YongJoon So, Jinsun Hahm, Sei-Young Lee, Jung-Ha Kim, Kwangsu Moon
{"title":"Development of the subjective cognitive function decline scale for middle-aged Koreans.","authors":"YongJoon So, Jinsun Hahm, Sei-Young Lee, Jung-Ha Kim, Kwangsu Moon","doi":"10.1080/13607863.2024.2442598","DOIUrl":"https://doi.org/10.1080/13607863.2024.2442598","url":null,"abstract":"<p><strong>Objectives: </strong>This study developed the Subjective Cognitive Function Decline Scale for Middle-aged South Koreans (SCFD-K), addressing the need for early detection of potential mild cognitive impairment. This study fills a gap in the existing research, which mainly targeted older demographics or generalized cultural differences.</p><p><strong>Method: </strong>We conducted focus group interviews (FGIs) among 36 participants and with nine experts to answer basic questions related to cognitive decline, after which we developed a draft scale using the Delphi with another 15 experts. To examine the reliability and validity of the scale, an online survey of 2,000 people was conducted.</p><p><strong>Results: </strong>An exploratory factor analysis identified four distinct factors, which are language, visuospatial function, personality/emotion, and memory, with a total of 20 items (Cumulative variance ratio = 57.76), and a confirmatory factor analysis validated the four-factor structure with a good model fit (CFI = 0.932, TLI = 0.921, RMSEA = 0.057, and SRMR = 0.042) and acceptable internal consistency (Cronbach's α = 0.735-0.907).</p><p><strong>Conclusion: </strong>This analysis established the SCFD-K as a reliable and valid tool for assessing cognitive decline among middle-aged South Koreans. The findings have key cultural implications and inform proactive interventions and shaping future healthcare strategies in South Korea.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866515","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":"Loneliness and functional limitations shaping one another: evidence from the Health and Retirement Study.","authors":"Gina Lee","doi":"10.1080/13607863.2024.2439537","DOIUrl":"10.1080/13607863.2024.2439537","url":null,"abstract":"<p><p><b>Objectives:</b> Few studies have examined the bidirectional association between loneliness and functional limitations longitudinally. The current study aimed to explore the causal relationship between loneliness and functional limitations over time (2008 to 2016; T1-T3) using data from the Health and Retirement Study (HRS).</p><p><p><b>Method:</b> Including 7,046 older American adults (<i>M</i> = 69.17, <i>SD</i> = 10.32) from the HRS, a random intercept cross-lagged panel model (RI-CLPM) was computed to examine carry-over and spill-over effects over time. The RI-CLPMs enable separating the within-person fluctuation from the between-person differences.</p><p><p><b>Results:</b> The results revealed greater levels of loneliness and a greater number of functional limitations have bidirectional associations at the within-person level from 2012 to 2016. A significant between-person level association was also observed between loneliness and functional limitations, such that greater loneliness levels and greater degree of functional limitations were correlated at the between-person level.</p><p><p><b>Conclusion:</b> This finding that loneliness and functional limitations shape one another in later life will benefit policymakers, healthcare providers, and researchers in developing targeted interventions and support systems for older adults. Designing interventions addressing both aspects concurrently will enable breaking the potential cycle of negative consequences of loneliness and health among older adults.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840266","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}
Iris Yusupov Rose, Jordan W Lass, Danielle D'Amico, Lynn Zhu, Jill B Rich, Brian Levine, Susan Vandermorris, Angela K Troyer
{"title":"A self-guided e-learning program improves metamemory outcomes in healthy older adults: a randomized controlled trial.","authors":"Iris Yusupov Rose, Jordan W Lass, Danielle D'Amico, Lynn Zhu, Jill B Rich, Brian Levine, Susan Vandermorris, Angela K Troyer","doi":"10.1080/13607863.2024.2438839","DOIUrl":"https://doi.org/10.1080/13607863.2024.2438839","url":null,"abstract":"<p><strong>Objectives: </strong>Aging brings memory changes that can be concerning for some older adults. Whereas in-person memory interventions can positively impact knowledge, mental health, and behavioural outcomes, self-guided e-learning programs may offer scalable and accessible alternatives to in-person programming. The current study aimed to evaluate efficacy of an e-learning program compared to no treatment.