Aging & Mental Health最新文献

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Life review intervention in the promotion of quality of relationships and quality of life of rural older widows in Northeastern Iran: a clinical trial study. 生活回顾干预在促进伊朗东北部农村老年寡妇的关系质量和生活质量:一项临床试验研究。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-25 DOI: 10.1080/13607863.2025.2467972
Nasim Pirzadeh, Abdolrahim Asadollahi, Leila Ghahramani, Mahnaz Didehvar, Mahin Nazari
{"title":"Life review intervention in the promotion of quality of relationships and quality of life of rural older widows in Northeastern Iran: a clinical trial study.","authors":"Nasim Pirzadeh, Abdolrahim Asadollahi, Leila Ghahramani, Mahnaz Didehvar, Mahin Nazari","doi":"10.1080/13607863.2025.2467972","DOIUrl":"https://doi.org/10.1080/13607863.2025.2467972","url":null,"abstract":"<p><strong>Objectives: </strong>Widowhood affects the quality of life and interpersonal relationships of older women. The aim of the study was to determine the effects of a life review program on quality of life and quality of relationships among older rural widows in Iran.</p><p><strong>Method: </strong>A clinical trial was conducted with 128 older adults widowed women who were served by rural health centers in the city of Iran. The intervention was carried out in six sessions over a period of 6 weeks in the form of remote conversations and virtual lessons. Quality of life and relationship quality before and 2 months after the intervention were assessed using the LEIPAD quality of life questionnaire with a score range of 31-124 and the relationship quality questionnaire with a score range of 25-100. The data was analyzed using descriptive and analytical statistical tests with SPSS software version 26.</p><p><strong>Results: </strong>The results show that after the intervention, the scores for relationship quality and quality of life increased in the intervention group (<i>p</i> < 0.05) compared to the control group.</p><p><strong>Conclusion: </strong>Therefore, the use of this simple, inexpensive, and uncomplicated intervention is recommended for health counseling of the older adults.</p><p><strong>Trial registration number and date of registration: </strong>IRCT20111017007816N18.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506193","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
Cognitive correlates of caregiver fear of falling. 看护人害怕跌倒的认知关联。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-25 DOI: 10.1080/13607863.2025.2468894
Sheila M Thompson, Devon Delaney, Jovian C Lam, Shirit C Kamil-Rosenberg, J Kaci Fairchild
{"title":"Cognitive correlates of caregiver fear of falling.","authors":"Sheila M Thompson, Devon Delaney, Jovian C Lam, Shirit C Kamil-Rosenberg, J Kaci Fairchild","doi":"10.1080/13607863.2025.2468894","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468894","url":null,"abstract":"<p><strong>Objectives: </strong>Fear of falling is prevalent among older adults and is associated with increased morbidity and mortality. Caregivers have a heightened risk of fear of falling due to the strenuous activities inherent in the caregiving relationship and potential exposure to falls by the care recipient. Cognition is associated with fear of falling; however, cognition's relationship with fear of falling is unclear in the caregiver population. The present study investigated the potential influence of cognitive function on fear of falling in a sample of informal caregivers (<i>n</i> = 50) of persons with a diagnosis of traumatic brain injury or dementia.</p><p><strong>Method: </strong>Cognitive domains of interest included attention, executive function, processing speed, and learning and memory. Worry was assessed with the Penn State Worry Questionnaire and fear of falling was assessed with the Short Falls Efficacy Scale. Hypotheses were tested using hierarchical linear regressions.</p><p><strong>Results: </strong>Executive function had a significant negative association with fear of falling, while processing speed and learning and memory did not. Attention trended toward significance.</p><p><strong>Conclusion: </strong>Findings support fear of falling as a potential situational anxiety construct and executive functioning as a potential cognitive correlate of fear of falling among caregivers.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506190","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
Navigating bereavement by suicide in later life: a qualitative analysis of health and social care professional perspectives. 在以后的生活中通过自杀来导航丧亲之痛:健康和社会护理专业观点的定性分析。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-24 DOI: 10.1080/13607863.2025.2468410
