F Kårelind, L Johansson, S Zarit, H Wijk, T Bielsten, D Finkel
{"title":"Factors influencing time to support in young-onset dementia: survival analysis of data from the Swedish Dementia Registry (SveDem).","authors":"F Kårelind, L Johansson, S Zarit, H Wijk, T Bielsten, D Finkel","doi":"10.1080/13607863.2025.2464710","DOIUrl":"https://doi.org/10.1080/13607863.2025.2464710","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding the timing of service access for persons with young-onset dementia is essential for developing adequate support. This study aims to describe the formal support available for persons with young-onset dementia in Sweden and identify factors influencing its provision over time.</p><p><strong>Method: </strong>A prospective cohort study was carried out using data from the Swedish Dementia Registry (SveDem), focusing on persons diagnosed with young-onset dementia between January 2009 and April 2022 (<i>n</i> = 2592). Descriptive statistics provided a comprehensive overview of the population, and Cox Regressions were used to analyse factors associated with the time to receive support services post-diagnosis.</p><p><strong>Results: </strong>Living with another adult and higher MMSE scores were significantly associated with later access to home help services (<i>p</i> < 0.001) and care facilities (<i>p</i> < 0.001). Higher MMSE scores (<i>p</i> < 0.001), older age (<i>p</i> = 0.023), living with another adult (<i>p</i> = 0.010) and diagnosis at primary care centres (<i>p</i> = 0.016) were also associated with later access to day-care services. No significant associations were found between age, sex, medications, care setting, living arrangement, or MMSE score or with the time to access counselling services.</p><p><strong>Conclusion: </strong>The timing of access to support services for persons with young-onset dementia varies significantly, particularly for those living with another adult. These patterns may reflect a hidden caregiver burden.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442825","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}
B Wild, V S Wurmbach, F H Boehlen, M Kusch, C Paul, H-C Friederich, M Hartmann, J Slaets, H M Seidling
{"title":"What do we need to know to enhance treatment for multimorbid older patients?-Results from the PACT study.","authors":"B Wild, V S Wurmbach, F H Boehlen, M Kusch, C Paul, H-C Friederich, M Hartmann, J Slaets, H M Seidling","doi":"10.1080/13607863.2025.2459231","DOIUrl":"https://doi.org/10.1080/13607863.2025.2459231","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the PACT (Prioritization by pArticipation) study was to evaluate the 'Life and Vitality Assessment' (LAVA) in terms of visualizing and exploiting priorities, resources, and problem areas of elderly people.</p><p><strong>Method: </strong>In total, <i>n</i> = 164 older persons (mean age: 68.6, 51.8% females) with multimorbid conditions were included. All patients completed the LAVA, additional questionnaires, and the INTERMED for the Elderly interview. The LAVA is a non-normative approach, applied in two steps: First, participants assign 25 aspects of life to three groups (not important, important, most important). Second, they rate their current satisfaction with the most important aspects on a scale from 1 to 10.</p><p><strong>Results: </strong>The majority of patients indicated that family (84.1%), mental health (84.8%), physical health (78.7%), and independent decision making (76.2%) were very important aspects of their life, mostly considered as resources. Variables related to negative well-being in older age-such as sleep quality and pain-were mostly considered as problem area. There was a high variability across patients regarding the number of resources and problem areas.</p><p><strong>Conclusion: </strong>The LAVA provides important information on resources and problem areas, which might be helpful to improve quality of life for multimorbid patients by considering their resources for treatment planning.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-7"},"PeriodicalIF":2.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442834","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}
Yan Su, Annie T Chen, Jasmine Kaneshiro, Kimiko Domoto-Reilly, Oleg Zaslavsky
{"title":"Pilot quasi-experimental single-arm study of a virtual intervention for caregivers of persons with Lewy body dementia.","authors":"Yan Su, Annie T Chen, Jasmine Kaneshiro, Kimiko Domoto-Reilly, Oleg Zaslavsky","doi":"10.1080/13607863.2025.2462758","DOIUrl":"https://doi.org/10.1080/13607863.2025.2462758","url":null,"abstract":"<p><strong>Objectives: </strong>This pilot study evaluated a web-based intervention, guided by problem-solving therapy, to address challenges faced by caregivers of individuals with Lewy body dementia (LBD).</p><p><strong>Method: </strong>A quasi-experimental single-arm study was conducted with 39 family caregivers (mean age: 67.62 years; 69% women; 95% White). The 8-week program, Virtual Online Communities for Aging Life Experiences Lewy Body Dementia (VOCALE LBD), included a discussion platform, peer support, training, and problem-solving practice. Measurements were taken at baseline, post-intervention, and one month later. Effect sizes and confidence intervals (CIs) were analyzed using bootstrapping, and demographic impacts were assessed through linear mixed-effects models (LMMs).