{"title":"Social networks and their association with depression in community-dwelling older adults: a meta-analysis.","authors":"Amelie Reiner, Elena De Gioannis, Paula Steinhoff","doi":"10.1080/13607863.2025.2468892","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468892","url":null,"abstract":"<p><p>Depression is a common mental health condition among older adults, while social networks offer protection. This meta-analysis quantifies the relationship between the structural aspects of social networks and depression in this population. Seven electronic databases were searched from inception until July 2023. Eligible studies focused on community-dwelling older adults (mean age ≥60), defined depression, referenced social networks in the abstract, and were published in English. Random-effects meta-analyses combined standardized beta coefficients for continuous depression outcomes and log odds for binary outcomes. Study quality, heterogeneity and potential publication bias were evaluated. Sixty-one studies met the inclusion criteria. Larger network size, frequent contact, and higher network scale scores were linked to lower depression levels, though effect sizes were modest. Network scales, incorporating structural and functional aspects, showed the strongest association with reduced depression, though this finding was rather suggestive. The distinction between family and friend networks was less significant, with combined measures and family ties showing stronger associations. Gender did not significantly influence the association, and continuous depression measures provided more nuanced insights than binary ones. Social networks offer modest protection against depression in older adults. Future research should standardize depression measures, further investigate gender and network differences, and explore long-term effects.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-22"},"PeriodicalIF":2.8,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538133","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}
Mark Oremus, Suzanne L Tyas, Nancy E G Newall, Colleen J Maxwell, Megan E O'Connell, Leilei Zeng
{"title":"The association of pre-COVID-19 social isolation and functional social support with loneliness during COVID-19: a longitudinal analysis of the Canadian Longitudinal Study on Aging.","authors":"Mark Oremus, Suzanne L Tyas, Nancy E G Newall, Colleen J Maxwell, Megan E O'Connell, Leilei Zeng","doi":"10.1080/13607863.2025.2472888","DOIUrl":"https://doi.org/10.1080/13607863.2025.2472888","url":null,"abstract":"<p><strong>Objectives: </strong>We evaluated the association between two measures of social connection prior to COVID-19-social isolation and functional social support-and loneliness during the pandemic.</p><p><strong>Method: </strong>The study was a retrospective longitudinal analysis of 20,129 middle-aged and older adults enrolled in the Canadian Longitudinal Study on Aging (CLSA). We drew upon two waves of CLSA data spanning three years and the supplemental COVID-19 Questionnaire Study of eight months to conduct our analysis.</p><p><strong>Results: </strong>Social isolation prior to COVID-19 was associated with loneliness during COVID-19 only among persons who were lonely before the pandemic (adjusted odds ratio [aOR]: 1.17; 95% confidence interval [CI]: 1.02, 1.35). Higher functional social support prior to COVID-19 was inversely associated with loneliness during the pandemic, when adjusting for pre-COVID-19 loneliness (aOR: 0.37; 95%CI: 0.34, 0.41) and when assessing incident loneliness during the pandemic (adjusted relative risk: 0.59; 95% CI: 0.55, 0.63).</p><p><strong>Conclusion: </strong>Policies are needed to identify people who are both socially isolated and lonely, and provide them with functional social support, to prevent worsening loneliness during public health crises.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538134","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-09-25DOI: 10.1080/13607863.2024.2407586
Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung
{"title":"Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy.","authors":"Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung","doi":"10.1080/13607863.2024.2407586","DOIUrl":"10.1080/13607863.2024.2407586","url":null,"abstract":"<p><strong>Objectives: </strong>The study examined the mediating role of fall-related self-efficacy in the association between falls and mental health among older Korean Americans living in subsidized senior housing in the greater Los Angeles area. We focused on serious fall incidents (i.e. multiple falls or any fall with a fracture) and used symptoms of depression and anxiety as indicators of mental health.</p><p><strong>Method: </strong>Survey data from 315 participants (<i>M</i> age = 79.4 years) were used to examine the direct effects of serious fall incidents on mental health symptoms, as well as indirect effects through fall-related self-efficacy.</p><p><strong>Results: </strong>The mediating effect of fall-related self-efficacy was found to be significant in both models for depressive symptoms (B [SE] = 0.15 [0.07], bias-corrected 95% CI = [0.03, 0.31]) and anxiety symptoms (B [SE] = 0.11 [0.05], bias-corrected 95% CI = [0.02, 0.23]).</p><p><strong>Conclusion: </strong>The mental health impact of serious fall incidents was shaped by older individuals' perceived concerns about falls and confidence in performance. The findings highlight the importance of addressing fall-related psychological responses in preventing falls and promoting mental health among senior housing residents.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"542-548"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333048","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-08-27DOI: 10.1080/13607863.2024.2396554
