Aging & Mental Health最新文献

Psychological resilience and cognitive frailty progression among older adults: evidence from China in 2002-2018. 老年人的心理弹性和认知脆弱性进展：2002-2018年来自中国的证据

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-09 DOI: 10.1080/13607863.2026.2642779

Ruoxi Ding, Wanwei Dai, Xuechun Wang, Yujie Huang, Yanan Luo

{"title":"Psychological resilience and cognitive frailty progression among older adults: evidence from China in 2002-2018.","authors":"Ruoxi Ding, Wanwei Dai, Xuechun Wang, Yujie Huang, Yanan Luo","doi":"10.1080/13607863.2026.2642779","DOIUrl":"https://doi.org/10.1080/13607863.2026.2642779","url":null,"abstract":"Objectives: This study examines the association between PR and the progression of cognitive frailty among older adults in China.Method: Data were obtained from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) conducted from 2002 to 2018. Cognitive frailty is defined as the presence of both physical frailty and cognitive impairment in older adults without a dementia diagnosis. Fixed-effect models analyzed the relationship between PR and cognitive frailty over time. Latent Class Growth Models were used to study the trajectories of PR and cognitive frailty, and multinomial logistic regression and Cox proportional hazards regression were applied to examine the links between PR trajectories and cognitive frailty progression.Results: An increase of 1 point in the PR score is associated with an 9% reduction in the risk of cognitive frailty (RRR = 0.91, 95% CI: 0.90, 0.93). Compared to participants in the high-level stable PR group, those in the moderate-level declining and low-level rising PR groups faced a greater risk of experiencing a subsequent trajectory of low probability mild cognitive impairment (MCI) along with accelerated frailty, or a higher likelihood of both conditions.Conclusion: These findings emphasize the role of promoting psychological resilience in achieving the broader goals of healthy aging.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Understanding caregivers' experiences and perspectives on online support: a qualitative study. 了解照顾者对在线支持的经验和观点：一项定性研究。

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-08 DOI: 10.1080/13607863.2026.2661811

Qiuxia Li, Brenda Buckley, Ray Lucey, Helena Quaid, Maura Barry, Yuxiang Zhu, Kieran Walsh, Sinéad M Hynes

{"title":"Understanding caregivers' experiences and perspectives on online support: a qualitative study.","authors":"Qiuxia Li, Brenda Buckley, Ray Lucey, Helena Quaid, Maura Barry, Yuxiang Zhu, Kieran Walsh, Sinéad M Hynes","doi":"10.1080/13607863.2026.2661811","DOIUrl":"https://doi.org/10.1080/13607863.2026.2661811","url":null,"abstract":"Objectives: Family caregivers of people with dementia face emotional, physical, and social challenges. Online psychosocial interventions may offer valuable support when they are responsive to these challenges. However, little is known about how caregivers navigate online support in practice. This study explores caregivers' experiences and perspectives of online psychosocial support, identifies facilitators and barriers to online engagement, and highlights key features of meaningful online intervention.Method: This study used a qualitative explorative design, informed by Patient and Public Involvement and a reflexive approach. Twenty-eight caregivers were recruited. 15 semi-structured interviews and 3 focus groups were completed to gather caregivers' experiences. Data were analysed using inductive thematic analysis.Results: Three themes were identified: entering and navigating the online world; balancing the advantages and constraints; and expecting meaningful online support. While caregivers valued the accessibility and flexibility of online resources, barriers arose from online systems' complexity and usability challenges, and were often intensified by the emotional strain and time pressures of caregiving. Perceived benefits and barriers were shaped by the interplay of platform usability, caregiver characteristics, and current care demands.Conclusion: Online interventions should address the tension between the convenience and usability of digital delivery and caregivers' need for emotional presence and meaningful connection. Well-designed online interventions hold considerable potential to enhance accessibility and promote greater equity in caregiving support.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Navigating diagnosis: UK informal caregivers' experiences of the dementia assessment journey. 导航诊断：英国非正式护理人员的痴呆症评估旅程的经验。

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-06 DOI: 10.1080/13607863.2026.2666282

Labhpreet Kaur, Alys Wyn Griffiths, Judith Harrison, Xingyi Song, Daniel Blackburn

