Aging & Mental Health最新文献_第2页

Home-based motivational interviewing for late-life rural hoarding disorder: a pilot study. 以家庭为基础的动机访谈法治疗晚年农村囤积症：一项试点研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-08-23 DOI: 10.1080/13607863.2024.2394577

Mary E Dozier, Caitlyn A Nix

{"title":"Home-based motivational interviewing for late-life rural hoarding disorder: a pilot study.","authors":"Mary E Dozier, Caitlyn A Nix","doi":"10.1080/13607863.2024.2394577","DOIUrl":"10.1080/13607863.2024.2394577","url":null,"abstract":"Objectives: The primary purpose of this pilot study was to determine the feasibility and acceptability of a novel brief (six-session) motivational interviewing home-based intervention for hoarding disorder designed for rural older adults. The secondary aims were to examine the engagement of proposed mechanisms of change and the preliminary efficacy of symptom reduction.Method: Fifteen rural-dwelling older adults were enrolled in the pilot trial for Project RECLAIM (Reduce Clutter and Increase Meaning). Engagement of proposed mechanisms of change was assessed weekly for reported engagement in sorting/discarding behaviors and from baseline to post-treatment on readiness for change and motivation. Symptom reduction was assessed from baseline to post-treatment on hoarding symptoms and general psychological functioning.Results: Sixty percent of participants completed all six sessions of RECLAIM. Over the course of treatment, participants reported significant decreases in household clutter (d = -0.85) and object attachment (d = -1.01) and increases in positive affect (d = 0.71), readiness for change (d = 0.40) and motivation (d = 0.52), and sorting between sessions (ß = 3.82).Conclusion: The significant reductions in hoarding symptoms after only six sessions of treatment suggest that a brief, in-home, intervention may be a viable option for symptom reduction, particularly for rural-dwelling older adults.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"391-399"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Potential for reducing dementia risk: association of the CAIDE score with additional lifestyle components from the LIBRA score in a population at high risk of dementia. 降低痴呆症风险的潜力：在痴呆症高风险人群中，CAIDE 评分与 LIBRA 评分中的其他生活方式要素的关联。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-08-26 DOI: 10.1080/13607863.2024.2394591

Mandy Claus, Melanie Luppa, Andrea Zülke, Iris Blotenberg, Maria Isabel Cardona, Juliane Döhring, Catharina Escales, Robert Philipp Kosilek, Anke Oey, Isabel Zöllinger, Christian Brettschneider, David Czock, Thomas Frese, Jochen Gensichen, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Hans-Helmut König, Birgitt Wiese, Jochen René Thyrian, Steffi G Riedel-Heller

{"title":"Potential for reducing dementia risk: association of the CAIDE score with additional lifestyle components from the LIBRA score in a population at high risk of dementia.","authors":"Mandy Claus, Melanie Luppa, Andrea Zülke, Iris Blotenberg, Maria Isabel Cardona, Juliane Döhring, Catharina Escales, Robert Philipp Kosilek, Anke Oey, Isabel Zöllinger, Christian Brettschneider, David Czock, Thomas Frese, Jochen Gensichen, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Hans-Helmut König, Birgitt Wiese, Jochen René Thyrian, Steffi G Riedel-Heller","doi":"10.1080/13607863.2024.2394591","DOIUrl":"10.1080/13607863.2024.2394591","url":null,"abstract":"Objectives: Various dementia risk scores exist that assess different factors. We investigated the association between the Cardiovascular Risk Factors, Aging, and Incidence of Dementia (CAIDE) score and modifiable risk factors in the Lifestyle for Brain Health (LIBRA) score in a German population at high risk of Alzheimer's disease.Method: Baseline data of 807 participants of AgeWell.de (mean age: 68.8 years (SD = 4.9)) were analysed. Stepwise multivariable regression was used to examine the association between the CAIDE score and additional risk factors of the LIBRA score. Additionally, we examined the association between dementia risk models and cognitive performance, as measured by the Montreal Cognitive Assessment.Results: High cognitive activity (β = -0.016, p < 0.001) and high fruit and vegetable intake (β = -0.032, p < 0.001) correlated with lower CAIDE scores, while diabetes was associated with higher CAIDE scores (β = 0.191; p = 0.032). Although all were classified as high risk on CAIDE, 31.5% scored ≤0 points on LIBRA, indicating a lower risk of dementia. Higher CAIDE and LIBRA scores were associated with lower cognitive performance.Conclusion: Regular cognitive activities and increased fruit and vegetable intake were associated with lower CAIDE scores. Different participants are classified as being at-risk based on the dementia risk score used.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"400-407"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'It opens up a whole new world for everybody': how carers of people with dementia view the online empowered conversations communication course. 它为每个人打开了一个全新的世界"：痴呆症患者的照顾者如何看待在线赋权对话交流课程。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-10-09 DOI: 10.1080/13607863.2024.2410258

