Aging & Mental Health最新文献_第10页

PTSD moderates the association between subjective cognitive decline and Alzheimer's disease biomarkers in older veterans. 创伤后应激障碍可调节老年退伍军人主观认知能力下降与阿尔茨海默病生物标志物之间的关联。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-08 DOI: 10.1080/13607863.2024.2389547

Britney Luu, Katherine J Bangen, Alexandra L Clark, Alexandra J Weigand, Peter Rantins, Mary Ellen Garcia, Uriel Urias, Victoria C Merritt, Kelsey R Thomas

{"title":"PTSD moderates the association between subjective cognitive decline and Alzheimer's disease biomarkers in older veterans.","authors":"Britney Luu, Katherine J Bangen, Alexandra L Clark, Alexandra J Weigand, Peter Rantins, Mary Ellen Garcia, Uriel Urias, Victoria C Merritt, Kelsey R Thomas","doi":"10.1080/13607863.2024.2389547","DOIUrl":"10.1080/13607863.2024.2389547","url":null,"abstract":"Objectives: Post-traumatic stress disorder (PTSD) and subjective cognitive decline (SCD) are independent risk factors for Alzheimer's disease (AD) and dementia, but the association of their interaction on AD biomarkers have yet to be characterized. This study aimed to examine the impact of PTSD on the association between SCD and tau and amyloid positron emission tomography (PET) as well as global cognition in older Veterans.Method: This study included 87 Vietnam-Era Veterans without dementia (42 with PTSD; 45 without PTSD) from the Department of Defense-Alzheimer's Disease Neuroimaging Initiative. All participants had both tau and amyloid PET imaging as well as cognitive testing. SCD was measured using the Everyday Cognition questionnaire.Results: While SCD was associated with tau PET, amyloid PET, and global cognition, PTSD moderated these associations for tau and amyloid PET levels. Specifically, Veterans without PTSD had a stronger positive relationship between SCD and AD biomarkers when compared to those with PTSD.Conclusion: Higher SCD was associated with greater tau and amyloid burden and worse cognitive performance across the sample, though the tau and amyloid associations were stronger for Veterans without PTSD. Results highlight the potential benefit of comprehensive clinical assessments including consideration of mental health among older Veterans with SCD to understand the underlying cause of the cognitive concerns. Additionally, more work is needed to understand alternative mechanisms driving SCD in older Veterans with PTSD.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"315-323"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908468","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

The 4Ms of an age-friendly health system in behavioral health: pilot test of an educational framework. 行为健康领域对老年人友好的 4M 保健系统：教育框架的试点测试。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-12 DOI: 10.1080/13607863.2024.2389543

Erin E Emery-Tiburcio, Laura Porter, Siqi Wang, Susan Buehler

{"title":"The 4Ms of an age-friendly health system in behavioral health: pilot test of an educational framework.","authors":"Erin E Emery-Tiburcio, Laura Porter, Siqi Wang, Susan Buehler","doi":"10.1080/13607863.2024.2389543","DOIUrl":"10.1080/13607863.2024.2389543","url":null,"abstract":"Objectives: This pilot test of the 4Ms-Behavioral Health (4Ms-BH) training program was designed to assess knowledge gains, clinical behavior change, and acceptability among mental health clinicians and compile lessons to guide widespread implementation of the framework. The ultimate future goal is to improve care for older adults by expanding the 4Ms framework for behavioral health providers.Method: Fifteen mental health clinicians from Community Mental Health Centers in three states completed eight hours of live session training over six months: one three-hour introduction followed by five monthly application sessions. Clinicians completed knowledge and clinical behavior measures before and after training, along with follow-up discussion regarding acceptability and sustainability.Results: Although knowledge gains were not significant in the overall 4Ms knowledge assessment, knowledge in the Medication and Mobility domains improved at 17% and 15%, respectively. Participants completing the program demonstrated an increased frequency of clinical behaviors pertinent to older adult care with large effect sizes in each of the 4Ms assessment and action activities from pre-training to post-training (Cohen's d range = 0.82 - 1.66, p ≤ 0.01).Conclusion: The 4Ms-BH framework was well-received by participants, who demonstrated some significant knowledge gains and clinical behavior change. These pilot data suggest that this framework has strong potential to effectively train mental health clinicians with little geriatric training.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"307-314"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972386","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