{"title":"Navigating diagnosis: UK informal caregivers' experiences of the dementia assessment journey.","authors":"Labhpreet Kaur, Alys Wyn Griffiths, Judith Harrison, Xingyi Song, Daniel Blackburn","doi":"10.1080/13607863.2026.2666282","DOIUrl":"https://doi.org/10.1080/13607863.2026.2666282","url":null,"abstract":"Objectives: Despite UK policy initiatives to promote earlier dementia diagnosis, delays remain common and informal caregiver contributions are often overlooked. Informal caregivers are frequently the first to notice cognitive and behavioural changes, yet their experiences of the diagnostic process are poorly understood. This study explored informal caregivers' perspectives on navigating memory assessment services to identify contributions, barriers and unmet support needs.Method: A narrative qualitative design was used. Eleven current or former caregivers of people with dementia were interviewed online or in-person. Anonymised transcripts were analysed using narrative analysis to identify shared patterns across diagnostic journeys.Results: Informal caregivers described a five-stage journey: early symptoms, moving from suspicion to concern (primary care), specialist referral, receiving the diagnosis and life after diagnosis. Delays and obstacles occurred at every stage, including minimisation of concerns, inappropriate or delayed referrals, and long waiting times. Assessments were perceived as rigid and culturally limited, while interactions with services felt impersonal and post-diagnostic support was inconsistent.Conclusion: Caregivers acted as informal co-diagnosticians but felt undervalued. Improving dementia diagnosis requires better integration of caregiver knowledge, culturally responsive assessments and proactive, tailored post-diagnostic support. Future work should co-design tools, awareness campaigns and remote multilingual pathways with stakeholders to enable earlier and more equitable diagnoses.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 utilization of Artificial Intelligence-based conversational agents on mental health care for older adults: a scoping review. 基于人工智能的会话代理在老年人心理健康护理中的应用：范围综述

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-05 DOI: 10.1080/13607863.2026.2664078

Xiayu Summer Chen, Wan Wen, Soyoung Choi, Flávia Cristina Drumond Andrade, Shannon T Mejía

{"title":"The utilization of Artificial Intelligence-based conversational agents on mental health care for older adults: a scoping review.","authors":"Xiayu Summer Chen, Wan Wen, Soyoung Choi, Flávia Cristina Drumond Andrade, Shannon T Mejía","doi":"10.1080/13607863.2026.2664078","DOIUrl":"https://doi.org/10.1080/13607863.2026.2664078","url":null,"abstract":"Objectives: Conversational Agents (CAs), commonly referred to as chatbots, are increasingly employed in mental health care, with applications ranging from assessments to patient communication and psychoeducation. Recent advancements in Artificial Intelligence (AI) have enabled CAs to deliver personalized and engaging interactions. However, most existing mental health CAs overlook the specific needs and preferences of older adults, potentially increasing user burden and limiting adoption. To bridge this gap, the present study reviewed AI-based CAs designed for mental health support in older adults.Method: A comprehensive literature search across 13 databases (e.g. PubMed, PsycINFO, Scopus) identified 20 peer-reviewed articles.Results: Of these, 12 studies examined usability, with the majority of them reporting positive acceptance and perceived usefulness, while one study presented mixed findings. For studies that assessed the effectiveness, most demonstrated significant improvements, and one reported mixed effects. Challenges for older adults using CAs were also identified, including the need for more user-centered designs specifically tailored to older adults, the absence of objective measurements of usability and effectiveness, and the limited range of therapeutic techniques within these interventions.Conclusion: These findings offer valuable guidance for researchers and practitioners aiming to optimize AI-based CAs to better meet the unique mental health needs of the aging population.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-19"},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Depressive symptoms and excess spending in older adults: evidence from WALLET study. 老年人抑郁症状和过度消费：来自WALLET研究的证据

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-05 DOI: 10.1080/13607863.2026.2664687

Emily V Flores, Vanessa Rorai, Peter A Lichtenberg

{"title":"Depressive symptoms and excess spending in older adults: evidence from WALLET study.","authors":"Emily V Flores, Vanessa Rorai, Peter A Lichtenberg","doi":"10.1080/13607863.2026.2664687","DOIUrl":"https://doi.org/10.1080/13607863.2026.2664687","url":null,"abstract":"Objectives: As the US population ages, understanding the relationship between mental health and financial stability later in life has become increasingly important. Excess spending among older adults poses a significant risk to financial stability, particularly in the context of psychological factors. This study examined predictors of excess spending, focusing on sociodemographic variables, and depression as measured by Geriatric Depression Scale (GDS).Method: Data came from the Wealth Accumulation and Losses in Later life Early Cognitive Transitions (WALLET) study, including 150 older adults from metro Detroit, predominantly African American (65%) and female (80%), with a M age = 72.9 (SD = 7.9).Results: Correlation analyses revealed significant associations between excess spending and GDS scores (r = 0.21, p < 0.01). In the first model, sociodemographic and health-related variables did not significantly predict excess spending. In the second model, depressive symptoms emerged as a significant predictor of excess spending (β = 0.24, p = 0.010), accounting for an increase in explained variance (ΔR2 = 0.043, p = 0.010).Conclusion: GDS scores were associated with excess spending as determined by review of 12 months of checking statements. These findings underscore the critical role of depressive symptoms in financial behaviors, emphasizing the need for targeted interventions addressing psychological factors to mitigate excess spending among older adults.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Depression in middle-aged and older adults: the joint effects of marital status and neighborhood conditions. 中老年人抑郁：婚姻状况和邻里条件的共同影响

