Aging & Mental Health最新文献_第2页

Brain health and dementia prevention: getting the message across. 大脑健康和痴呆症预防：传递信息。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-13 DOI: 10.1080/13607863.2025.2478157

Kate Laver, Cath Connolly, Lauren Priest, Miia Rahja

引用次数: 0

The impact of unpaid caring on cognitive function: a rapid review. 无偿照顾对认知功能的影响：快速回顾。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-08 DOI: 10.1080/13607863.2025.2499692

Magdalena Walbaum, Allyson Zucker, Nicola Brimblecombe, Martin Knapp

{"title":"The impact of unpaid caring on cognitive function: a rapid review.","authors":"Magdalena Walbaum, Allyson Zucker, Nicola Brimblecombe, Martin Knapp","doi":"10.1080/13607863.2025.2499692","DOIUrl":"https://doi.org/10.1080/13607863.2025.2499692","url":null,"abstract":"Objectives: Our review aimed to examine the role of unpaid care in influencing cognitive function independently or via risk factors for dementia.Method: This rapid review, registered in PROSPERO and following PRISMA guidelines, searched EMBASE, MEDLINE, and APA PsycINFO databases for longitudinal studies comparing dementia, cognitive function and associated risk factors for dementia between carers and non-carers. Studies were assessed for quality. Data were synthesised narratively.Results: Five studies looked at cognitive function directly; others examined risk factors: depression, social isolation, physical activity, body-mass index, type 2 diabetes, high blood pressure, educational attainment, and alcohol consumption. Unpaid carers have increased risk of depression and social isolation, and younger carers have lower educational attainment. Studies evaluating the link between unpaid caring and cognitive decline suggest that caring at low and moderate intensities may act as a protective factor against cognitive decline, but not at higher intensities. Female gender and high-intensity caring significantly influence the strength of association between unpaid care and dementia risk factors.Conclusion: The impact of unpaid caring on cognitive health is complex, influenced by factors like intensity of care and social and cultural context. Across all studies, high-intensity caring negatively impacts carers physical and mental health, which in turn affect their cognitive health.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-14"},"PeriodicalIF":2.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059028","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

The longitudinal association between adverse childhood experiences (ACEs) with transient and chronic loneliness among older adults. 不良童年经历（ace）与老年人短暂和慢性孤独之间的纵向关联。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-06 DOI: 10.1080/13607863.2025.2491020

Vicky Simkin, Lydia Poole, Kimberley J Smith

{"title":"The longitudinal association between adverse childhood experiences (ACEs) with transient and chronic loneliness among older adults.","authors":"Vicky Simkin, Lydia Poole, Kimberley J Smith","doi":"10.1080/13607863.2025.2491020","DOIUrl":"https://doi.org/10.1080/13607863.2025.2491020","url":null,"abstract":"Objectives: Determine whether exposure to adverse childhood experiences (ACEs) confer a greater vulnerability to chronic and/or transient loneliness in older age, and whether specific types of ACEs are more strongly associated with chronic and/or transient loneliness.Method: Participants (N = 1532) were drawn from the English Longitudinal Study of Ageing, a nationally representative sample of UK adults aged 50 years and over. Multinomial logistic regressions adjusted for sociodemographic and health-related covariates were used to determine how ACEs related to chronic and transient loneliness and which subtypes of ACEs (dysfunction, threat, or loss-based) are most associated with chronic and/or transient loneliness.Results: Experiencing 1 ACE (adjusted odds ratio [AOR] 1.43 [95% confidence interval [CI] 1.01-2.02]) or 2 or more ACEs (AOR 1.63 [95% CI 1.09-2.42]) was associated with a greater likelihood of experiencing chronic loneliness when compared to people who never experienced ACEs. There was no association between number of ACEs with transient loneliness. Dysfunction-based ACEs had a fully adjusted association with chronic loneliness (AOR 1.57 [95% CI 1.12-2.20]) and transient loneliness (AOR 1.58 [95% CI 1.12-2.23]).Conclusion: This research suggests that ACEs are associated with a greater likelihood of experiencing chronic loneliness in older age. More specifically, dysfunction-based ACEs (linked to parental conflict, separation, mental illness, or substance use) were particularly associated with loneliness in older age. These findings suggest that it is important to consider the role of early life adversity when developing interventions to tackle loneliness in older age.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007556","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

