Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society最新文献

筛选
英文 中文
The Association of Loneliness and Depression With Sociodemographic Characteristics and Internet Use Among Older Adults During the COVID-19 Pandemic. COVID-19大流行期间老年人孤独感和抑郁与社会人口统计学特征和互联网使用的关系
IF 1.7
Mustafa Kılıç, Hatice Tuba Akbayram
{"title":"The Association of Loneliness and Depression With Sociodemographic Characteristics and Internet Use Among Older Adults During the COVID-19 Pandemic.","authors":"Mustafa Kılıç, Hatice Tuba Akbayram","doi":"10.1111/psyg.70091","DOIUrl":"https://doi.org/10.1111/psyg.70091","url":null,"abstract":"<p><strong>Background: </strong>Social restrictions during the novel coronavirus 2019 disease (COVID-19) pandemic negatively impacted the mental health of older adults. This study aimed to examine the associations of loneliness and depression with sociodemographic characteristics and internet use among older adults during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This cross-sectional study included 330 geriatric patients between September 1, 2021, and June 1, 2022. Data were collected through face-to-face interviews using a questionnaire consisting of a personal information form, the Loneliness Scale for Elderly, and the Geriatric Depression Scale Short Form-15 (GDS-15).</p><p><strong>Results: </strong>The participants had a mean age of 71.3 years, 60.3% were female, and regarding internet use, 52.4% reported never using it, 18.8% used it occasionally, and 28.8% used it daily. The most common internet activities were video calls with relatives/friends (39.4%) and sharing messages, photos, or videos via messaging apps (38.2%). In the multivariate linear regression analysis, being married, having low income, living alone, having fewer than five friends, and not using the internet at all were significantly associated with higher levels of loneliness, while higher depression scores were observed among females compared to males and among individuals with low income compared to those with middle or high income.</p><p><strong>Conclusions: </strong>The findings suggest that internet use may have a protective role against loneliness in older adults; however, its effect on reducing depression appears to be limited.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70091"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dopamine System Dysfunction in Alzheimer's Disease. 阿尔茨海默病中的多巴胺系统功能障碍。
IF 1.7
Isabel Portela Moreira, Maria Augusta Vieira-Coelho, Joana Guimarães
{"title":"Dopamine System Dysfunction in Alzheimer's Disease.","authors":"Isabel Portela Moreira, Maria Augusta Vieira-Coelho, Joana Guimarães","doi":"10.1111/psyg.70097","DOIUrl":"10.1111/psyg.70097","url":null,"abstract":"<p><p>The dopaminergic system may be at the base of some neurobehavioral symptoms, as apathy and depression, and extrapyramidal symptoms, often seen in Alzheimer's disease patients. It can also have an impact on cognitive decline, as extrapyramidal symptoms, classically linked with dopamine dysfunction, are associated with increased risk of cognitive impairment and Alzheimer's disease progression. We review the knowledge of the dopaminergic system, emphasizing changes in Alzheimer's disease. Both animal models, post-mortem and in vivo human studies, point to a dopaminergic system dysfunction in this disease. Dopamine dysfunction seems more associated with neuronal loss, modification of dopamine receptors and anomalies in terminal function, including irregularities in dopamine metabolism, than with neurofibrillary tangles or β-amyloid plaques depositions. This dysfunction has an impact on both cognitive and non-cognitive symptoms. A better understanding of the dopaminergic system may help in understanding the pathophysiology of Alzheimer's disease and assist in the diagnosis. Clinical trials aimed at modulating the dopaminergic system may be promising in the treatment of symptoms associated with Alzheimer's disease.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70097"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of Nutritional Status, Health Perception, and Adaptation to Aging in Older Adults: A Path Analysis. 老年人营养状况、健康认知和衰老适应的评估:一项路径分析。
IF 1.7
Emre Erkal, Esma Erdem
