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

{"title":"Differences in the Regional T1/T2-Weighted Ratio Index Between Healthy Controls and Patients With Progressive Supranuclear Palsy.","authors":"Miho Ota, Noriko Sato, Yuji Takahashi, Yoko Shigemoto, Yukio Kimura, Hiroyuki Maki, Tomoki Imokawa, Risa Kagaya, Hiroshi Matsuda","doi":"10.1111/psyg.70069","DOIUrl":"https://doi.org/10.1111/psyg.70069","url":null,"abstract":"<p><strong>Background: </strong>Progressive supranuclear palsy (PSP) is a four-repeat tauopathy, and the differentiation of PSP from other neurodegenerative disorders is a common clinical problem. We applied a T1-/T2-weighted ratio imaging technique based on standard clinical MRI to investigate PSP-related changes in neuroimaging data.</p><p><strong>Method: </strong>Twenty patients with PSP and 34 healthy participants underwent an examination to obtain T1- and T2-weighted images at our hospital. We retrospectively computed each subject's T1/T2-weighted ratio index to use as a proxy for the brain's myelin content, and we analyzed the differences in the index values between the PSP and control groups.</p><p><strong>Results: </strong>Our analysis revealed the precise differences in the T1/T2-weighted ratio index between the PSP and control groups and demonstrated that the patients with PSP showed significant reductions of the T1/T2-weighted ratio index in the midbrain, posterior commissure, caudate, thalamus, and bilateral insulae compared to the healthy controls.</p><p><strong>Conclusions: </strong>These results show that the T1/T2-weighted ratio approach is useful to distinguish patients with PSP from healthy subjects.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 4","pages":"e70069"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568201","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":"An exploratory study on municipal measures for preventing and addressing incidents of missing older persons with dementia living alone in Japan.","authors":"Kazunori Kikuchi, Tatsuya Ooguchi, Tomoko Ikeuchi, Shuichi Awata","doi":"10.1111/psyg.70022","DOIUrl":"10.1111/psyg.70022","url":null,"abstract":"<p><strong>Background: </strong>It is predicted that the number of older persons with dementia (PwD) living alone in Japan will increase in the future. Consequently, it is also expected that the number of missing older PwD living alone will rise. However, there is little research on missing PwD who live alone. The aim of this study was to clarify the framework of measures that are deemed necessary by municipalities when older PwD who are living alone go missing.</p><p><strong>Methods: </strong>A mail survey was conducted among 1741 municipalities, and we asked about the necessity of 22 measures to address the issue of missing PwD who are living alone. A total of 478 municipalities with no missing values in the analyzed variables were included in the analysis, and factor analysis was conducted.</p><p><strong>Results: </strong>The following five factors were extracted: collaboration (Factor 1), prior agreement (Factor 2), the SOS network (Factor 3), information and communication technology-based solutions (Factor 4), and policy guidelines or protocol frameworks (Factor 5).</p><p><strong>Conclusion: </strong>Each of the five factors was unique. The strategies for dealing with missing persons include both relatively easy and challenging measures. Municipalities that have not yet made significant progress should begin with the easier measures and gradually implement the more challenging measures.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70022"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617952","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":"Fear of falling is a top issue for older adults with a history of falling: multidimensional perspective.","authors":"Arzu Demircioglu-Karagoz, Ulku Kezban Sahin, Osman Dag, Ilker Fatih Sari","doi":"10.1111/psyg.70029","DOIUrl":"https://doi.org/10.1111/psyg.70029","url":null,"abstract":"<p><strong>Backround: </strong>Fear of falling is a frequently encountered psychological phenomenon, especially in older adults with a history of falling. Many psychological, physical, and social factors affect the fear of falling. The aim of this research is to examine the physical, psychological and social factors that affect the fear of falling in older adults.</p><p><strong>Methods: </strong>One hundred and fifty-two older adults with a history of falling in the last year were included in this cross-sectional study. In addition to variables such as age, educational status, use of mobility aids, fall frequency and comorbidity in individuals, physical, psychological and social variables were examined. Fear of falling was assessed with the Modified Fall Efficacy Scale.</p><p><strong>Results: </strong>The Modified Fall Efficacy Scale's score was significantly predicted by gait speed (P < 0.001), muscle strength (P = 0.006), balance (P < 0.001), physical activity (P = 0.032), pain (P = 0.004), depression (P = 0.007), and community integration (P < 0.001). Physical, psychological and social variables explain 78% of the Modified Fall Efficacy Scale's score in older adults with a history of falling in the last 1 year.</p><p><strong>Conclusions: </strong>Increased pain and depressive mood, in addition to decreased walking speed, lower extremity muscle strength, balance, physical activity and social participation, have negative impacts on the fear of falling in older adults. Especially, older adults with a history of falling should be evaluated physically, psychologically and socially and the factors affecting their fear of falling should be determined. In this way, suitable rehabilitation protocols for older adults will be developed.