Aging & Mental Health最新文献

{"title":"Social network size and cognitive decline in older adults experiencing depressive symptoms and loneliness.","authors":"Pankaja Desai, Ted K S Ng, Kristin R Krueger, Robert S Wilson, Denis A Evans, Kumar B Rajan","doi":"10.1080/13607863.2025.2566292","DOIUrl":"https://doi.org/10.1080/13607863.2025.2566292","url":null,"abstract":"<p><strong>Objectives: </strong>This paper evaluates the association between social network size and cognitive decline in older adults, approximately 61 years and older, with or without depressive symptoms and/or loneliness.</p><p><strong>Method: </strong>This study is a secondary data analysis of the Chicago Health and Aging Project (CHAP), which is a population-based cohort study. Data collection occurred in three-year cycles from 1993 to 2012, consisting of a maximum of up to six cycles, including baseline. Mixed effects regression models were conducted to evaluate the relationship between social network size and cognitive decline.</p><p><strong>Results: </strong>The study sample is comprised of 10,569 participants. Among participants experiencing baseline loneliness, having a social network size of nine or more individuals at baseline was associated with a slower annual rate of global cognitive decline (<i>β</i> = 0.016 (SE = 0.007), <i>p</i> = 0.019) than participants with a network size below nine at baseline. Participants experiencing moderate to severe depressive symptoms at baseline and a network size of nine or more at baseline also had a slower rate of global cognitive decline (<i>β</i> = 0.014 (SE = 0.006), <i>p</i> = 0.014) compared to participants with a network size below nine at baseline.</p><p><strong>Conclusion: </strong>Developing approaches for maintaining and improving social network size in individuals experiencing loneliness and depression may reduce Alzheimer's disease risk.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.4,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253650","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}

{"title":"Understanding allostatic load and the physiological impact of chronic stress in family caregivers: a scoping review.","authors":"Kristin Corey Magan, Kari Mofford","doi":"10.1080/13607863.2025.2570824","DOIUrl":"https://doi.org/10.1080/13607863.2025.2570824","url":null,"abstract":"<p><strong>Objectives: </strong>Providing care to an individual with chronic illness is associated with chronic stress and adverse health outcomes. The link between family caregiving and allostatic load (AL), the cumulative biological burden of chronic stress, is unclear. A scoping review was conducted to examine the extent and nature of existing literature on AL in family caregivers of adults with chronic illness.</p><p><strong>Method: </strong>This scoping review was guided by the framework proposed by Arksey and O'Malley and the PRISMA Extension for Scoping Reviews checklist. Peer-reviewed articles published between 2007 and 2025 were identified in CINAHL, APA PsycINFO, and Web of Science with BIOSIS Previews and MEDLINE. Studies met eligibility criteria if they included biological measurement of AL, calculated as an index of multiple biomarkers, in family caregivers of adults living with chronic illness.</p><p><strong>Results: </strong>A total of 10 articles met the eligibility criteria. The findings suggested that, compared to non-caregivers, family caregivers had significantly higher AL and were more likely to experience future illness and disability. Most studies revealed associations among caregiver burden, subjective stress, and elevated AL.</p><p><strong>Conclusion: </strong>The findings suggested that family caregiving is associated with allostatic overload and long term health outcomes. Further research is needed to better understand longitudinal changes in AL during and after a caregiving episode.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":2.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245812","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}

