The American journal of geriatric psychiatry. Open science, education, and practice最新文献

筛选
英文 中文
Designing AI-Enabled Video Monitoring Clinician Dashboard for Neuropsychiatric Symptoms: A Survey of User Needs. 设计支持人工智能的神经精神症状视频监控临床医生仪表板:用户需求调查。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2026-03-01 Epub Date: 2026-02-08 DOI: 10.1016/j.osep.2026.01.001
Christine E Gould, Carter H Davis, Narayan Schüz, F Vankee Lin, Quincy M Samus, Tracy Terada, Merryn Daniel, Silvia Tee, Ehsan Adeli
{"title":"Designing AI-Enabled Video Monitoring Clinician Dashboard for Neuropsychiatric Symptoms: A Survey of User Needs.","authors":"Christine E Gould, Carter H Davis, Narayan Schüz, F Vankee Lin, Quincy M Samus, Tracy Terada, Merryn Daniel, Silvia Tee, Ehsan Adeli","doi":"10.1016/j.osep.2026.01.001","DOIUrl":"10.1016/j.osep.2026.01.001","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to gather input from clinicians who assess and treat neuropsychiatric symptoms (NPS) to inform the development of a clinician dashboard to accompany an AI-enabled video-based monitoring system.</p><p><strong>Methods: </strong><i>The clinician survey inquired about the importance of tracking different NPS and about additional information or features desired for the dashboard. Responses (</i>n <i>= 28) were grouped into prescribing and nonprescribing clinicians for sensitivity analyses.</i></p><p><strong>Results: </strong>The most important NPS to be detected were agitation/aggression, nighttime behaviors, depression, and anxiety. Multiple environmental factors were endorsed as being very important including: behavior frequency, intensity, and time of day.</p><p><strong>Conclusions: </strong>Findings demonstrate that the desired features of the dashboard were consistent across both prescribing and nonprescribing clinicians. Notably, some of the important symptoms and features that clinicians desired in a dashboard could not be extracted from existing sensor-based systems, but would be possible with an AI-enabled video monitoring system.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"9 ","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of fatigue in Individuals With Late-Life Depression. 晚年抑郁症患者疲劳的预测因素。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-12-01 Epub Date: 2025-09-06 DOI: 10.1016/j.osep.2025.08.003
Amanda Sce, Breno S Diniz
{"title":"Predictors of fatigue in Individuals With Late-Life Depression.","authors":"Amanda Sce, Breno S Diniz","doi":"10.1016/j.osep.2025.08.003","DOIUrl":"10.1016/j.osep.2025.08.003","url":null,"abstract":"<p><strong>Objectives: </strong>To examine fatigue levels in individuals with late-life depression (LLD) and to identify which specific factors significantly affect fatigue severity in these individuals.</p><p><strong>Methods: </strong>We included 91 adults (51 LLD and 40 nondepressed individuals), 60% femeles, age range between 60 and 85 yeas. Diagnosis of major depressive episode was defined by the DSM-5 diagnostic criteria and fatigue severity was evaluated by the Fatigue Assessment Scale.</p><p><strong>Results: </strong>Individuals with LLD showed significantly higher total scores on the FAS (t<sub>90</sub>=11.81, p=0.002). Fatigue severity was signifcanlty predicted by MADRS (t<sub>82</sub> = 2.74, p = 0.07), PSS (t<sub>82</sub> = -4.21, p <0.001), and WHODAS scores (t<sub>82</sub> = 5.23, p <0.001).</p><p><strong>Conclusion: </strong>Fatigue is common and disabling symptom associated with LLD. Interventions that promote reduction in fatigue levels can have a significant impact on disability and quality of life of individuals with LLD.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"8 ","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Subjective Social Support With Antidepressant Treatment Response Among Older Depressed Adults in the Neurobiology of Late-Life Depression Study. 老年抑郁症的神经生物学研究:主观社会支持与抗抑郁药物治疗反应的关系
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-12-01 Epub Date: 2025-09-11 DOI: 10.1016/j.osep.2025.08.002
Ajit R Deshpande, Rong Wu, David C Steffens
