American Journal of Geriatric Psychiatry最新文献_第8页

Living Alone With Mild-to-Moderate Dementia Over a Two-Year Period: Longitudinal Findings From the IDEAL Cohort 轻度至中度痴呆症患者独居两年：IDEAL 队列的纵向研究结果

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-06-06 DOI: 10.1016/j.jagp.2024.05.012

{"title":"Living Alone With Mild-to-Moderate Dementia Over a Two-Year Period: Longitudinal Findings From the IDEAL Cohort","authors":"","doi":"10.1016/j.jagp.2024.05.012","DOIUrl":"10.1016/j.jagp.2024.05.012","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the experiences of people with dementia living alone or with others and how these may change over two years.</div></div><div><h3>Design</h3><div>We analysed longitudinal data from three assessment waves, one year apart, in the British IDEAL cohort.</div></div><div><h3>Setting</h3><div>Participants with mild-to-moderate dementia were recruited through National Health Service providers, where possible with a family caregiver, and interviewed at home.</div></div><div><h3>Participants</h3><div>The current analyses include 281 people with dementia living alone and 1,244 living with others at baseline; follow-up data were available for 200 and 965 respectively at time 2 and 144 and 696 respectively at time 3. For those living alone, 140 nonresident caregivers contributed at baseline, 102 at time 2 and 81 at time 3. For those living with others, 1,127 family caregivers contributed at baseline, 876 at time 2 and 670 at time 3.</div></div><div><h3>Measurements</h3><div>Assessments covered: cognitive and functional ability; self-reported perceptions of health, mood, social engagement, quality of life, satisfaction with life and well-being; use of in-home and community care; and transitions into residential care.</div></div><div><h3>Results</h3><div>People living alone tended to have better cognitive and functional ability and were more frequent users of in-home care. However, they experienced poorer physical, social, and psychological health and reduced quality of life, satisfaction with life, and well-being. These differences persisted over time and rates of transition into residential care were higher.</div></div><div><h3>Conclusions</h3><div>To facilitate continuing in place for people with dementia living alone, a dual focus on supporting functional ability and add ressing psychosocial needs is essential in the context of an enabling policy framework.</div></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Psychedelics and Older Adults: What Do They Do Compared to Younger People? 迷幻药与老年人：与年轻人相比，他们会做些什么？

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-06-05 DOI: 10.1016/j.jagp.2024.05.010

引用次数: 0

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-06-04 DOI: 10.1016/j.jagp.2024.05.013

引用次数: 0

The Importance of Social Risk Factors for Cognitive Decline 认知能力衰退的社会风险因素的重要性

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-06-03 DOI: 10.1016/j.jagp.2024.05.011

引用次数: 0

Fear of Death, Excerpt From How to Grow Old in: Bertrand Russell. Portraits From memory: And Other essays 对死亡的恐惧》，摘自《如何在死亡中变老》：伯特兰-罗素记忆中的肖像：及其他随笔

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-06-01 DOI: 10.1016/j.jagp.2024.04.015

George S. Alexopoulos M.D.

引用次数: 0

Second Shift 第二班。

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-05-31 DOI: 10.1016/j.jagp.2024.05.009

Steven A. Ris

引用次数: 0

On Fisk Pond 菲斯克池塘

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-05-24 DOI: 10.1016/j.jagp.2024.05.008

引用次数: 0

Three Careers … and the Evolution of a Midwife to the Soul 三种职业......以及灵魂助产士的演变

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-05-23 DOI: 10.1016/j.jagp.2024.04.014

Jeanne Childs M.A. ((Board Certified Clinical Geriatric Chaplain))

引用次数: 0

Effects of Psychedelics in Older Adults: A Prospective Cohort Study 迷幻药对老年人的影响：前瞻性队列研究

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-05-19 DOI: 10.1016/j.jagp.2024.05.007

{"title":"Effects of Psychedelics in Older Adults: A Prospective Cohort Study","authors":"","doi":"10.1016/j.jagp.2024.05.007","DOIUrl":"10.1016/j.jagp.2024.05.007","url":null,"abstract":"<div><h3>Objective</h3><p>Affective symptoms such as anxiety, low mood, and loneliness are prevalent and highly debilitating symptoms among older adults (OA). Serotonergic psychedelics are currently investigated as novel interventions for affective disorders, yet little is known regarding their effects in OA. We investigated the mental health effects and psychological mechanisms of guided psychedelic group experiences in OA and a matched sample of younger adults (YA).</p></div><div><h3>Methods</h3><p>Using a prospective observational cohort design, we identified 62 OA (age ≥60 years) and 62 matched YA who completed surveys two weeks before, a day, two weeks, four weeks, and six months after a psychedelic group session. Mixed linear regression analyses were used to investigate longitudinal well-being changes, as well as baseline, acute, and post-acute predictors of change.</p></div><div><h3>Results</h3><p>OA showed post-psychedelic well-being improvements similar to matched YA. Among baseline predictors, presence of a lifetime psychiatric diagnosis was associated with greater well-being increases in OA (<em>B</em> = 6.72, p = .016 at the four-week key-endpoint). Compared to YA, acute subjective psychedelic effects were less intense in OA and did not significantly predict prospective well-being changes. However, relational experiences before and after psychedelic sessions emerged as predictors in OA (r(36) = .37,p = 0.025).</p></div><div><h3>Conclusions</h3><p>Guided psychedelic group sessions enhance well-being in OA in line with prior naturalistic and controlled studies in YA. Interestingly, acute psychedelic effects in OA are attenuated and less predictive of well-being improvements, with relational experiences related to the group setting playing a more prominent role. Our present findings call for further research on the effects of psychedelics in OA.</p></div>","PeriodicalId":55534,"journal":{"name":"American Journal of Geriatric Psychiatry","volume":null,"pages":null},"PeriodicalIF":4.4,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1064748124003361/pdfft?md5=8d1af3817702998ed6462bcd0c0d6711&pid=1-s2.0-S1064748124003361-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

The Musical Organ and the Leaf 音乐风琴和树叶

IF 4.4 2区医学

American Journal of Geriatric Psychiatry Pub Date : 2024-05-17 DOI: 10.1016/j.jagp.2024.05.001

引用次数: 0