</p><p><strong>Results: </strong>Of the 39 participants, 29 completed the study. There were no significant differences in demographics between completers and withdrawals. Participants' engagement was high, defined as posting substantive comments at least twice weekly. Significant reductions were observed in depressive (<i>d</i> = -0.54), burden (<i>d</i> = -0.31), and stress scores (<i>d</i> = -0.45), while social support (<i>d</i> = 0.46), positive attitudes (<i>d</i> = 0.32), and negative attitudes towards problem-solving (<i>d</i> = -0.63) improved.</p><p><strong>Conclusion: </strong>This intervention shows promise in reducing caregiver burden and improving emotional well-being, offering a flexible, effective solution for LBD caregivers.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426717","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}
Teshome Kondale Gurara, Yekoyealem Desie, Margaret E Adamek
{"title":"'Age should never be a barrier to pursuing our passions': older adults' conceptualization of subjective well-being in Ethiopia.","authors":"Teshome Kondale Gurara, Yekoyealem Desie, Margaret E Adamek","doi":"10.1080/13607863.2025.2464711","DOIUrl":"https://doi.org/10.1080/13607863.2025.2464711","url":null,"abstract":"<p><strong>Objectives: </strong>While several studies from the gerontology and lifespan development perspective address the well-being of older adults, studies that directly pertain to the subjective well-being (SWB) of older adults from a resource-poor context are lacking. This study was conducted to gain insights about older adults' conceptualization of their SWB in Ethiopia.</p><p><strong>Method: </strong>We employed an exploratory qualitative approach to investigate older adults' perspectives of their well-being. Thirty-one participants, 20 men and 11 women, were purposively selected for the study. We used in-depth interviews and focus group discussions to collect data. Thematic analysis was employed to analyze the data.</p><p><strong>Results: </strong>The analysis yielded six prominent themes: physical and mental health, family and social interactions, financial stability and security, optimism and autonomy, religious faith and practices, and the opportunity to work and contribute to the community.</p><p><strong>Conclusion: </strong>The study provided insights about older adults' conceptualization of well-being from a low-income country context. Older adults viewed their well-being holistically as a combination of physical, mental, family, social, financial, religious, and community dimensions. The findings point to a need for comprehensive and contextually-relevant psychosocial and economic interventions and rehabilitative plans to enhance older adults' well-being.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426714","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}
Jerry Norlin, Kevin J McKee, Carin Lennartsson, Lena Dahlberg
{"title":"Quantity and quality of social relationships and their associations with loneliness in older adults.","authors":"Jerry Norlin, Kevin J McKee, Carin Lennartsson, Lena Dahlberg","doi":"10.1080/13607863.2025.2460068","DOIUrl":"https://doi.org/10.1080/13607863.2025.2460068","url":null,"abstract":"<p><strong>Objectives: </strong>Loneliness arises from a discrepancy between the relationships one desires and those one experiences. This study examines the relative importance of relationship quantity and quality for loneliness in older adults.</p><p><strong>Method: </strong>The study was a cross-sectional, representative survey of 474 adults aged 77 and above living in Dalarna, Sweden. Loneliness was measured using the three-item UCLA Loneliness Scale. Four ordinal logistic regression models of loneliness were developed: one for quantity of relationships and three for quality of relationships (closeness; conflict; closeness and conflict combined). Perceived social support was included in the quality models.</p><p><strong>Results: </strong>The quality models explained the most variance in loneliness and had better model fit. Having a partner was associated with less loneliness, even when there was conflict. Having a close relationship with children was associated with less loneliness, but a lack of closeness or the presence of conflict was associated with more loneliness. Perceived social support was associated with less loneliness.</p><p><strong>Conclusion: </strong>Quantity and quality of relationships are both associated with loneliness in older adults, but relationship quality appears to have greater importance. Specific types of relationships are also relevant, highlighting the need to consider relationship dynamics when designing interventions to reduce loneliness.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":2.