Cassie Eastham, Yeliz Prior, John Keady, Warren Mansell, Cathy Riley, Mal Walters, Lydia Morris

{"title":"'It opens up a whole new world for everybody': how carers of people with dementia view the online empowered conversations communication course.","authors":"Cassie Eastham, Yeliz Prior, John Keady, Warren Mansell, Cathy Riley, Mal Walters, Lydia Morris","doi":"10.1080/13607863.2024.2410258","DOIUrl":"10.1080/13607863.2024.2410258","url":null,"abstract":"Objectives: This paper explores (1) experiences of participating in Empowered Conversations, an online communication course for carers of people with dementia and (2) how participants felt the course had changed their experience of caring.Method: Fifteen semi-structured interviews were completed with carers who had attended Empowered Conversations as part of a larger feasibility trial conducted in Greater Manchester, UK (ISRCTN15261686). Data were analysed using applied thematic analysis.Results: Three themes were developed: (1) You've got nothing to lose and everything to gain, including the course content, timing and format, and perceived burden and benefits of the course; (2). A community to share together, including the value of being honest, vulnerable, and sharing stories; and (3) Being given a new way to see the world, including understanding the person and their diagnosis, enabling greater control and reducing interpersonal conflict, and recalibrating their expectations.Conclusion: Carers reported positive experiences of participating in Empowered Conversations and valued meeting people who, despite different circumstances, shared their understanding of supporting someone with dementia. The course supported participants to be honest and vulnerable, and helped them to rethink communication and have a greater appreciation of the other person's perspective during everyday interactions.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"558-566"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11875430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of training family caregivers of people living with dementia online to deliver life review depression intervention at home. 对痴呆症患者的家庭护理人员进行在线培训，以便在家中提供生活回顾抑郁干预的可行性。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-08 DOI: 10.1080/13607863.2024.2400597

Christina E Miyawaki, Angela McClellan, Erin D Bouldin

{"title":"Feasibility of training family caregivers of people living with dementia online to deliver life review depression intervention at home.","authors":"Christina E Miyawaki, Angela McClellan, Erin D Bouldin","doi":"10.1080/13607863.2024.2400597","DOIUrl":"10.1080/13607863.2024.2400597","url":null,"abstract":"Objectives: To alleviate the high prevalence of depressive symptoms and dementia in older Americans (≥65 years), we developed a depression intervention, Caregiver-Provided Life Review (C-PLR), and taught family caregivers life review skills online compared to a synchronous group virtual training, and examined the feasibility and delivery impact (N = 20 dyads).Method: In a cross-sectional, mixed-methods dyadic design, we recruited family caregiver-care recipient dyads nationwide, collected the pre- and post-intervention measures on care recipients' depression (primary outcome), life satisfaction, caregivers' burden, caregiving rewards, and dyads' relationship quality (secondary outcomes), and compared them using t-tests. We took fidelity scores to measure caregivers' feasibility of delivering life reviews adhering to the protocol.Results: Care recipients' depressive symptoms declined significantly following the C-PLR intervention (p = 0.034) and caregivers' rewards increased from the pre- to post-period (p = 0.019). Caregivers' qualitative interviews supported the quantitative results that online-trained caregivers' ability to deliver the intervention with high adherence to protocol (15.9 ± 0.27 out of 16) without increasing caregiver burden.Conclusion: This pilot study suggested that the C-PLR could make a positive impact on both caregivers' and care recipients' mental health. This innovative, cost-effective, and easily implemented activity can be used by any dyad regardless of whether they have any health-related deficits.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"488-497"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156724","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