{"title":"Longitudinal changes in alcohol use across 20 years of adulthood: a U.S. National daily diary study.","authors":"Sara E Miller, Jennifer L Maggs, Eric S Cerino, Rina D Eiden, Alyssa A Gamaldo, David M Almeida","doi":"10.1080/13607863.2025.2567481","DOIUrl":"https://doi.org/10.1080/13607863.2025.2567481","url":null,"abstract":"<p><strong>Objectives: </strong>While alcohol consumption typically declines with age, drinking trajectories may vary across indicators and individual characteristics. The current study uses daily diary methodology to describe longitudinal changes in alcohol consumption across up to 20 years.</p><p><strong>Method: </strong>We used three waves of 8-day diary surveys from the National Study of Daily Experiences. Participants (<i>N</i> = 1379; <i>M_age</i> = 49.8 years) completed 2+ waves of telephone interviews at 10-year intervals.</p><p><strong>Results: </strong>Multilevel regression analyses revealed declines in drinking quantity across time (<i>b</i> = -0.26; SE = 0.05; <i>p</i> < 0.001), while drinking frequency, at-risk drinking frequency (>1/>2 drinks per day for females/males), and likelihood of non-drinking did not change. Older age was associated with drinking more frequently overall (<i>b</i> = 0.003; SE = 0.001; <i>p</i> < 0.001), greater increases in likelihood of non-drinking over time (<i>b</i> = 0.01; SE = 0.01; <i>p</i> = 0.007), and stronger longitudinal declines in drinking frequency (<i>b</i> = -0.002; SE = 0.001; <i>p</i> = 0.001) and at-risk drinking frequency (<i>b</i>= -0.002; SE = 0.001; <i>p</i> < 0.001). Greater educational attainment was associated with increasing drinking frequency (<i>b</i> = 0.008; SE = 0.004; <i>p</i> = 0.021), while male sex predicted stronger declines in drinking quantity over time (<i>b</i> = -0.27; SE = 0.10; <i>p</i> = 0.006).</p><p><strong>Conclusion: </strong>Changes in alcohol consumption over time vary across drinking indicators and sociodemographic characteristics. Future research should examine why older adults reduce their drinking, as these motivators may inform alcohol reduction strategies.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245786","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}

{"title":"Correction.","authors":"","doi":"10.1080/13607863.2025.2568261","DOIUrl":"https://doi.org/10.1080/13607863.2025.2568261","url":null,"abstract":"","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1"},"PeriodicalIF":2.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240469","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}

{"title":"Age and gender disparities in joint associations of physical activity and sleep duration with depressive symptoms trajectories: a longitudinal analysis of Chinese middle-aged and older adults.","authors":"Danxia Liu, Chen Xing, Jing Guo","doi":"10.1080/13607863.2025.2465771","DOIUrl":"10.1080/13607863.2025.2465771","url":null,"abstract":"<p><strong>Objectives: </strong>The combined effects of physical activity and sleep duration on depressive symptoms trajectories, and age and gender disparities remain inadequately understood. The objective of this study was to identify the joint relationship of physical activity and sleep duration with depressive symptoms trajectories in Chinese middle-aged and older adults, and explored disparities in the joint associations.</p><p><strong>Method: </strong>This longitudinal analysis draws upon data from the China Health and Retirement Longitudinal Study. The analysis comprised 35063 observations. Linear mixed-effect models were employed to discern independent and joint correlation of physical activity and sleep duration with depressive symptoms trajectories.</p><p><strong>Results: </strong>Chinese middle-aged and older adults showed increasing depressive symptoms trajectory. Physical activity and sleep duration interplayed to impact depressive symptoms trajectory in different ways. Compared to participants engaged in lower physical activity and short sleep, depressive symptom trajectories of those with higher physical activity and optimal sleep, and higher physical activity and short sleep increased less rapidly among group aged 60-70 years, as well as in women group.</p><p><strong>Conclusion: </strong>This study emphasized the importance of combining interventions targeting habits of physical activity and sleep for middle-aged and older adults to improve their mental health, especially for women and those aged 60-70 years.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1882-1891"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469904","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}