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70029"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060658","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":"Study of Disease Self-Management and Social Activity Status of Older Adults With Chronic Disease.","authors":"Esra Türker, Meltem Meriç","doi":"10.1111/psyg.70042","DOIUrl":"https://doi.org/10.1111/psyg.70042","url":null,"abstract":"<p><strong>Background: </strong>Older adults with chronic health conditions, disease-related self-management is of great importance for maintaining the balance between daily activities and social interactions that are often disrupted by chronic disease. The purpose of this study was to examine the relationship between disease self-management and social activity status of older adults with chronic disease.</p><p><strong>Methods: </strong>This descriptive and correlational study was carried out with 379 older adults between April and July 2024. Data were collected using three instruments: Patient Information Form, Self-Management Scale in Chronic Diseases (CDSMS) and Social Activities Scale for Community-Dwelling Older People Requiring Support (SASOS).</p><p><strong>Results: </strong>The mean age of the older adults with chronic diseases who participated in the study was 70.74 ± 4.91 years. Forty percent of the older adults had two or more chronic diseases, and 72.56% of them rated their health status as good. It was found that the total score of the social activities scale for the older adults showed a positive significant relationship with coping with stigmatisation (r = 0.492, p < 0.001), health care effectiveness (r = 0.290, p < 0.001) and treatment compliance (r = 0.384, p < 0.001), and a negative significant relationship with self-stigmatisation (r = -0.350, p < 0.001). Four distinct 'simple linear regression analyses' were carried out to examine the structure of SASOS and CDSMS sub-dimensions. All models were significant and explained the cumulative variance in the dependent variable.</p><p><strong>Conclusions: </strong>The results of this study lend support to the notion that an increase in chronic disease self-management has a psycho-social impact on social relationships. These results are deemed to contribute to the development of new interventions that facilitate self-care practices and increase socialisation at both individual and social levels. To more accurately capture the dimensions of this experience and its consequences for health, measures of chronic disease self-management should be developed based on the collaboration between patients and health professionals and aimed at providing social incentives for patients.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70042"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047007","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":"Prevalence of depression and its network structure and association with quality of life in older adults with hypertension: findings of a national survey.","authors":"Hui-Ying Fan, He-Li Sun, Yuan Feng, Yanbo Zhang, Han-Yu Zhu, Yan-Zhang Li, Zhaohui Su, Teris Cheung, Edmundo Patricio Lopes Lao, Qinge Zhang, Chee H Ng, Yu-Tao Xiang","doi":"10.1111/psyg.70034","DOIUrl":"https://doi.org/10.1111/psyg.70034","url":null,"abstract":"<p><strong>Introduction: </strong>Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study aimed to examine the prevalence and correlates of depression, and its network structure and association with quality of life (QOL) in older adults with hypertension.</p><p><strong>Methods: </strong>Depression and QOL were measured using the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10) and the World Health Organization Quality of Life-brief version, respectively. Univariable and multivariable analyses were performed. Network analysis was used to explore the interconnections between depressive symptoms. The flow function was used to identify depressive symptoms that were directly associated with QOL.</p><p><strong>Results: </strong>A total of 5032 older adults with hypertension were included. The prevalence of depression (CESD-10 total score ≥ 10) was 28.3% (95% confidence interval: 27.08%-29.59%), which was significantly associated with poor QOL (P < 0.001). Participants who were male (P < 0.001), resided in urban areas (P = 0.006), lived with their family (P < 0.001), had perceived fair or good economic status (P < 0.001), and higher level of instrumental activities of daily living (P < 0.001) had lower risk of depression. In the network model of depression, CESD3 'Feeling blue/depressed', CESD4 'Everything was an effort' and CESD8 'Loneliness' were the most central symptoms. CESD10 'Sleep disturbances' had the highest negative association with QOL, followed by CESD5 'Hopelessness', and CESD7 'Lack of happiness'.</p><p><strong>Conclusion: </strong>Depression was common among older adults with hypertension and significantly associated with poor QOL. To prevent and reduce the negative impact of depression in this population, appropriate interventions should target both central symptoms and the depressive symptoms associated with QOL.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70034"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047766","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":"Gender differences in the association of sleep quality with perceived physical and mental health in Iranian elderly.","authors":"Ali Kohanmoo, Asma Kazemi, Masoumeh Akhlaghi","doi":"10.1111/psyg.70026","DOIUrl":"10.1111/psyg.70026","url":null,"abstract":"<p><strong>Background: </strong>The relationship of sleep with objective health measures is well-known, but the link between sleep quality and self-rated health is less clear. We investigated the association of sleep quality with self-rated physical and mental health in a sample of Iranian elderly.</p><p><strong>Methods: </strong>The cross-sectional study was performed on older men (n = 92) and women (n = 213). Sleep quality and self-rated health were assessed by Pittsburgh Sleep Quality Index (PSQI) questionnaire and Patient-Reported Outcomes Measurement Information System (PROMIS), respectively. The association of sleep quality and PROMIS scales were examined by linear regression analysis.