Effectiveness of a 14-week protocol for cognitive stimulation therapy for mild dementia: results from a pragmatic study using routinely collected clinical data. 为期 14 周的认知刺激疗法对轻度痴呆症的疗效：利用日常收集的临床数据进行的实用性研究结果。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-10-04 DOI: 10.1080/13607863.2024.2410256

Hesham Abdelkhalek, Karen Elliott, Tim Whitfield, Karina Pazvantova, Sedigheh Zabihi, Jennifer Wenborn, Zuzana Walker

{"title":"Effectiveness of a 14-week protocol for cognitive stimulation therapy for mild dementia: results from a pragmatic study using routinely collected clinical data.","authors":"Hesham Abdelkhalek, Karen Elliott, Tim Whitfield, Karina Pazvantova, Sedigheh Zabihi, Jennifer Wenborn, Zuzana Walker","doi":"10.1080/13607863.2024.2410256","DOIUrl":"10.1080/13607863.2024.2410256","url":null,"abstract":"Objectives: To explore the effectiveness of an adapted 14-week cognitive stimulation therapy (CST) protocol on psychoaffective symptoms and quality of life (QOL) for people living with mild dementia.Method: The sample for this pragmatic study were people with dementia who underwent CST between May 2016 and September 2022 during routine healthcare. Measures of participants' psychoaffective symptoms and QOL were administered before CST ('baseline') and following CST ('post-intervention'). The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety symptoms, depression symptoms, and their sum score (referred to as HADS-total). The Quality of Life-Alzheimer's Disease (QOL-AD) scale was used to measure participants' quality of life (both patient and carer ratings were available). Change in these outcomes was assessed using linear mixed models.Results: Two hundred and twenty-five participants attended ≥1 session of adapted CST (84% attended at least 9/14 sessions, considered 'high' adherence). The mean change [95% confidence interval] in HADS-total scores indicated improvement (-0.9; [-1.9, -0.0]). Mean scores on the other outcomes showed neither improvement nor worsening.Conclusion: Overall, this pragmatic study shows that an adapted 14-week face-to-face CST protocol is effective in improving mental health in people with mild dementia and has the potential to be widely implemented within routine healthcare.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"549-557"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373643","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

Profiles of resilience resources among spousal caregivers. 配偶照顾者的复原力资源概况。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-25 DOI: 10.1080/13607863.2024.2407169

Hyojin Choi, Kristin Litzelman

{"title":"Profiles of resilience resources among spousal caregivers.","authors":"Hyojin Choi, Kristin Litzelman","doi":"10.1080/13607863.2024.2407169","DOIUrl":"10.1080/13607863.2024.2407169","url":null,"abstract":"Objectives: Resilience resources play a significant role in a caregiver's adaptation process. Previous studies have primarily focused on the effects of individual resilience resources. This study aimed to examine diverse patterns of how those multiple resources simultaneously operate in a caregiving situation with the person-centered approach.Method: This study utilized data from the Health and Retirement Study. Participants were eligible if they completed the Left-Behind questionnaire at two consecutive timepoints (2014 and 2016; or 2016 and 2018) and provided care for their spouse with limitations in activities of daily living (n = 692).Results: Latent profile analysis identified three distinct groups among spousal caregivers: (1) Lack of Resilience Resources (17%), (2) Low Psychological and Cognitive Resources, but Having Moderate Support (21%), and (3) Strong Resilience Resources (62%). Spousal caregivers having functional limitations (Odds = 0.37, p = 0.016) and greater depressive symptoms (Odds = 0.59, p = 0.000), and high ongoing caregiving stress (Odds = 0.37, p = 0.007) were less likely to be in 'Strong Resilience Resources' than 'Lack of Resilience Resources'.Conclusion: The findings highlight the importance of taking a holistic view of resilience resources. It provides insights into potentially vulnerable groups and caregivers' adaptation process, thereby contributing to the development of interventions or policies aimed at enhancing the resilience resources of family caregivers.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"523-531"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333049","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