{"title":"A rapid scoping review on operationalizing cognitive and social activities in research on dementia risk reduction.","authors":"Jeroen Bruinsma, Ruud Roodbeen, Giselle G A Menting, Kay Deckers, Stevie Hendriks, Rik Crutzen","doi":"10.1080/13607863.2025.2515519","DOIUrl":"10.1080/13607863.2025.2515519","url":null,"abstract":"<p><strong>Objectives: </strong>Engagement in cognitive and social activities may protect against dementia. However, insight into how to adequately measure activity engagement is a necessary precursor of science. This study explores (a) how cognitive and social activities are measured in research investigating protective activities against dementia, and (b) the extent to which preventive interventions promote activities that are operationalized in measurements.</p><p><strong>Methods: </strong>A rapid scoping review was conducted on PubMed.</p><p><strong>Results: </strong>Across 58 studies, 38 had an observational design and predominantly used questionnaires to measure cognitive and social activities. A wide variety of items and themes were observed, including arts and crafts, social groups, exercise, games, outings, household tasks, education, music, multimedia use, reading, socializing, work or volunteering, and writing. There were considerable variations in item content, response scales, recall periods, and scoring methods. The 20 studies that reported on preventive interventions mainly focused on psychoeducation and (computerized) cognitive training, which do not fully align with activities measured in questionnaires.</p><p><strong>Conclusion: </strong>Many researchers measure and promote cognitive and social activities but do this differently, leading to fragmented insights into which activities protect against dementia. Clarifying the concept and relevant aspects to measure would support the development of better measurements and interventions.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1788-1797"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251010","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}

{"title":"Measuring self-efficacy in U.S. older adults with chronic disease: a systematic review.","authors":"Melissa D Hladek, Teresa Reimer, Jorie Casey, Manka Nkimbeng, Anna Peeler, Katie E Nelson, Janiece Taylor, Hae-Ra Han, Sarah L Szanton","doi":"10.1080/13607863.2025.2511226","DOIUrl":"10.1080/13607863.2025.2511226","url":null,"abstract":"<p><strong>Objectives: </strong>Self-efficacy (SE), confidence in one's abilities, is an integral concept in behavior change among older adults with chronic disease. SE improvements boost better health outcomes, such as decreases in blood glucose or pain. Although self-efficacy is a widely studied construct, the most commonly used measures in older adults with chronic disease remain unclear.</p><p><strong>Methods: </strong>A systematic literature search was conducted to identify how self-efficacy was operationalized and measured in US older adults with chronic diseases. Studies with validated SE measures for the top 10 chronic medical conditions (arthritis, chronic kidney disease, chronic obstructive pulmonary disease, coronary heart disease, dementia, depression, diabetes, hypertension, hypercholesterolemia, and heart failure) in older adults were included.</p><p><strong>Results: </strong>131 articles were identified using 45 validated SE scales. Self-efficacy measurement was most robustly represented in the arthritis and cardiovascular literature with fewer studies in chronic kidney disease and dementia. The top 9 SE scales were identified and domains within each of those scales explored.</p><p><strong>Conclusions: </strong>SE measurement is a key part of self-management. Its analysis is limited by the large number of SE scales and potential psychometric shortcomings. Measurement best practices and expansions in the concept of SE are discussed.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1764-1773"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellbeing and memory function: testing bidirectional associations in the English Longitudinal Study of Ageing (ELSA).","authors":"Amber John, Roopal Desai, Aphrodite Eshetu, Emily Willroth, Natalie Marchant, Barbara Woodward-Carlton, Dorina Cadar, Jiamin Yin, David Bartres-Faz, Rob Saunders, Georgia Bell, Aida Suarez Gonzalez, Darya Gaysina, Marcus Richards, Joshua Stott","doi":"10.1080/13607863.2025.2468408","DOIUrl":"10.1080/13607863.2025.2468408","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to test the bidirectional relationship between wellbeing and memory in a large, nationally representative sample of people aged 50+.</p><p><strong>Method: </strong>Data were used from the English Longitudinal Study of Ageing (ELSA), a longitudinal cohort comprising 12,099 people aged 50+, excluding people with dementia at baseline. Repeated measures of wellbeing (CASP-19) and episodic memory (immediate and delayed recall of a word list) were available 9-times over a 16-year period. Cross-lagged models were fitted to test bidirectional relationships between wellbeing and memory.</p><p><strong>Results: </strong>Higher wellbeing was associated with higher subsequent immediate and delayed memory scores at all time points, though effect sizes were small (standardised betas ranging from 0.04-0.07). There was not evidence that higher memory scores were associated with subsequent wellbeing.</p><p><strong>Conclusion: </strong>Higher levels of wellbeing are associated with better memory function over 16 years. The study does not provide evidence that the association operates in the opposite direction. The lack of evidence for a relationship between memory and subsequent wellbeing may suggest that associations in this direction only emerge after development of clinically-relevant cognitive impairment. Better wellbeing may be a protective factor in retaining memory function from middle to later adulthood.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1807-1813"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-specific impacts of employment on mental and cognitive health in older adults.","authors":"Su Hyun Shin, Jessie X Fan","doi":"10.1080/13607863.2025.2502797","DOIUrl":"10.1080/13607863.2025.2502797","url":null,"abstract":"<p><strong>Background: </strong>As the workforce ages, understanding the impact of employment on older adults' mental and cognitive health is increasingly important. These effects have implications for productivity, economic burden, and well-being. This study examines the causal relationship between employment and mental/cognitive health, with a focus on gender differences.</p><p><strong>Methods: </strong>Using panel data from the Health and Retirement Study (HRS) (1996-2016), we employ an instrumental variable (IV) two-stage least squares (2SLS) model, controlling for individual and time-fixed effects. An exogenous health shock (e.g. accident or injury outside of work) serves as the instrument. Employment outcomes (working for pay, hours worked per day, and weeks worked per year) are regressed on the instrument, and predicted values are used to explain CES-D (mental health) and fluid intelligence (cognitive health) scores.</p><p><strong>Results: </strong>Health shocks significantly reduce the probability of working, hours per day, and weeks per year. This decline in employment leads to lower fluid intelligence scores but has no effect on CES-D scores. This negative cognitive effect appears only among older women, not men.</p><p><strong>Implications: </strong>Supporting workforce participation among older women may help protect cognitive health while enhancing financial stability.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1821-1830"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163733","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}