{"title":"Association of Subjective Social Support With Antidepressant Treatment Response Among Older Depressed Adults in the Neurobiology of Late-Life Depression Study.","authors":"Ajit R Deshpande, Rong Wu, David C Steffens","doi":"10.1016/j.osep.2025.08.002","DOIUrl":"10.1016/j.osep.2025.08.002","url":null,"abstract":"<p><strong>Objectives: </strong>Lack of subjective social support is associated with a variety of significant public health conditions that particularly affect older adults. We sought to examine the effects of subjective social support on treatment outcomes of late-life depression (LLD).</p><p><strong>Methods: </strong>Participants in the Neurobiology of Late-Life Depression (NBOLD) Study provided self-reports regarding social support and loneliness. Study psychiatrists evaluated depressive symptoms using the Montgomery-Åsberg Depression Rating Scale (MADRS) and provided treatment with standard antidepressants. Multiple linear regression analysis examined associations between social support subscales and depression treatment outcomes, controlling for age, race, gender, education, and initial MADRS score, with the primary outcome being a change in MADRS score.</p><p><strong>Results: </strong>Among the 80 depressed participants, higher subjective social support was associated with a greater MADRS score decline over the 3-month treatment period.</p><p><strong>Conclusions: </strong>Subjective social support is significantly associated with antidepressant treatment response to LLD, highlighting a possible key factor in the management of depression in older adults.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"8 ","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychiatric Risk Factors for Progression From Mild Cognitive Impairment to Alzheimer's Disease: A Systematic Review. 从轻度认知障碍到阿尔茨海默病进展的精神危险因素:系统综述。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.osep.2025.07.002
Melissa A Meynadasy, Natalie Sachs-Ericsson, Sarah D Cushing, Julia L Sheffler, Mohamed Kabbaj, Aaron Wilber
{"title":"Psychiatric Risk Factors for Progression From Mild Cognitive Impairment to Alzheimer's Disease: A Systematic Review.","authors":"Melissa A Meynadasy, Natalie Sachs-Ericsson, Sarah D Cushing, Julia L Sheffler, Mohamed Kabbaj, Aaron Wilber","doi":"10.1016/j.osep.2025.07.002","DOIUrl":"10.1016/j.osep.2025.07.002","url":null,"abstract":"<p><p>Mild Cognitive Impairment (MCI), the intermediate stage between healthy aging and dementia, is a window for identification of risk factors for progression to Alzheimer's Disease (AD). Rodents modeling aspects of AD-related pathophysiology are useful for examining mechanisms underlying AD risk factors. We provide a systematic update of human literature on psychiatric risk factors for progression from MCI to AD and use these findings to motivate a targeted review of related rodent literature. We searched databases to identify human studies published since a previous systematic review. We included articles if longitudinal, assessed MCI at baseline and AD at follow-up, and reported on risk factors for progression of MCI to AD. We categorized articles by risk factor type and included those examining psychiatric factors. Results were synthesized based on psychopathology examined and methods used. Relevant rodent literature was reviewed and incorporated. We found seventeen papers examining psychiatric risk factors for MCI progression to AD; we found cross species support for the role of depression as an important risk factor. We discuss hypotheses to explain the role of depression and suggest investigating transdiagnostic factors related to depression and AD (e.g., sleep, stress) that lend themselves to investigation across species.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"8 ","pages":"17-32"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145867345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bidirectional Associations Between Obesity and Depressive Symptoms: Results From the Multiethnic Postmenopausal Cohort of the Women's Health Initiative Study. 肥胖和抑郁症状之间的双向关联:来自妇女健康倡议研究的多民族绝经后队列的结果
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-12-01 Epub Date: 2025-11-26 DOI: 10.1016/j.osep.2025.10.002
Nicole P Yuan, Hamza Butt, Jordan F Karp, Eniola Idowu, Chengcheng Hu, Aladdin H Shadyab, Julie C Weitlauf, Nazmus Saquib, Jennifer W Bea, Phyllis A Richey, Shawna Follis, Mace Coday, Tamar Jacobsohn, Zhao Chen
{"title":"Bidirectional Associations Between Obesity and Depressive Symptoms: Results From the Multiethnic Postmenopausal Cohort of the Women's Health Initiative Study.","authors":"Nicole P Yuan, Hamza Butt, Jordan F Karp, Eniola Idowu, Chengcheng Hu, Aladdin H Shadyab, Julie C Weitlauf, Nazmus Saquib, Jennifer W Bea, Phyllis A Richey, Shawna Follis, Mace Coday, Tamar Jacobsohn, Zhao Chen","doi":"10.1016/j.osep.2025.10.002","DOIUrl":"10.1016/j.osep.2025.10.002","url":null,"abstract":"<p><strong>Objectives: </strong>Although obesity and depression are prevalent among postmenopausal women, few cohort studies have examined the association between obesity and depression among this population. We examined longitudinal and bidirectional associations between obesity and depressive symptoms among U. S. postmenopausal women.</p><p><strong>Design: </strong>We analyzed data from Women's Health Initiative (WHI) study.