</p><p><strong>Method: </strong>The trial was registered at ClinicalTrials.gov (NCT03602768). As part of a larger, multi-arm, controlled trial, healthy older adults (ages 60-84, 71% female) were randomized into an intervention or a delayed-start control condition. Data collection personnel were masked to participant grouping. Outcome measures were completed through telephone interviews and online questionnaires at baseline, immediate post-intervention, and 6- to 8-week follow-up.</p><p><strong>Results: </strong>Among 115 analyzed participants, there were larger improvements over time in memory knowledge, memory strategy acquisition and daily use, and self-reported memory satisfaction and ability in the group that completed the intervention than in the control group. There was no interaction effect for health-promoting behaviors. Intention-to-treat analyses showed attenuated but largely similar findings.</p><p><strong>Conclusion: </strong>This self-guided e-learning memory program demonstrated similar clinical outcomes provided by in-person, facilitator-led programs. It may serve as an effective first-line treatment for older adults presenting with memory concerns in clinical settings.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822969","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":"The effect of cognitive stimulation therapy (CST) on apathy, loneliness, anxiety and activities of daily living in older people with Alzheimer's disease: randomized control study.","authors":"Eda Atay, Emel Bahadır Yılmaz","doi":"10.1080/13607863.2024.2437060","DOIUrl":"https://doi.org/10.1080/13607863.2024.2437060","url":null,"abstract":"<p><strong>Objectives: </strong>This study was conducted to determine the effect of Cognitive Stimulation Therapy (CST) on apathy, loneliness, anxiety, and activities of daily living of individuals with Alzheimer's disease.</p><p><strong>Method: </strong>The study was conducted in a daily care center between January 2023 and January 2024 in a randomized control study. A total of 52 people, 26 intervention and 26 control groups, were enrolled in the study and formed the sample of the study. Demographic Information Form, Apathy Evaluation Scale (AES-C), Geriatric Anxiety Scale (GAS), UCLA Loneliness Scale Short Form (UCLA-SF), and Functional Impairment in Dementia Scale (DAD) were used in the study.</p><p><strong>Results: </strong>After the intervention, it was found that the intervention group's levels of apathy, loneliness and anxiety were significantly reduced compared to the control group. In the intra-group comparisons, it was found that there was a significant difference between the pre-test and post-test scores of the AES-C, UCLA-SF, GAS of the individuals in the intervention group after the application of CST, and between the pre-test and pre-test scores of the DAD (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>CST was found to be effective in reducing apathy, loneliness and anxiety levels and increasing daily living activities in older people with Alzheimer's disease.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820314","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":"A national portrait of the well-being of remarried and previously married cohabiting older adults.","authors":"Christopher A Julian, Susan L Brown","doi":"10.1080/13607863.2024.2438834","DOIUrl":"https://doi.org/10.1080/13607863.2024.2438834","url":null,"abstract":"<p><strong>Objectives: </strong>Mounting evidence signals that cohabitation operates as an alternative to remarriage in later life. However, others have maintained that cohabitation is an incomplete institution marked by less favorable outcomes than remarriage. We appraise these two frameworks by examining the well-being of remarried and previously married cohabiting older adults.</p><p><strong>Method: </strong>Drawing on the 2010-2020 Health and Retirement Study, we assessed whether remarried and previously married cohabiting older adults differed in their depressive symptoms and loneliness. We also tested whether the association between relationship quality and well-being varied by union type.</p><p><strong>Results: </strong>Among women, cohabitors reported higher levels of depressive symptoms than their remarried counterparts. In contrast, union type was not appreciably associated with men's depressive symptoms. Meanwhile, among men, cohabitors reported less loneliness, on average, than did those in remarriages. No corresponding union-type differential emerged among women. Additionally, the association between relationship quality and psychological well-being did not differ by union type for both men and women.