{"title":"Assessment of Nutritional Status, Health Perception, and Adaptation to Aging in Older Adults: A Path Analysis.","authors":"Emre Erkal, Esma Erdem","doi":"10.1111/psyg.70086","DOIUrl":"https://doi.org/10.1111/psyg.70086","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the nutritional status, perceived health, and adaptation to aging of older adults and to examine the relationships among these variables.</p><p><strong>Methods: </strong>This descriptive, cross-sectional study included 386 older adults receiving care at the outpatient clinics of a public hospital in northeastern Turkey. Data were collected using a sociodemographic questionnaire, the Standardised Mini-Mental State Examination, the Mini Nutritional Assessment-Short Form (MNA-SF), the Perception of Health Scale, and the Assessment Scale of Adaptation Difficulty for the Elderly. Statistical analyses included independent samples t-tests, one-way ANOVA, Pearson correlation analysis, and path analysis.</p><p><strong>Results: </strong>The mean MNA-SF score was 11.52 ± 1.96; the mean health perception score was 48.07 ± 5.53; and the mean adaptation difficulty score was 0.99 ± 0.04. Health perception significantly predicted adaptation difficulty in older adults. MNA-SF scores varied significantly by age, body mass index (BMI), marital status, place of residence, and regular medication use (p < 0.01). Similarly, health perception scores differed significantly based on age, BMI, place of residence, educational level, income status, and the presence of chronic disease (p < 0.05). Adaptation difficulty scores also showed significant variation by age (p < 0.001).</p><p><strong>Conclusion: </strong>The findings revealed that 38.6% of participants were at risk of malnutrition, while 3.9% were malnourished. Although participants' overall health perception was moderate, their adaptation to aging was generally high. A more positive health perception was associated with better adaptation to aging. Targeted health and nutrition programs are recommended for high-risk groups, particularly older adults with lower socioeconomic status or those residing in rural areas.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70086"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management and Care for People Living With Dementia and Their Caregivers: Findings From an Italian National Survey on Caregivers and Services Use. 痴呆症患者及其护理人员的管理和护理:意大利全国护理人员和服务使用调查结果。
IF 1.7
Alice Paggetti, Patrizia Lorenzini, Elisa Fabrizi, Annachiara Di Nolfi, Francesca Zambri, Angela Giusti, Vittorio Palermo, Ilaria Palazzesi, Serena Passoni, Flaminia Camilli, Guido Bellomo, Nicoletta Locuratolo, Francesco Sciancalepore, Antonio Ancidoni, Susanna Cipollari, Manuela Berardinelli, Luisa Bartorelli, Nicola Vanacore, Francesco Della Gatta
{"title":"Management and Care for People Living With Dementia and Their Caregivers: Findings From an Italian National Survey on Caregivers and Services Use.","authors":"Alice Paggetti, Patrizia Lorenzini, Elisa Fabrizi, Annachiara Di Nolfi, Francesca Zambri, Angela Giusti, Vittorio Palermo, Ilaria Palazzesi, Serena Passoni, Flaminia Camilli, Guido Bellomo, Nicoletta Locuratolo, Francesco Sciancalepore, Antonio Ancidoni, Susanna Cipollari, Manuela Berardinelli, Luisa Bartorelli, Nicola Vanacore, Francesco Della Gatta","doi":"10.1111/psyg.70081","DOIUrl":"https://doi.org/10.1111/psyg.70081","url":null,"abstract":"<p><strong>Background: </strong>Increasing life expectancy will lead to more people living with dementia (PLwD) and, consequently, more caregivers experiencing burden. Caregivers burden is influenced by characteristics of both PLwD and caregivers themselves, as well as healthcare services organisation. The COVID-19 pandemic and lockdown measures implemented in Italy worsened PLwD and their caregivers' well-being. Recognising the importance of understanding the profiles and care needs of PLwD and their caregivers, a national survey was conducted within the Italian Fund for Alzheimer's and Dementias to investigate the sociodemographic characteristics of PLwD caregivers and their care recipients in Italy. This study aimed to describe the characteristics of Italian caregivers of PLwD, their use of services, and satisfaction with the latter.</p><p><strong>Methods: </strong>A cross-sectional national survey was conducted. A self-administered questionnaire was developed consisting mainly of multiple-choice questions.</p><p><strong>Results: </strong>A total of 2369 caregivers participated in the survey. Most of them resided in Northern Italy (60.1%), were females (73.4%) and care recipients' children (74.1%). Median diagnostic delay ranged from 7 to 36 months. Diagnosis was formulated mainly by a physician from a Centre for Cognitive Disorders and Dementia. Caregiver training was poorly reported (34.1%). PLwD clinical condition worsened during the pandemic. The mean degree of satisfaction with services dedicated to dementia was \"acceptable\". Negative/very negative degree of satisfaction was associated with not living in the North, increased caregiver's age, not having received training, severe degree of disease, having received the diagnosis suspicion from a private doctor, and not having used day care centres or Centres for Cognitive Disorders and Dementia.</p><p><strong>Conclusions: </strong>Differences in the sociodemographic profile of caregivers and disparity in services across Italy emerged. The establishment of a comprehensive, accessible, and well-integrated network of services across all stages of the disease progression is needed.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70081"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Latent Class Analysis of Multimorbidity Patterns and Associated Functional Outcomes Amongst Elderly Aged 60 Years and Above. 60岁及以上老年人多病模式及相关功能结局的潜在分类分析。