</p><p><strong>Results: </strong>Both men and women indicated high levels of poor sleep quality, but women had a worse condition (P < 0.001). Women also had lower scores of perceived global and physical health compared to men (P < 0.001 for both) but mental health score was not different between genders (P = 0.114). Sleep quality was associated with PROMIS scales of physical, mental, and global health in the crude regression model for both men and women but it was not associated with mental health scale after controlling for potential confounders in men. Physical health and fatigue were associated with poor sleep quality in both men and women. Mental health, emotional problems, pain, quality of life, and performing social activities/roles were associated with poor sleep quality only in women.</p><p><strong>Conclusions: </strong>Good sleep quality may help both genders for general and physical health, but older women may also benefit in terms of emotional and mental health.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70026"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702184","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":"Implementation of a Delirium and Insomnia Treatment Manual in a General Hospital: Impact on Psychiatric Liaison Consultations.","authors":"Shoichi Wada, Yuzuru Shibuya, Ryota Kobayashi, Akihito Suzuki","doi":"10.1111/psyg.70050","DOIUrl":"https://doi.org/10.1111/psyg.70050","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70050"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053159","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":"Comment on 'Development and validation of a nomogram for delirium in old ischaemic stroke patients'.","authors":"Yaoting Wu, Lanhong Zhu","doi":"10.1111/psyg.70039","DOIUrl":"https://doi.org/10.1111/psyg.70039","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70039"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059448","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 neglected geriatric syndrome: assessment of self-neglect in the shadow of COVID-19.","authors":"Çiğdem Alkaç, Nurdan Şentürk Durmuş, Zeynep Rumeysa Beşışık Yılmaz, Yasin Yıldız, Muhammed Emin Çelenk, Büşra Can, Aslı Tufan","doi":"10.1111/psyg.70025","DOIUrl":"10.1111/psyg.70025","url":null,"abstract":"<p><strong>Background: </strong>We aimed to screen self-neglect in older adults before and after the COVID-19 pandemic, to evaluate the effect of the pandemic on self-neglect, and to evaluate the relationship between self-neglect and geriatric syndromes in this study.</p><p><strong>Methods: </strong>Older adults ≥65 years old and without dementia who applied to a single-centre geriatric outpatient clinic between December 2023 and May 2024 were included in the study. We performed self-neglect screening for the pre- and post-pandemic era with the Istanbul Medical School Elder Self-Neglect questionnaire. Additionally, comprehensive geriatric assessment data and quality of life data with the Euro-Quality of Life 5D-3L scales were evaluated.</p><p><strong>Results: </strong>A total of 104 patients, with a mean age of 76.8 ± 5.9 years and 70% female, were included in the study. Self-neglect was detected in 19 patients (18.3%) at the post-pandemic period. The older adults with self-neglect were more frail, more dependent, more depressed, had higher risk of sarcopenia, also had more common polypharmacy and urinary incontinence (all P < 0.05). Also, quality of life was found to be more impaired in the self-neglect group (P < 0.001). In multivariate Cox regression analysis, being dependent and having a high risk of sarcopenia were associated with self-neglect in the post-COVID-19 period (odds ratio (OR): 0.15; CI: 0.03-0.83; P = 0.030 and OR: 1.45; CI: 1.01-2.09; P = 0.048, respectively.).</p><p><strong>Conclusion: </strong>Self-neglect in older adults is an important part of comprehensive geriatric assessment and should be screened with validated methods. As it is significantly related with other geriatric syndromes, it suggests that interventions in geriatric syndromes may prevent self-neglect.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70025"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672099","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 serial mediation model of chronic multimorbidity and frailty in older adults: the role of pain and depressive symptoms.","authors":"Ting Rong, Li Kang, Yi Zhang, Lanxin Yin, Yuexia Gao, Jianlin Gao","doi":"10.1111/psyg.70030","DOIUrl":"10.1111/psyg.70030","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown that chronic multimorbidity is associated with frailty in older adults. However, the mechanisms of this association are unclear. This study aimed to determine the mediating role of pain and depressive symptoms in the relationship between chronic multimorbidity and frailty.</p><p><strong>Methods: </strong>We examined the relationship between chronic multimorbidity, pain, depressive symptoms, and frailty in a cross-sectional survey of 501 older adults (48.5% male, median age = 74 years).</p><p><strong>Results: </strong>There was a positive correlation between chronic multimorbidity and frailty in older adults. In addition, pain and depressive symptoms mediated the relationship between chronic multimorbidity and frailty both independently and serially. The total indirect effect of the three mediation paths was 36%.</p><p><strong>Conclusion: </strong>Active treatment of the primary conditions of older adults, supplemented by attention given to physical and mental health issues such as pain and depressive symptoms, could prevent the development of frailty in older adults.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70030"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788966","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}