Preliminary analysis of the psychometric properties of the Portuguese Perceived Ageism Questionnaire (PAQ). 葡萄牙人感知年龄歧视问卷（PAQ）的心理测量特征初步分析。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-06 DOI: 10.1080/13607863.2025.2499952

Isabel Miguel, María Del Sequeros Pedroso Chaparro

{"title":"Preliminary analysis of the psychometric properties of the Portuguese Perceived Ageism Questionnaire (PAQ).","authors":"Isabel Miguel, María Del Sequeros Pedroso Chaparro","doi":"10.1080/13607863.2025.2499952","DOIUrl":"https://doi.org/10.1080/13607863.2025.2499952","url":null,"abstract":"Objectives: Perceived ageism is a relevant variable for understanding adults' mental health across different ages. The Perceived Ageism Questionnaire (PAQ) assesses how adults perceive ageism directed towards themselves-both negative and positive ageism-through dimensions of stereotype, prejudice and discrimination. The aim of this study was to (a) analyze the psychometric properties of the Portuguese version of the PAQ and (b) analyze the associations between PAQ, mental health, and age.Method: Across two different samples, 1,941 participants between 18 and 91 years completed the PAQ. In addition to perceived ageism, depression, anxiety, stress, and satisfaction with life were assessed. An exploratory (sample 1; n = 970) and confirmatory (sample 2; n = 971) factor analysis of the PAQ was performed. The PAQ's reliability, relationship with other assessed variables, and age distribution were evaluated.Results: The Portuguese PAQ demonstrated good internal consistency in both samples. Factor analyses supported a bidimensional structure: perceived negative and positive ageism showed distinct patterns. Higher perceived negative ageism was significantly correlated with worse mental health. Negative ageism exhibited a U-shaped distribution across age, with younger and older adults reporting higher levels than middle-aged adults.Conclusion: The Portuguese version of the PAQ shows good psychometric properties, supporting its use in Portuguese-speaking populations.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053715","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 : 2025-05-04 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":"https://doi.org/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":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-05-04","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

Early development of a contextually appropriate psychological intervention for skilled nursing facilities: a qualitative study. 早期发展的背景下适当的心理干预技术护理机构：一项定性研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-02 DOI: 10.1080/13607863.2025.2499026

Evan Plys, Makenna Law, Morgan Seward, Cari Levy, Ruth Palan Lopez, Ana-Maria Vranceanu

{"title":"Early development of a contextually appropriate psychological intervention for skilled nursing facilities: a qualitative study.","authors":"Evan Plys, Makenna Law, Morgan Seward, Cari Levy, Ruth Palan Lopez, Ana-Maria Vranceanu","doi":"10.1080/13607863.2025.2499026","DOIUrl":"https://doi.org/10.1080/13607863.2025.2499026","url":null,"abstract":"Objectives: This study describes the application of the Designing for Accelerated Translation (DART) and Intervention Mapping (IM) frameworks to the early development of a psychological intervention for depression in short-term subacute/post-acute skilled nursing facility (SNF) care.Method: We conducted five focus groups with 32 SNF staff and individual interviews with 28 residents and 18 care partners. Data were analyzed using a hybrid inductive-deductive coding structure to map themes onto the DART framework (i.e. eliciting demand, user-centered design, and context-sensitive approaches). Staff and dyad members' findings were triangulated. Then, IM was used to translate qualitative findings into intervention components.Results: Participants reported demand for psychological intervention with potential benefits for both residents and care partners during a SNF stay. Second, five themes were identified to guide intervention content: fear and worry; emotional reactions to changes in independence; motivation for rehabilitation; stress and conflict complicating discharge and long-term care; and healthy coping strategies. Third, participants noted context-sensitive approaches for implementation (e.g. session length of 20-30 min). Based on findings, we identified change objectives and methods for psychological intervention.Conclusion: This study provides an overview of early intervention development processes that consider implementation and dissemination in real-world SNF settings.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058771","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