{"title":"Functional training and Mat Pilates have a positive effect on non-motor symptoms improving cognition, depressive symptoms, anxiety, and happiness in people with Parkinson's disease: a randomized controlled clinical trial with follow-up.","authors":"Jéssica Amaro Moratelli, Clynton Lourenço Corrêa, Alexandro Andrade, Vanessa Bellani Lyra, Adriana Coutinho de Azevedo Guimarães","doi":"10.1080/13607863.2025.2496728","DOIUrl":"10.1080/13607863.2025.2496728","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the short-term (12-wk post-intervention) and long-term (6-month follow-up) effects of two exercise interventions (functional training or Mat Pilates) compared to a control group and a healthy reference group on non-motor symptoms in people with Parkinson's disease.</p><p><strong>Method: </strong>35 individuals with Parkinson's disease were randomized into three groups: functional training, Mat Pilates, and control group, along with 11 age- and sex-matched healthy individuals for the healthy reference group. The exercise groups received twice-weekly 60-min sessions for 12 wk. The control group and healthy reference group maintained routine activities and also received educational lectures during the 12-wk period. Outcome measures included cognition (MoCA), depressive symptoms (BDI), anxiety (BAI), mood (BRUMS), and aging perspective (Sheppard Inventory).</p><p><strong>Results: </strong>Short-term effects were observed for the functional training group in the short term for depressive symptoms (<i>p</i> = 0.010) and cognition (<i>p</i> = 0.040), and in the short and long term for anxiety (<i>p</i> = 0.007) and happiness (aging perspective) (<i>p</i> = 0.002). For the Mat Pilates group, effects were observed in cognition (<i>p</i> = 0.048) and confusion (<i>p</i> = 0.049) in the short term, and in depressive symptoms (<i>p</i> < 0.001), anxiety (<i>p</i> = 0.033), happiness (<i>p</i> < 0.001), and loneliness (aging perspective) (<i>p</i> = 0.017) in the short and long term. The control group showed worsening in depressive symptoms (<i>p</i> = 0.030) and confusion (<i>p</i> = 0.033).</p><p><strong>Conclusion: </strong>Mat Pilates and functional training classes were effective in improving cognition, depressive symptoms, anxiety, and happiness. The control group and healthy reference group did not show significant effects in most studied variables. Both types of exercise can be recommended by professionals working with people with Parkinson's disease.</p><p><strong>Registration: </strong>ReBEC - RBR-6ckggn.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1892-1901"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992984","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}