Nicola Cogan, Trish Hafford-Letchfield, Susan Rasmussen, Sophie Martin, Adele Owen, Jolie Goodman, Jeffrey R Hanna
{"title":"Navigating bereavement by suicide in later life: a qualitative analysis of health and social care professional perspectives.","authors":"Nicola Cogan, Trish Hafford-Letchfield, Susan Rasmussen, Sophie Martin, Adele Owen, Jolie Goodman, Jeffrey R Hanna","doi":"10.1080/13607863.2025.2468410","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468410","url":null,"abstract":"<p><strong>Objectives: </strong>Older adults bereaved by suicide face unique challenges, including heightened stigma, trauma, and isolation, often compounded by limited social support. This study explores professionals' perspectives on supporting older adults bereaved by suicide, addressing a critical gap in public health.</p><p><strong>Method: </strong>Semi-structured, in-depth interviews were conducted with professionals, including bereavement support workers, healthcare providers, and suicide prevention specialists. Data were analysed using a reflexive, inductive thematic approach.</p><p><strong>Results: </strong>Four key themes emerged: (1) navigating the complexities of traumatic loss by suicide in later life, (2) the role of community and family support in grief management, (3) professional roles and challenges in providing support, and (4) opportunities for community engagement and meaning-making. Findings emphasise the need for community-centred, culturally sensitive bereavement care that empowers older adults to navigate grief openly.</p><p><strong>Conclusion: </strong>Reducing stigma around suicide, recognising the impact of traumatic loss, and addressing factors that exacerbate grief are crucial to supporting mental health in older adults bereaved by suicide. Integrating bereavement support into community spaces and offering peer-support options can help alleviate isolation and trauma. Health and social care policies should prioritise improving access to services and promoting an inclusive and trauma-informed approach that meets the unique needs of this population.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association of preference-based recreational activity attendance with nursing home residents' depressive symptoms over time. 基于偏好的娱乐活动出席与养老院居民抑郁症状的关系。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-24 DOI: 10.1080/13607863.2025.2468895
Allison R Heid, Michael J Rovine, Karen Eshraghi, Nahida Akter, Katherine M Abbott, Kimberly Van Haitsma
{"title":"The association of preference-based recreational activity attendance with nursing home residents' depressive symptoms over time.","authors":"Allison R Heid, Michael J Rovine, Karen Eshraghi, Nahida Akter, Katherine M Abbott, Kimberly Van Haitsma","doi":"10.1080/13607863.2025.2468895","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468895","url":null,"abstract":"<p><strong>Objectives: </strong>Little is known about how preference-based care impacts nursing home (NH) residents' well-being over time. The Preference Match Tracker (PMT) objectively tracks the number of recreation activities NH residents attend that match their important preferences. We explored how PMT data were linked to residents' depressive symptoms over time.</p><p><strong>Method: </strong>The number of preferred and non-preferred activities attended and refused to attend per week were tracked with the PMT for 586 residents over 1 year. We utilized generalized linear modeling to examine the association of preferred/non-preferred attendance/refusals for three depressive symptom groups (<i>none</i>, <i>minimal</i>, <i>depressive symptoms</i>).</p><p><strong>Results: </strong>After accounting for covariates, more attendance was associated with minimal depressive symptoms over time. More total activity refusals and refusals of preferred activities were associated with minimal and mild-to-severe depressive symptoms over time and, more refusals of non-preferred activities was associated with minimal symptoms. Associations were moderated by pain, count of important preferences, cognition, and length of stay.</p><p><strong>Conclusion: </strong>Refusing to attend preferred activities may serve as a marker of distress. Individuals who are cognitively capable and/or living in the NH for <90 days or experiencing pain, who are refusing preferred activities should be monitored for depressive symptoms and their recreational activity participation.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484740","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 between chronic illnesses in older adults and caregiver burden: a cross sectional study in the United States. 老年人慢性疾病与照顾者负担之间的关系:美国的一项横断面研究。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-24 DOI: 10.1080/13607863.2025.2468891