IF 1.7
Jaya Prasad Tripathy, S Yedhu
{"title":"Latent Class Analysis of Multimorbidity Patterns and Associated Functional Outcomes Amongst Elderly Aged 60 Years and Above.","authors":"Jaya Prasad Tripathy, S Yedhu","doi":"10.1111/psyg.70084","DOIUrl":"10.1111/psyg.70084","url":null,"abstract":"<p><strong>Aim: </strong>Multiple comorbidities are common amongst the elderly due to shared underlying factors. We used latent class analysis (LCA) to explore the of multimorbidities amongst the elderly and their association with self-rating of health, life satisfaction, limitations in daily activities and depressive symptoms.</p><p><strong>Methods: </strong>We utilised a subset of nationally representative survey data from the Longitudinal Aging Survey of India 2017-2018 covering elderly >= 60 years of age. LCA was used to examine patterns of 11 chronic morbidities. Classes were compared across socio-demographic and behavioural characteristics. Various model fit statistics (Akaike, Bayesian and sample size adjusted Bayesian information criteria, likelihood ratio tests and entropy) and the meaningfulness of the classes were used to select the number of latent classes.</p><p><strong>Results: </strong>Four distinct latent classes were identified: 'Hypertension/Lung/Bone/Others', 'Cardio-metabolic', 'Hypertension-Diabetes' and the 'Healthy class'. There were significant differences between classes on socio-demographics (age, sex, residence, education, wealth quintile) and behaviours (tobacco, alcohol, physical activity, yoga). 'Hypertension/Lung/Bone/Others' class was significantly associated with limitations in ADLs, limitations in IADLs and depressive symptoms compared to the 'healthy class'. 'Cardio-metabolic' class had significantly higher rates of hospital admission in the last 12 months.</p><p><strong>Conclusions: </strong>Elderly could be grouped into four distinct classes based on their multimorbidity status. The single-disease paradigm does not fit the approach for caring for patients with multimorbid conditions. Care of multimorbid elderly individuals needs an integrated and continuity of care approach.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70084"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late-Onset Oral Cenesthopathy With Dopaminergic Dysfunction: Therapeutic Response to Pramipexole in a Case With Suspected Prodromal Lewy Body Disease. 伴多巴胺能功能障碍的迟发性口腔淋巴结病:普拉克索治疗一例疑似前驱路易体病。
IF 1.7
Hitomi Matsui, Takehiro Tamura, Masashi Kameyama, Yuki Omori, Genichi Sugihara, Takashi Takeuchi, Hidehiko Takahashi, Ko Furuta
{"title":"Late-Onset Oral Cenesthopathy With Dopaminergic Dysfunction: Therapeutic Response to Pramipexole in a Case With Suspected Prodromal Lewy Body Disease.","authors":"Hitomi Matsui, Takehiro Tamura, Masashi Kameyama, Yuki Omori, Genichi Sugihara, Takashi Takeuchi, Hidehiko Takahashi, Ko Furuta","doi":"10.1111/psyg.70088","DOIUrl":"https://doi.org/10.1111/psyg.70088","url":null,"abstract":"<p><p>An 85-year-old woman with late-onset depression subsequently developed persistent oral cenesthopathy. As antidepressant augmentation, low-dose aripiprazole improved both mood and oral symptoms, but oversedation and parkinsonism necessitated tapering and discontinuation. After discontinuation, oral cenesthopathy recurred without clear depressive worsening. Dopamine transporter single-photon emission computed tomography showed reduced bilateral striatal uptake and <sup>123</sup>I-metaiodobenzylguanidine cardiac scintigraphy showed decreased uptake, with preserved cognition. In light of the clinical and imaging findings suggestive of dopaminergic dysfunction, and after an informed discussion of off-label use, pramipexole 0.25 mg daily was initiated. Oral discomfort lessened within 1 week and oral intake normalised by 2 weeks, without adverse effects; remission of oral symptoms and mood persisted for 6 months. Overall, the presentation was conceptually compatible with the psychiatric-onset phenotype described in the prodromal Lewy body disease research framework, but this remains an interpretive consideration rather than a diagnosis. Assessing possible dopaminergic involvement in similar cases of oral cenesthopathy may aid individualised management; however, the therapeutic role of dopamine agonists requires confirmation in prospective studies.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70088"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Influencing Quality of Life Among Family Caregivers From Low- to Middle-Income Households Caring for Individuals With Severe Disabilities: A Preliminary Study. 影响中低收入家庭照顾严重残疾人士家庭照顾者生活质量的因素:初步研究。
