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

{"title":"Machine learning-based prediction of sarcopenia in community-dwelling middle-aged and older adults: findings from the CHARLS.","authors":"Zongjie Wang, Yafei Wu, Junmin Zhu, Ya Fang","doi":"10.1111/psyg.13205","DOIUrl":"10.1111/psyg.13205","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia is a prominent issue among aging populations and associated with poor health outcomes. This study aimed to examine the predictive value of questionnaire and biomarker data for sarcopenia, and to further develop a user-friendly calculator for community-dwelling middle-aged and older adults.</p><p><strong>Methods: </strong>We used two waves (2011 and 2013) of the China Health and Retirement Longitudinal Study (CHARLS) to predict sarcopenia, defined by the Asian Working Group for Sarcopenia 2019 criteria. We restricted the analytical sample to adults aged 45 or above (N = 2934). Five machine learning models were used to construct Q-based (only questionnaire variables), Bio-based (only biomarker variables), and combined (questionnaire plus biomarker variables) models. Area under the receiver operating characteristic curve (AUROC) was used for performance assessment. Temporal external validation was performed based on two datasets from CHARLS. Important predictors were identified by Shapley values and coefficients.</p><p><strong>Results: </strong>Extreme gradient boosting (XGBoost), considering both questionnaire and biomarker characteristics, emerged as the optimal model, and its AUROC was 0.759 (95% CI: 0.747-0.771) at a decision threshold of 0.20 on the test set. Models also performed well on the external datasets. We found that cognitive function was the most important predictor in both Q-based and combined models, and blood urea nitrogen was the most important predictor in the Bio-based model. Other key predictors included education, haematocrit, total cholesterol, drinking, number of chronic diseases, and instrumental activities of daily living score.</p><p><strong>Conclusions: </strong>Our findings offer a potential for early screening and targeted prevention of sarcopenia among middle-aged and older adults in the community setting.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13205"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514339","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}

{"title":"The effect of information, motivation and behavioural skills model-based Diabetes Education and Motivational Interview Program on health outcomes in middle-aged adults with type 2 diabetes: a randomised controlled study.","authors":"Eda Kılınç İşleyen, Asiye Kartal","doi":"10.1111/psyg.13219","DOIUrl":"10.1111/psyg.13219","url":null,"abstract":"<p><strong>Background: </strong>Many models and theories are used to increase the self-management of individuals with type 2 diabetes. This study aims to examine the effect of information, motivation, behavioural skills (IMB) model-based diabetes education and motivational interviewing program on health belief, self-efficacy, self-management, and metabolic control in adults with type 2 diabetes.</p><p><strong>Method: </strong>The study is a single-blind, randomised controlled trial. The study was conducted between 2021 and 2022 with intervention (n = 30) and control groups (n = 30). The intervention group applied the diabetes education and motivational interviews program for 12 weeks that was created based on the IMB model. The study data were collected with a socio-demographic questionnaire, Diabetes Knowledge Scale, Health Belief Scale, Self-Efficacy Scale, and Self-Management Scale.</p><p><strong>Results: </strong>In the post-test and follow-up measurements, the mean scores of the intervention group on the knowledge, health belief, self-efficacy, and self-management scale were significantly higher than those of the control group, while the HbA1c% and body mass index (BMI) values of the intervention group showed a significant decrease over time. However, there was no difference between the groups in the post-test BMI and HbA1c% values.</p><p><strong>Conclusion: </strong>The nurse-led intervention was found to be effective in increasing information, health belief, self-efficacy, self-management, and decreasing HbA1c%, BMI in adults with type 2 diabetes.</p><p><strong>Study registration: </strong>The study was registered in ClinicalTrials NCT05030844.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13219"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677989","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}

{"title":"Potential needs of outreach dental care for patients with mental conditions.","authors":"Takayuki Suga, Yuji Gamo, Shigeru Iida, Akira Toyofuku","doi":"10.1111/psyg.13239","DOIUrl":"https://doi.org/10.1111/psyg.13239","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13239"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933745","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}