Yeajin Ham, Yeonju Jin, Ickpyo Hong, Ji-Hyuk Park
{"title":"Association between chronic illnesses in older adults and caregiver burden: a cross sectional study in the United States.","authors":"Yeajin Ham, Yeonju Jin, Ickpyo Hong, Ji-Hyuk Park","doi":"10.1080/13607863.2025.2468891","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468891","url":null,"abstract":"<p><strong>Objectives: </strong>Caregiver burden is a growing social issue with an increase in the number of older adults with chronic illnesses. We analyzed the association between chronic illnesses among older adults and caregiver burden in financial, emotional, and physical domains, adjusting for caregiver and older adult characteristics.</p><p><strong>Method: </strong>We used secondary data from the 2022 National Health and Aging Trends Study and the 2022 National Study of Caregiving. Logistic regression analyses was used to assess associations between nine illnesses and each caregiver burden in 1,419 participants.</p><p><strong>Results: </strong>Dementia was significantly associated with caregiver burden related to emotional difficulty (odds ratio [OR] = 2.04; 95% confidence interval [CI], 1.34-3.09) and physical difficulty (OR = 1.67, 95% CI, 1.01-2.78), but not financial difficulty. Furthermore, relationship with older adults, positive and negative self-esteem, the number of assistive activities of caregivers, and gender and physical capacity of older adults were significantly associated with caregiver burden.</p><p><strong>Conclusion: </strong>These findings clarify the definition of caregiver burden and provide integrated results on caregiver burden in chronic illnesses and the characteristics of caregivers and older adults.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484719","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
Social resources and emotional well-being in older adults with and without mild cognitive impairment. 有或无轻度认知障碍的老年人的社会资源和情感幸福感。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-23 DOI: 10.1080/13607863.2025.2465781
Claire M Growney, Tammy English
{"title":"Social resources and emotional well-being in older adults with and without mild cognitive impairment.","authors":"Claire M Growney, Tammy English","doi":"10.1080/13607863.2025.2465781","DOIUrl":"10.1080/13607863.2025.2465781","url":null,"abstract":"<p><strong>Objectives: </strong>Across adulthood close social partners are increasingly prioritized and socioemotional skills typically improve. We investigate whether age-related benefits in emotional well-being and social resources emerge in both cognitively normal (CN) older adults and older adults with mild cognitive impairment (MCI), and whether associations between well-being and social resources vary between these older groups and young adults.</p><p><strong>Method: </strong>Young adults (aged 21-34, <i>n</i> = 75), CN older adults (aged 65-84, <i>n</i> = 93), and older adults with MCI (aged 65-84; <i>n</i> = 62) reported their emotional well-being. Participants and informants reported participants' social engagement and social quality. Using experience sampling (7x/day, nine days), participants reported quantity and quality of their daily interactions.</p><p><strong>Results: </strong>Older adults with MCI had higher well-being than young adults, but lower well-being than CN older adults. Young adults generally had higher social engagement than both older adult groups and lower social quality than CN older adults. Social engagement and quality were both positively associated with well-being, especially among CN older adults.</p><p><strong>Conclusion: </strong>Findings suggest older adults with MCI somewhat maintain age-related advantages in emotional well-being, but not social functioning. Older adults with MCI (and young adults) may also not be as effective in leveraging social resources to support their well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.8,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484737","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
Data-driven subtypes of late-life depression-secondary analysis of a cluster-randomized RCT. 数据驱动的晚年抑郁亚型:一项集群随机RCT分析。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-23 DOI: 10.1080/13607863.2025.2468406
Judith van Diepen, Gert-Jan Hendriks, Marij Zuidersma, Richard Oude Voshaar, Noortje Janssen
