Aging & Mental Health最新文献

{"title":"Assessing social support in older adults with cognitive disorders living in institutions.","authors":"Marie Sendra, Michèle Koleck, Océane Pic, Nicole Rascle, Hélène Amieva","doi":"10.1080/13607863.2025.2609273","DOIUrl":"10.1080/13607863.2025.2609273","url":null,"abstract":"<p><strong>Objectives: </strong>Although social support is a major dimension of well-being, there is a lack of appropriate tools to assess it in older adults with neurocognitive disorders. This study aims to provide a validation of an adapted version of the Perceived Social Support Questionnaire (PSSQ) for this population. A secondary objective was to investigate whether psychosocial and cognitive outcomes varied according to the category of persons perceived as available (family, professionals, friends, residents).</p><p><strong>Method: </strong>113 nursing home residents with neurocognitive disorders were administered the adapted PSSQ and a full clinical examination.</p><p><strong>Results: </strong>Factor analysis confirmed the structure in two factors (availability and satisfaction with social support). The adapted PSSQ showed satisfactory internal consistency (ω = 0.83-0.84) and good divergent (ps ≥ 0.113) and convergent validity (ps ≤ 0.048). Family members were the most frequently perceived as available. Participants who perceived professionals as available showed a higher level of institutional adaptation (<i>p</i> = 0.005) and tended to report fewer anxiety symptoms (<i>p</i> = 0.069). Those who identified family as available were more satisfied with social support (<i>p</i> < 0.001) and had higher quality of life (<i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>With good psychometric qualities, the adapted PSSQ is a quick and easy-to-administer tool allowing assessment of social support for residents with moderate to severe cognitive impairment.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1082-1090"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893306","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":"Pilot trial of the <i>Florida-Resources for Enhancing Alzheimer's Caregiver Health (FL-REACH)</i> intervention in an outpatient memory disorders clinic.","authors":"Tracy Wharton, Daniel Paulson, Nicole V McClure, Rosemary D Laird, Barbara Mendez Campos, Emma G Churchill, Apollonia E Lysandrou, Madison Maynard","doi":"10.1080/13607863.2025.2585507","DOIUrl":"10.1080/13607863.2025.2585507","url":null,"abstract":"<p><strong>Objectives: </strong>Translation of the foundational REACH II intervention for caregivers of persons with Alzheimer's disease and related dementias (ADRD) into practice has been limited. Most interventions generally focus on later-stage caregiving. The FL-REACH intervention was adapted from REACH II, addressing issues of implementation burden and shifting focus to prolonging in-home care through intervention delivered soon after diagnosis. Goals of this single-arm pilot study were to examine effectiveness of a six-session intervention delivered through an outpatient memory disorders clinic to caregivers of those diagnosed with mild to moderate stage memory disorders.</p><p><strong>Method: </strong>Dementia caregivers were recruited from the AdventHealth Maturing Minds Program. The COVID-19 pandemic compelled transition of the intervention delivery from the clinic environment to online.</p><p><strong>Results: </strong>Dementia knowledge, caregiver burden, and caregiver preparedness all improved from baseline to post-treatment. Participants who completed the intervention online were disproportionately male, and more socioeconomically and ethnically diverse than those who completed the intervention in person.</p><p><strong>Conclusion: </strong>Results support use of the FL-REACH intervention program and suggest that memory disorders clinics create a valuable opportunity for enrollment in dementia caregiver interventions that provide training and skills development early in the disease trajectory.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"930-938"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589503","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":"A cross-sectional study on existential regret, social efficacy and social outcome expectations ın older adults.","authors":"Burcu Çakı Döner, Sebahat Kuşlu, Ayşe Eminoğlu, Beşir Çakır","doi":"10.1080/13607863.2025.2585497","DOIUrl":"10.1080/13607863.2025.2585497","url":null,"abstract":"<p><strong>Objective: </strong>Older adults who continue to struggle with or wish to change their past decisions and experiences may experience existential regrets. Such regrets can lead to a weakening of social relationships and social withdrawal among older adults. This study aims to evaluate the relationships between existential regret and social efficacy and social outcome expectations among older adults.</p><p><strong>Method: </strong>This cross-sectional study included 361 individuals aged 60 years and over. The data were collected face-to-face between April 15 and May 30, 2025. Data were collected <i>via</i> the \"Personal Information Form,\" \"Multidimensional Existential Regret Scale,\" and \"Social Efficacy and Social Outcome Expectations Scale.