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-04 DOI: 10.1080/13607863.2026.2664084

Seung-Won Emily Choi, Seulki Kim

{"title":"Depression in middle-aged and older adults: the joint effects of marital status and neighborhood conditions.","authors":"Seung-Won Emily Choi, Seulki Kim","doi":"10.1080/13607863.2026.2664084","DOIUrl":"https://doi.org/10.1080/13607863.2026.2664084","url":null,"abstract":"Objectives: Research on neighborhood variations in the health consequences of marriage is limited, although individual social relationships are embedded in social contexts. This study examines how the association between marital status and depression in later life differs by residential neighborhoods.Methods: We analyzed merged data from the Health and Retirement Study (2010-2018), including both individual-level and restricted geographic information, and the 2008-2012 American Community Survey 5-year estimates. The analytic sample included 14,783 middle-aged and older adults living in the community. We used hierarchical linear modeling to estimate the odds of depression.Results: Marital status and neighborhood conditions shape depression jointly. The differences in depression among marital status groups (ie married, cohabiting, divorced/separated, widowed, and never married) are more pronounced in underprivileged neighborhoods characterized by concentrated disadvantage and social isolation. Specifically, cohabitors experience a significantly higher risk of depression in neighborhoods with high levels of concentrated disadvantage, while the widowed experience a significantly increased risk of depression in neighborhoods with high levels of social isolation.Conclusion: Findings underscore the importance of adopting a holistic approach that assesses both individual characteristics and neighborhood contexts in understanding later-life mental health disparities.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Temporal changes in depressive symptoms and incident stroke in a national cohort of Black and White adults: the REGARDS study. 在全国黑人和白人成人队列中抑郁症状和卒中事件的时间变化：REGARDS研究

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-04 DOI: 10.1080/13607863.2026.2660773

Mudasir S Andrabi, Cassandra D Ford, George Howard, Olivio Clay, Martha R Crowther, Matthew L Flaherty, Virginia J Howard

{"title":"Temporal changes in depressive symptoms and incident stroke in a national cohort of Black and White adults: the REGARDS study.","authors":"Mudasir S Andrabi, Cassandra D Ford, George Howard, Olivio Clay, Martha R Crowther, Matthew L Flaherty, Virginia J Howard","doi":"10.1080/13607863.2026.2660773","DOIUrl":"https://doi.org/10.1080/13607863.2026.2660773","url":null,"abstract":"Objectives: To examine an association between temporal changes in depressive symptom levels and risk for stroke by sex among Black and White individuals.Method: Design, Setting, and Participants Prospective cohort study of Black and White adults 45 and older, stroke-free at baseline (2003-2007), with follow-up through January 2023. Exposures Self-reported time-varying depressive symptoms, sex, and race. Main Outcomes and Measures Physician-adjudicated incident stroke, adjusting for risk factors and demographic characteristics.Results: The sample consisted of 20,293 participants. There were 11,438 women (56%) and 7521 Black participants (37%). We observed 87,418 transitions in depressive symptoms, with 3621 transitions from High to High (HH) levels, 4710 from Low to High (LH), 5683 from High to Low (HL), and 73,404 from Low to Low (LL) levels. Findings indicated that women from both races in the HH group, and the Black men in the LH group were at a higher risk of stroke.Conclusion: Stroke risk was higher among women (regardless of race) and Black men. These subgroups may require early screening and treatment to prevent stroke.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 prospective association between mindfulness and flourishing in mid-to-late life. 正念与中老年繁荣之间的潜在联系。

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-03 DOI: 10.1080/13607863.2026.2664080

