{"title":"Decision-Making Support for People Living With Dementia: A Nationwide Cross-Sectional Study in Diverse Long-Term Care Settings in Japan.","authors":"Ayane Komatsu, Tami Saito, Yoshihisa Hirakawa, Sanae Takanashi, Reiko Ishiyama, Kaoruko Aita, Hisayuki Miura","doi":"10.1111/psyg.70059","DOIUrl":"https://doi.org/10.1111/psyg.70059","url":null,"abstract":"<p><strong>Background: </strong>The importance of decision-making support for people living with dementia (PLWD) has been pointed out, but the actual situation has not been fully clarified. This study aimed to describe the implementation of decision-making support for PLWD in three long-term care settings in Japan: hospitals, facilities, and homes.</p><p><strong>Methods: </strong>A questionnaire survey was conducted among 1000 randomly selected long-term care wards in hospitals (LTCHs), geriatric health service facilities (GHSFs), and home care nursing services (HNSs) between November 2022 and January 2023. Responses were collected using the 15-item decision-making support originally developed. In addition to calculating the implementation rate, the bivariate association between decision-making support implementation and facility characteristics was examined for items with low implementation rates. All analyses were conducted based on the facility type.</p><p><strong>Results: </strong>The study received 97 (9.7%), 164 (16.4%), and 215 (21.5%) valid responses from LTCHs, GHSFs, and HNSs, respectively. Across all care settings, 'confirm key family's wishes' was the most implemented aspect. In contrast, over half of the facilities did not implement 'support conducting a life review' and 'support expression and execution of wishes' in LTCHs and GHSFs. The implementation rate of these items was higher among facilities providing training on decision-making support and advanced care planning training for staff members.</p><p><strong>Conclusions: </strong>In all care settings, prioritizing family wishes occurred without assessing the decision-making capacity of PLWD. Training in decision-making support and advanced care planning showed potential for encouraging the implementation of decision-making support for PLWD. However, further investigation is necessary.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 4","pages":"e70059"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644356","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}
Fatih Özden, Mehmet Özkeskin, Zehra Benzer, İsmail Uysal, Emir İbrahim Işık, Miray Başer
{"title":"Determination of Factors Associated With Urinary Incontinence in Older Individuals With Alzheimer's Disease: A Cross-Sectional Study.","authors":"Fatih Özden, Mehmet Özkeskin, Zehra Benzer, İsmail Uysal, Emir İbrahim Işık, Miray Başer","doi":"10.1111/psyg.70058","DOIUrl":"10.1111/psyg.70058","url":null,"abstract":"<p><strong>Background: </strong>The objective of the present study was to examine the demographic and physical predictors of urinary incontinence (UI) in older patients with Alzheimer's disease (AD).</p><p><strong>Methods: </strong>The cross-sectional observational study comprised 55 patients diagnosed with AD, whose disease severity was assessed by a neurologist as mild to moderate. The following instruments were utilised for evaluation: the Mini-Mental State Examination (MMSE), the Incontinence Impact Questionnaire (IIQ-7), the Functional Reach Test (FRT), the Timed Up and Go Test (TUG), the Falls Efficacy Scale-International (FES-I), the Activity-specific Balance Confidence Scale (ABC) and the Urogenital Distress Inventory (UDI-6).</p><p><strong>Results: </strong>The patients' mean age was 76.24 ± 6.66 years. A significant difference was found between educational status and UDI-6 scores. No other significant associations were observed between demographic characteristics and UI measures. In addition, IIQ-7 showed weak correlations with TUG (r = 0.222), FES-I (r = 0.257) and ABC (r = -0.250).</p><p><strong>Conclusions: </strong>A weak correlation was observed between physical performance, fear of falling, and balance confidence in individuals diagnosed with AD. Moreover, individuals with lower educational attainment exhibited a greater propensity to experience UI. Future research is recommended to investigate the relationship between somatosensory symptoms and UI in individuals with AD.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 4","pages":"e70058"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295456","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}
Naotoshi Kimura, Daisuke Hirano, Hana Yano, Ryo Sato, Takamichi Taniguchi
{"title":"Relationship Between Frailty Status and Brain Function During Inhibitory Function Tasks in Community-Dwelling Older Adults.","authors":"Naotoshi Kimura, Daisuke Hirano, Hana Yano, Ryo Sato, Takamichi Taniguchi","doi":"10.1111/psyg.70062","DOIUrl":"https://doi.org/10.1111/psyg.70062","url":null,"abstract":"<p><strong>Background: </strong>Maintaining cognitive function in frail older adults is important in maintaining their quality of life. The early detection of cognitive decline is necessary to maintain cognitive function. While event-related potentials (ERPs) have been reported as a measure of frontal lobe inhibitory function, the association between ERPs and frailty status remains unclear. This study aimed to elucidate the relationship between frailty status and ERP.</p><p><strong>Methods: </strong>The participants were 46 older adults living in the community, and ERP was measured as an index of brain function. Frailty assessment was conducted using the Kihon Checklist. This study compared the latency and amplitude of the P3 of ERPs between robust and frail status, including pre-frail individuals. Multiple regression analysis was used to examine the association between frailty status and ERP.</p><p><strong>Results: </strong>P3 latency was significantly delayed in the frail group compared to the robust group. Furthermore, multiple regression analysis showed that frailty status was associated with Cz (β = -0.453, p = 0.003), CPz (β = -0.375, p = 0.016) and Pz (β = -0.358, p = 0.027) at P3 latency independently of cognitive function.</p><p><strong>Conclusions: </strong>Frailty status decreased the rate of information processing related to inhibitory functions and was associated with P3 latency of the ERP. This study emphasises the necessity of assessing inhibitory function in older adults with frailty.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 4","pages":"e70062"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638879","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}
