Aging & Mental Health最新文献

Efficacy of digital cognitive behavioral therapy for treating insomnia in adults aged 65 and older: a secondary analysis using individual participant data from three randomized controlled trials. 数字认知行为疗法治疗65岁及以上成年人失眠的疗效：使用来自三个随机对照试验的个体参与者数据的二次分析。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-04-03 DOI: 10.1080/13607863.2025.2480124

Kathryn A Tarnai, Christopher B Miller, Nicholas Magill, Richard Emsley, Will Robinson, Simon D Kyle, Emer R McGrath, Colin A Espie, Alasdair L Henry

{"title":"Efficacy of digital cognitive behavioral therapy for treating insomnia in adults aged 65 and older: a secondary analysis using individual participant data from three randomized controlled trials.","authors":"Kathryn A Tarnai, Christopher B Miller, Nicholas Magill, Richard Emsley, Will Robinson, Simon D Kyle, Emer R McGrath, Colin A Espie, Alasdair L Henry","doi":"10.1080/13607863.2025.2480124","DOIUrl":"10.1080/13607863.2025.2480124","url":null,"abstract":"Objectives: Insomnia prevalence increases with age. Although cognitive behavioral therapy (CBT) for insomnia is the first-line treatment, limited accessibility leaves many older adults with few effective treatment options. This study assessed the efficacy of digital CBT (dCBT) for treating insomnia, anxiety, and depression symptoms in adults aged 65 and older.Method: Data from three published randomized controlled trials of dCBT for insomnia (Sleepio) versus controls were combined for those aged 65+ with insomnia disorder (N = 315). Insomnia, anxiety, and depression scores were standardized into z-scores for comparison. Mixed-effects models estimated the treatment effect on insomnia, depression, and anxiety outcomes at post-treatment (8-10 wk) and follow-up (24 wk). Chi-squared tests of Sleep Condition Indicator (SCI-8) scores evaluated post-treatment insomnia remission rates between groups.Results: Compared with controls, dCBT generated significantly greater improvements at post-treatment and follow-up in insomnia (gs ≤ -1.88, ps < 0.001) and depression (gs ≤ -0.44, ps ≤ 0.001) and significantly greater improvements in anxiety at post-treatment (g = -0.33, p < 0.001). dCBT generated higher post-treatment insomnia remission rates (60% vs. 16%, p < 0.001).Conclusion: dCBT can effectively improve symptoms of insomnia, anxiety, and depression in adults aged 65+. Digital CBT may serve as an accessible means for older adults to receive guideline-concordant treatment at scale and avoid adverse side effects from common pharmacologic interventions.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1461-1467"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774947","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

Living with dementia and other long-term conditions: what works for patient-caregiver dyads? A realist review. 患有痴呆症和其他长期疾病的人：什么对病人-照顾者二人组有效？现实主义的评论。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-04-03 DOI: 10.1080/13607863.2025.2478168

Melanie Handley, Greg Windle, Elspeth Mathie, Honey-Anne Greco, Ben Underwood, Claire Surr, Karen Harrison Dening, Steve Milton, Amit Pujari, Reda M Lebcir, Jennifer Lynch, Lucy Beishon, Elizabeth L Sampson, Reinhold Scherer, Claire Goodman

{"title":"Living with dementia and other long-term conditions: what works for patient-caregiver dyads? A realist review.","authors":"Melanie Handley, Greg Windle, Elspeth Mathie, Honey-Anne Greco, Ben Underwood, Claire Surr, Karen Harrison Dening, Steve Milton, Amit Pujari, Reda M Lebcir, Jennifer Lynch, Lucy Beishon, Elizabeth L Sampson, Reinhold Scherer, Claire Goodman","doi":"10.1080/13607863.2025.2478168","DOIUrl":"10.1080/13607863.2025.2478168","url":null,"abstract":"Objectives: Globally, increasing numbers of people are living with multiple long-term conditions. When dementia is a co-occurring condition, contact with services is complicated due to cognitive difficulties and is often achieved as a dyad (person-carer). This realist review aimed to explain how dyads living with dementia alongside other long-term conditions are enabled to access and navigate health and care systems.Method: An iterative, three-stage approach synthesised evidence from empirical studies and stakeholders with lived and professional experience (ethics reference 23/LO/0829).Results: Evidence from 61 studies and stakeholders (30 participants, 68 consulted) built and refined five programme theories for how health and care systems can achieve continuity of support, anticipate adverse events and maintain quality of life. Belief that concerns would be listened to and acted upon led dyads to seek assistance. Time and permission to discuss priorities, prognosis and acceptable levels of burden enabled uncertainties to be managed as a shared endeavour. The collective capacity of the dyad was enhanced by peer support, expertise they accrued and professionals who helped anticipate points of change.Conclusion: Despite years of system changes, structural factors still create excessive burdens for dyads accessing services and constrain professionals' ability to respond to complex needs.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1376-1386"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774948","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