Does the coexistence of pain and depressive symptoms accelerate cognitive decline? 疼痛和抑郁症状并存是否会加速认知能力的衰退？

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-19 DOI: 10.1080/13607863.2024.2392737

Patrícia Silva Tofani, Roberta de Oliveira Máximo, Natália Cochar-Soares, Paula Camila Ramírez, Mariane Marques Luiz, Sara Souza Lima, Thaís Barros Pereira da Silva, Thales Batista de Souza, Letícia Coelho Silveira, Valdete Regina Guandalini, Andrew Steptoe, Cesar de Oliveira, Tiago da Silva Alexandre

{"title":"Does the coexistence of pain and depressive symptoms accelerate cognitive decline?","authors":"Patrícia Silva Tofani, Roberta de Oliveira Máximo, Natália Cochar-Soares, Paula Camila Ramírez, Mariane Marques Luiz, Sara Souza Lima, Thaís Barros Pereira da Silva, Thales Batista de Souza, Letícia Coelho Silveira, Valdete Regina Guandalini, Andrew Steptoe, Cesar de Oliveira, Tiago da Silva Alexandre","doi":"10.1080/13607863.2024.2392737","DOIUrl":"10.1080/13607863.2024.2392737","url":null,"abstract":"Objectives: Investigate whether the coexistence of pain and depressive symptoms is a risk factor for cognitive decline in individuals aged 50 or older.Method: Longitudinal trajectory study involving 4,718 participants from the English Longitudinal Study of Ageing (ELSA). Joint pain was self-reported, and intensity was classified as mild, moderate/intense. Depressive symptoms were investigated using the Centre for Epidemiologic Studies Depression Scale (CES-D-8 ≥ 4). The sample was divided into six groups: no pain and no depression (NP/NDe), mild pain and no depression (MP/NDe), moderate/intense pain and no depression (M-IP/NDe), no pain and depression (NP/De), mild pain and depression (MP/De), and moderate/intense pain and depression (M-IP/De). The outcome of interest was performance in memory, executive function, and global cognition. Generalised linear mixed models were used to analyse performance in the cognitive domains and global cognition score as a function of pain and depressive symptoms during 12 years of follow-up.Results: Over time, individuals with M-IP/De had a greater memory decline (-0.038 SD/year, 95%CI: -0.068 to -0.007) and the global cognition score (-0.033 SD/year, 95%CI: -0.063 to -0.002) than those with NP/NDe.Conclusion: The coexistence of moderate/intense pain and depressive symptoms is a risk factor for the decline of global cognition and memory.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"334-342"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005998","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

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-07-31 DOI: 10.1080/13607863.2024.2386079

Nicolas Wrede, Nils F Töpfer, Anne Katrin Risch, Gabriele Wilz

{"title":"How do care-related beliefs contribute to depression and anxiety in family caregivers of people with dementia? Testing a cognitive vulnerability-stress model.","authors":"Nicolas Wrede, Nils F Töpfer, Anne Katrin Risch, Gabriele Wilz","doi":"10.1080/13607863.2024.2386079","DOIUrl":"10.1080/13607863.2024.2386079","url":null,"abstract":"Objectives: Care-related beliefs are considered risk factors for decreased mental health in family caregivers of people with dementia. However, their exact role in the caregiver stress process remains unclear. Hence, we tested a cognitive vulnerability-stress model of depression and anxiety in family caregivers of people with dementia.Method: A cross-sectional study was conducted using baseline data from a caregiver intervention trial (N = 322). Within Bayesian moderated mediation analysis, we examined mediation of effects of objective demands (severity of dementia, challenging behavior, caregiving intensity, caregiving duration) on depression and anxiety via subjective caregiver burden and moderation by care-related beliefs in four domains (dysfunctional caregiving standards, dysfunctional attitudes towards dementia, functional self-care-related beliefs, functional acceptance-related beliefs).Results: The relation between objective demands and subjective burden was amplified by dysfunctional caregiving standards and dysfunctional attitudes towards dementia and mitigated by functional self-care-related beliefs. Further, functional acceptance-related beliefs attenuated the effect of subjective caregiver burden on depression.Conclusion: The study provides preliminary evidence for a cognitive vulnerability-stress model of depression and anxiety in family caregivers of people with dementia. The results indicate that the four-domain model of care-related beliefs is a valuable framework for future research and may serve as a heuristic model for cognitive-behavioral therapy in this population.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"282-290"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861753","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