\" For data analysis, Student's <i>t</i> test, one-way ANOVA, and Pearson correlation tests were used.</p><p><strong>Results: </strong>The existential regret of older adults was 127.49 ± 33.40, their social efficacy was 43.95 ± 9.57, and their social outcome expectation was 22.75 ± 4.76. There was a weakly significant positive correlation between existential regret and social efficacy and social outcome expectations (<i>r</i> = 0.278, <i>p</i> < 0.001). The existential regret, social efficacy, and social outcome expectations of the participants differed according to their future plans and self-confidence (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The findings show that older adults have lower existential regret and higher social efficacy and social outcome expectations. These results are promising for their psychosocial well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1091-1103"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607563","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":"Partners, children, friends, and beyond: psychosocial pathways to life satisfaction among older adults aged 77.","authors":"Erika Augustsson, Roger Keller Celeste, Lena Dahlberg, Carin Lennartsson, Neda Agahi","doi":"10.1080/13607863.2026.2624558","DOIUrl":"10.1080/13607863.2026.2624558","url":null,"abstract":"<p><strong>Objectives: </strong>Social relationships are fundamental to well-being in later life, yet few studies differentiate between relationship types and the mechanisms through which they operate. This study models how different types of social relationships are associated with life satisfaction in very old age, considering the psychosocial pathways of perceived emotional and practical support, and loneliness.</p><p><strong>Method: </strong>Direct and indirect associations between relationships and life satisfaction were tested using structural equation modelling on 1,213 community-dwelling older adults (77+) participating in the Swedish Panel Study of Living Conditions of the Oldest Old. .</p><p><strong>Results: </strong>Close family relationships emerged as the most important, and while children were inherently positive for life satisfaction (standardised coefficient 0.23, <i>p</i> < 0.01), partners had a positive association only through indirect pathways (0.14, <i>p</i> < 0.01) and a negative direct association (-0.19, <i>p</i> < 0.01). Friends were associated with life satisfaction through emotional functions while other relatives and weak ties showed no significant associations.</p><p><strong>Conclusion: </strong>In very late life, life satisfaction appears to depend on the emotional quality and perceived support within close relationships. As demographic shifts continue, future cohorts may have fewer children and more diverse social networks. These changes may increase the importance of non-kin relationships and more distant relatives for maintaining well-being in old age.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1149-1160"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144823","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":"Dementia-related crisis admissions destabilize regular care: a qualitative study among Dutch nursing-home staff.","authors":"Thea C Heil, Minet Kosman, Gerritsen Debby L, Marieke Perry","doi":"10.1080/13607863.2025.2585092","DOIUrl":"10.1080/13607863.2025.2585092","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores nursing-home staff experiences with crisis admissions of persons with dementia and their impact.</p><p><strong>Method: </strong>A grounded theory approach based on semi-structured interviews with healthcare professionals from three Dutch nursing homes. The data were analyzed using Strauss and Corbin's coding paradigm.</p><p><strong>Results: </strong>Seven doctors and eight nurses participated. They reported that crisis admissions destabilize regular care by disrupting unit structure, workflows, and team dynamics. Causal conditions include the unpredictability and complexity of these admissions, often involving clients with severe behavioral symptoms, limited background information, and urgent care needs. Contextual and intervening conditions, such as client characteristics, prior interventions, unit setup, and collaboration, further influence the extent of destabilization. These disruptions increase workload and challenge routines. To restore stability, staff employee strategies including adjusting schedules and procedures and enhancing collaboration. Despite these efforts, professionals report physical and emotional strain, ethical dilemmas, and feelings of inadequacy. However, crisis admissions also offer opportunities for learning, motivation, and team cohesion.</p><p><strong>Conclusion: </strong>Crisis admissions can destabilize care, but targeted organizational strategies, such as improved information transfer, acute care protocols, and staff education, can mitigate impact. Tailored approaches are essential to safeguard staff well-being and ensure continuity in long-term dementia care.