</p><p><strong>Conclusion: </strong>Our study largely aligns with the notion that cohabitation functions as an alternative to remarriage in later life. The growth of cohabitation among older adults, coupled with its distinct purpose during this life stage, underscores the importance of advancing this nascent line of inquiry into its role in older adults' well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815183","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":"Leaders at Italian Alzheimer's Cafés addressing ethical issues: from advocacy response against human trafficking to <i>Dolcezza</i> approach with persons living with dementia.","authors":"Laura Dryjanska, Roberto Giua","doi":"10.1080/13607863.2024.2439547","DOIUrl":"https://doi.org/10.1080/13607863.2024.2439547","url":null,"abstract":"<p><strong>Objectives: </strong>This article features results of a qualitative research conducted with twenty-nine men and women responsible for Alzheimer's cafés in Italy, on the topic of ethical issues in dementia care. The goal was to identify the sources of moral distress for caregivers, exploring some bottom-up solutions that have been implemented shared with others in informal settings.</p><p><strong>Method: </strong>During the in-depth interviews participants shared about challenges and opportunities related to dementia care and ethics, informed by the symbolic interactionist approach to the theory of social representations.</p><p><strong>Results: </strong>The analysis of interviews resulted in identification of six main themes, each with some sub-themes: awareness, personhood, social connectedness, isolation, access, and institutional dimension.</p><p><strong>Conclusion: </strong>The results pointed out the importance of culturally appropriate approach and advocacy for tackling ethical issues, especially in the light of morally wrong egregious abuse of persons with dementia (as related by participants), which can be classified as benefits trafficking, a form of human trafficking.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808693","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":"The impact of neglect, physical, and financial abuse on mental health among older adults: a systematic review.","authors":"Sunkanmi Folorunsho, Michael Okyere","doi":"10.1080/13607863.2024.2436468","DOIUrl":"https://doi.org/10.1080/13607863.2024.2436468","url":null,"abstract":"<p><p><b>Objectives:</b> This systematic review aimed to examine the impact of elder abuse, specifically neglect, physical and financial abuse on mental health outcomes among older adults in the United States. It also sought to identify intervention strategies and highlight gaps in the existing literature.</p><p><p><b>Method:</b> A comprehensive search was conducted using PubMed, PsycINFO, ProQuest, and Google Scholar for articles published from 1990 onwards. After applying predefined inclusion and exclusion criteria, 23 studies were selected from an initial pool of 251 articles. Data extraction focused on abuse types, prevalence rates, mental health outcomes, and methodological approaches. Studies were categorized based on abuse type and associated mental health outcomes. This review was registered with PROSPERO (ID: CRD42024561162).</p><p><p><b>Results:</b> Physical abuse was consistently associated with increased risks of depression and anxiety, with cultural factors influencing reporting rates. Financial abuse often led to emotional distress, social isolation, and compounded mental health challenges. Neglect was closely tied to loneliness and deteriorating well-being. Methodological limitations, including reliance on cross-sectional designs and self-reported data, were prevalent among the reviewed studies. These limitations underscore the need for longitudinal research to establish causality.</p><p><p><b>Conclusion:</b> Elder abuse significantly impacts mental health, particularly through physical, financial, and neglectful abuse. Effective prevention strategies should include caregiver support, financial education, multidisciplinary approaches, and tailored interventions. Future research should prioritize longitudinal studies to explore causal relationships and quantify the broader social and economic impacts of elder abuse. Addressing these gaps is critical to improving prevention, support systems, and policy frameworks aimed at safeguarding older adults' mental health and well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808699","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":"Retirement psychology scale: development and standardization.","authors":"Yalçın Karagöz, Mustafa Filiz","doi":"10.1080/13607863.2024.2436488","DOIUrl":"https://doi.org/10.1080/13607863.2024.2436488","url":null,"abstract":"<p><strong>Objectives: </strong>This study was conducted with the aim of developing a scale to measure 'retirement psychology' in order to better understand the impact of the retirement process on individuals' psychological states.</p><p><strong>Method: </strong>A total of 437 retired people took part in the study. The Retirement Psychology Scale was developed in five stages. In the first stage, items were generated through interviews with retired individuals and validity and reliability tests were conducted. Exploratory and confirmatory factor analyses were then carried out to test the validity and reliability of the scale.