Solitude in old age: a scoping review of conceptualisations, associated factors and impacts. 老年孤独：对概念、相关因素和影响的范围审查。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-07-15 DOI: 10.1080/13607863.2024.2379408

Jaime Oliveira, Sara Guerra, Liliana Sousa, Oscar Ribeiro

{"title":"Solitude in old age: a scoping review of conceptualisations, associated factors and impacts.","authors":"Jaime Oliveira, Sara Guerra, Liliana Sousa, Oscar Ribeiro","doi":"10.1080/13607863.2024.2379408","DOIUrl":"10.1080/13607863.2024.2379408","url":null,"abstract":"Objective: This study aimed to map the existing scientific research about solitude in older adults, focusing on its conceptualizations, associated factors, and impacts.Method: A scoping review was conducted, searching Scopus, Web of Science, PubMed, and Academic Search Complete databases for publications from 1985 until December 2023.Results: Twenty-four studies were included. The main findings suggest a wide-ranging conceptualisation of solitude, with most studies (n = 16) adopting neutral definitions such as \"being alone, without communicating with others\"; and a subset of studies adopting definitions that alluded to \"positive solitude\" (as the choice of being with oneself, underscoring potential benefits). Individual characteristics were identified as key associated factors of solitude. Both positive impacts and negative impacts were reported.Conclusion: The variability in conceptualisation and impacts likely stems from methodological and theoretical differences in approaching solitude. This underscores the need for additional research to establish a widely accepted conceptual framework. Such consensus could enhance the understanding of the conditions contributing to positive and negative impacts associated with solitude and inform targeted interventions.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"220-227"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617730","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

Identifying predictors of transition to a care home for people with dementia: findings from the IDEAL programme. 确定痴呆症患者向护理之家过渡的预测因素：IDEAL 计划的研究结果。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-08 DOI: 10.1080/13607863.2024.2383367

Serena Sabatini, Anthony Martyr, Laura D Gamble, Fiona E Matthews, Jeanette M Thom, Catherine Henderson, Louise Allan, Claire Pentecost, Catherine Quinn, Anna Hunt, Linda Clare

{"title":"Identifying predictors of transition to a care home for people with dementia: findings from the IDEAL programme.","authors":"Serena Sabatini, Anthony Martyr, Laura D Gamble, Fiona E Matthews, Jeanette M Thom, Catherine Henderson, Louise Allan, Claire Pentecost, Catherine Quinn, Anna Hunt, Linda Clare","doi":"10.1080/13607863.2024.2383367","DOIUrl":"10.1080/13607863.2024.2383367","url":null,"abstract":"Objectives: This study investigates factors associated with the person with dementia and the caregiver to identify those associated with an increased risk of transition to a care home.Method: IDEAL data were collected at baseline and at 12- and 24-month follow-up for 1545 people with dementia and 1305 caregivers. Modified Poisson regressions with an offset for 'person years at risk' were used. Person with dementia factors explored were personal characteristics, cognition, health, self- and informant-rated functional ability, and neuropsychiatric symptoms. Caregiver factors explored were personal characteristics, stress, health, and quality of the dyadic relationship.Results: A 5% people moved into care. Risk of moving into a care home was higher among people with dementia who were ≥80 years, among people with Parkinson's disease dementia or dementia with Lewy bodies, and among those without a spousal caregiver. Poorer cognition and more self-rated or informant-rated functional difficulties increased the risk of moving into care.Conclusion: Factors related to increased dementia severity and greater disability are the primary influences that place people with dementia at greater risk of moving into a care home. Strategies that help to maintain everyday functional ability for people with dementia could help delay people with dementia moving into care.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"256-264"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903711","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

Deterioration of people with Parkinson's symptoms during COVID-19 lockdown: results of a web-based survey in Northwestern Italy. COVID-19 封锁期间帕金森病患者症状的恶化：意大利西北部网络调查的结果。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-08 DOI: 10.1080/13607863.2024.2388770