Videoconferencing support groups for people affected by dementia: a systematic narrative review. 针对痴呆症患者的视频会议支持小组：系统性叙事回顾。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-10-23 DOI: 10.1080/13607863.2024.2414049

Bethany Linder, Helen Atherton, John I MacArtney, Jeremy Dale

{"title":"Videoconferencing support groups for people affected by dementia: a systematic narrative review.","authors":"Bethany Linder, Helen Atherton, John I MacArtney, Jeremy Dale","doi":"10.1080/13607863.2024.2414049","DOIUrl":"10.1080/13607863.2024.2414049","url":null,"abstract":"Objectives: This systematic review aimed to examine the impact of videoconferencing peer support groups on individuals living with dementia and their caregivers.Method: A narrative synthesis of articles identified via searches of five databases (MEDLINE, PsycINFO, EMBASE, CINAHL, and Web of Science). The search was carried out in January 2024. The review included qualitative, quantitative, and mixed methods research reporting the experiences of dementia patients and/or their caregivers participating in online support groups that took place through video call.Results: 16 studies met the inclusion criteria for the review. In all studies, participants indicated that taking part in a virtual support group was beneficial, as they valued being able to connect with others in a similar situation, receive advice, and learn coping strategies. Videoconferencing support groups were seen as convenient to attend, even though participants sometimes experienced technical difficulties (e.g. internet connectivity issues). The provision of IT training and support helped participants access this type of support effectively.Conclusion: Videoconferencing support groups can be beneficial for caregivers of people living with dementia, especially when groups meet frequently and provide some manner of IT support. More research is needed to understand the potential benefits of videoconferencing for people with dementia.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"369-390"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513502","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

Association of mental health with walking capacity in patients with claudication: a cross-sectional study. 心理健康与跛行患者行走能力的关系：一项横断面研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-08-23 DOI: 10.1080/13607863.2024.2395491

Paolo M Cunha, Hélcio Kanegusuku, Breno Quintella Farah, Gabriel Grizzo Cucato, Nelson Wolosker, Marilia de Almeida Correia, Raphael Mendes Ritti Dias

{"title":"Association of mental health with walking capacity in patients with claudication: a cross-sectional study.","authors":"Paolo M Cunha, Hélcio Kanegusuku, Breno Quintella Farah, Gabriel Grizzo Cucato, Nelson Wolosker, Marilia de Almeida Correia, Raphael Mendes Ritti Dias","doi":"10.1080/13607863.2024.2395491","DOIUrl":"10.1080/13607863.2024.2395491","url":null,"abstract":"Objectives: The purpose of this investigation was to verify the association between mental health (MH) indicators with walking capacity in patients with PAD.Methods: Two hundred and forty-six patients with PAD and claudication symptoms participated in this study. Physical function was assessed objectively with the 6-min walk test (6MWT) and subjectively using the Walking Impairment Questionnaire (WIQ). MH was assessed by the World Health Organization Quality of Life-Bref (WHOQOL-Bref) (six questions were selected - 1, 2, 10, 16, 19, and 26). Patients were divided into tertile groups according to their composite z-score for mental health (Low MH, Middle MH, and High MH).Results: The High MH group presented higher scores (p < 0.05) for the WIQ (distance = 26.8 ± 25.6, speed = 25.4 ± 17.3, and stairs = 33.6 ± 27.5), claudication onset distance (161.6 ± 83.6 m), and total walking distance (352.9 ± 79.6 m) compared to Low MH (WIQ distance = 14.8 ± 16.2, 17.7 ± 13.0, and stairs = 22.7 ± 20.7). Additionally, the High MH group presented a longer claudication onset distance (115.5 ± 70.5 m), and total walking distance in 6MWT (306.6 ± 83.2 m), and higher scores in the total walking distance compared to Middle MH (309.5 ± 93.6 m) (p < 0.05).Conclusion: In patients with PAD, MH was positively associated with walking capacity. Based on these results, treatments that can improve mental health, through different mechanisms, can also positively influence the ability of these patients to walk.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"418-422"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047588","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

Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area. 旧金山湾区患有认知障碍的拉美独居老人不稳定的特殊文化特征。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-27 DOI: 10.1080/13607863.2024.2407180

Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone

{"title":"Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area.","authors":"Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone","doi":"10.1080/13607863.2024.2407180","DOIUrl":"10.1080/13607863.2024.2407180","url":null,"abstract":"Objectives: Latinos are about twice as likely to develop cognitive impairment. Culturally, filial support and familismo are expected within Latino families. Yet approximately twenty percent of Latinos live alone in the United States. The purpose of this study is to explore the concerns and priorities of older Latinos living alone with cognitive impairment, using a precarity framework.Method: We conducted 22 in-home interviews with older Latinos living alone with cognitive impairment, and we supplemented the interviews with interviews with members of the older adults' social circle and providers. Themes influencing the precarity of Latino older adults living alone were organized through the major areas of the precarity lens; 1) Limited awareness of cognitive impairment; 2) Self-management of cognitive impairment; and 3) Lacking tailored services for cognitive impairment.Results: Latino culture permeated and intersected across the lived experiences of participants living alone with cognitive impairment. Precarity was prevalent in all participants' lives and was exacerbated by familismo combined with cognitive impairment.Conclusion: Findings showed precarity in the experiences the participants shared. Participant narratives reveal how the Latino culture intersects with the experience of precarity while living alone with cognitive impairment, especially in reference to the role that family plays through the expectation of familismo. However, given the difficult demands of employment and raising their own families, familismo can become more like a goal than a practice. Further research is needed to better understand how to bridge the gap between the needs of these older Latino adults living alone with cognitive impairment, their families, and formal services.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"532-541"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333050","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

In the presence of death and dying: death attitudes and compassion fatigue among certified nursing assistants in skilled care. 在死亡和濒死面前：专业护理中注册护理助理的死亡态度和同情疲劳。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-08 DOI: 10.1080/13607863.2024.2399089

Morgan K Eichorst, Ashley L Fromenthal, Grant M Harris, Candice D Reel, Rebecca S Allen

{"title":"In the presence of death and dying: death attitudes and compassion fatigue among certified nursing assistants in skilled care.","authors":"Morgan K Eichorst, Ashley L Fromenthal, Grant M Harris, Candice D Reel, Rebecca S Allen","doi":"10.1080/13607863.2024.2399089","DOIUrl":"10.1080/13607863.2024.2399089","url":null,"abstract":"Objectives: Certified Nursing Assistants (CNAs) are responsible for 80-90% of direct-to-resident care in skilled nursing facilities (SNFs), and may develop close, family-like relationships with their residents. With SNFs becoming a common place of death for older adults, CNAs now find themselves engaging in end-of-life caregiving with limited training and institutional support for emotional outcomes. This study aimed to understand and evaluate the relations between bereavement, death exposure, and compassion fatigue among CNAs, hypothesizing that (a) experiential avoidance moderates the relation between death exposure and negative death attitudes and (b) death attitudes moderate the relation between death exposure and compassion fatigue.Method: One hundred and ten CNAs across all shifts from four skilled nursing facilities in the southeastern United States participated in surveys and, potentially, focus groups.Results: Results failed to find support for death exposure being related either to experiential avoidance or negative death attitudes. However, results supported the relation between negative death attitudes and compassion fatigue.Conclusion: Implications highlight the need to develop interventions focusing on palliative skills-based training and emotional support of CNAs in their role as end-of-life caregivers. By reducing compassion fatigue, it may be possible to decrease job turnover and increase quality-of-care for residents.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"452-461"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156725","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