Eunhye Kim, Hyesu Yeo, Y Joon Choi
{"title":"The impact of resilience and coping strategies on depressive symptoms among Korean American older adults during COVID-19.","authors":"Eunhye Kim, Hyesu Yeo, Y Joon Choi","doi":"10.1080/13607863.2024.2396554","DOIUrl":"10.1080/13607863.2024.2396554","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined how resilience and coping strategies were associated with depressive symptoms among Korean American older adults during COVID-19. The prevalent depressive symptoms and low use of mental health services in this population have raised significant concerns among healthcare professionals. Therefore, this study aims to understand the relationships between resilience and coping types on depressive symptoms and provide valuable insights into addressing these issues within this ethnic group.</p><p><strong>Method: </strong>A cross-sectional survey was conducted with 132 Korean American older adults. Hierarchical linear regression analyses were performed to assess the effect of sociodemographic factors (age, gender, marital status, years of living in the U.S., self-rated health, financial security), resilience, and coping strategies (problem-focused coping, emotion-focused coping, avoidant coping) on depressive symptoms. Next, the interactions between resilience and three coping strategies for depressive symptoms were tested.</p><p><strong>Results: </strong>The findings show that depressive symptoms were associated with financial security and avoidant coping. Also, resilience interacted with avoidant coping and emotion-focused coping. Among the participants with low resilience, depressive symptoms increased rapidly when avoidant and emotion-focused coping strategies increased, respectively.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of culturally tailored interventions to promote resilience and decrease avoidant and emotion-focused coping among Korean American older adults.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"435-443"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082714","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-08-26DOI: 10.1080/13607863.2024.2396066
Maria L Kurth, Dakota D Witzel, Eric S Cerino, David M Almeida
{"title":"Longitudinal changes in coping strategies across midlife and older adulthood: findings from the midlife in the United States study.","authors":"Maria L Kurth, Dakota D Witzel, Eric S Cerino, David M Almeida","doi":"10.1080/13607863.2024.2396066","DOIUrl":"10.1080/13607863.2024.2396066","url":null,"abstract":"<p><strong>Objectives: </strong>Most studies examining age differences in coping across adulthood come from cross-sectional studies and focus on the broader categories of problem- and emotion-focused coping. We aimed to establish a factor structure for coping items used in a national, longitudinal study of aging (MIDUS) and examine age patterns in coping strategies over 10 years.</p><p><strong>Method: </strong>We performed exploratory and confirmatory factor analysis, and factorial invariance testing. Next we conducted a series of multilevel models for each coping factor with participants from waves II and III of the MIDUS study (<i>N</i> = 2,661, <i>M<sub>age</sub></i> = 55, 58% women, 84% White).</p><p><strong>Results: </strong>We found a four-factor solution: instrumental action; denial/disengagement; positive reappraisal; focus and venting of emotions. Invariance was established across time and age. At baseline, age was positively associated with the use of three strategies, though younger adults used more focus and venting of emotions. There was an overall decrease over 10 years in use of all strategies, which was moderated by age. Positive reappraisal declined more steeply among midlife participants, whereas the remaining strategies declined more for older participants.</p><p><strong>Conclusion: </strong>Results highlight the multi-dimensionality of MIDUS coping items and underscores the import of age in understanding changes in coping across midlife and older adulthood.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"423-434"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074580","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-09-08DOI: 10.1080/13607863.2024.2399091
Anne C Krendl, Colleen S Hughes