Participation in diverse social activities predicts fewer depressive symptoms. 参与多样化的社交活动可减少抑郁症状。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-01 Epub Date: 2024-11-08 DOI: 10.1080/13607863.2024.2424476

Sangha Jeon, Susan Turk Charles

{"title":"Participation in diverse social activities predicts fewer depressive symptoms.","authors":"Sangha Jeon, Susan Turk Charles","doi":"10.1080/13607863.2024.2424476","DOIUrl":"10.1080/13607863.2024.2424476","url":null,"abstract":"Objectives: Engagement in a greater number and more diverse activities is associated with higher levels of well‑being. One reason may be that these activities provide opportunities for a variety of social interactions. To examine the importance of the social nature of daily activity, the current study examines the unique association between social activity variety and later depressive symptoms, after adjusting for non‑social activity variety.Method: Using data from the Health and Retirement Study (HRS), we included 5,160 adults in a cross‑sectional analysis from 2008 and 3,081 adults in a longitudinal analysis spanning 2008 to 2012, all of whom completed questionnaires on social activity participation and depressive symptoms.Results: Cross‑sectional findings indicated that social activity variety was related to lower severity of depressive symptoms, but not likelihood of having any depressive symptoms, after adjusting for health, sociodemographic covariates, and non‑social activity. Longitudinal results showed that participants with consistently high levels of social activity variety over four years experienced fewer depressive symptoms at follow‑up compared to those with low levels, even after adjusting for baseline depressive symptoms.Conclusion: Findings suggest that participation in a greater variety of social activities can be a protective factor against the severity of depressive symptoms.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"797-805"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633324","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

Development of the subjective cognitive function decline scale for middle-aged Koreans. 韩国中年人主观认知功能衰退量表的编制。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-01 Epub Date: 2024-12-19 DOI: 10.1080/13607863.2024.2442598

YongJoon So, Jinsun Hahm, Sei-Young Lee, Jung-Ha Kim, Kwangsu Moon

{"title":"Development of the subjective cognitive function decline scale for middle-aged Koreans.","authors":"YongJoon So, Jinsun Hahm, Sei-Young Lee, Jung-Ha Kim, Kwangsu Moon","doi":"10.1080/13607863.2024.2442598","DOIUrl":"10.1080/13607863.2024.2442598","url":null,"abstract":"Objectives: This study developed the Subjective Cognitive Function Decline Scale for Middle-aged South Koreans (SCFD-K), addressing the need for early detection of potential mild cognitive impairment. This study fills a gap in the existing research, which mainly targeted older demographics or generalized cultural differences.Method: We conducted focus group interviews (FGIs) among 36 participants and with nine experts to answer basic questions related to cognitive decline, after which we developed a draft scale using the Delphi with another 15 experts. To examine the reliability and validity of the scale, an online survey of 2,000 people was conducted.Results: An exploratory factor analysis identified four distinct factors, which are language, visuospatial function, personality/emotion, and memory, with a total of 20 items (Cumulative variance ratio = 57.76), and a confirmatory factor analysis validated the four-factor structure with a good model fit (CFI = 0.932, TLI = 0.921, RMSEA = 0.057, and SRMR = 0.042) and acceptable internal consistency (Cronbach's α = 0.735-0.907).Conclusion: This analysis established the SCFD-K as a reliable and valid tool for assessing cognitive decline among middle-aged South Koreans. The findings have key cultural implications and inform proactive interventions and shaping future healthcare strategies in South Korea.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"906-914"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866515","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