</p><p><strong>Participants: </strong>Sample consisted of 95,238 postmenopausal women, aged 50-79, from the WHI study who had obesity and depression data at baseline and 3-year follow-up.</p><p><strong>Measurements: </strong>The dataset included anthropometric measurements of height and weight and the Burnam self-report screening instrument for depression. We conducted logistic regression analyses to assess the bidirectional association between obesity and depressive symptoms, adjusting for confounding factors, including age, race, ethnicity, years since menopause, marital status, education, employment status, and family income.</p><p><strong>Results: </strong>At baseline, 11.3% of the women reported depressive symptoms and 25% were categorized as obese (body mass index ≥ 30 kg/m<sup>2</sup>). Women who were obese at baseline were significantly more likely to report depressive symptoms at 3-year follow-up (OR = 1.26, 95% CI: 1.19-1.34) compared to women who were not obese. Women who reported depressive symptoms at baseline had higher odds of being obese at 3-year follow-up (OR = 1.33, 95% CI: 1.20-1.46) compared to women who did not. Age, race, ethnicity, and years since menopause did not modify the associations.</p><p><strong>Conclusions: </strong>Our findings of longitudinal and bidirectional associations between obesity and depressive symptoms highlight the importance of addressing both diseases among postmenopausal women in the U.S.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"8 ","pages":"63-74"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12753003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mild Behavioral Impairment is Associated With Incident Cognitive Decline Among Dementia-Free, Racially Diverse Older Adults: Data From the African Americans Fighting Alzheimer's in Midlife (AA-FAIM) Study. 轻度行为障碍与无痴呆症、种族多样化的老年人的认知能力下降有关:来自非裔美国人在中年与阿尔茨海默氏症(AA-FAIM)研究的数据。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1016/j.osep.2025.09.002
Barbara L Fischer, Carol A Van Hulle, Derek L Norton, Mary F Wyman, Gilda Ennis, Nickolas H Lambrou, Shenikqua Bouges, Diane C Gooding, Carey E Gleason
{"title":"Mild Behavioral Impairment is Associated With Incident Cognitive Decline Among Dementia-Free, Racially Diverse Older Adults: Data From the African Americans Fighting Alzheimer's in Midlife (AA-FAIM) Study.","authors":"Barbara L Fischer, Carol A Van Hulle, Derek L Norton, Mary F Wyman, Gilda Ennis, Nickolas H Lambrou, Shenikqua Bouges, Diane C Gooding, Carey E Gleason","doi":"10.1016/j.osep.2025.09.002","DOIUrl":"10.1016/j.osep.2025.09.002","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether MBI associates with worse cognitive performance over time and with incident cognitive decline in an older, racially/ethnically diverse cohort at early stages of cognitive change.</p><p><strong>Design: </strong>This observational cohort study followed participants from the Wisconsin Alzheimer's Disease Research Center Clinical Core (WADRC) for up to 13 visits.</p><p><strong>Setting: </strong>An urban university research center.</p><p><strong>Participants: </strong>Participants from the WADRC Clinical Core were included in this convenience sample if they were without dementia, had undergone at least 1 cognitive assessment, and completed measures of cognitive, clinical and affective function.</p><p><strong>Measurements: </strong>MBI was assessed using the Neuropsychiatric Inventory. Linear mixed effects models (LME) were fit to cognitive outcomes Trailmaking Tests A and B (TMT-A, B) and Wechsler Logical Memory (LM). Cox proportional hazard models assessed whether MBI was related to risk for incident global Clinical Dementia Rating Scale (CDR >0).</p><p><strong>Results: </strong>N = 584 participants with mean age 64.6 years, range 46-92.6 years, 59.4% female and 17% African American. LME results indicated participants with MBI exhibited worse age-associated decline on TMT-B, compared to those without MBI (beta=0.008, p = 0.01, CI: 0.002, 0.01, t(337) = 2.4, p = 0.01). MBI at baseline was associated with a significant hazard ratio (HR) indicating an increased risk of decline on the CDR (HR: 2.84; HR 95% CI: 1.68 - 4.81; p = 0.0001).</p><p><strong>Conclusions: </strong>MBI associated with worse cognitive performance and incident cognitive decline in a racially diverse, older adult sample at early stages of cognitive change. Increased awareness of the late life emergence of neuropsychiatric symptoms is warranted to assist in identification and improve prognostication and treatment of neurodegenerative disease.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"8 ","pages":"43-53"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relation Between Executive Function Test Performance and Treatment Outcomes During Brief Psychotherapies for Later-Life Depression. 老年抑郁症短期心理治疗中执行功能测试表现与治疗结果的关系
