Aging & Mental Health最新文献_第6页

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

Just as expected? Older adults' aging expectations are associated with subjective cognition. 正如预期？老年人对衰老的预期与主观认知有关。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-06 DOI: 10.1080/13607863.2024.2399080

Nikki L Hill, Sakshi Bhargava, Justin Do, Emily Bratlee-Whitaker, Monique J Brown, Renata Komalasari, Rachel Wu, Jacqueline Mogle

{"title":"Just as expected? Older adults' aging expectations are associated with subjective cognition.","authors":"Nikki L Hill, Sakshi Bhargava, Justin Do, Emily Bratlee-Whitaker, Monique J Brown, Renata Komalasari, Rachel Wu, Jacqueline Mogle","doi":"10.1080/13607863.2024.2399080","DOIUrl":"10.1080/13607863.2024.2399080","url":null,"abstract":"Objectives: This study investigated the relationship between older adults' expectations regarding aging and subjective cognition. Specifically, we examined whether the three domains of aging expectations (physical health, mental health, and cognitive function) were associated with two aspects of subjective cognition: current subjective cognition and subjective cognitive decline (SCD).Method: An online survey was conducted among U.S. adults aged 65-90 (N = 581; Mage=71.4, SD ± 4.81; 51% female). Measures included the 12-item Expectations Regarding Aging scale, the 8-item PROMIS Cognitive Abilities scale (current subjective cognition), and the 12-item Everyday Cognition scale (SCD). We used generalized linear models to examine associations between overall aging expectations and its three domains with current subjective cognition ratings and SCD.Results: We found that more positive expectations regarding physical health, mental health, and cognitive function in aging were associated with higher ratings of current subjective cognition as well as lower SCD. The magnitude of effects across aging expectations domains were similar for both aspects of subjective cognition.Conclusion: Aging expectations are malleable and influence an individual's perceptions of their cognitive functioning. Modifying older adults' aging expectations could support healthier cognitive aging through increased awareness and accurate assumptions about the aging process.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"444-451"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143482","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

Socioeconomic status, perceived family support and psychological distress in older Kenyans: a cross-sectional study. 肯尼亚老年人的社会经济地位、感知到的家庭支持和心理困扰：一项横断面研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-08 DOI: 10.1080/13607863.2024.2400261

James R Muruthi, Christine Nyawaga, Risper Kirui, Lucy Maina, Elijah Mwega

{"title":"Socioeconomic status, perceived family support and psychological distress in older Kenyans: a cross-sectional study.","authors":"James R Muruthi, Christine Nyawaga, Risper Kirui, Lucy Maina, Elijah Mwega","doi":"10.1080/13607863.2024.2400261","DOIUrl":"10.1080/13607863.2024.2400261","url":null,"abstract":"Objectives: Incidences of psychological distress are on the rise among older Kenyans. While socioeconomic status and family support have been shown to impact the mental health of older individuals, they remain understudied in the older Kenyan population. This study investigated the prevalence of psychological distress among older Kenyans and examined its relationships with economic status and perceived family support.Method: Data came from a cross-sectional survey of 376 older Kenyans from four rural and urban areas in 2022. The survey collected demographic, global health, social support, socioeconomic, and psychological health variables. Structural equation modeling was used to test the relationship between socioeconomic status, family support, and psychological distress.Results: Overall, 61% reported high psychological distress, with women experiencing significantly higher levels. Structural equation modeling results indicated that food insecurity, flooring material, material wealth, chronic health, self-rated physical health, sex, and education were significant predictors. The dimensions of family support were not significantly associated with psychological distress.Conclusion: The findings illuminate that psychological distress is a critical health concern for the sample and needs targeted health interventions. They also underline the essential role of economic status in the psychological distress of older Kenyans. Future studies should explore these relationships using longitudinal, family-level, and representative data.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"471-477"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156755","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

Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults. 在 COVID-19 大流行中的复原力：参与有意义的活动是老年人应对能力和抑郁症状之间的中介。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-03-01 Epub Date: 2024-09-16 DOI: 10.1080/13607863.2024.2403567

Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen

{"title":"Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults.","authors":"Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen","doi":"10.1080/13607863.2024.2403567","DOIUrl":"10.1080/13607863.2024.2403567","url":null,"abstract":"Objectives: This study investigated the longitudinal association between coping ability and depressive symptoms from before to during and after the COVID-19 pandemic and whether engagement in meaningful activities plays a mediating role in this association.Method: Individuals aged 75, 80, and 85 years (n = 1021) were interviewed in 2017-2018 (T1, pre-pandemic). Of these persons, 608 were interviewed in 2020 (T2, first wave) and 2021-2022 (T3, partly post-pandemic). Coping ability, depressive symptoms, and engagement in meaningful activities were assessed using the 10-item Connor-Davidson Resilience Scale, 10-item Center for Epidemiologic Studies Depression Scale, and 17-item activity subscore of the University of Jyväskylä Active Aging Scale, respectively. Structural equation modeling was used for the mediation analyses.Results: Higher coping ability was associated with decreased depressive symptoms, partly mediated by higher activity scores between T1 and T2. From T2 to T3, higher coping ability reduced the depressive symptoms, but the activity scores did not mediate the changes during this period.Conclusion: Good coping ability may help older people sustain good mental well-being. With good coping ability, active engagement in meaningful activities contributed to the low level of depressiveness during the early phases of the pandemic, when many social activities were restricted.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"514-522"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301792","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