Aging & Mental Health最新文献_第8页

Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review. 应对老年人轻度认知障碍或轻度痴呆的认知能力下降：一项范围综述。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-21 DOI: 10.1080/13607863.2025.2453819

Youngmin Cho, Donruedee Kamkhoad, Natalie G Regier, Lixin Song, Ruth A Anderson, Bei Wu, Baiming Zou, Anna S Beeber

{"title":"Coping with cognitive decline in older adults with mild cognitive impairment or mild dementia: a scoping review.","authors":"Youngmin Cho, Donruedee Kamkhoad, Natalie G Regier, Lixin Song, Ruth A Anderson, Bei Wu, Baiming Zou, Anna S Beeber","doi":"10.1080/13607863.2025.2453819","DOIUrl":"https://doi.org/10.1080/13607863.2025.2453819","url":null,"abstract":"Objectives: This scoping review aims to map out the coping strategies among Persons with Mild Cognitive Impairment (PwMCI) and Persons with Mild Dementia (PwMD), identifying the facilitators and the barriers to the use of the strategies.Method: We conducted a systematic search of peer-reviewed studies in PubMed, CINAHL, EMBASE, and PsycINFO. Under the guidance of the Coping Circumflex Model, we identified coping strategies and then conducted thematic synthesis.Results: Our review of 17 studies revealed 13 themes for coping strategies among PwMCI and PwMD, categorized into problem-solving, positive emotional, problem avoidance, and negative emotional strategies. The strategies included utilization of reminders, active engagement in daily tasks, acceptance, and concealing memory problems. The themes for facilitators and barriers encompassed social interactions, assistance from informal care partners, support from professionals, and the influence of emotion.Conclusion: The review revealed the practical types of coping strategies and the influence of context on their use and development, highlighting the need for personalized coping strategies. These insights are crucial for developing tailored interventions to improve quality of life in PwMCI and PwMD. Future research should focus on how PwMCI and PwMD develop their effective coping strategies, considering their trajectory of cognitive decline.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016998","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

Music moves: Ettlingen dementia study - a pragmatic randomised controlled trial. 音乐移动：Ettlingen痴呆研究-一项实用的随机对照试验。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-21 DOI: 10.1080/13607863.2025.2451744

Elsa Campbell, John Hogue, Jian Du, Katharina Issing, Thomas Wosch

{"title":"Music moves: Ettlingen dementia study - a pragmatic randomised controlled trial.","authors":"Elsa Campbell, John Hogue, Jian Du, Katharina Issing, Thomas Wosch","doi":"10.1080/13607863.2025.2451744","DOIUrl":"https://doi.org/10.1080/13607863.2025.2451744","url":null,"abstract":"Objectives: Due to the limited effectiveness of pharmacological treatment, there is a growing need to explore non-pharmacological psychosocial interventions such as music therapy when treating the behavioural and psychological symptoms of dementia (BPSD).Method: We randomised 57 nursing home residents into individual active music therapy plus standard care (aMT), individual receptive music therapy with tactile sound vibration plus standard care (rMT), or the standard care control group (CG). A trained music therapist provided 12 sessions over 6 weeks. The outcomes (BPSD; depression; quality of life; medical system usage; activities of daily living; music therapy engagement) were measured at baseline (0 week), post-intervention (6 weeks), and follow-up (12 weeks).Results: The results indicated small beneficial effects for BPSD in aMT and rMT at follow-up, a small beneficial effect for total musical engagement in aMT and rMT, a small negative effect for verbal communication in rMT, and a small beneficial effect for medical usage in the CG.Conclusion: Both aMT and rMT methods showed promise for managing BPSD and increasing engagement during music therapy. rMT may be more suited for advanced stages of dementia. Future studies should evaluate the appropriateness and effectiveness of each intervention according to disease severity.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.8,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017003","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

Sleep hygiene education in older adults: effectiveness and association with comprehensive geriatric assessment. 老年人睡眠卫生教育：有效性及其与综合老年评估的关联。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-20 DOI: 10.1080/13607863.2025.2451121