Who appraises perceived expectations for active aging favorably? The role of resources and motivation. 谁对积极老龄化的预期评价更好？资源和动机的作用。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-04-15 DOI: 10.1080/13607863.2025.2491017

Sonja Radoš, Maria K Pavlova, Rainer K Silbereisen

{"title":"Who appraises perceived expectations for active aging favorably? The role of resources and motivation.","authors":"Sonja Radoš, Maria K Pavlova, Rainer K Silbereisen","doi":"10.1080/13607863.2025.2491017","DOIUrl":"10.1080/13607863.2025.2491017","url":null,"abstract":"Objectives: Older adults face increasing social expectations to age actively (e.g. to remain healthy and socially engaged). Individuals' reactions to such expectations may depend on their willingness to lead an active lifestyle and on the resources available to them. In this study, we investigated the joint effects of the motivations for active aging (generativity and the life goals of developing skills and staying healthy) and resources (socioeconomic, health, personal, and social) on changes in the challenge and threat appraisals of expectations for active aging.Method: Our sample consisted of young-old German adults (aged 56-75) surveyed twice with a one-year interval (NT1 = 1,508, NT2 = 602).Results: Residual change analyses revealed that, among motivated older adults, health and socioeconomic resources predicted more favorable appraisals one year later. Personal resources contributed independently to the reduction in the threat appraisal. Additionally, all types of resources were positively associated with favorable appraisals at baseline, and some of these effects were again stronger in more motivated individuals.Conclusion: Our findings corroborate the idea that both the resources and the motivation for active aging are necessary to meet the corresponding social expectations. Thus, the active aging discourse may primarily benefit advantaged and motivated individuals.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1546-1553"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007784","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

Both childhood and adult perceived financial strain impact age trajectories of change in emotional health in late adulthood. 童年和成人感知的经济压力影响成年后期情绪健康变化的年龄轨迹。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-02-13 DOI: 10.1080/13607863.2025.2464709

Deborah Finkel, Martin Hyde, Caroline Hasselgren, Lawrence Sacco, Shireen Sindi, Charlotta Nilsen

{"title":"Both childhood and adult perceived financial strain impact age trajectories of change in emotional health in late adulthood.","authors":"Deborah Finkel, Martin Hyde, Caroline Hasselgren, Lawrence Sacco, Shireen Sindi, Charlotta Nilsen","doi":"10.1080/13607863.2025.2464709","DOIUrl":"10.1080/13607863.2025.2464709","url":null,"abstract":"Objectives: Socioeconomic status impacts emotional health outcomes, but a lifecourse approach is necessary to understand the timing of these effects. The current analyses examined the impact of financial strain in childhood and adulthood on longitudinal changes in three measures of emotional health: depressive symptoms, loneliness, and anxiety.Method: Data were from 1596 adults from the Swedish Twin Registry, aged 45 to 98 at intake (mean = 72.6) who participated in up to 9 waves over 25 years. Measures of financial strain (FS) included questions about how well finances met family needs. Latent growth curve models (LGCM) were used to estimate the impact of childhood and adult FS on changes in emotional health.Results: Results indicated that both childhood and adult FS independently influenced trajectories of emotional health in mid to late adulthood. For all 3 emotional health variables, both childhood and adult FS were associated with the LGCM intercept and childhood FS was associated with linear change with age. Interaction effects of childhood and adult FS were found for the LGCM intercept for loneliness, only.Conclusion: Results corroborate the accumulation of risk models, with effects of both childhood and adult FS on emotional health, and possible social mobility effects for loneliness.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1497-1504"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411705","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}

引用次数: 0

Older women's reflections on the meaning of surviving an attempted intimate partner homicide in later life. 老年妇女对在亲密伴侣谋杀未遂中幸存下来的意义的思考。