{"title":"Health locus of control and associated factors among community-dwelling older adults: a cross-sectional descriptive study.","authors":"Mengying Deng, Jinghong Lv, Chenming Guo, Yufan Yang, Hongdan Song, Zhiwen Wang, Mingming Yu","doi":"10.1111/psyg.13228","DOIUrl":"10.1111/psyg.13228","url":null,"abstract":"<p><strong>Background: </strong>To know the level of health locus of control (HLC) and investigate the factors associated with HLC among community-dwelling older adults.</p><p><strong>Method: </strong>A total of 470 older adults completed the Multidimensional Health Locus of Control Scale, the Activities of Daily Living Scale, the Geriatric Depression Scale, and the Lubben Social Network Scale. Hierarchical multiple regression was used to explore the factors associated with HLC.</p><p><strong>Results: </strong>Gender, marital status, income and the number of chronic diseases were associated with internal HLC; age, educational level, income, activities of daily living and social networks were associated with powerful others HLC; social networks were associated with chance HLC (P < 0.05).</p><p><strong>Conclusion: </strong>As modifiable factors, physical function and social support are essential for improving HLC in older adults and interventional programs aiming at changing them could help older adults maintain acceptable levels of HLC.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13228"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018019","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}

{"title":"A decline in financial literacy potentially associated with the development of neuropsychiatric symptoms: a case report.","authors":"Ryota Kobayashi, Kazutaka Sakamoto, Daichi Morioka, Akihito Suzuki","doi":"10.1111/psyg.13240","DOIUrl":"https://doi.org/10.1111/psyg.13240","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13240"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924263","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}

{"title":"A case of severe ARIA with multiple infarctions and extensive microbleeds following lecanemab administration.","authors":"Akiko Yamazaki, Tetsuro Sekine, Shiro Takahashi, Koji Sohara, Masanori Sakamaki, Takehiko Nagao, Kazumi Kimura, Masahiro Mishina","doi":"10.1111/psyg.13231","DOIUrl":"10.1111/psyg.13231","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13231"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856870","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}

{"title":"Low frequency-repetitive transcranial magnetic stimulation combined with Xingnao Kaiqiao acupuncture improves post-stroke cognitive impairment and has better clinical efficacy.","authors":"Xiao Xun, Yanhong Liu, Weimin Pan, Lang Tang, Changling Hu, Hua Ouyang, Qiu Liu, Hongliang Zeng, Dan Li","doi":"10.1111/psyg.13199","DOIUrl":"10.1111/psyg.13199","url":null,"abstract":"<p><strong>Background: </strong>Enhancing post-stroke cognitive impairment (PSCI) is a key aspect of prognosis for stroke patients. Low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) is currently a widely utilised method for treating PSCI. With the increasing promotion of traditional Chinese medicine, Xingnao Kaiqiao (XNKQ) acupuncture has been progressively incorporated into clinical treatment. This paper observes the effect of LF-rTMS with XNKQ acupuncture on patients with PSCI.</p><p><strong>Methods: </strong>Totally, 192 patients with PSCI were consecutively recruited and treated either with LF-rTMS and XNKQ acupuncture (observation group) or LF-rTMS only (control group) for 4 weeks. The pre- and post-treatment Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores, P300 latency and amplitude, inflammatory factor levels were compared and clinical efficacy was assessed.</p><p><strong>Results: </strong>Both groups exhibited increased MMSE/MoCA scores, and P300 amplitude, and shortened P300 latency, and the observation group had higher scores and P300 amplitude, and shorter P300 latency than the control group. Both groups displayed decreased inflammatory factor levels (Tumour necrosis factor-α, interleukin (IL)-6, IL-10, IL-1β) after treatment, which were lower in the observation group than the control group. Inflammatory factor levels in PSCI patients were negatively interrelated with MMSE, MoCA score and P300 amplitude, and positively with P300 latency. The observation group showed an increased number of patients showing cured and significantly effective results, a decreased number of patients showing effective and invalid results, and an observably elevated total effective rate.</p><p><strong>Conclusion: </strong>LF-rTMS with XNKQ acupuncture can improve cognitive function and reduce inflammatory immune response, and has better clinical efficacy in PSCI patients.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13199"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514338","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}