{"title":"Mindsets over matter: priming theory of mind improves older adults' mental state attributions about naturalistic social interactions.","authors":"Anne C Krendl, Colleen S Hughes","doi":"10.1080/13607863.2024.2399091","DOIUrl":"10.1080/13607863.2024.2399091","url":null,"abstract":"<p><strong>Objectives: </strong>Aging is associated with declines in theory of mind - the ability to infer the mental states of others. We examined whether priming theory of mind mindsets actively (Study 1) and passively (Study 2) improved older adults' performance.</p><p><strong>Method: </strong>Across two studies, participants completed a novel question-and-answer theory of mind task using the television show <i>Nathan for You<sup>®</sup></i> in a mindset or no mindset condition. In Study 1, participants (<i>N</i> = 324, 18-84 years) completed a similar task related to a different show prior to the <i>Nathan for You</i> task (active mindset). In Study 2, young (<i>N</i> = 235; <i>M<sub>Age</sub></i> = 20.47) and older (<i>N</i> = 193, <i>M<sub>Age</sub></i> = 74.48) adults made continuous ratings of awkwardness of different episodes of <i>Nathan for You</i> before completing the question-and-answer task (passive mindset). We also measured executive function and episodic memory. In both studies, the same tasks were performed in reverse order for the control conditions (no mindset).</p><p><strong>Results: </strong>Mindsets were associated with small-to-medium increases in theory of mind performance. Cognitive ability did not explain these improvements.</p><p><strong>Conclusion: </strong>These findings suggest that theory of mind performance can be improved through motivation (e.g. mindsets); cognitive function (e.g. ability) does not moderate this relationship.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"462-470"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156754","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-08-21DOI: 10.1080/13607863.2024.2394847
José Alberto Ribeiro-Gonçalves, Dora Pereira, Pedro Alexandre Costa, Isabel Leal
{"title":"Protective and stress factors for psychological distress: a comparative analysis of LGB and non-LGB older adults.","authors":"José Alberto Ribeiro-Gonçalves, Dora Pereira, Pedro Alexandre Costa, Isabel Leal","doi":"10.1080/13607863.2024.2394847","DOIUrl":"10.1080/13607863.2024.2394847","url":null,"abstract":"<p><strong>Objectives: </strong>Population ageing raises major public health and psychosocial challenges. Particularly, lesbian, gay, and bisexual (LGB) older people may face increased vulnerabilities and marginalization when compared to their non-LGB (heterosexual) counterparts, which may entail more risks for their mental health. The aim of this study was to comparatively evaluate the levels of protective - social support, spirituality, and resilience and stress factors - loneliness and ageism - among LGB and non-LGB older adults, and their impact on psychological distress (PD).</p><p><strong>Method: </strong>A sample of 647 people aged 60 years or older (<i>M</i> = 66.01; SD = 4.93) was collected, 368 non-LGB and 279 LGB. Participation was carried out through an online survey in Portugal.</p><p><strong>Results: </strong>LGB older adults had lower scores on all protective factors, except on social support from friends, and higher levels on all stress factors, except on hostile ageism, compared to non-LGB older adults. Further, resilience and loneliness were the main predictors of PD regardless of the sexual orientation. Stress factors explained the levels of PD over and above the effects of protective factors, both among LGB and non-LGB older adults.</p><p><strong>Conclusion: </strong>Psychological distress in aging presents different protective and stressful factors according to the sexual orientation of older adults. More comparative studies are suggested in the intersection between ageing and sexual orientation.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"408-417"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019695","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-08-23DOI: 10.1080/13607863.2024.2394577
Mary E Dozier, Caitlyn A Nix
{"title":"Home-based motivational interviewing for late-life rural hoarding disorder: a pilot study.","authors":"Mary E Dozier, Caitlyn A Nix","doi":"10.1080/13607863.2024.2394577","DOIUrl":"10.1080/13607863.2024.2394577","url":null,"abstract":"<p><strong>Objectives: </strong>The primary purpose of this pilot study was to determine the feasibility and acceptability of a novel brief (six-session) motivational interviewing home-based intervention for hoarding disorder designed for rural older adults. The secondary aims were to examine the engagement of proposed mechanisms of change and the preliminary efficacy of symptom reduction.</p><p><strong>Method: </strong>Fifteen rural-dwelling older adults were enrolled in the pilot trial for Project RECLAIM (<u>Re</u>duce <u>Cl</u>utter <u>a</u>nd <u>I</u>ncrease <u>M</u>eaning). Engagement of proposed mechanisms of change was assessed weekly for reported engagement in sorting/discarding behaviors and from baseline to post-treatment on readiness for change and motivation. Symptom reduction was assessed from baseline to post-treatment on hoarding symptoms and general psychological functioning.</p><p><strong>Results: </strong>Sixty percent of participants completed all six sessions of RECLAIM. Over the course of treatment, participants reported significant decreases in household clutter (<i>d</i> = -0.85) and object attachment (<i>d</i> = -1.01) and increases in positive affect (<i>d</i> = 0.71), readiness for change (<i>d</i> = 0.40) and motivation (<i>d</i> = 0.52), and sorting between sessions (<i>ß</i> = 3.82).</p><p><strong>Conclusion: </strong>The significant reductions in hoarding symptoms after only six sessions of treatment suggest that a brief, in-home, intervention may be a viable option for symptom reduction, particularly for rural-dwelling older adults.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"391-399"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037813","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-08-26DOI: 10.1080/13607863.2024.2394591
