students about falls. Assess the user experience of 3rd and 4th year medical students participating in an escape game. A qualitative, monocentric, descriptive study was carried out. User experience was assessed using the meCUE scale, participant investment using the ICAPD and escape game satisfaction using a Likert scale. Seventeen students were included, 15 of them in the 3rd year of medicine. Fifteen of the participants were active, constructive or interactive during the escape game. Participants' satisfaction with the puzzles has a minimum score of 7 out of 10 for each of them. No similar study has yet been carried out in medical students. This study highlights the need to develop new pedagogical approaches in the field of falls, which are popular with students.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"469-474"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109494","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":"[Implementing driving assessment using a simulator in the care pathway of elderly people with neurocognitive disorders].","authors":"Marion Giroux, Floriane Delphin-Combe, Marie-Hélène Coste, Laurence Paire-Ficout, Maud Ranchet","doi":"10.1684/pnv.2025.1262","DOIUrl":"10.1684/pnv.2025.1262","url":null,"abstract":"<p><p>Neurocognitive disorders lead to cognitive and metacognitive impairments, raising the question of whether individuals should continue driving. While cognitive abilities are essential for driving, driving performance results from an interaction between individual and environmental factors. Although driving cessation is sometimes necessary, it can have significant physical, psychological, and social consequences for patients. Currently, in France, the assessment of driving ability lacks standardization. This article presents a care pathway, offered in a geriatric day hospital, incorporating a cognitive assessment and a driving simulator assessment. This program provides a standardized evaluation of driving performance and self-awareness while maintaining an individualized approach (e.g., considering driving habits, cognitive functioning) to better support decision-making regarding driving cessation or continuation.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"513-520"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109628","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":"[Self-esteem, self-compassion, resources for successful aging?]","authors":"Florent Pinard, Sandrine Vanneste, Laurence Taconnat","doi":"10.1684/pnv.2025.1260","DOIUrl":"10.1684/pnv.2025.1260","url":null,"abstract":"<p><p>This article provides a synthesis on the role of self-esteem and self-compassion in healthy aging. Healthy aging and successful aging are related but distinct concepts, both emphasizing positive aging trajectories. While healthy aging integrates a holistic view of physical, psychological, and social well-being, successful aging focuses on preserving functional capacities. Cognitive, motor, and sensory deficits may occur with age; however, it is now known that various lifestyle factors (physical activity, cognitive stimulation, a balanced diet, and diverse social interactions) can reduce these detrimental effects of aging and promote successful aging. A satisfactory self-perception also appears crucial for healthy aging. Optimizing self-esteem and promote self-compassion could therefore be an effective strategy to address the challenges of aging. We further explore the potential of self-perception as a tool for interventions support at enhancing the well-being of older adults.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"521-527"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109660","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":"[Wishes].","authors":"Cédric Annweiler, Marie-Christine Gély-Nargeot, Anne-Sophie Boureau, Marc Verny","doi":"10.1684/pnv.2025.1264","DOIUrl":"https://doi.org/10.1684/pnv.2025.1264","url":null,"abstract":"","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"411"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109613","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":"[Hospitalization and outcomes of eldery patients coded as failure to thrive syndrome: a retrospective study in Assistance Publique des Hôpitaux de Marseille].","authors":"Ophélie Iber, Célia Zimmermann, Sylvie Bonin-Guillaume, Fannie Bretelle","doi":"10.1684/pnv.2025.1257","DOIUrl":"10.1684/pnv.2025.1257","url":null,"abstract":"<p><p>Geriatric \"failure to thrive\" (French \"syndrome de glissement\") remains used in practice despite limited nosological validity. Objective. To describe care pathways and the clinical, social and biological profiles of older adults hospitalized for \"failure to thrive\", and to identify factors associated with short-term mortality. Retrospective, observational, single-center study including 419 patients aged ≥ 75 years admitted between 2019 and 2023 to the Assistance Publique-Hôpitaux de Marseille. Cases were retrieved from the French hospital discharge database using ICD-11 R54. We extracted demographics, comorbidities, geriatric syndromes, medications and admission laboratories; outcomes were in-hospital death and 30-day post-discharge death. Descriptive statistics and multivariable logistic regression were performed. Median age was 86; patients were markedly frail (mean Clinical Frailty Scale 6.0) with high comorbidity burden (mean Charlson 7.3). Malnutrition affected 48.9%; polypharmacy (≥ 5 drugs) 64%; psychotropic use was common (antidepressants 33.4%, benzodiazepines 31.3%). Mean length of stay was 14 days. Frequent associated diagnoses included infections (57.5%), electrolyte disorders (47%) and cardiovascular diseases (33.9%). Mortality was 22% in-hospital and 36% within 30 days post-discharge. In multivariable analysis, 30-day mortality was independently associated with severe frailty (CFS ≥ 7; adjusted OR 1.89; 95%CI 1.20-2.95), malnutrition (1.72; 1.10-2.68) and CRP > 50 mg/L (1.63; 1.04-2.56), whereas admission to a geriatric unit was protective (0.58; 0.35-0.95). Patients coded as \"failure to thrive\" represent an extremely vulnerable group with high early mortality rate. Findings support replacing this label with standardized multidimensional geriatric assessment, systematic nutritional management, medication review (including psychotropic deprescribing), and safer care transitions through dedicated geriatric pathways and early post-acute follow-up.