</p><p><strong>Results: </strong>The analyses revealed that the scale consists of four dimensions: negative impact, positive impact, relaxation and economic dimension, with a total of 37 items. This study provides a scientific tool for identifying and measuring the potential impact of the retirement process on individuals' psychological states.</p><p><strong>Conclusion: </strong>The developed scale can contribute to a more comprehensive understanding of the psychological effects of the retirement process and its aftermath. Investigating the impact of retirement on individuals' quality of life and happiness is of both individual and societal importance, and this study can be seen as an important step in this regard.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796382","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}
Imdadul Haque Talukdar, Poe Eindra Thant, Sanjib Saha
{"title":"Consequences of polypharmacy among the people living with dementia: a systematic review and meta-analysis.","authors":"Imdadul Haque Talukdar, Poe Eindra Thant, Sanjib Saha","doi":"10.1080/13607863.2024.2436501","DOIUrl":"https://doi.org/10.1080/13607863.2024.2436501","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this systematic review and meta-analysis was to analyse and summarize studies on the effects of polypharmacy on people living with dementia (PwD). The study aimed to categorize these effects, evaluate the quality of the studies, and estimate the pooled effect sizes of these consequences using meta-analysis.</p><p><strong>Method: </strong>A systematic literature review was conducted following the PRISMA guideline. Covidence software was used for screening, study selection, and data extraction. The quality assessment was conducted using the Newcastle-Ottawa Scale (NOS) scale. Random effect models were used to perform the meta-analyses and the heterogeneity was reported with I<sup>2</sup> statistics.</p><p><strong>Results: </strong>This review of 19 studies found that polypharmacy is significantly associated with potentially inappropriate medication (PIM), hospitalisation, adverse drug reactions, and mortality. The quality of the studies was fair to good. Meta-analysis revealed that the odds of having PIM among the PwD exposed to polypharmacy was 2.93 times (95% CI: 2.24-3.82; I<sup>2</sup> = 95.6%). The studies showed heterogeneity in design, sample size, follow-up duration, confounder adjustment, polypharmacy definitions, and inconsistent tools for dementia diagnosis.</p><p><strong>Conclusion: </strong>Polypharmacy in PwD is associated with increased potentially inappropriate medication, adverse drug reactions, and hospitalisation. Regular management of polypharmacy is recommended in clinical practice.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":2.8,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803565","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}
Laura Corneliusson, Jerry Öhlin, Annika Toots, Yngve Gustafson, Birgitta Olofsson
{"title":"The association between gait speed and depressive disorders - A cross-sectional analysis of very old adults in the 21st century.","authors":"Laura Corneliusson, Jerry Öhlin, Annika Toots, Yngve Gustafson, Birgitta Olofsson","doi":"10.1080/13607863.2024.2436479","DOIUrl":"https://doi.org/10.1080/13607863.2024.2436479","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between gait speed and depressive disorders among very old adults (≥85 years).</p><p><strong>Method: </strong>This study utilized the GERDA-database, which encompasses a representative sample of those aged 85, 90, and 95+ years residing in northern Sweden and western Finland. From four data collections between 2000 and 2017, this study included 1794 participants. Self-paced gait speed was measured over 2.4-m and depressive disorders was evaluated by a specialist in geriatric medicine according to the DSM-IV-TR criteria. T-tests and multivariable logistic regressions were used to explore differences and associations between gait speed and depressive disorders.</p><p><strong>Results: </strong>Gait speed was independently associated with depressive disorders among very old adults (<i>p</i> < .001). The results showed significantly different mean gait speeds (m/s) between individuals with/without a depressive disorder (0.34 ± 0.24/0.52 ± 0.26, <i>p</i> < .001), between individuals with a depressive disorder with/without antidepressant treatment (0.35 ± 0.24/0.44 ± 0.24, <i>p</i> < .001) and between non-responders/responders to antidepressants (0.36 ± 0.21/0.42 ± 0.22, <i>p</i> = .020).</p><p><strong>Conclusion: </strong>This is the first study focusing on very old adults that has shown an independent association between gait speed and depressive disorders. Responders to antidepressant medication had a higher mean gait speed than non-responders, which may imply shifts in function upon successful treatment.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796384","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}