Mandy Claus, Melanie Luppa, Andrea Zülke, Iris Blotenberg, Maria Isabel Cardona, Juliane Döhring, Catharina Escales, Robert Philipp Kosilek, Anke Oey, Isabel Zöllinger, Christian Brettschneider, David Czock, Thomas Frese, Jochen Gensichen, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Hans-Helmut König, Birgitt Wiese, Jochen René Thyrian, Steffi G Riedel-Heller
{"title":"Potential for reducing dementia risk: association of the CAIDE score with additional lifestyle components from the LIBRA score in a population at high risk of dementia.","authors":"Mandy Claus, Melanie Luppa, Andrea Zülke, Iris Blotenberg, Maria Isabel Cardona, Juliane Döhring, Catharina Escales, Robert Philipp Kosilek, Anke Oey, Isabel Zöllinger, Christian Brettschneider, David Czock, Thomas Frese, Jochen Gensichen, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Hans-Helmut König, Birgitt Wiese, Jochen René Thyrian, Steffi G Riedel-Heller","doi":"10.1080/13607863.2024.2394591","DOIUrl":"10.1080/13607863.2024.2394591","url":null,"abstract":"<p><strong>Objectives: </strong>Various dementia risk scores exist that assess different factors. We investigated the association between the Cardiovascular Risk Factors, Aging, and Incidence of Dementia (CAIDE) score and modifiable risk factors in the Lifestyle for Brain Health (LIBRA) score in a German population at high risk of Alzheimer's disease.</p><p><strong>Method: </strong>Baseline data of 807 participants of AgeWell.de (mean age: 68.8 years (SD = 4.9)) were analysed. Stepwise multivariable regression was used to examine the association between the CAIDE score and additional risk factors of the LIBRA score. Additionally, we examined the association between dementia risk models and cognitive performance, as measured by the Montreal Cognitive Assessment.</p><p><strong>Results: </strong>High cognitive activity (β = -0.016, <i>p</i> < 0.001) and high fruit and vegetable intake (β = -0.032, <i>p</i> < 0.001) correlated with lower CAIDE scores, while diabetes was associated with higher CAIDE scores (β = 0.191; <i>p</i> = 0.032). Although all were classified as high risk on CAIDE, 31.5% scored ≤0 points on LIBRA, indicating a lower risk of dementia. Higher CAIDE and LIBRA scores were associated with lower cognitive performance.</p><p><strong>Conclusion: </strong>Regular cognitive activities and increased fruit and vegetable intake were associated with lower CAIDE scores. Different participants are classified as being at-risk based on the dementia risk score used.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"400-407"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057373","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}
Aging & Mental HealthPub Date : 2025-03-01Epub Date: 2024-10-09DOI: 10.1080/13607863.2024.2410258
Cassie Eastham, Yeliz Prior, John Keady, Warren Mansell, Cathy Riley, Mal Walters, Lydia Morris
{"title":"'It opens up a whole new world for everybody': how carers of people with dementia view the online empowered conversations communication course.","authors":"Cassie Eastham, Yeliz Prior, John Keady, Warren Mansell, Cathy Riley, Mal Walters, Lydia Morris","doi":"10.1080/13607863.2024.2410258","DOIUrl":"10.1080/13607863.2024.2410258","url":null,"abstract":"<p><strong>Objectives: </strong>This paper explores (1) experiences of participating in Empowered Conversations, an online communication course for carers of people with dementia and (2) how participants felt the course had changed their experience of caring.</p><p><strong>Method: </strong>Fifteen semi-structured interviews were completed with carers who had attended Empowered Conversations as part of a larger feasibility trial conducted in Greater Manchester, UK (ISRCTN15261686). Data were analysed using applied thematic analysis.</p><p><strong>Results: </strong>Three themes were developed: (1) You've got nothing to lose and everything to gain, including the course content, timing and format, and perceived burden and benefits of the course; (2). A community to share together, including the value of being honest, vulnerable, and sharing stories; and (3) Being given a new way to see the world, including understanding the person and their diagnosis, enabling greater control and reducing interpersonal conflict, and recalibrating their expectations.</p><p><strong>Conclusion: </strong>Carers reported positive experiences of participating in Empowered Conversations and valued meeting people who, despite different circumstances, shared their understanding of supporting someone with dementia. The course supported participants to be honest and vulnerable, and helped them to rethink communication and have a greater appreciation of the other person's perspective during everyday interactions.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"558-566"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395534","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}