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"485-492"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109638","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":"User experience of innovative hospital rooms for older patients: the HospiSenior project.","authors":"Lena Carcreff, Olivier Brière, Guillaume Chapelet, Bertrand Fougère, Armelle Gentric, Dominique Somme, Francesca Paolantoni, Fanny Gaudin, Cédric Annweiler, Frédéric Noublanche","doi":"10.1684/pnv.2025.1254","DOIUrl":"10.1684/pnv.2025.1254","url":null,"abstract":"<p><p>The hospital environment plays a crucial role in patient recovery. Traditional hospital rooms are not fully adapted to the specific needs of older patients who face higher risks of falls, delirium, and functional decline, leading to decreased comfort, autonomy, and safety. The HospiSenior project was designed to address these issues by developing innovative, user-centered hospital rooms tailored to older patients. This study aimed to evaluate the user experience (UX) of the HospiSenior rooms among older patients, caregivers, and healthcare professionals across five university hospitals in France. A multicentric, non-interventional, descriptive study was conducted between January 2021 and January 2024. Participants included hospitalized older patients, their informal caregivers, and healthcare professionals. UX was assessed using the AttrakDiff and meCUE questionnaires, measuring global UX (UXg) and specific UX (UXs) for 14 key innovations implemented in the rooms. Safety perception was evaluated using the QUEST 2.0 scale. A total of 100 participants were enrolled. Overall, UX scores were positive, particularly among caregivers and professionals, with higher ratings for pragmatic quality and attractiveness. However, older patients reported lower UX scores, indicating usability challenges. High adoption rates were observed for the inclined bed position, sliding pocket door, and bathroom lighting (100%), while the mirror-window (10%) and connected room system (9%) were the least used features. Safety perceptions were generally positive, though concerns were noted for automatic lighting. HospiSenior rooms improve UX for older patients, caregivers, and professionals, yet some innovations require further adaptation for optimal usability. Future research should explore the long-term clinical impact of these design features, with the ongoing Hospisenior clinical trial (NCT06098534) expected to provide further insights.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"458-467"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108917","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":"[Anti-amyloid monoclonal antibodies therapies in Alzheimer's disease: why such differing opinions?]","authors":"Frédéric Blanc, Candice Muller","doi":"10.1684/pnv.2025.1263","DOIUrl":"https://doi.org/10.1684/pnv.2025.1263","url":null,"abstract":"","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"413-416"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109601","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":"[Evaluation of the User Experience of GER-e-TEC, a Geriatric Telemonitoring Tool for Risk Prevention].","authors":"Lena Carcreff, Frédéric Noublanche, Mohamed Hajjam, Maëlle Le Floc'h, Marie Voisin, Sylvie Hervé, Jawad Hajjam, Abrar Ahmad Zulfiqar","doi":"10.1684/pnv.2025.1251","DOIUrl":"10.1684/pnv.2025.1251","url":null,"abstract":"<p><p>Population aging leads to an increase in emergency hospitalizations among older adults, particularly those living in nursing homes (EHPAD). To help prevent such hospitalizations, the GER-e-TEC device was developed to provide home-based medical telemonitoring by collecting various physiological parameters. The aim of this study was to evaluate the user experience (UX) of the device among patients, caregivers, and healthcare professionals. The study included nine patients, nine healthcare professionals, and ten caregivers who had used GER-e-TEC for at least four weeks. UX was assessed using the AttrakDiff questionnaire, which measures both pragmatic and hedonic qualities of the device. The usability of the MyPredi application was evaluated with the DEEP questionnaire, while older adults' acceptance of technologies was assessed with the S-STAM scale. Descriptive statistical analyses and qualitative feedback were also used to complement the evaluation. The study revealed an overall positive UX. Patients and caregivers appreciated the user-friendliness and relevance of the device, although heterogeneous responses were observed. Healthcare professionals expressed concerns about usability, particularly the lack of clear guidance on procedures to follow in the event of an alert. The MyPredi application was generally well received, although some caregivers reported technical difficulties. GER-e-TEC was generally well accepted, especially by patients who found it reassuring. However, improvements are needed, particularly regarding the clarity of procedures and communication between healthcare professionals and the coordination unit. Despite these limitations, the device appears effective in improving home medical monitoring and preventing avoidable hospitalizations.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"435-447"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109640","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":"[Motor and non-motor symptoms of Parkinson's disease in the elderly population].","authors":"Daniel Torres, Aymeric Lanore, Louise-Laure Mariani","doi":"10.1684/pnv.2025.1253","DOIUrl":"10.1684/pnv.2025.1253","url":null,"abstract":"<p><p>Non-motor symptoms in the very elderly Parkinson's disease (PD) population are poorly described. Our study (PPMI cohort and literature review), in two possible situations (late-onset PD (MPDT, > 70 years), and classic onset PD (MPDC, < 70 years) focused on (1) a cross-sectional comparison of patients seen > 70 years and (2) a longitudinal comparison based on duration of progression (< 3 years, 3-6 years, ≥ 6 years). A total of 1,188 PD patients were included (950 MPDC, 238 MPDT). MPDT patients showed faster progression, with greater motor severity (UPDRS III) and daily functional impairments (UPDRS I-II) at all stages, greater involvement of axial signs, gait disorders and postural instability. Non-motor disorders are more common, including earlier and more marked cognitive decline and more frequent daytime sleepiness. Dysautonomic symptoms (urinary disorders, constipation, hypotension, hypersalivation) are also more frequent. These results highlight the need for close cognitive monitoring and individualized management of these late-onset forms and may reflect different underlying pathophysiological mechanisms depending on age.</p>","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 4","pages":"448-457"},"PeriodicalIF":0.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109620","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":"Édito.","authors":"Jacques Boddaert","doi":"10.1684/pnv.2025.1252","DOIUrl":"https://doi.org/10.1684/pnv.2025.1252","url":null,"abstract":"","PeriodicalId":520632,"journal":{"name":"Geriatrie et psychologie neuropsychiatrie du vieillissement","volume":"23 S1","pages":"7-156"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145553030","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}