IF 1.7
Hsin-Yi Tsai, Jiun-Yi Wang, Shang-Yu Yang
{"title":"Factors Influencing Quality of Life Among Family Caregivers From Low- to Middle-Income Households Caring for Individuals With Severe Disabilities: A Preliminary Study.","authors":"Hsin-Yi Tsai, Jiun-Yi Wang, Shang-Yu Yang","doi":"10.1111/psyg.70089","DOIUrl":"https://doi.org/10.1111/psyg.70089","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine changes in the quality of life (QoL) of novice family caregivers from low- to middle-income households after receiving 6 months of home nursing care support. Additionally, it sought to identify factors influencing their QoL.</p><p><strong>Methods: </strong>A longitudinal design using structured questionnaires was adopted. Participants were novice family caregivers for individuals with severe disabilities in central Taiwan and qualified for low- to middle-income subsidies. Assessments occurred at baseline, 3 and 6 months. The questionnaire covered demographics and the World Health Organization Quality of Life-BREF. Data were analysed using descriptive statistics, repeated-measures ANOVA and mixed-effects models.</p><p><strong>Results: </strong>A total of 50 participants (31 females; mean age = 53.72 years) were enrolled. Participants' QoL scores significantly improved after 6 months of home nursing care. Closer relationships with the care recipients were significantly associated with higher QoL in the psychological, social relationships and environmental domains. Having access to stress relief channels or activities was linked to better physical health. Longer daily caregiving hours were associated with better QoL in physical health and environmental domains, while more caregiving days per week were positively related to better physical and psychological QoL.</p><p><strong>Conclusion: </strong>The QoL among low- to middle-income family caregivers significantly improved after 6 months of home nursing care. Key factors affecting QoL included the closeness of the caregiver-care recipient relationship, availability of stress relief activities, daily caregiving hours and weekly caregiving frequency.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70089"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Nomogram Model for Predicting Cognitive Frailty in Community-Dwelling Older Adults Based on Mental and Physical Functional Indicators. 基于身心功能指标预测社区老年人认知衰弱的Nomogram模型。
IF 1.7
Qian Geng, Liwei Sun, Yu Zhang, Guohua Zheng
{"title":"A Nomogram Model for Predicting Cognitive Frailty in Community-Dwelling Older Adults Based on Mental and Physical Functional Indicators.","authors":"Qian Geng, Liwei Sun, Yu Zhang, Guohua Zheng","doi":"10.1111/psyg.70087","DOIUrl":"https://doi.org/10.1111/psyg.70087","url":null,"abstract":"<p><strong>Background: </strong>Cognitive frailty (CF), characterised by the co-occurrence of physical frailty and mild cognitive impairment, poses significant risks for adverse health outcomes in community-dwelling older adults, yet effective prediction tools remain limited.</p><p><strong>Objective: </strong>This study aimed to develop and validate a nomogram model for predicting CF risk in community-dwelling older adults based on multidimensional mental and physical functional markers.</p><p><strong>Methods: </strong>A cross-sectional analysis included 481 participants (mean age 69.2 ± 7.3 years; 60.3% female) from Shanghai communities. Assessments encompassed cognitive function (MoCA), physical frailty (EFS), mental health (GDS-15, PSQI), nutritional status (MNA-SF), and physical performance (grip strength, TUG test, standing on one leg with eyes closed/open tests). Univariate and multivariate logistic regression identified predictors, followed by nomogram construction and internal validation via bootstrapping (500 resamples).</p><p><strong>Results: </strong>CF prevalence was 41.4% (199/481). Six independent predictors were identified: chronic disease status (OR = 2.587), malnutrition (OR = 0.852), depressive symptoms (OR = 1.062), poor sleep quality (OR = 1.245), impaired mobility (TUG time: OR = 1.100), and balance deficits (Time to stand on one leg with eyes closed time: OR = 0.935). The nomogram demonstrated moderate discrimination (C-index = 0.761, 95% CI = 0.718-0.804) and excellent calibration (Hosmer-Lemeshow p = 0.19). Internal validation confirmed robustness (corrected C-index = 0.761).</p><p><strong>Conclusion: </strong>This nomogram integrates easily accessible mental and physical functional markers, offering a practical tool for early CF risk stratification in community settings. Its application may guide personalised interventions to mitigate cognitive and functional decline in ageing populations.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70087"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Influencing Whether Patients and Caregivers Wish to Have a Dementia Diagnosis Disclosed. 影响患者和护理人员是否愿意披露痴呆诊断的因素。