IF 2.4 3区医学

Aging & Mental Health Pub Date : 2025-08-01 DOI: 10.1080/13607863.2025.2541189

Hila Avieli

{"title":"Older women's reflections on the meaning of surviving an attempted intimate partner homicide in later life.","authors":"Hila Avieli","doi":"10.1080/13607863.2025.2541189","DOIUrl":"https://doi.org/10.1080/13607863.2025.2541189","url":null,"abstract":"Objectives: This study explores the experiences of older women who survived attempted intimate partner homicide (IPH)-a population largely overlooked in existing research. Guided by a life-course perspective, it examines how these women make meaning of their survival in later life, offering insight into their emotional needs and expanding the understanding of survivorship in older age.Method: Using interpretative phenomenological analysis, in-depth, semi-structured interviews were conducted with 11 women over the age of sixty, all survivors of intimate partner homicide.Results: Three key themes emerged: (1) Surviving an IPH attempt as a critical turning point and a chance for new life; (2) Surviving an IPH attempt as a continuum of the violent relationship dynamics; (3) The perception of coping at this point in life.Conclusion: The findings suggest that survivorship is an ongoing process shaped by personal agency, age-related factors, and social, legal, and familial networks, carrying multiple meanings for participants that reflect both challenges and opportunities in their journey forward.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765831","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

Providing inclusive care and empowering people with dementia as a clinical pharmacist: a qualitative study of clinical pharmacist's experiences. 作为一名临床药剂师，提供包容性护理并赋予痴呆症患者权力：临床药剂师经验的定性研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-03-24 DOI: 10.1080/13607863.2025.2481970

Alice Burnand, Abi Woodward, Kumud Kantilal, Cini Bhanu, Yogini Jani, Mine Orlu, Greta Rait, Madiha Sajid, Kritika Samsi, Victoria Vickerstaff, Jane Ward, Jane Wilcock, Jill Manthorpe, Nathan Davies

{"title":"Providing inclusive care and empowering people with dementia as a clinical pharmacist: a qualitative study of clinical pharmacist's experiences.","authors":"Alice Burnand, Abi Woodward, Kumud Kantilal, Cini Bhanu, Yogini Jani, Mine Orlu, Greta Rait, Madiha Sajid, Kritika Samsi, Victoria Vickerstaff, Jane Ward, Jane Wilcock, Jill Manthorpe, Nathan Davies","doi":"10.1080/13607863.2025.2481970","DOIUrl":"10.1080/13607863.2025.2481970","url":null,"abstract":"Objectives: Dementia is a growing global health concern, significantly impacting primary care settings, where the majority of care for people with dementia is provided. Underserved and vulnerable groups, who often face disparities in access to care are at greater risk of this strain. Clinical pharmacists are well-positioned to provide care but their potential contribution to enhancing person-centred and inclusive care for people with dementia is largely unexplored. The aims are to explore the views and experiences of primary care based clinical pharmacists in providing inclusive care to people with dementia in the community.Method: We conducted 13 semi-structured interviews with primary care clinical pharmacists in England in 2023-2024, which were analysed using reflexive thematic analysis.Results: Two overarching themes were developed from the interviews: 1) involving patients in decision-making, ensuring person-centered care and 2) the prevalence of health inequalities and the impact on patient care.Conclusion: Taking a personalised and person-centred approach clinical pharmacists can engage with patients and carers in decision-making. This can empower people, particularly those from minoritised or disadvantaged groups, to take an active role in their care. This may help with medication adherence but also build trust, potentially leading to better quality and more equitable care. Personalised care should consider cultural beliefs and preferences to reduce misunderstandings or stigma and improve the overall experience for individuals, helping to reduce disparities.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1407-1413"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702175","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

Six-year trajectories of core depressive symptoms and insomnia symptoms in depressed older adults: a NESDO study. 抑郁症老年人核心抑郁症状和失眠症状的六年轨迹：NESDO研究

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-05-04 DOI: 10.1080/13607863.2025.2496730

Mirjam L Kerpershoek, Erik J Giltay, Almar A L Kok, Rob M Kok, Mardien L Oudega, Richard C Oude Voshaar, Nathaly Rius Ottenheim, Eveline M Veltman, Julia F van den Berg