Marco Cosentino, Monica Pinoli, Margherita Uslenghi, Mario Pennisi, Giulio Maldacea, Cristoforo Comi, Franca Marino

{"title":"Deterioration of people with Parkinson's symptoms during COVID-19 lockdown: results of a web-based survey in Northwestern Italy.","authors":"Marco Cosentino, Monica Pinoli, Margherita Uslenghi, Mario Pennisi, Giulio Maldacea, Cristoforo Comi, Franca Marino","doi":"10.1080/13607863.2024.2388770","DOIUrl":"10.1080/13607863.2024.2388770","url":null,"abstract":"Objectives: COVID-19 lockdowns were introduced to control the pandemic, however, they resulted in a global disruption of daily life and of individual and global health. Reduced accessibility of health services, unavailability of food and drugs, and mental health challenges had a huge impact on older people and on people living with disabling conditions such as Parkinson's disease (PD). We assessed whether and to what extent the more disabled and vulnerable people with Parkinson's (PwP) were affected by lockdowns.Method: We analysed responses collected through a web-based survey of PwP according to their self-sufficiency [self-sufficient (SS); nearly self-sufficient (nSS); non-self-sufficient, cared for by family (NSS/F); non-self-sufficient, needs professional care (NSS/PC)].Results: Fears due to COVID-19 and difficulties with food supply were highest in NSS/F PwP. Difficulties with the supply of Parkinson's medication or other drugs were apparently not an issue, while problems accessing primary care physicians and neurologists were similar across all patient groups. On the contrary, difficulties with daily and motor activities were higher in NSS/F and NSS/PC PwP. PwP symptoms worsened in all groups, with NSS/F and NSS/PC participants experiencing the worst deterioration. Notably, the deterioration of PwP symptoms was specifically related to changes in daily and motor activities, with participants who reported less engagement in daily and motor activities experiencing the worst deterioration.Conclusion: Findings strongly support the need for decision-makers and healthcare providers to carefully re-evaluate the risk-benefit ratio of limiting healthcare accessibility for PwP, since evidence shows that lockdown measures primarily impact the groups who are most fragile and vulnerable.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"299-306"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903710","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

Caregiving in the face of empathy loss in Frontotemporal Dementia: an integrative review. 前额颞叶痴呆症患者丧失共情时的护理：综合综述。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-16 DOI: 10.1080/13607863.2024.2390603

Lauren Fisher, Ellen Munsterman, Neetu Rajpal, Emma Rhodes, Nancy Hodgson, Karen B Hirschman, Lauren Massimo

{"title":"Caregiving in the face of empathy loss in Frontotemporal Dementia: an integrative review.","authors":"Lauren Fisher, Ellen Munsterman, Neetu Rajpal, Emma Rhodes, Nancy Hodgson, Karen B Hirschman, Lauren Massimo","doi":"10.1080/13607863.2024.2390603","DOIUrl":"10.1080/13607863.2024.2390603","url":null,"abstract":"Objectives: Frontotemporal Degeneration (FTD) is a common cause of early onset dementia with symptoms often presenting before 65 years of age and adding tremendous burden on caregivers. FTD caregiving research describes patient behavioral symptoms such as apathy and disinhibition as primary sources of poor caregiver psychological health; however, little attention has been paid to other common patient behaviors, such as loss of empathy. To better understand the relationship between empathy loss and FTD caregiver outcomes, this integrative review aimed to address the question: How does the loss of empathy in a person living with FTD (PLwFTD) impact the caregiver?Method: Quantitative and qualitative articles were found in PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus and were assessed for quality using the Crowe Critical Appraisal Tool (CCAT). Through constant comparative analysis, articles were assessed to abstract common themes in the literature.Results: From 333 citations, 8 qualitative and 8 quantitative studies published between 2010 and 2022 were included. Three main themes were uncovered: 1) caregiver emotional reactions to the PLwFTD; 2) caregiver psychological distress; 3) changes in the relationship.Conclusion: This review emphasizes the detrimental impact of empathy loss on FTD caregivers. Understanding these underexplored consequences is critical in understanding the well-being of caregivers and promoting ways to support caregivers.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"201-211"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989641","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