Consequences of polypharmacy among the people living with dementia: a systematic review and meta-analysis. 痴呆症患者服用多种药物的后果：一项系统回顾和荟萃分析。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-01 Epub Date: 2024-12-09 DOI: 10.1080/13607863.2024.2436501

Imdadul Haque Talukdar, Poe Eindra Thant, Sanjib Saha

{"title":"Consequences of polypharmacy among the people living with dementia: a systematic review and meta-analysis.","authors":"Imdadul Haque Talukdar, Poe Eindra Thant, Sanjib Saha","doi":"10.1080/13607863.2024.2436501","DOIUrl":"10.1080/13607863.2024.2436501","url":null,"abstract":"Objectives: The aim of this systematic review and meta-analysis was to analyse and summarize studies on the effects of polypharmacy on people living with dementia (PwD). The study aimed to categorize these effects, evaluate the quality of the studies, and estimate the pooled effect sizes of these consequences using meta-analysis.Method: A systematic literature review was conducted following the PRISMA guideline. Covidence software was used for screening, study selection, and data extraction. The quality assessment was conducted using the Newcastle-Ottawa Scale (NOS) scale. Random effect models were used to perform the meta-analyses and the heterogeneity was reported with I2 statistics.Results: This review of 19 studies found that polypharmacy is significantly associated with potentially inappropriate medication (PIM), hospitalisation, adverse drug reactions, and mortality. The quality of the studies was fair to good. Meta-analysis revealed that the odds of having PIM among the PwD exposed to polypharmacy was 2.93 times (95% CI: 2.24-3.82; I2 = 95.6%). The studies showed heterogeneity in design, sample size, follow-up duration, confounder adjustment, polypharmacy definitions, and inconsistent tools for dementia diagnosis.Conclusion: Polypharmacy in PwD is associated with increased potentially inappropriate medication, adverse drug reactions, and hospitalisation. Regular management of polypharmacy is recommended in clinical practice.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"767-778"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803565","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

Dementia and the Deaf community: prevalence, assessment and management in people with hearing loss since childhood. 痴呆症与聋人群体：自幼失聪者的患病率、评估和管理。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-05-01 Epub Date: 2024-11-23 DOI: 10.1080/13607863.2024.2430533

Isabelle Flower, Eithne Heffernan, Tom Dening

{"title":"Dementia and the Deaf community: prevalence, assessment and management in people with hearing loss since childhood.","authors":"Isabelle Flower, Eithne Heffernan, Tom Dening","doi":"10.1080/13607863.2024.2430533","DOIUrl":"10.1080/13607863.2024.2430533","url":null,"abstract":"Objectives: Deaf people face complex challenges in accessing healthcare, particularly for age-related conditions, yet the Deaf community is largely overlooked in dementia research. This study explores healthcare issues in relation to dementia for older Deaf individuals, and perspectives of stakeholders regarding dementia and the Deaf community.Method: Combined approach of (1) narrative literature review using five online databases and grey literature and (2) semi-structured interviews with eight participants with lived experience or knowledge of the Deaf community and/or dementia. Interview data were analysed thematically and integrated with literature review findings.Results: People in the Deaf community exhibit higher rates of dementia risk factors (eg obesity, hypertension, diabetes, and depression). Under-diagnosis and under-treatment are more common, likely attributed to language barriers and insufficient Deaf awareness among healthcare staff. Research on the relationship between profound hearing loss and dementia, and the prevalence of dementia among Deaf people, is scarce. Practical changes are needed to tailor dementia assessments and services for Deaf people.Conclusion: Deaf awareness training, health-care information in sign language, and accessible dementia services are crucial for improving healthcare access and outcomes for Deaf people. Co-production with the Deaf community is required in future research and healthcare service improvement initiatives.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"757-766"},"PeriodicalIF":2.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692948","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