Aging & Mental Health最新文献

{"title":"Financial difficulties and well-being among caregivers of persons with severe dementia.","authors":"Louisa Camille Poco, Ellie Bostwick Andres, Ishwarya Balasubramanian, Chetna Malhotra","doi":"10.1080/13607863.2025.2481978","DOIUrl":"https://doi.org/10.1080/13607863.2025.2481978","url":null,"abstract":"<p><strong>Objectives: </strong>We assessed the association between caregivers' financial difficulties and the well-being of caregivers among persons with severe dementia (PwSD). We also examined whether caregivers' use of emotion-focused coping strategies and their ability to derive greater gains from caregiving moderated these associations.</p><p><strong>Method: </strong>Data were drawn from a prospective cohort study of 215 caregivers of community dwelling PwSDs in Singapore, surveyed every four months over three years. We assessed caregiver well-being using measures of caregiver psychological distress, self-rated health status and their perception of PwSDs' well-being. We estimated separate linear mixed effects models for each outcome variable.</p><p><strong>Results: </strong>A higher financial difficulty score was associated with greater caregiver distress (<i>B</i> = 0.96, <i>p</i> = 0.00), lower self-rated health (<i>B</i> = -0.10, <i>p</i> = 0.00) and poorer PwSD quality of life (<i>B</i> = 0.32, <i>p</i> = 0.01). We also found that greater use of emotion-focused coping and deriving greater gains in caregiving mitigated the negative association between caregiver financial difficulty and their distress and perception of PwSDs' well-being.</p><p><strong>Conclusion: </strong>Greater financial support and interventions to promote the use of emotion-focused coping strategies and enhancing caregiving gains may have beneficial effects in protecting caregivers' well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702172","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":"Providing inclusive care and empowering people with dementia as a clinical pharmacist: a qualitative study of clinical pharmacist's experiences.","authors":"Alice Burnand, Abi Woodward, Kumud Kantilal, Cini Bhanu, Yogini Jani, Mine Orlu, Greta Rait, Madiha Sajid, Kritika Samsi, Victoria Vickerstaff, Jane Ward, Jane Wilcock, Jill Manthorpe, Nathan Davies","doi":"10.1080/13607863.2025.2481970","DOIUrl":"https://doi.org/10.1080/13607863.2025.2481970","url":null,"abstract":"<p><strong>Objectives: </strong>Dementia is a growing global health concern, significantly impacting primary care settings, where the majority of care for people with dementia is provided. Underserved and vulnerable groups, who often face disparities in access to care are at greater risk of this strain. Clinical pharmacists are well-positioned to provide care but their potential contribution to enhancing person-centred and inclusive care for people with dementia is largely unexplored. The aims are to explore the views and experiences of primary care based clinical pharmacists in providing inclusive care to people with dementia in the community.</p><p><strong>Method: </strong>We conducted 13 semi-structured interviews with primary care clinical pharmacists in England in 2023-2024, which were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Two overarching themes were developed from the interviews: 1) involving patients in decision-making, ensuring person-centered care and 2) the prevalence of health inequalities and the impact on patient care.</p><p><strong>Conclusion: </strong>Taking a personalised and person-centred approach clinical pharmacists can engage with patients and carers in decision-making. This can empower people, particularly those from minoritised or disadvantaged groups, to take an active role in their care. This may help with medication adherence but also build trust, potentially leading to better quality and more equitable care. Personalised care should consider cultural beliefs and preferences to reduce misunderstandings or stigma and improve the overall experience for individuals, helping to reduce disparities.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702175","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":"'That feels alien to me, to be honest': using Applied Thematic Analysis to co-produce a culturally adapted psychosocial intervention with Sikh carers of people living with dementia.","authors":"Merryn Dowson, Dawn Edge, Lydia Morris","doi":"10.1080/13607863.2025.2478521","DOIUrl":"https://doi.org/10.1080/13607863.2025.2478521","url":null,"abstract":"<p><strong>Objectives: </strong>Dementia prevalence is increasing in the UK, and Punjabi Sikhs are at increased risk over the coming 30 years. Existing psychosocial interventions, such as Empowered Conversations, have been designed to reduce risk of burnout in informal carers; although, despite research highlighting the benefits of culturally adapted care, there are no interventions adapted specifically for Sikh carers.</p><p><strong>Method: </strong>90-minute interviews were held online with 10 Sikh carers of people living with dementia. They were presented with Empowered Conversations resources and suggested changes to adapt them for Sikh carers.</p><p><strong>Results: </strong>Themes were identified through Applied Thematic Analysis: (1) delivery and logistics should be tailored to increase accessibility, (2) 'kind' course facilitators with knowledge of Sikhi, (3) cultural nuances are important to hold in mind, (4) resources should be tailored to Punjabi Sikh culture in a way that does not exclude, and (5) carers rarely consider themselves or their own needs.</p><p><strong>Conclusion: </strong>Participants advised that various aspects of Punjabi Sikh culture would be invaluable for intervention developers and facilitators to consider, including attitudes towards gender, religious principles and family dynamics. Further research should apply similar methods to further cultural adaptation of support for carers of people living with dementia from minoritised ethnic backgrounds.