Perceptions of dignity in home-dwelling patients with early-stage dementia through the lens of the Patient Dignity Inventory: a longitudinal study. 通过患者尊严量表透视居家早期痴呆症患者对尊严的感知：一项纵向研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-07-31 DOI: 10.1080/13607863.2024.2381808

Lucie Klůzová Kráčmarová, Kristýna A Černíková, Kateřina Stolaríková, Helena Kisvetrová

{"title":"Perceptions of dignity in home-dwelling patients with early-stage dementia through the lens of the Patient Dignity Inventory: a longitudinal study.","authors":"Lucie Klůzová Kráčmarová, Kristýna A Černíková, Kateřina Stolaríková, Helena Kisvetrová","doi":"10.1080/13607863.2024.2381808","DOIUrl":"10.1080/13607863.2024.2381808","url":null,"abstract":"Objectives: Dignity of patients with early-stage dementia (PwESD) is a core value of person-centered care. To evaluate the effectiveness of the intervention programs targeted at this population, a reliable tool that would measure dignity in PwESD is needed. Based on a qualitative analysis of how PwESD perceive and experience dignity, this study aims to determine the adequacy of the Czech version of the Patient Dignity Inventory (PDI-CZ) for this patient population.Method: The sample from two outpatient clinics in Czechia included home-dwelling individuals aged 60 years or older with mild dementia. In the first interview (T1), there were 21 respondents; 10 of whom participated in the second interview (T2) that was conducted after 12 months. The qualitative material was analyzed using a deductive approach based on the PDI-CZ domains.Results: Thematic analysis shows that the PwESD thematized all domains of the PDI-CZ in their interviews and their views of dignity were stable over time. Some experiences were not considered in the PDI-CZ (such as lowered support of the society, lowered ability to advocate for oneself, or feeling of not suitable living conditions).Conclusion: When developing a revised version of the tool, items that reflect missing views of dignity should be included.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"238-246"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861754","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

Chronic loneliness and chronic social isolation among older adults. A systematic review, meta-analysis and meta-regression. 老年人的长期孤独感和长期社会隔离。系统综述、荟萃分析和荟萃回归。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-02-01 Epub Date: 2024-08-09 DOI: 10.1080/13607863.2024.2385448

André Hajek, Angelina R Sutin, Giuliana Posi, Yannick Stephan, Karl Peltzer, Antonio Terracciano, Martina Luchetti, Hans-Helmut König

{"title":"Chronic loneliness and chronic social isolation among older adults. A systematic review, meta-analysis and meta-regression.","authors":"André Hajek, Angelina R Sutin, Giuliana Posi, Yannick Stephan, Karl Peltzer, Antonio Terracciano, Martina Luchetti, Hans-Helmut König","doi":"10.1080/13607863.2024.2385448","DOIUrl":"10.1080/13607863.2024.2385448","url":null,"abstract":"Objectives: We performed a systematic review and meta-analysis to examine the prevalence and antecedents/consequences of chronic loneliness and social isolation (i.e. enduring or persistent experience that extends over a certain period of time) among older adults. Moreover, we conducted a meta-regression to explore sources of heterogeneity.Method: A search was conducted in four electronic databases. We included observational studies that reported prevalence and, where available, antecedents/consequences of chronic loneliness or chronic social isolation amongst older adults. Key characteristics of the studies were extracted.Results: Across 17 studies included in the meta-analysis, the estimated prevalence of chronic loneliness was 20.8% (95% CI: 16.1-25.5%), including 21.7% among women (95% CI: 16.1-27.4%) and 16.3% among men (95% CI: 10.6-21.9%). One study reported chronic social isolation (13.4%) and found that chronic social isolation predicted higher depression scores. Meta-regressions indicated that loneliness was less prevalent when assessed with single-item measures. Regarding antecedents/consequences, spousal loss can contribute to chronic loneliness which in turn may contribute to adverse health-related outcomes.Conclusion: About one in five older adults experiences chronic loneliness reflecting the need to address chronic loneliness. More longitudinal research is needed on chronic loneliness and social isolation, particularly from low and middle-income countries.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"185-200"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914684","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