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"919-929"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472538","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":"Current relationship quality and attachment predict daily stress and affect in dementia caregivers.","authors":"Paulina Wüstefeld, Paige E Goodwin, Robert C Intrieri","doi":"10.1080/13607863.2025.2602657","DOIUrl":"10.1080/13607863.2025.2602657","url":null,"abstract":"<p><strong>Objectives: </strong>Caregivers of dementia patients often experience elevated stress and negative affect, yet daily fluctuations in these experiences and their relation to attachment style and relationship quality (RQ) remain underexplored.</p><p><strong>Method: </strong>For 14 days, we assessed the daily experiences of 35 dementia caregivers, including their positive and negative affect, stress, attachment, and relationships.</p><p><strong>Results: </strong>Results from multilevel modeling showed that more positive current RQ was related to lower daily stress. In contrast, a more negative RQ, combined with greater attachment anxiety and avoidance, correlated with increased negative emotions and stress.</p><p><strong>Conclusion: </strong>These results underscore how the daily emotional lives of dementia caregivers in a primarily middle-to-late adulthood sample (mean age = 57.5 years) are formed by current relationship dynamics and attachment styles. These results point to possible intervention strategies that may improve caregiver well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1015-1026"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795638","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":"Navigating a changing world of social participation: a qualitative interview study with people with dementia and their informal caregivers.","authors":"Pascale Heins, Gianna Kohl, An Neven, Frans R J Verhey, Marjolein E de Vugt, Lizzy M M Boots","doi":"10.1080/13607863.2025.2590083","DOIUrl":"10.1080/13607863.2025.2590083","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored the social out-of-home participation experiences of people with dementia and their informal caregivers from a capability-based approach.</p><p><strong>Method: </strong>Twelve dyadic interviews with people with dementia living in the community and their informal caregivers were conducted. Data were inductively coded using a reflexive thematic analysis approach.</p><p><strong>Results: </strong>All participants with dementia experienced changes in activities, social interactions or out-of-home mobility, captured in the overarching theme of <i>'social participation: a changing world'</i>. Four subthemes captured the primary strategies participants used to navigate these changes: (1) creating a sense of comfort and safety in nearby, quiet, and familiar places; (2) pursuing a sense of social identity through meaningful connections; (3) accepting support to maintain independence; and (4) finding a balance, as described by informal caregivers, between their own social needs and those of their spouses. These themes highlight the agency of people with dementia in shaping their social participation amid changes in capabilities and environments.</p><p><strong>Conclusion: </strong>This study contributes to a more nuanced understanding of social participation in dementia, emphasising the importance of supportive environments that recognise both capabilities and needs can enable continued engagement and foster social health.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"963-975"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727202","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":"Integrating dementia care into primary health services: lay health workers with internal facilitation in Uganda.","authors":"Edith K Wakida, Godfrey Z Rukundo, Zohray M Talib, Alexandra Lopez-Vera, Samuel Maling, Christine K Karungi, Celestino Obua","doi":"10.1080/13607863.2025.2587729","DOIUrl":"10.1080/13607863.2025.2587729","url":null,"abstract":"<p><strong>Objectives: </strong>Dementia care is underdeveloped in low- and middle-income countries (LMICs), with limited specialist services. In Uganda's decentralized health system, Health Assistants supervise Lay Health Workers (LHWs), yet dementia care is not part of their remit. This study explored the feasibility of the WHO Lay Health Worker Dementia Care model with Internal Facilitation (WLDC+IF), in which Health Assistants support LHWs in delivering community-based dementia care.</p><p><strong>Method: </strong>We conducted formative qualitative in-depth interviews with eight LHWs from two rural parishes in northern Uganda. Guided by the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, thematic analysis examined three domains: implementation support, process improvement, and practice sustainment. The WHO Dementia Toolkit and the facilitator role were introduced conceptually during interviews to assess perceived feasibility.