Yuka Kato, Masami Hiyama, Nozomu Oya, Jin Narumoto
{"title":"A Preliminary Study on the Development of a Virtual Reality-Based Financial Decision-Making Training Tool for Investment Trusts: Usability and Acceptability Among Community-Dwelling Healthy Older People.","authors":"Yuka Kato, Masami Hiyama, Nozomu Oya, Jin Narumoto","doi":"10.1111/psyg.70068","DOIUrl":"https://doi.org/10.1111/psyg.70068","url":null,"abstract":"<p><strong>Background: </strong>As global population ages, financial gerontology is becoming increasingly important in supporting older adults' financial decision-making. The decline in the real asset value of financial assets driven by inflation and social security reforms necessitates investment strategies beyond traditional savings. However, age-related cognitive decline can impair financial decision-making capacity, highlighting the need for effective interventions. Virtual reality (VR)-based training appears promising in enhancing cognitive function, making it an engaging tool for financial education. This study aimed to evaluate the usability and acceptability of a VR-based financial decision-making training tool for investment trust among community-dwelling older adults.</p><p><strong>Methods: </strong>Twenty-eight cognitively healthy older adults (≥ 60 years, Japanese version of the Montreal Cognitive Assessment ≥ 26) participated in a usability study using the Oculus Quest 2. The VR training involved interacting with an avatar that explained investment trust and answered decision-making quizzes. Usability and acceptability were assessed using a System Usability Scale, a Simulator Sickness Questionnaire, Likert-scale ratings on content clarity and content analysis of open-ended responses.</p><p><strong>Results: </strong>The median training session lasted 21.8 min, and most participants (89.3%) completed the task with minimal or no support. The System Usability Scale score was 63.8, slightly below the usability benchmark, whereas Simulator Sickness Questionnaire scores indicated minimal VR-induced discomfort (overall score: median 3.7). Content analysis revealed three major strengths-cognitive support, emotional engagement and learner autonomy-and four key challenges including interface usability, content difficulty, physical comfort, and auditory pacing.</p><p><strong>Conclusions: </strong>This preliminary study suggests that VR-based financial decision-making training is a promising tool for financial education in older adults, as it may reduce psychological barriers to financial learning. However, improvements in usability, including intuitive and interactive feedback, are required. Future studies should explore the long-term impact of VR training on financial decision-making, potential adaptations for vulnerable populations, and its role within hybrid financial education programs.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 4","pages":"e70068"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562289","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":"Suicidal Ideation After Hip Fracture in Older Adults.","authors":"Emily S Bower, Kimberly A Van Orden, Eric J Lenze","doi":"10.1111/psyg.70065","DOIUrl":"10.1111/psyg.70065","url":null,"abstract":"<p><strong>Objectives: </strong>A disabling medical event, such as a hip fracture, can cause psychological destabilisation and increase suicide risk. This study aimed to estimate incident suicide ideation (SI) within 1 year after a hip fracture and identify psychosocial predictors of SI and associations with functional recovery.</p><p><strong>Methods: </strong>A secondary analysis was conducted with data from a longitudinal study of risk factors for late-life depression after hip fracture. Four hundred and ninety-four patients with hip fracture and without prior clinical depression, and a comparison sample of 102 healthy community-dwelling older adults, were included in analyses. Participants were interviewed with the Montgomery-Asberg Depression Rating Scale, which includes an item assessing SI at eight timepoints after hip fracture.</p><p><strong>Results: </strong>SI was endorsed by 14.8% (73) of patients versus 5.9% (6) healthy controls during the year after hip fracture. Suicidal thoughts were commonly passive and transient. Older age (OR = 1.04) and higher perceived stress (OR = 2.07) uniquely predicted SI. Function was associated with SI immediately after the fracture and 6-12 months later.</p><p><strong>Conclusion: </strong>Findings suggest that there are vulnerable periods for SI after a hip fracture, particularly for people who experience high stress. The relationship between SI and function is strongest 6-12 months after a fracture.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 4","pages":"e70065"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638880","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":"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}
Arzu Demircioglu-Karagoz, Ulku Kezban Sahin, Osman Dag, Ilker Fatih Sari
{"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}