Merve Hafızoğlu, Pınar Gürün, Arzu Okyar Baş, Ceyda Kayabaşı, Didem Karaduman, Cansu Atbaş, Mert Eşme, Cafer Balcı, Meltem Halil, Mustafa Cankurtaran, Burcu Balam Doğu

{"title":"Sleep hygiene education in older adults: effectiveness and association with comprehensive geriatric assessment.","authors":"Merve Hafızoğlu, Pınar Gürün, Arzu Okyar Baş, Ceyda Kayabaşı, Didem Karaduman, Cansu Atbaş, Mert Eşme, Cafer Balcı, Meltem Halil, Mustafa Cankurtaran, Burcu Balam Doğu","doi":"10.1080/13607863.2025.2451121","DOIUrl":"https://doi.org/10.1080/13607863.2025.2451121","url":null,"abstract":"Objectives: This study aimed to evaluate the results of sleep hygiene education via a comprehensive geriatric assessment.Method: A cross-sectional research was conducted on insomnia outpatients at a tertiary hospital, and all participants received sleep hygiene education as well as a comprehensive geriatric assessment. Sleep parameters were assessed before and four weeks after education.Results: The study included 141 participants. A significant improvement was obtained in all four scales' scores before and after education (PSQI score 11 [8-13] vs. 5 [3-9], p < .001; SHI score 12 [8-16] vs. 4 [1-8], p < .001; ESS score 6 [3-8] vs. 2 [0-6], p < .001; Jenkins SS score 15 [10-19] vs. 7 [5-11], p < .001). Female gender ratios, as well as the presence and risk of malnutrition, differed between groups with and without the PSQI score improvement. In the regression analyses, female gender and the presence of malnutrition or malnutrition risk were evaluated as possible factors affecting the PSQI responses (respectively, OR: 3.48, CI 95%: 1.21-10.00, p = .020; OR: 0.29, CI 95%: 0.09-0.949, p = .041).Conclusion: Sleep hygiene education and interdisciplinary interventions are crucial in the management of sleep disorders in older adults.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015653","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 impact of sociodemographic, psychological, and quality of life factors on dual-task performance in elderly individuals: a cross-sectional study in Iraq. 社会人口学、心理和生活质量因素对老年人双重任务表现的影响：伊拉克的一项横断面研究。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-20 DOI: 10.1080/13607863.2025.2451116

Thaer Al-Tabtabai, Ceyhun Türkmen, Nilay Şahan

{"title":"The impact of sociodemographic, psychological, and quality of life factors on dual-task performance in elderly individuals: a cross-sectional study in Iraq.","authors":"Thaer Al-Tabtabai, Ceyhun Türkmen, Nilay Şahan","doi":"10.1080/13607863.2025.2451116","DOIUrl":"https://doi.org/10.1080/13607863.2025.2451116","url":null,"abstract":"Objective: This study aims to explore how sociodemographic, psychological, and quality of life factors impact dual-task performance among elderly individuals in Iraq.Methods: This cross-sectional study included 384 healthy community-dwelling participants aged 60 years and over, recruited from Najaf, Iraq. Data were collected using the Depression Anxiety Stress Scales-21 (DASS-21), Mindful Attention Awareness Scale (MAAS), and the World Health Organization Quality of Life Brief Form (WHOQOL-BREF). Dual-task performance was assessed using the Nine-Hole Peg Test (NHPT) combined with a cognitive task of counting backward by threes. Correlation and multivariate regression analyses were conducted to determine the predictors of cognitive dual-task performance.Results: Among the WHOQOL domains, only physical health significantly predicted dual-task performance for both dominant and non-dominant hands (β = 0.234, p = 0.041; β = 0.263, p = 0.025, respectively), underscoring the importance of physical well-being in cognitive-motor functions. Psychological factors (depression, anxiety, and stress) measured by DASS-21 did not significantly predict dual-task performance. The model explained a small part of the variance in dual-task performance, suggesting that other factors may influence these abilities in elderly individuals.Conclusion: While psychological factors measured by DASS-21 did not significantly impact dual-task performance, the overall quality of life remained essential. These insights can inform the design of elderly care programs.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016045","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