{"title":"Six-year trajectories of core depressive symptoms and insomnia symptoms in depressed older adults: a NESDO study.","authors":"Mirjam L Kerpershoek, Erik J Giltay, Almar A L Kok, Rob M Kok, Mardien L Oudega, Richard C Oude Voshaar, Nathaly Rius Ottenheim, Eveline M Veltman, Julia F van den Berg","doi":"10.1080/13607863.2025.2496730","DOIUrl":"10.1080/13607863.2025.2496730","url":null,"abstract":"Objectives: This study aimed to identify trajectories of core depressive symptoms and insomnia symptoms in depressed older adults, their prevalence and association, and predictors of unfavorable trajectories.Method: We examined 6-year follow-up data of 329 depressed older adults from the Netherlands Study of Depression in Older persons. Core depressive symptoms and insomnia symptoms were assessed with the Inventory of Depressive Symptomatology. We applied growth mixture modeling to identify classes of participants with similar trajectories of core depressive symptoms and insomnia symptoms. The association between core depressive and insomnia symptom trajectories and predictors of these trajectories were examined.Results: We identified three core depressive symptom trajectories: low and declining (40.4%), moderate and declining (37.4%), and high and stable (22.2%); and four insomnia symptom trajectories: moderate and declining (13.7%), low and increasing (7.6%), moderate and stable (55.6%), and high and stable (23.1%). Participants with favorable core depressive symptom trajectories often had unfavorable insomnia symptom trajectories. Older age, chronic diseases, and functional limitations predicted unfavorable core depressive symptom trajectories. Functional limitations predicted unfavorable insomnia symptom trajectories.Conclusion: Trajectories of core depressive and insomnia symptoms in depressed older adults were partly associated, but insomnia symptoms often persisted despite improving core depressive symptoms, highlighting the importance of different targeted interventions.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1468-1476"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998157","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

Older adults living with Alzheimer's Disease, dementia or mild cognitive impairment with no informal caregiver or care partner: IDEA Café, the first pilot randomized trial intervention for this underserved populations. 患有阿尔茨海默病、痴呆或轻度认知障碍的老年人没有非正式的照顾者或护理伙伴：IDEA caf<s:1>，这是针对这一服务不足人群的第一个试点随机试验干预。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-04-20 DOI: 10.1080/13607863.2025.2468893

Karen I Fredriksen-Goldsen, Hyun-Jun Kim, Linda Teri, Brittany R Jones-Cobb, David La Fazia, Ryan Petros, Clara Berridge, Anyah Prasad, Austin Oswald, Charles A Emlet

{"title":"Older adults living with Alzheimer's Disease, dementia or mild cognitive impairment with no informal caregiver or care partner: IDEA Café, the first pilot randomized trial intervention for this underserved populations.","authors":"Karen I Fredriksen-Goldsen, Hyun-Jun Kim, Linda Teri, Brittany R Jones-Cobb, David La Fazia, Ryan Petros, Clara Berridge, Anyah Prasad, Austin Oswald, Charles A Emlet","doi":"10.1080/13607863.2025.2468893","DOIUrl":"10.1080/13607863.2025.2468893","url":null,"abstract":"Objectives: This study presents findings from IDEA Café, for older adults aged 50 and older living with early dementia, dementia, Alzheimer's Disease or cognitive impairment (ED/CI) with no informal caregiver or care partner. IDEA Café is a group adaptation of Innovations in Dementia Empowerment and Action (IDEA) (built upon the foundation of RDAD). It was tested with sexual and gender minority (SGM) older adults, as an underserved population.Method: Employing a two-group randomized controlled pilot trial, thirty participants were randomly assigned to IDEA Café (n = 15) or routine medical care (RMC; n = 15). Feasibility and acceptability were assessed. We conducted pre- and post-treatment assessments of primary and secondary outcomes.Results: IDEA Café was feasible (attendance, participation), acceptable (helpfulness of the program), and met enrollment goals, with 85% of participants reporting treatment as helpful. The treatment group showed significant improvement in physical functioning (p = 0.04), depressive symptomology (p = 0.03), quality of life (p = 0.04), and a reduction in microaggressions (p = 0.05) and social exclusion (p = 0.03). The RMC showed no statistical change from pretest to posttest.Conclusion: A future randomized controlled trial is needed to test the efficacy and sustainability of the intervention and to bring the intervention to scale.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1398-1406"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060517","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}