</p><p><strong>Results: </strong>LHWs were willing to deliver dementia care but cited limited training, lack of job aids, and unclear referral pathways as barriers. Health Assistants were viewed as trusted supervisors who could offer structured guidance and feedback. Participants emphasized the importance of public sensitization to reduce stigma, caregiver support groups to address isolation and burden, job-aid materials for education, and environmental modifications (home safety). Follow-up visits, documentation, and feedback were identified as practical ways to sustain practice.</p><p><strong>Conclusion: </strong>WLDC+IF is a feasible, leadership-centered strategy that leverages existing health system structures to integrate dementia care into primary services. Positioning Health Assistants as internal facilitators may strengthen local supervision, build LHW capacity, and address psychosocial/clinical needs, with potential to reduce caregiver burden, and improve quality of life.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"953-962"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574998","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":"How do people living with dementia make decisions about their cancer care?: A meta-ethnographic systematic review.","authors":"Georgie-Anne Quinn, Alys Wyn Griffiths, Sarah Butchard","doi":"10.1080/13607863.2025.2596770","DOIUrl":"10.1080/13607863.2025.2596770","url":null,"abstract":"<p><strong>Objectives: </strong>Living with comorbid dementia and cancer is linked with communication and decision-making challenges across the cancer care pathway and poor health outcomes. This meta-ethnographic review aimed to explore the experiences of people living with comorbid dementia and cancer (PLWCDC) when making decisions about their cancer care.</p><p><strong>Method: </strong>Six databases were searched using terms pertaining to dementia, cancer, decision-making and qualitative experiences. Studies that qualitatively explored cancer care decision-making experiences from the perspective of people living with comorbid dementia and cancer were included.</p><p><strong>Results: </strong>Searches yielded 3424 unique records, with ten articles meeting eligibility criteria. After quality assessment, collated data was synthesised using a reciprocal synthesis. This produced four higher-order themes: 'challenges of processing cancer-related information', 'issues of inaccessible information and uninformed consent', 'the role of relatives', and 'the importance of individualised and consistent care', drawn together by a core concept of delivering and receiving person-centred cancer care in an inflexible healthcare system.</p><p><strong>Conclusion: </strong>Decision-making experiences were complex and multi-layered. Dementia negatively influenced understanding and retention of information. Poor consistency in staffing and complexity of information provided were overwhelming. PLWCDC were not always meaningfully involved in their cancer-care decisions. Individualised, consistent care is required to improve outcomes for this population.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"988-1003"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710368","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 loneliness on a daily basis is the toughest part': a qualitative exploration of older veteran men's social connection needs and barriers.","authors":"Julie Lutz, Carter H Davis, Christine E Gould, Sherry A Beaudreau","doi":"10.1080/13607863.2025.2610829","DOIUrl":"10.1080/13607863.2025.2610829","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to identify lonely older U.S. military Veterans' social connection needs and barriers, to inform interventions to improve connection.</p><p><strong>Methods: </strong>Semi-structured qualitative interviews were conducted with older Veteran men who screened positive for loneliness on the 3-item UCLA loneliness scale. Interviews assessed Veterans' current social connections, barriers to social connection, desired changes or improvements to connection, and efforts Veterans have made so far to improve connection and their impacts. Team-based rapid qualitative analysis was used.</p><p><strong>Results: </strong>Twelve interviews were completed and analyzed. There was significant variety in types of current social connection experiences, barriers to connection, desired changes, and efforts to improve connection that Veterans identified. Barriers to connection included difficulty relating to others due to military background or different interests; functional and sensory impairments; and mental health challenges. Veterans expressed desires for improvement in close confidants and romantic relationships, personal growth, social activities, and social networks. Veterans reported making a variety of efforts to improve connections, with mixed results.</p><p><strong>Conclusions: </strong>Older Veteran men report heterogeneous and unique social connection needs and barriers for which they struggle to find support. These findings can guide development of multidimensional, flexible interventions to improve social connection in older Veteran men.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1104-1113"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020763","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}