Wisdom and socio-cognitive mindfulness as predictors of loneliness in late adulthood: the mediating role of meaning in life. 智慧和社会认知正念作为成年后期孤独的预测因素：生活意义的中介作用。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-20 DOI: 10.1080/13607863.2025.2453600

Dominik Borawski, Tomasz Niebieszczański, Ewa Kucypera, Katarzyna Lipska, Karolina Ginalska, Donat Dutkiewicz

{"title":"Wisdom and socio-cognitive mindfulness as predictors of loneliness in late adulthood: the mediating role of meaning in life.","authors":"Dominik Borawski, Tomasz Niebieszczański, Ewa Kucypera, Katarzyna Lipska, Karolina Ginalska, Donat Dutkiewicz","doi":"10.1080/13607863.2025.2453600","DOIUrl":"https://doi.org/10.1080/13607863.2025.2453600","url":null,"abstract":"Objectives: This research aimed to examine whether (1) socio-cognitive mindfulness, defined as actively noticing novel distinctions in events and situations, negatively predicted loneliness in older adults and whether (2) meaning in life mediated the relationships between wisdom and loneliness and between socio-cognitive mindfulness and loneliness.Method: Two cross-sectional studies were conducted. In Study 1 (N = 76), participants aged 60 to 85 years completed questionnaires measuring wisdom, loneliness, meaning in life, and self-rated health. In Study 2 (N = 117), care home residents aged 60 to 87 years completed measures of socio-cognitive mindfulness, loneliness, meaning in life, and self-rated health.Results: Study 1 found a negative relationship between wisdom and loneliness, even after accounting for socio-demographic factors and meaning in life. Study 2 revealed a negative relationship between socio-cognitive mindfulness and loneliness. The relationships of both wisdom and socio-cognitive mindfulness to loneliness were mediated by meaning in life.Conclusion: The two studies indicate that attributes associated with wisdom and socio-cognitive mindfulness, such as perceiving events from multiple perspectives and maintaining a compassionate attitude, contribute to an increase in meaning in life, which in turn reduces loneliness in late adulthood.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016002","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

Interrelation between domains of functioning and white matter hyperintensities in geriatric memory clinic patients: a holistic approach through network analysis. 老年记忆临床患者功能域与白质高信号的相互关系：通过网络分析的整体方法。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-20 DOI: 10.1080/13607863.2025.2450282

Sara van de Schraaf, Anouk M van Loon, Majon Muller, Cees M P M Hertogh, Eefje M Sizoo, Hanneke F M Rhodius-Meester

{"title":"Interrelation between domains of functioning and white matter hyperintensities in geriatric memory clinic patients: a holistic approach through network analysis.","authors":"Sara van de Schraaf, Anouk M van Loon, Majon Muller, Cees M P M Hertogh, Eefje M Sizoo, Hanneke F M Rhodius-Meester","doi":"10.1080/13607863.2025.2450282","DOIUrl":"https://doi.org/10.1080/13607863.2025.2450282","url":null,"abstract":"Objectives: To explore interrelations between cognitive, physical, affective, and daily functioning, quality of life and white matter hyperintensities (WMH) in a geriatric memory clinic sample.Method: Participants received brain imaging, comprehensive geriatric assessment and neuropsychological evaluation including measurements of cognitive, physical, affective, and daily functioning and health-related quality of life. Data was analyzed using multiple linear regressions and network analysis using (moderated) mixed graphical models.Results: The total sample included 932 patients (age: 79.6 ± 6.0, 49% women). In regression analyses, severe WMH (Fazekas 3) was associated with decreased cognitive (attention/speed, language) and physical functioning, more apathy symptoms and more (instrumental) activities of daily living dependency (All β's -0.40 to -0.24). Within the network analysis, daily functioning was directly associated with memory, attention/speed, and gait speed, while quality of life was associated with gait speed and affective functioning. WMH had no direct network associations with domains of functioning.Conclusion: Cognitive, physical, and affective changes associated with severe WMH co-occur with decreased daily functioning and lower quality of life in a geriatric memory clinic sample. However, relationships between domains of functioning are independent of WMH. This warrants a holistic and symptom-based approach in clinical care and post-diagnostic support.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017002","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

