Aging & Mental Health最新文献

{"title":"Social relationship patterns and their association with emotional and social loneliness in older adults with cognitive impairments.","authors":"Soobin Park, Sojung Park, BoRin Kim, Takashi Amano, Jihye Baek","doi":"10.1080/13607863.2025.2475313","DOIUrl":"https://doi.org/10.1080/13607863.2025.2475313","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores the association between specific social relationship patterns and emotional and social loneliness among older adults with cognitive impairments, including dementia.</p><p><strong>Method: </strong>Data from the 2018 Health and Retirement Study (HRS) were used to conduct a Latent Profile Analysis on 642 older adults with cognitive impairments, classifying social relationships based on contact frequency, network size, and perceived support. Associations between these patterns and levels of social and emotional loneliness were analyzed.</p><p><strong>Results: </strong>Five distinct social relationship patterns were identified: Weak friends, Weak children, Strong friends, Weak family, Diverse - Virtual, and Diverse - high tension. Emotional loneliness was highest in groups with limited or negative close relationships, particularly in the Diverse - high tension patterns. Social loneliness, however, was more prominent in groups with restricted broader connections, such as Weak family and Weak friends.</p><p><strong>Conclusion: </strong>Findings indicate that cognitive decline does not necessarily weaken social connections; many older adults with impairments maintain diverse relationships and benefit from virtual and positive support. Addressing social and emotional loneliness as distinct issues allows for targeted interventions, promoting well-being in this population.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627196","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":"Financial exploitation vulnerability and social connectedness in middle-aged and older adults without dementia.","authors":"Daisy T Noriega-Makarskyy, Aaron C Lim, Shaneen Upal, Gali H Weissberger, Laura Fenton, Annie L Nguyen, Laura Mosqueda, Jenna Axelrod, Cassidy Molinare, Camille Erdman, Jordan T Williams, Emma Oyen, Paige Kim, S Duke Han","doi":"10.1080/13607863.2025.2475331","DOIUrl":"10.1080/13607863.2025.2475331","url":null,"abstract":"<p><strong>Objectives: </strong>Financial exploitation of older adults is an understudied but widespread phenomenon in the United States. Previous research examining the association between social functioning and financial exploitation vulnerability suggests that social embeddedness may be protective against financial exploitation. It is not clear, however, whether relationship depth and/or social network diversity (i.e. having many different social roles) drives this protective effect. This study aimed to examine the relationship between aspects of social connectedness (i.e. social network diversity and relationship depth) and financial exploitation vulnerability amongst community-dwelling adults aged 50 or older.</p><p><strong>Method: </strong>One hundred eighteen individuals completed a laboratory visit consisting of questionnaires assessing relationship depth (i.e. Interpersonal Support Evaluation List), social network diversity (i.e. Social Network Index Total Social Roles), and financial exploitation vulnerability (i.e. Perceived Financial Vulnerability Scale; PFVS). Hierarchical linear regressions separately tested associations between financial exploitation vulnerability, relationship depth, and social network diversity.</p><p><strong>Results: </strong>After covarying for demographics, cognitive, and psychological variables, results showed a significant negative association between financial exploitation vulnerability and relationship depth (B(SE) = -0.09(0.03), <i>p</i> = 0.004). Subscale analysis indicated that a strong sense of belonging was negatively associated with financial exploitation vulnerability (B(SE) = -0.28(0.06), <i>p</i> < 0.001). In contrast, financial exploitation vulnerability was not significantly associated with the number of distinct social roles in one's network (B(SE) = -0.02(0.11), <i>p</i> = 0.85), or with other relationship depth subscales.</p><p><strong>Conclusion: </strong>These findings suggest potential benefits of fostering close interpersonal relationships in middle and older adulthood, such as reduced vulnerability to financial exploitation.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-5"},"PeriodicalIF":2.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582406","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":"Intrinsic capacity and loneliness, according to sex, in an upper-middle income country: insights from the ELSI-Brazil cohort.","authors":"Juliana Lustosa Torres, Camila Teixeira Vaz, Bruno de Souza Moreira, Luciana de Souza Braga, Márlon Juliano Romero Aliberti, Laiss Bertolla, Claudia Kimie Suemoto, Maria Fernanda Lima-Costa, César de Oliveira","doi":"10.1080/13607863.2025.2471387","DOIUrl":"10.1080/13607863.2025.2471387","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between loneliness and intrinsic capacity, a multidimensional indicator of healthy ageing, in Brazilians aged ≥50 years.</p><p><strong>Method: </strong>This cross-sectional study used baseline data from 7,123 participants of the nationally representative Brazilian Longitudinal Study of Aging (ELSI-Brazil) (2015-2016). Intrinsic capacity (IC) (sensory, mobility, psychological, cognitive, and vitality), was determined using a validated composite z-score (higher scores = better capacity). Loneliness comprised a single-item. Quantile regression models were stratified by sex after adjusting for sociodemographic, and health characteristics.</p><p><strong>Results: </strong>The median IC were lower in women than in men (-0.54 vs. 0.69, respectively). Loneliness was related to lower IC composite z-scores in both sexes, demonstrating stronger associations at lower quantiles. The IC composite z-score decreased in those experiencing severe loneliness, both in women (quantile 0.75: β = -0.39; 95% CI = -0.47 to -0.31) and men (β = -0.36; 95% CI = -0.54 to -0.17). However, mild loneliness was associated with worse IC among men only at quantile 0.25 (β = -0.12; 95% CI = -0.23 to -0.01), different from women.</p><p><strong>Conclusion: </strong>Loneliness was associated with worse IC. Cross-sectional design limits causal inference, but supports that community engagement, social support, and accessible environments are crucial for promoting healthy ageing in both sexes.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582408","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":"Indirect effects of caregiver guilt on depressive symptoms through psychological flexibility processes in family caregivers of people with dementia.","authors":"Areum Han, Ickpyo Hong","doi":"10.1080/13607863.2025.2475322","DOIUrl":"10.1080/13607863.2025.2475322","url":null,"abstract":"<p><strong>Objectives: </strong>Guilt is a common emotion among family caregivers of individuals with dementia and a significant predictor of depressive symptoms. This study explored the relationships among caregiver guilt, key psychological flexibility processes (cognitive fusion, experiential avoidance, and values-driven action), and depressive symptoms in these caregivers.</p><p><strong>Methods: </strong>A cross-sectional study design was employed, with data collected from 191 family caregivers of individuals with dementia in the United States. Structural equation modeling was used to analyze the data.</p><p><strong>Results: </strong>The model demonstrated excellent fit. Caregiver guilt directly explained 50.4% of its effect on depressive symptoms, with indirect effects accounting for 49.6%. The largest indirect effect was through values-driven action alone (11.5%), followed by experiential avoidance alone (10.3%), cognitive fusion → experiential avoidance (7.6%), and cognitive fusion → experiential avoidance → values-driven action (6.1%).</p><p><strong>Conclusion: </strong>The findings highlight the significant partial mediating roles of key psychological flexibility processes in the relationship between caregiver guilt and depressive symptoms. Interventions targeting these processes in the context of guilt-related thoughts may help healthcare providers support caregivers by reducing the negative impact of caregiver guilt on depressive symptoms.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582407","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":"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}

{"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}

{"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}

{"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}

{"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^®</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_Age</i> = 20.47) and older (<i>N</i> = 193, <i>M_Age</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}

{"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_age</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}