{"title":"Cognitive frailty as a predictor of hospitalisation among older adults: a systematic review and meta-analysis.","authors":"Min Cheng, Qin Liu, Miao Li, Mei He","doi":"10.1111/psyg.13213","DOIUrl":"10.1111/psyg.13213","url":null,"abstract":"<p><p>To examine whether cognitive frailty serves as a predictor of hospitalisation in older adults. PubMed, Web of Science, Embase, Scopus and Cochrane Library databases were systematically searched from inception to February 6, 2024. The reviewers independently selected studies, extracted data and evaluated the quality of studies. Stata 15.1 Software was used to perform the meta-analysis. A total of 13 articles were included in this study, including 34 230 participants. The results suggested that cognitive frailty was associated with hospitalisation in older adults (odds ratio (OR) = 1.79, 95% CI: 1.33-2.42, P < 0.001). The risk of hospitalisation for patients with cognitive frailty was 1.76 times higher than that for patients without cognitive frailty (relative risk = 1.76, 95% CI: 1.48-2.08, P < 0.001). According to different models of cognitive frailty, the results of subgroup analysis showed that the frail + cognitive impairment group had the highest risk of hospitalisation (OR = 2.22, 95% CI: 1.51-3.26, P < 0.001). Subgroup analysis based on study design showed that the incidence of hospitalisation was lowest in the cohort study group (OR = 1.51, 95% CI: 1.14-2.00, P = 0.004). This study suggested that cognitive frailty was an important predictor of hospitalisation in older adults. Future studies are needed to investigate the impact of cognitive frailty on hospitalisation in older adults, as this may help reduce hospitalisation rates and improve patients' quality of life.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13213"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683842","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}

{"title":"The effect of art therapy on cognitive status and psychological well-being in elderly people in institutional care.","authors":"Özge Demirel, Oya Sevcan Orak","doi":"10.1111/psyg.13246","DOIUrl":"10.1111/psyg.13246","url":null,"abstract":"<p><strong>Background: </strong>Cognitive decline seen in old age manifests itself as a decrease in reasoning ability that is not related to intelligence. This situation, together with many other problems, can affect the psychological well-being of the elderly. Especially the elderly living in institutional care constitute a special group that needs to be protected. It is important that the psychotherapy interventions to be carried out with this group are determined according to the characteristics of the group. The aim of this study is to determine the effect of art therapy on cognitive status and psychological well-being in the elderly living in institutional care.</p><p><strong>Methods: </strong>This single-blind randomised controlled study was conducted with 42 elderly individuals living in three nursing homes in Türkiye. In the study, the sample group was assigned to the experimental (n = 21) and control (n = 21) groups by simple randomisation. Art therapy intervention was applied to the elderly individuals in the experimental group, and no special intervention was applied to the control group. The sociodemographic information form, standardised mini mental test (MMT) and Psychological Well-being Scale for the Elderly (PWBS) were used as data collection tools in the study.</p><p><strong>Results: </strong>It was found that there was a statistically significant difference between the pre-test and post-test total scores of the PWBS and MMT in favour of the post-test (P < 0.001). In the study, the effect of the art therapy intervention applied to the elderly individuals in the experimental group was evaluated and it was determined that the difference between the PWBS ( <math> <semantics> <mrow><msup><mi>η</mi> <mn>2</mn></msup> </mrow> <annotation>$$ {eta}^2 $$</annotation></semantics> </math>  = 0.75) and MMT ( <math> <semantics> <mrow><msup><mi>η</mi> <mn>2</mn></msup> </mrow> <annotation>$$ {eta}^2 $$</annotation></semantics> </math>  = 0.52) scores had a medium effect level.</p><p><strong>Conclusions: </strong>The results showed that art therapy has a positive effect on the psychological well-being and cognitive status of the elderly in institutional care and can be used as a moderate developmental intervention.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13246"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018047","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}

{"title":"Overcoming barriers: addressing challenges in dementia care for Ukrainian refugees.","authors":"Nimra Javaid, Francesco Piacenza","doi":"10.1111/psyg.13211","DOIUrl":"10.1111/psyg.13211","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13211"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559585","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}