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-09-01 Epub Date: 2025-06-11 DOI: 10.1016/j.osep.2025.04.002
Matthew S Schurr, Yiqun T Chen, Patrick J Raue, Patricia A Areán, George S Alexopoulos, Brenna N Renn
{"title":"Relation Between Executive Function Test Performance and Treatment Outcomes During Brief Psychotherapies for Later-Life Depression.","authors":"Matthew S Schurr, Yiqun T Chen, Patrick J Raue, Patricia A Areán, George S Alexopoulos, Brenna N Renn","doi":"10.1016/j.osep.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.osep.2025.04.002","url":null,"abstract":"<p><strong>Objectives: </strong>Executive dysfunction is common in later-life depression (LLD). This study examined whether: 1) executive function predicts change in depressive symptoms during brief psychotherapy and 2) performance on cognitive tests changes during psychotherapy.</p><p><strong>Design: </strong>Post hoc analysis of a noninferiority randomized clinical trial comparing 9 weekly sessions of problem-solving therapy (PST) and Engage, a streamlined psychotherapy for depression.</p><p><strong>Setting: </strong>Two-site trial at academic medical centers in Seattle, WA and New York, NY.</p><p><strong>Participants: </strong><i>Participants were 150 older adults (68% women) with major depressive disorder, Mini-Mental State Examination (MMSE)</i> ≥<i>24, and cognitive test data available for primary analysis. Participants ranged in age from 60 to 89 years (</i>M = <i>70.4,</i> SD = <i>7.4).</i></p><p><strong>Measurements: </strong>Cognitive measures included the Iowa Gambling Task (IGT), Wisconsin Card Sorting Test (WCST), Stroop test, Digit Span, and Hopkins Verbal Learning Test (HVLT-R). Treatment outcomes consisted of longitudinal assessment using the Hamilton Depression Rating Scale (HAM-D) and World Health Organization Disability Assessment Schedule 2.0 (WHODAS).</p><p><strong>Results: </strong><i>Linear mixed effects models showed that baseline executive functioning did not predict improvement in HAM-D scores. Better Stroop performance was associated with improved WHODAS scores. Paired</i> t<i>-tests revealed pre- and post-treatment improvement in executive functioning test performance as measured by the IGT (Total Money subscale; p = 0.002) and Stroop test (p = 0.002) across 9 weeks of both treatments.</i></p><p><strong>Conclusions: </strong>Baseline cognitive functions, including executive function, did not influence reduction in depressive symptoms during brief psychotherapies. Brief psychotherapies may improve aspects of executive function such as decision-making related to reward.</p><p><strong>Clinicaltrialsgov identifier: </strong>NCT0208G201.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"7 ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12646658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Older Adult Volunteers' Experiences Delivering a Lay-Led Behavioral Activation Program for Depression Among Community-Dwelling Older Adults: A Mixed Methods Study. 老年志愿者在社区老年人抑郁症患者中实施以他人为主导的行为激活方案的经验:一项混合方法研究。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-06-01 Epub Date: 2025-06-09 DOI: 10.1016/j.osep.2025.05.001
Nicole O Crawford, Lesley Steinman, Isabel Rollandi, Brenden Li, Enid Rubio, Brittany Mosser, Julien Rouvere, Brittany E Blanchard, Amber Gum, Jo Anne Sirey, Patrick J Raue
{"title":"Older Adult Volunteers' Experiences Delivering a Lay-Led Behavioral Activation Program for Depression Among Community-Dwelling Older Adults: A Mixed Methods Study.","authors":"Nicole O Crawford, Lesley Steinman, Isabel Rollandi, Brenden Li, Enid Rubio, Brittany Mosser, Julien Rouvere, Brittany E Blanchard, Amber Gum, Jo Anne Sirey, Patrick J Raue","doi":"10.1016/j.osep.2025.05.001","DOIUrl":"10.1016/j.osep.2025.05.001","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate coaches' experiences delivering a lay-led depression intervention (Do More, Feel Better; DMFB) during a Type I hybrid effectiveness-implementation RCT.</p><p><strong>Methods: </strong>We conducted a process evaluation to assess DMFB feasibility, appropriateness, fidelity, and acceptability in 12 senior centers in Florida, New York, and Washington (USA). DMFB is streamlined Behavioral Activation delivered by older adult volunteers from senior center communities. Data sources included eligibility and exit interviews with surveys and external fidelity ratings of session recordings.