引用次数: 0

Pain burden and sleep quality in community-dwelling adults aged ≥50 years in Ghana: potential psychosomatic mechanisms. 加纳≥50岁社区居民的疼痛负担和睡眠质量：潜在的心身机制

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-03-27 DOI: 10.1080/13607863.2025.2483334

Razak M Gyasi, Emelia Aikins, Priscilla Appiah, Emmanuel Nyaaba, Desmond Agyei, Emmanuel Konadu, Veronica Teye Angmorkwor, André Hajek, Louis Jacob, Karl Peltzer, Lee Smith

{"title":"Pain burden and sleep quality in community-dwelling adults aged ≥50 years in Ghana: potential psychosomatic mechanisms.","authors":"Razak M Gyasi, Emelia Aikins, Priscilla Appiah, Emmanuel Nyaaba, Desmond Agyei, Emmanuel Konadu, Veronica Teye Angmorkwor, André Hajek, Louis Jacob, Karl Peltzer, Lee Smith","doi":"10.1080/13607863.2025.2483334","DOIUrl":"10.1080/13607863.2025.2483334","url":null,"abstract":"Objectives: Pain has been related to adverse health outcomes in old age. However, evidence from low-income countries is limited, and the potential mediators are poorly understood. Therefore, the aim of this study was to analyze the association between pain burden (PB) and sleep problems (SP) among older adults in Ghana and explore potential psychosomatic mediators.Method: We analyzed data from the Aging, Health, and Health-seeking Behavior study administered to 1201 adults aged ≥50 years. PB was assessed using the pain subscale of the Medical Outcomes Study Short Form-36. SP was assessed using nighttime/daytime SP in the last 30 days. Multivariable OLS and mediation models evaluated the hypotheses.Results: Mean (SD) age was 66.14 (11.85) years, and 63.3% were women. After full adjustment, PB (versus no PB) was positively associated with SP in the overall sample (b = 0.227, 95% CI = 0.124 - 0.331) and women (b = 0.363, 95% CI = 0.233 - 0.492) but not in men. Moreover, the association was pronounced in the ≥65 year group (b = 0.317) than in the 50-64 year group (b = 0.216). Self-rated health (54.4%), immobility (23.4%), physical activity (12.2%), restlessness (12.1%), depression (6.4%), anxiety (6.3%), and social isolation (7.2%) mediated the PB-SP association.Conclusion: PB was positively associated with SP among older adults in Ghana. Bio-psychosomatic factors were identified as potential mediators in this association. Addressing these factors may improve sleep health in older adults with pain.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1477-1484"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722615","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 mental health in older adults: exploring the interplay of wisdom, perceived poor health, and attitudes toward aging. 了解老年人的心理健康：探索智慧、健康状况不佳和对衰老的态度之间的相互作用。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-08-01 Epub Date: 2025-01-24 DOI: 10.1080/13607863.2025.2452943

Magdalena Zadworna, Monika Ardelt

{"title":"Understanding mental health in older adults: exploring the interplay of wisdom, perceived poor health, and attitudes toward aging.","authors":"Magdalena Zadworna, Monika Ardelt","doi":"10.1080/13607863.2025.2452943","DOIUrl":"10.1080/13607863.2025.2452943","url":null,"abstract":"Objectives: Late adulthood is marked by challenges that impact well-being. While perceived health, wisdom, and positive attitudes toward aging correlate with better mental health in later life, their interrelations are not well understood. This study explored if three-dimensional wisdom could buffer the negative impact of poor physical health on mental health, and if positive attitudes toward aging mediated the effects of wisdom and poor health on mental health.Method: A survey of 500 Polish older adults aged 60-86 included the Personal Wellbeing Index, Geriatric Depression Scale, Three-Dimensional Wisdom Scale, Attitudes to Aging Questionnaire, perceived health, and sociodemographic questions.Results: Wisdom buffered the negative association between poor physical health on mental health and had a significantly stronger effect on mental health if perceived physical health was very poor. The relations of wisdom, poor health, and the interaction between wisdom and poor health on mental health were partially mediated by attitudes toward aging.Conclusion: Wisdom seems to mitigate the negative effects of poor health on mental health, and wise older adults tend to have more positive attitudes toward aging, leading to better mental health outcomes. Those findings support the important role played by wisdom and attitudes toward aging in healthy aging interventions.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1485-1496"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034776","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