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416336","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":"Brief Behavioral Activation Therapy is effective on apathy symptoms of the older adults with mild Alzheimer's disease but not with moderate Alzheimer's disease.","authors":"Alireza Karimpourvazifehkhorani, Issa Hekmati, Akram Rezvanizadeh, Nahideh Amiri, Milad Kadkhoda, Farnoush Arasteh","doi":"10.1080/13607863.2025.2464712","DOIUrl":"https://doi.org/10.1080/13607863.2025.2464712","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the effectiveness of Brief Behavioral Activation Therapy (BBAT) on apathy symptoms in older adults with Alzheimer's disease (AD) in a medical center facility.</p><p><strong>Method: </strong>In an experimental design, 90 older adults with AD were replaced into three groups including two experimental groups (mild AD group (<i>n</i> = 30), moderate AD group (<i>n</i> = 30)) and a control group (15 participants with mild AD and 15 participants with moderate AD). All participants completed the Dimensional Apathy Scale (DAS) before and after an eight-session BBAT intervention, with follow-up conducted two months post-treatment. A 3 x 3 mixed ANOVA was performed to analyze differences in apathy levels across groups over time, using SPSS version 26.</p><p><strong>Results: </strong>The mixed ANOVA revealed significant differences in all apathy dimensions (executive, emotional and initial symptoms) among the groups. Specifically, significant between-subject and within-subject differences, respectively for group main effect and time main effect, along with a significant interaction between group and time. These findings indicated that apathy symptoms in patients with mild AD significantly decreased from pretest to post- intervention, but there wasn't significant change in moderate AD and control group.</p><p><strong>Conclusion: </strong>The findings suggested that BBAT is effective in reducing apathy symptoms in patients with mild AD. Early evaluation, diagnosis and treatment of apathy in the mild stages of AD are crucial for improving patient outcomes.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":2.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416325","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}
Mahdi Norouzi, Rahele Kafieh, Paul Chazot, Daniel T Smith, Zahra Amini
{"title":"Insights from the eyes: a systematic review and meta-analysis of the intersection between eye-tracking and artificial intelligence in dementia.","authors":"Mahdi Norouzi, Rahele Kafieh, Paul Chazot, Daniel T Smith, Zahra Amini","doi":"10.1080/13607863.2025.2464704","DOIUrl":"https://doi.org/10.1080/13607863.2025.2464704","url":null,"abstract":"<p><strong>Objectives: </strong>Dementia can change oculomotor behavior, which is detectable through eye-tracking. This study aims to systematically review and conduct a meta-analysis of current literature on the intersection between eye-tracking and artificial intelligence (AI) in detecting dementia.</p><p><strong>Method: </strong>PubMed, Embase, Scopus, Web of Science, Cochrane, and IEEE databases were searched up to July 2023. All types of studies that utilized eye-tracking and AI to detect dementia and reported the performance metrics, were included. Data on the dementia type, performance, artificial intelligence, and eye-tracking paradigms were extracted. The registered protocol is available online on PROSPERO (ID: CRD42023451996).</p><p><strong>Results: </strong>Nine studies were finally included with a sample size ranging from 57 to 583 participants. Alzheimer's disease (AD) was the most common dementia type. Six studies used a machine learning model while three used a deep learning model. Meta-analysis revealed the accuracy, sensitivity, and specificity of using eye-tracking and artificial intelligence in detecting dementia, 88% [95% CI (83%-92%)], 85% [95% CI (75%-93%)], and 86% [95% CI (79%-93%)], respectively.</p><p><strong>Conclusion: </strong>Eye-tracking coupled with AI revealed promising results in terms of dementia detection. Further studies must incorporate larger sample sizes, standardized guidelines, and include other dementia types.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416331","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}
Deborah Finkel, Martin Hyde, Caroline Hasselgren, Lawrence Sacco, Shireen Sindi, Charlotta Nilsen
{"title":"Both childhood and adult perceived financial strain impact age trajectories of change in emotional health in late adulthood.","authors":"Deborah Finkel, Martin Hyde, Caroline Hasselgren, Lawrence Sacco, Shireen Sindi, Charlotta Nilsen","doi":"10.1080/13607863.2025.2464709","DOIUrl":"https://doi.org/10.1080/13607863.2025.2464709","url":null,"abstract":"<p><strong>Objectives: </strong>Socioeconomic status impacts emotional health outcomes, but a lifecourse approach is necessary to understand the timing of these effects. The current analyses examined the impact of financial strain in childhood and adulthood on longitudinal changes in three measures of emotional health: depressive symptoms, loneliness, and anxiety.