</p><p><strong>Results: </strong>The study sample included 45 older adults (M<sub>age</sub> = 69.8, SD<sub>age</sub> = 6.3), 85.3% women, 45.4% people of color, 24.1% low-income, 53.1% live alone. Feasibility: Of 66 individuals interested in serving as DMFB lay coaches, 45 (68.2%) were eligible, 34 (51.2%) were trained, 27 (40.1%) were certified, and 24 (36.4%) engaged 1 or more clients. Appropriateness: Eligible older adult volunteers had high capacity to serve as coaches (M = 5.3, SD = 0.8, 6-pt scale), bringing lived experience helping others, managing their mental health, good communication and organizational skills, and valuing volunteering. Fidelity: External global ratings were \"very good\" (M = 4.6, SD = 0.7, 5-pt scale); areas for improvement were managing time for PHQ-) administration and activity scheduling, and need for more person-centered communication. Acceptability: Coaches rated high confidence delivering DMFB (M = 4.7, SD = 0.6, 5-pt scale) and that they received adequate training (M = 4.5, SD = 0.6, 5-pt scale) and supervision (M = 4.6, SD = 0.6, 5-pt scale). Coaches found satisfaction helping others, connecting with clients, and applying DMFB to their mental health.</p><p><strong>Conclusions: </strong>This study adds to limited literature on implementation outcomes for lay-led community-based interventions for older adults. Preliminary findings document successful implementation.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"6 ","pages":"54-66"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145770559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risky Alcohol Consumption as a Contributor to Accelerated Brain Aging in Late-Life Depression. 高风险饮酒是老年抑郁症患者脑老化加速的一个因素。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-06-01 Epub Date: 2025-03-03 DOI: 10.1016/j.osep.2025.02.003
Warren D Taylor
{"title":"Risky Alcohol Consumption as a Contributor to Accelerated Brain Aging in Late-Life Depression.","authors":"Warren D Taylor","doi":"10.1016/j.osep.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.osep.2025.02.003","url":null,"abstract":"","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"6 ","pages":"15-17"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144987177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Structural Brain Changes Associated With Risky Drinking in Late-Life Depression. 老年抑郁症中危险饮酒与大脑结构变化有关。
The American journal of geriatric psychiatry. Open science, education, and practice Pub Date : 2025-06-01 Epub Date: 2025-02-07 DOI: 10.1016/j.osep.2025.01.003
David C Steffens, Lihong Wang, Kevin J Manning, Godfrey D Pearlson
{"title":"Structural Brain Changes Associated With Risky Drinking in Late-Life Depression.","authors":"David C Steffens, Lihong Wang, Kevin J Manning, Godfrey D Pearlson","doi":"10.1016/j.osep.2025.01.003","DOIUrl":"10.1016/j.osep.2025.01.003","url":null,"abstract":"<p><strong>Objectives: </strong>As alcohol use is common among older depressives, we assessed structural brain changes over 2 years and examined their association with changes in alcohol consumption.</p><p><strong>Design: </strong>Longitudinal cohort study.</p><p><strong>Setting: </strong>Academic health center.</p><p><strong>Participants: </strong>Adults aged 60 and older who met DSM criteria for a major depressive episode.</p><p><strong>Intervention: </strong>Participants were offered treatment with sertraline.</p><p><strong>Measurements: </strong>Participants completed structured interviews for reported alcohol consumption, had a clinical interview with a study psychiatrist, completed a cognitive battery at baseline and every twelve months, and underwent a 3T structural MRI as baseline and at 2-year follow-up. Volumetric brain changes were calculated.</p><p><strong>Results: </strong>Among 58 participants, 45 were classified as moderate drinkers (≤7 drinks/week) and 13 as risky drinkers (>7 drinks/week). Compared with moderate drinkers, risky drinkers at baseline had significantly thinner cortical thickness and smaller volume in several frontal cortical regions, posterior cingulate, postcentral cortices, right insula, right putamen, and right inferior parietal sulcus. Annualized change in cortical thickness and volume correlated negatively with changes in the average number of drinks per week. Decreased depression severity, increased cognitive function score, and decreased alcohol consumption over the 2-year follow-up were each associated with annualized volumetric changes in specific common regions.</p><p><strong>Conclusion: </strong>These MRI findings demonstrate the adverse impact of alcohol use in older adults on the fronto-striatal circuit. They highlight the need for careful screening and treatment referral for risky alcohol use among older adults with depression.</p>","PeriodicalId":520900,"journal":{"name":"The American journal of geriatric psychiatry. Open science, education, and practice","volume":"6 ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书