Cultural adaptation and psychometric evaluation of the fear and avoidance of memory loss scale in a Chinese context. 记忆丧失恐惧与回避量表的文化适应与心理测量学评价。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-17 DOI: 10.1080/13607863.2025.2452931

Huohuo Dai, Chao Sun, Shuyi Xu, Francesca Farina, Xinlei Huang, Yu Wang, Qing Zhang, Hongxia Shen

{"title":"Cultural adaptation and psychometric evaluation of the fear and avoidance of memory loss scale in a Chinese context.","authors":"Huohuo Dai, Chao Sun, Shuyi Xu, Francesca Farina, Xinlei Huang, Yu Wang, Qing Zhang, Hongxia Shen","doi":"10.1080/13607863.2025.2452931","DOIUrl":"https://doi.org/10.1080/13607863.2025.2452931","url":null,"abstract":"Objectives: To cross-culturally adapt the Fear and Avoidance of Memory Loss (FAM) scale and assess the psychometric properties in the Chinese cultural context.Method: Following Beaton's guidelines, the FAM scale was translated and adapted. A cross-sectional study assessed its psychometric properties, including internal consistency (coefficient omega, Cronbach's alpha), test-retest reliability (intraclass correlation coefficients), and criterion and content validity. Construct validity was assessed through exploratory factor analysis (EFA) using principal axis factoring with direct oblimin rotation, with the optimal number of factors determined by the Kaiser criterion and parallel analysis.Results: The Chinese version of FAM showed satisfactory internal consistency, test-retest reliability, content validity and criterion validity. EFA revealed a two-factor solution of the Chinese FAM scale, leading to a refined 17-item version after excluding item 15 for low factor loading.Conclusion: The adapted 17-item FAM scale can be used as a reliable and effective tool to evaluate fear avoidance specific to memory loss among Chinese middle-aged and older adults. The removal of item 15 suggests potential cultural influences on coping mechanisms and behaviors, indicating the need for further research.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017000","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

Climate change anxiety and sleep problems in the older adults. 老年人的气候变化焦虑和睡眠问题。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-17 DOI: 10.1080/13607863.2025.2452937

Havva Gezgin Yazıcı, Çiğdem Ökten, Latife Utaş Akhan

{"title":"Climate change anxiety and sleep problems in the older adults.","authors":"Havva Gezgin Yazıcı, Çiğdem Ökten, Latife Utaş Akhan","doi":"10.1080/13607863.2025.2452937","DOIUrl":"https://doi.org/10.1080/13607863.2025.2452937","url":null,"abstract":"Objectives: Climate change has an impact on the prevalence of insufficient sleep and sleep disorders. This study aimed to examine climate change anxiety and sleep problems in older adults individuals.Method: This descriptive and cross-sectional study was carried out with 664 participants between July 9 and September 10, 2024. A Personal Information Form, the Climate Change Anxiety Scale, and the Insomnia Severity Index were used for data collection. In the data analysis, independent samples t-test and one-way analysis of variance were used to compare demographic variables with the climate change anxiety scale and insomnia severity index.Results: The mean age of the participants was 71.49 ± 6.21 years and more than half of the participants were female (54.4%). The mean score of the participants on the Climate Change Anxiety Scale was 1.68 ± 0.80 and their mean score on the Insomnia Severity Index was 12.56 ± 6.91. There was a positive correlation between the Climate Change Anxiety Scale and the Insomnia Severity Index (r = 0.26, p = 0.00). The insomnia variable explained 7% of the change in the Climate Change Anxiety score (R2 = 0.07, p = 0.00).Conclusion: Older adults experience anxiety and sleep problems regarding climate change and sleep problems in older adults increase as climate change anxiety increases.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-5"},"PeriodicalIF":2.8,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016997","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