{"title":"Data-driven subtypes of late-life depression-secondary analysis of a cluster-randomized RCT.","authors":"Judith van Diepen, Gert-Jan Hendriks, Marij Zuidersma, Richard Oude Voshaar, Noortje Janssen","doi":"10.1080/13607863.2025.2468406","DOIUrl":"https://doi.org/10.1080/13607863.2025.2468406","url":null,"abstract":"<p><strong>Objectives: </strong>Cognitive performance varies among depressed older patients and is known to affect treatment outcome. We used a data-driven approach to create subtypes of late-life depression and exploratively visualized the course of depression during either behavioural activation (BA) or treatment as usual (TAU).</p><p><strong>Method: </strong>Among 161 depressed (PHQ ≥ 10) older (≥65 years) participants of a cluster randomized controlled trial in primary care (NL5436), we performed latent class analysis (LCA) on individual depressive symptoms and performance on several cognitive tests. The course of depressive symptoms during treatment was plotted to explore whether differences between the classes differed between BA and TAU.</p><p><strong>Results: </strong>Five classes best fitted the data: (1) mild depression without cognitive deficits, (2) moderate depression with insomnia and cognitive deficits, (3) severe depression with cognitive deficits, (4) moderately severe depression with hypersomnia and cognitive deficits, and (5) moderately severe depression with cognitive-affective symptoms but no cognitive deficits. Graphs showed that depressive symptoms of subgroups with severe depressive symptoms improved more during BA compared to TAU, regardless of cognitive deficits.</p><p><strong>Conclusions: </strong>We identified five subgroups. Graphs suggest that effectiveness of BA is similar across all subgroups, whereas TAU seems less effective in the more severely depressed subgroups. Replication is warranted.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484663","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
Age and gender disparities in joint associations of physical activity and sleep duration with depressive symptoms trajectories: a longitudinal analysis of Chinese middle-aged and older adults. 身体活动和睡眠时间与抑郁症状轨迹联合关联的年龄和性别差异:对中国中老年成年人的纵向分析
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-20 DOI: 10.1080/13607863.2025.2465771
Danxia Liu, Chen Xing, Jing Guo
{"title":"Age and gender disparities in joint associations of physical activity and sleep duration with depressive symptoms trajectories: a longitudinal analysis of Chinese middle-aged and older adults.","authors":"Danxia Liu, Chen Xing, Jing Guo","doi":"10.1080/13607863.2025.2465771","DOIUrl":"https://doi.org/10.1080/13607863.2025.2465771","url":null,"abstract":"<p><strong>Objectives: </strong>The combined effects of physical activity and sleep duration on depressive symptoms trajectories, and age and gender disparities remain inadequately understood. The objective of this study was to identify the joint relationship of physical activity and sleep duration with depressive symptoms trajectories in Chinese middle-aged and older adults, and explored disparities in the joint associations.</p><p><strong>Method: </strong>This longitudinal analysis draws upon data from the China Health and Retirement Longitudinal Study. The analysis comprised 35063 observations. Linear mixed-effect models were employed to discern independent and joint correlation of physical activity and sleep duration with depressive symptoms trajectories.</p><p><strong>Results: </strong>Chinese middle-aged and older adults showed increasing depressive symptoms trajectory. Physical activity and sleep duration interplayed to impact depressive symptoms trajectory in different ways. Compared to participants engaged in lower physical activity and short sleep, depressive symptom trajectories of those with higher physical activity and optimal sleep, and higher physical activity and short sleep increased less rapidly among group aged 60-70 years, as well as in women group.</p><p><strong>Conclusion: </strong>This study emphasized the importance of combining interventions targeting habits of physical activity and sleep for middle-aged and older adults to improve their mental health, especially for women and those aged 60-70 years.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469904","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
Correlates of self-perceptions of aging in dementia caregivers: findings from the German Aging Survey. 痴呆症护理人员对衰老的自我认知的相关性:来自德国老龄化调查的发现。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-19 DOI: 10.1080/13607863.2025.2464705