</p><p><strong>Method: </strong>Data were from 1596 adults from the Swedish Twin Registry, aged 45 to 98 at intake (mean = 72.6) who participated in up to 9 waves over 25 years. Measures of financial strain (FS) included questions about how well finances met family needs. Latent growth curve models (LGCM) were used to estimate the impact of childhood and adult FS on changes in emotional health.</p><p><strong>Results: </strong>Results indicated that both childhood and adult FS independently influenced trajectories of emotional health in mid to late adulthood. For all 3 emotional health variables, both childhood and adult FS were associated with the LGCM intercept and childhood FS was associated with linear change with age. Interaction effects of childhood and adult FS were found for the LGCM intercept for loneliness, only.</p><p><strong>Conclusion: </strong>Results corroborate the accumulation of risk models, with effects of both childhood and adult FS on emotional health, and possible social mobility effects for loneliness.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411705","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}
Joseph Svec, Natasha Nemmers, Jeong-Eun Lee, In Jeong Hwang
{"title":"Connected but lonely? The role of social networking sites among older adults experiencing isolation and loneliness.","authors":"Joseph Svec, Natasha Nemmers, Jeong-Eun Lee, In Jeong Hwang","doi":"10.1080/13607863.2025.2460089","DOIUrl":"10.1080/13607863.2025.2460089","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the extent to which communications <i>via</i> social networking sites (SNS) ameliorates the emotional distress associated with isolation and loneliness among older adults.</p><p><strong>Method: </strong>We utilize the Health and Retirement Study (HRS) for survey years 2014, 2016, and 2018 (<i>N</i> = 8,466). The sample consists of adults (55+) who participated in the Psycho-Social module. Utilizing random-effects linear regression models, we test associations of isolation and loneliness on emotional distress outcomes, including depression, negative affect, and positive affect. Additionally, we assessed whether communications <i>via</i> SNS moderate these relationships.</p><p><strong>Results: </strong>Loneliness, compared to isolation, is consistently associated with emotional distress among older adults. SNS attenuates mental and emotional distress among those who are objectively isolated while magnifying the negative impacts of loneliness. The associations between SNS communications and emotional distress are conditional on degrees of isolation and loneliness. In particular, greater SNS use is associated with higher negative affect among those who feel lonely but higher positive affect among those who are isolated.</p><p><strong>Conclusion: </strong>SNS may offset social isolation among older adults, whereas heavy reliance on SNS when one feels lonely may amplify that internalization. Assessments of social technology would benefit from distinguishing isolation and loneliness conditions.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-9"},"PeriodicalIF":2.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191416","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":"Being an older refugees in Türkiye: predictors of mental health and quality of life.","authors":"Yaser Snoubar, Zekiye Turan, Baraka Abusafia, Bedia Tarsuslu","doi":"10.1080/13607863.2025.2452936","DOIUrl":"https://doi.org/10.1080/13607863.2025.2452936","url":null,"abstract":"<p><strong>Objectives: </strong>Older refugees in Türkiye are regarded as one of the most vulnerable groups within the expanding refugee communities. However, little is known regarding their psychological well-being and living standards among old refugees in Türkiye. This study examines mental health problems, including depression, anxiety, and stress and their effect on the quality of life among older refugees in Türkiye.</p><p><strong>Method: </strong>The sample consists of <i>n</i> = 171 older refugees over 60 years of age. To evaluate the mental health and quality of life of the older people sample members, the DASS-21 scale, the WHOQOL-BREF scale, and the PMH-scale were used. The data were analyzed through ordinal and linear regression models, and significant predictors were identified.</p><p><strong>Results: </strong>Along with moderate stress levels, a significant proportion of participants were found to experience severe depression, affecting approximately 26.9% of the sample, as well as anxiety, which impacted 31.6%. Anxiety symptoms were associated with education and duration of stay in Türkiye, while age-related emotional distress, marital status, and socioeconomic position were linked to higher quality of life ratings.</p><p><strong>Conclusion: </strong>The study underscores the critical need for targeted mental care services, culturally tailored interventions, and strong social support networks to mitigate psychological distress in older refugees.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1-8"},"PeriodicalIF":2.8,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082231","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}