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694335","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":"Self-care experiences of male spouses of people with dementia: a descriptive phenomenological study.","authors":"Sua Jung, Jun-Ah Song","doi":"10.1080/13607863.2025.2481968","DOIUrl":"https://doi.org/10.1080/13607863.2025.2481968","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the essential structure of self-care experiences of male spouses who provide caregiving to their spouses with dementia.</p><p><strong>Method: </strong>This study utilized Giorgi's phenomenological method to explore the essential structure of self-care experience among five male spouses.</p><p><strong>Results: </strong>The structure consists of four common constituents: construction of self-care meaning as a shared body with the spouse, perception of inevitable change due to an unstable situation, building new patterns of care, and repetitive reflection and encouragement for improving self-care.</p><p><strong>Conclusion: </strong>The study findings contribute to a holistic understanding of the cognitive framework underlying self-care experiences among male caregivers who provide care for spouses with dementia. The findings highlight current self-care practices of male spouses, and they provide foundational qualitative insights that can inform the design of interventions and support strategies aimed at promoting self-care in this population through the use of cognitive restructuring.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694234","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":"Self-compassion education for older adults' mental health and wellbeing: a mixed methods systematic review.","authors":"Shwikar Othman, Mary Steen, Nadia Abdelnasser","doi":"10.1080/13607863.2025.2476653","DOIUrl":"https://doi.org/10.1080/13607863.2025.2476653","url":null,"abstract":"<p><strong>Objectives: </strong>To assess and explore the influence of self-compassion education for older adults' mental health and wellbeing; and identify facilitators and challenges that may impact providing self-compassion education for older adults' mental health and wellbeing.</p><p><strong>Method: </strong>A mixed methods systematic review was conducted following Joanna Briggs Institute (JBI) methodology. A three-stage search approach was undertaken that included six electronic databases: Medline, Embase, PsycINFO, Emcare, Ovid Nursing, Cochrane Library, and grey literature. Quality assessment was conducted via mixed methods appraisal tools. Quantitative data were synthesised into a narrative summary of the characteristics and findings of the influence of self-compassion education for older adults. For the qualitative data, a thematic synthesis was conducted.</p><p><strong>Results: </strong>Eleven studies met the inclusion criteria. Overall, the included studies reported that self-compassion education for older adults was associated with improved psychological well-being, and higher levels of self-compassion, kindness towards oneself and others, and mindfulness. In addition, participants reported reduced distress, anxiety, and avoidance of negative experiences.</p><p><strong>Conclusion: </strong>The findings provide evidence to guide further research on developing, designing, facilitating, and evaluating self-compassion education programs and workshops for older adults.</p><p><strong>Prospero registration: </strong>This systematic review is registered at the International Prospective Register of Systematic Reviews: PROSPERO 2022 CRD42022310630.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":2.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665517","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":"Exploring health and social care preferences for people with dementia and mild cognitive impairment: a systematic review of discrete choice experiments.","authors":"N Morrish, C Fox, J Reeve, I Maidment, G Livingston, S Scott, A Hilton, L Allan, J van Horik, G Wong, M Khondoker, G Rook, A Medina-Lara","doi":"10.1080/13607863.2025.2468409","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468409","url":null,"abstract":"<p><strong>Objectives: </strong>Dementia is associated with behaviour change, and impaired ability to remember and think. This review focuses on key findings and methodological processes from discrete choice experiments (DCEs) to inform health and social care interventions for people living with dementia or mild cognitive impairment.</p><p><strong>Method: </strong>Six databases were searched to July 2023 using terms for DCEs, dementia and mild cognitive impairment. Titles, abstracts, and full texts were individually screened by two reviewers. PRISMA reporting guidelines were followed throughout. Study quality was assessed using the Lancsar and Louviere checklist. Results were summarised in a narrative synthesis. The study was PROSPERO registered (CRD42022368182).</p><p><strong>Results: </strong>Nine studies were included. DCE attributes included service provision, setting characteristics, provider characteristics, availability, cost, and clinical outcomes. Studies predominantly included the general population or patient representatives with only two studies incorporating preferences of people living with dementia.</p><p><strong>Conclusion: </strong>Respondents preferred individualised home support, and to avoid relocation. Studies suggested benefit to day centres, and greater flexibility in dementia care provision. Authors noted relative preference could differ according to personal characteristics reinforcing the need for tailored provision. Future DCEs should include respondents with early-stage dementia and other cognitive impairments, taking care to ensure appropriate design for such populations.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651957","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 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}