Serena Sabatini, Shelbie G Turner, Blossom C M Stephan
{"title":"Correlates of self-perceptions of aging in dementia caregivers: findings from the German Aging Survey.","authors":"Serena Sabatini, Shelbie G Turner, Blossom C M Stephan","doi":"10.1080/13607863.2025.2464705","DOIUrl":"https://doi.org/10.1080/13607863.2025.2464705","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the associations between dementia caregivers' self-perceptions of aging (SPAs) and demographic, care related, and stress variables.</p><p><strong>Methods: </strong>Cross-sectional (2021) data collected online and from the German Aging Study comprising 190 dementia caregivers (Mean age= 65.69 years; SD= 10.11) were used. Predictive variables were age, sex, education, marital status, type of district of residence, caregiving hours per week, relationship to the person with dementia, care burden, and the Relative Stress Scale. Outcome variables were one item assessing felt age, the Lawton's Attitudes toward Own Aging Scale, and the age-related cognitions scales. Univariable, multivariable, and multivariate linear regression models were used.</p><p><strong>Results: </strong>Multivariable and multivariate linear regression models showed that those dementia caregivers who are older, have lower education, experience higher levels of caregiving-related burden and stress, and live in urban compared to rural districts, experience more negative SPAs compared to dementia caregivers without these characteristics. Associations were of moderate size for stress and of small size for the remaining variables.</p><p><strong>Conclusion: </strong>The results suggest that key characteristics in dementia caregivers are associated with more negative SPAs. Given that more negative SPAs are associated with poorer health outcomes, these individuals may benefit the most from interventions promoting positive SPAs.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":2.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451075","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
Patient characteristics, behavior, and discharge locations of patients with dementia and very severe challenging behavior. 患者特征,行为,和出院地点的痴呆症患者和非常严重的挑战行为。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2025-02-18 DOI: 10.1080/13607863.2025.2465780
Gerrie van Voorden, Raymond T C M Koopmans, Martin Smalbrugge, Sytse U Zuidema, Anne M A van den Brink, Richard C Oude Voshaar, Debby L Gerritsen
{"title":"Patient characteristics, behavior, and discharge locations of patients with dementia and very severe challenging behavior.","authors":"Gerrie van Voorden, Raymond T C M Koopmans, Martin Smalbrugge, Sytse U Zuidema, Anne M A van den Brink, Richard C Oude Voshaar, Debby L Gerritsen","doi":"10.1080/13607863.2025.2465780","DOIUrl":"https://doi.org/10.1080/13607863.2025.2465780","url":null,"abstract":"<p><strong>Objectives: </strong>To gain insights into the characteristics, behavior, and discharge location of patients with dementia and very severe challenging behavior admitted to highly specialized units that are specialized in the diagnostics and treatment of this patient group.</p><p><strong>Method: </strong>In this observational study, 11 units participated from 2020 - 2023. Measurements included demographics; dementia type; severity of cognitive decline; presence of delirium; location before admission; compulsory admission; medical history; drug use; and behavior during the first 2 weeks of admission, assessed by the Cohen-Mansfield Agitation Inventory and the Neuropsychiatric Inventory Questionnaire.</p><p><strong>Results: </strong>127 patients (67.7% males) participated. Nine in ten patients had moderately severe or severe cognitive decline. Behavior was rather heterogeneous, with agitation, general restlessness and verbal aggression present in 70% or more. Agitation was severely or extremely distressful for nursing staff in relation to one in four patients. Half of the patients were discharged to a regular dementia special care unit (DSCU), one in ten could not be discharged, and one-third died during their stay.</p><p><strong>Conclusions: </strong>Despite heterogenous and highly prevalent behaviors of patients, about half of the patients could be discharged to DSCUs after treatment in a highly specialized unit. Future studies should explore whether and how treatment is effective.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451077","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
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