Ying Chen, Eric S Kim, Julia S Nakamura, Tim Lomas, Tyler J VanderWeele

{"title":"The prospective association between mindfulness and flourishing in mid-to-late life.","authors":"Ying Chen, Eric S Kim, Julia S Nakamura, Tim Lomas, Tyler J VanderWeele","doi":"10.1080/13607863.2026.2664080","DOIUrl":"https://doi.org/10.1080/13607863.2026.2664080","url":null,"abstract":"Objectives: Policymakers are increasingly interested in positive factors that enhance people's holistic well-being, and mindfulness is one such positive psychological factor. This study examined the prospective association between mindfulness and flourishing in mid-to-late life.Method: Three waves of data from the Midlife in the United States Study were used (1995-2014, N = 2,496, mean age = 56 years). Generalized estimating equation models were used to examine the association between mindfulness in wave II and flourishing 10 years later in wave III, adjusting for various potential confounders and prior levels of flourishing assessed in wave I.Results: The highest vs. lowest quartile of mindfulness was positively associated with composite flourishing (ß = 0.26, 95% CI = 0.17, 0.36) and all three of its key domains, including: emotional (ß = 0.22, 95% CI = 0.11, 0.33), psychological (ß = 0.23, 95% CI = 0.13, 0.34), and social well-being (ß = 0.20, 95% CI = 0.09, 0.31). When further evaluating the subdomains nested within the three primary domains, we observed that mindfulness displayed especially strong associations with personal growth and social contribution, but little associations with purpose in life or social actualization, and potentially an inverse association with social coherence.Conclusion: This study suggests that cultivating mindfulness may be a meaningful avenue for promoting overall flourishing in middle-aged and older adults.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 effects of social isolation and loneliness on cognitive function in older adults with diabetes: a latent growth model analysis. 社会隔离和孤独感对老年糖尿病患者认知功能的影响：潜在增长模型分析

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-01 Epub Date: 2026-01-19 DOI: 10.1080/13607863.2026.2612733

Bohyun Kim, Minjung Kim, Jie Hu

{"title":"The effects of social isolation and loneliness on cognitive function in older adults with diabetes: a latent growth model analysis.","authors":"Bohyun Kim, Minjung Kim, Jie Hu","doi":"10.1080/13607863.2026.2612733","DOIUrl":"10.1080/13607863.2026.2612733","url":null,"abstract":"Objectives: Social isolation and loneliness are modifiable yet under-studied factors that may exacerbate the effect of diabetes on cognitive impairment. This study aimed to investigate the effects of social isolation and loneliness on the initial levels and changes in cognitive function in older adults with diabetes.Method: This study conducted secondary data analysis using data from the Health and Retirement Study (HRS). Data from 1416 participants aged 50 and over with diabetes who participated in six waves of the HRS over 10 years were analyzed. Latent growth modeling was employed within a structural equation modeling framework.Results: Higher levels of social isolation in older adults with diabetes were linked to lower initial levels of total cognitive function and diminished backward counting ability, whereas no such association was found for loneliness. However, neither social isolation nor loneliness showed associations with a faster decline in total cognitive function and its subdomains.Conclusion: To mitigate the heightened risk of cognitive impairment among older adults with diabetes, it is crucial to identify modifiable factors that can prevent cognitive decline. Healthcare providers should be attentive to older adults with diabetes who are socially isolated and lonely to deter the progression of cognitive impairment and dementia.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1138-1148"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Temporal dynamics of loneliness and perceived stress in older adults. 老年人孤独感和感知压力的时间动态。

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2026-05-01 Epub Date: 2026-01-07 DOI: 10.1080/13607863.2025.2609277

Aline Schönenberg, Lisa Bauer, Luise Umfermann, Tino Prell

{"title":"Temporal dynamics of loneliness and perceived stress in older adults.","authors":"Aline Schönenberg, Lisa Bauer, Luise Umfermann, Tino Prell","doi":"10.1080/13607863.2025.2609277","DOIUrl":"10.1080/13607863.2025.2609277","url":null,"abstract":"Objectives: Loneliness and stress are determinants of late-life health, yet their within-person dynamics are insufficiently characterized.Method: We extracted loneliness, stress, depressive symptoms, social contacts, self-rated health (SRH) and sociodemographics constituted covariates from three waves (2017, 2021, 2023) of the German Ageing Survey (DEAS). Linear mixed-effects models regressed stress on loneliness adjusted for covariates. To disentangle within- and between-person effects, predictors were decomposed into person-mean and person-mean-centered components. Interaction effects tested moderation by gender, depressiveness and SRH.Results: Loneliness predicted stress within (ß =0.30, p < 0.001) and between persons (ß =0.39, p < 0.001). Random-slope variance indicated inter-individual heterogeneity (SD = 0.247); intercept-slope correlation (r = -0.815) suggested flatter slopes among high-stress individuals: individuals with lower baseline stress showed greater stress upon loneliness while high stress leads to a blunted stress response. This effect was moderated by depressiveness but not by gender or SRH: at high loneliness levels, the contribution of depressiveness to stress is diminished.Conclusion: Increases in loneliness induce stress beyond depression and SRH on both intraindividual and interindividual levels: when individuals feel lonelier, they experience stress, and those who are chronically lonelier report overall higher stress levels. Targeting loneliness alongside stress-management strategies may reduce stress burden and improve well-being in aging populations.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1072-1081"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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