Paranoia and unusual sensory experiences in Parkinson's disease. 帕金森氏症的偏执和不寻常的感觉体验。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-16 DOI: 10.1080/13607863.2025.2450258

Poppy Brown, Daniel Freeman, Bao Sheng Loe, Rebecca Dow, Louise Johns

{"title":"Paranoia and unusual sensory experiences in Parkinson's disease.","authors":"Poppy Brown, Daniel Freeman, Bao Sheng Loe, Rebecca Dow, Louise Johns","doi":"10.1080/13607863.2025.2450258","DOIUrl":"https://doi.org/10.1080/13607863.2025.2450258","url":null,"abstract":"Objectives: There has been limited exploration into the nature and development of psychotic experiences (PEs) in Parkinson's disease (PD). We aimed to comprehensively assess the frequency, severity, and associated distress of paranoia and unusual sensory experiences (USEs) in PD, and to assess what variables are significantly associated with these experiences, focussing on psychological processes central to understanding PEs in non-PD groups.Method: A questionnaire battery was completed by 369 individuals with PD with a mean age of 66 years and mean time since diagnosis of 5 years. Recruitment was via Parkinson's UK, social media, and local community groups. For a subset of measures, comparisons were made to age-matched controls using pre-existing data.Results: 182 (49%) participants reported USEs, including almost half of those not taking dopaminergic medication. For 83 (23%), the experience was distressing. Paranoia across the sample was significantly lower than in age-matched controls. However, specific paranoid concerns around abandonment (16%) and spousal betrayal (10%) were reported by some. Depression, anxiety, loneliness, and stigma and desire for support with PEs were high across the sample. Almost all psychological variables were significantly associated with PEs in structural equation models.Conclusion: PEs in PD are common, even in those not taking dopaminergic medication. For a small subset, these experiences are distressing and not resolved by existing treatment. Cognitive-affective variables like depression and anxiety could play a maintaining role in PEs in PD thus providing easy avenues for trialling intervention.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-16"},"PeriodicalIF":2.8,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017005","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

Barriers to treatment seeking for depression among elderly service users at Butabika National Referral and Teaching hospital, Kampala- Uganda. 乌干达坎帕拉Butabika国家转诊和教学医院老年服务使用者寻求抑郁症治疗的障碍。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2025-01-15 DOI: 10.1080/13607863.2025.2451101

Sumani Ganafa, Japheth Kwiringira, James Mugisha, Eddy Walakira

{"title":"Barriers to treatment seeking for depression among elderly service users at Butabika National Referral and Teaching hospital, Kampala- Uganda.","authors":"Sumani Ganafa, Japheth Kwiringira, James Mugisha, Eddy Walakira","doi":"10.1080/13607863.2025.2451101","DOIUrl":"https://doi.org/10.1080/13607863.2025.2451101","url":null,"abstract":"Objectives: Depression among the elderly is a significant public health concern in Uganda, where cultural, social, and healthcare-related barriers hinder access to treatment and support. This study examines the barriers to mental health service access faced by elderly service-users in Uganda.Method: Using an interpretive phenomenological approach, in-depth interviews were conducted to capture the lived experiences of elderly Baganda service users receiving treatment at Butabika National Referral and Teaching hospital.Results: The findings reveal an intricate interaction between cultural, social, economic, and healthcare system-related barriers. Key barriers include limited mental health awareness, financial constraints, fragmentation, drug shortage and geographical access. Social and cultural stigma further exacerbate these challenges contributing to delayed or avoided help-seeking behaviours among the elderly.Conclusion: The study highlights the intersectionality of aging and mental health issues, underscoring the urgent need for a comprehensive, integrated approach to mental health care for the elderly. This research calls for targeted interventions to reduce stigma, increase mental health literacy, and improve the accessibility and affordability of care for vulnerable elderly populations in Uganda. Such services can improve mental health outcomes and quality of life for the elderly in Uganda.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016995","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