IF 1.7
Chikara Nakayama, Teruyuki Matsuoka, Ayu Imai, Jin Narumoto
{"title":"Factors Influencing Whether Patients and Caregivers Wish to Have a Dementia Diagnosis Disclosed.","authors":"Chikara Nakayama, Teruyuki Matsuoka, Ayu Imai, Jin Narumoto","doi":"10.1111/psyg.70096","DOIUrl":"https://doi.org/10.1111/psyg.70096","url":null,"abstract":"<p><strong>Background: </strong>Although several studies have been conducted on dementia disclosure, research on the factors influencing the desire for disclosure remains limited. This study aimed to identify the factors that determine whether patients and caregivers wish to disclose a dementia diagnosis.</p><p><strong>Methods: </strong>We conducted a retrospective survey of 804 patients who visited the Dementia Disease Medical Center at the Kyoto Prefectural University of Medicine Hospital. A total of 201 patients were included in this study. We compared survey responses between two groups: those in which the patient wanted the dementia diagnosis disclosed versus those who did not, and those in which the caregiver wanted the diagnosis disclosed versus those who did not. Statistical analyses included the chi-squared test, Fisher's exact test and Mann-Whitney U test.</p><p><strong>Results: </strong>A total of 188 patients (93.5%) wanted to be disclosed about dementia diagnosis, while 151 caregivers (75.1%) wished for the patient's diagnosis to be disclosed. There was a significant difference in hallucinations (as measured by the Neuropsychiatric Inventory 12-item version) between patients who wanted the diagnosis disclosed and those who did not (p < 0.001). Additionally, caregivers who wanted the patient to be informed reported milder symptoms of agitation (p = 0.014) and apathy (p = 0.005) in the patients than did those who did not want the information disclosed. Furthermore, when patients requested a medical examination, caregivers requested that the diagnosis be disclosed to them (p = 0.037).</p><p><strong>Conclusions: </strong>The findings indicate a gap in the awareness of dementia information disclosure between patients and caregivers in Japan. Furthermore, the factors influencing the desire for disclosure appear to differ between patients and caregivers.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70096"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Olfactory Training for Cognition and Depressive Symptoms in Middle-Aged and Elderly Adults: A Systematic Review and Meta-Analysis. 嗅觉训练对中老年人认知和抑郁症状的有效性:系统回顾和荟萃分析
IF 1.7
Kai Chen, Sha Yu, Xiao Jiang
{"title":"Effectiveness of Olfactory Training for Cognition and Depressive Symptoms in Middle-Aged and Elderly Adults: A Systematic Review and Meta-Analysis.","authors":"Kai Chen, Sha Yu, Xiao Jiang","doi":"10.1111/psyg.70093","DOIUrl":"10.1111/psyg.70093","url":null,"abstract":"<p><strong>Background: </strong>Olfactory training (OT) has been proposed as a non-pharmacological intervention to improve cognitive functions and depressive symptomatology, but evidence remains fragmented.</p><p><strong>Methods: </strong>In this study, we conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) comparing OT versus control in middle-aged and elderly adults. Four databases (PubMed, Cochrane Library, Web of Science, Embase) were systematically searched from database inception through June 2025. Standardised mean differences (SMDs) with 95% confidence intervals (CIs) were pooled using fixed- or random-effects models as appropriate. Risk of bias was assessed with the Cochrane tool; sensitivity analyses and funnel plots evaluated robustness and small-study bias.</p><p><strong>Results: </strong>Six RCTs with a total of 302 participants were included. The OT did not significantly improve global cognition (SMD = 0.65; 95% CI -0.37 to 1.67) or verbal fluency (SMD = 0.06; 95% CI -0.22 to 0.34). However, OT produced a modest benefit in memory (SMD = 0.38; 95% CI 0.06-0.70) and depressive symptoms (SMD = -0.35; 95% CI -0.62 to -0.07). Risk of bias was generally low to unclear, with performance and allocation concealment most frequently at high or unclear risk. Leave-one-out analyses showed that memory and depressive symptomatology effects were sensitive to the inclusion of individual studies, whereas global cognition and fluency findings remained stable. Funnel plots suggested possible publication bias for global cognition but not for other domains.</p><p><strong>Conclusions: </strong>OT may have potential benefit to memory and depressive symptomatology in middle-aged and elderly adults, while it still needs further high-quality, large-scale investigations to confirm the effects.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 5","pages":"e70093"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信