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

{"title":"Prevalence, co-existence, and factors related to a change in geriatric giant syndromes over 2 years: results of the Second Wave of Cognition of Older People, Education, Recreational Activities, NutritIon, Comorbidities, fUnctional Capacity Studies (COPERNICUS).","authors":"Agnieszka Kujawska, Sławomir Kujawski, Jūratė Zupkauskienė, Jakub Husejko, Weronika Hajec, Claire E Robertson, Mitchell G Miglis, Nicholas McMahon, Melanie Dani, José Augusto Simões, Paweł Zalewski, Kornelia Kędziora-Kornatowska","doi":"10.1111/psyg.70018","DOIUrl":"10.1111/psyg.70018","url":null,"abstract":"<p><strong>Background: </strong>We prospectively examined the prevalence, co-existence, and change of geriatric giant syndromes in older people over 2 years.</p><p><strong>Methods: </strong>Two hundred and five older subjects were examined before and after 2 years. Ten geriatric giants were assessed at both time points: cognitive impairment, depression, orthostatic hypotension, polypharmacy, sarcopenia, dynapenia, falls, chronic pain, faecal and urinary incontinence.</p><p><strong>Results: </strong>Chronic pain, cognitive impairment, and urinary incontinence were three of the most commonly occurring geriatric giants at baseline (57%, 46%, and 40%). The presence of faecal incontinence, urinary incontinence, falls, depression, cognitive impairment, orthostatic hypotension, and polypharmacy was most strongly related to the number of geriatric giants in total at baseline (P < 0.05). A higher intake of dietary antioxidants by one point was related to fewer geriatric giants after 2 years (by 0.04, after adjusting for confounding factors (P = 0.03)).</p><p><strong>Conclusions: </strong>Geriatric giant syndromes tend to co-exist and change with high variability over 2 years. Higher intake of antioxidants with diet could be related to fewer geriatric giants over time.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70018"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627024","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":"Comparative efficacy and safety of different pharmacological interventions for the treatment of depression associated with insomnia in the elderly population: a systematic review and network meta-analysis.","authors":"Jun Wang, Luyuan Bai, Yanping Bao, Xuan Wang, Meihong Xiu","doi":"10.1111/psyg.70041","DOIUrl":"10.1111/psyg.70041","url":null,"abstract":"<p><p>This study aimed to compare the efficacy and safety of different active agent treatments for depression associated with sleep disorders in the elderly population. The major international databases, including Medline (via PubMed), Cochrane Library, Scopus and Embase, WHO International Clinical Trials Registry Platform, ClinicalTrials, were searched using a predesigned search strategy. Randomised controlled trials (RCTs) that had compared the pharmacological treatments or placebo therapy interventions were included. The mean difference with a 95% confidence interval was used to summarise the effect size in the network meta-analysis. The frequentist approach was used for data analysis. In total, 12 RCTs out of 8673 retrieved references met the inclusion criteria in this review (3070 participants). All types of intervention were effective in decreased Insomnia Severity Index (ISI) and depression score, and sertraline had the highest probability of being the most effective intervention in decreasing the ISI (standard mean difference (SMD) = -2.17, 95% confidence interval (95% CI): -2.60, -1.75), Hamilton Depression Scale (HAM-D: SMD = -3.10, 95% CI: -3.60, -2.61) in elderly patients with depression and insomnia. Safety assessments included treatment-emergent adverse events and serious adverse events. In terms of the number of patients reporting escitalopram and zuranolone, zolpidem, seltorexant and eszopiclone had higher risks of serious adverse events than placebo or other treatments. In conclusion, sertraline had the highest probability of being the optimal intervention for decreased ISI and HAM-D in elderly patients with depressive and insomnia. Escitalopram, zuranolone, and seltorexant did not show overall material benefits in reducing ISI. These results should serve evidence-based clinical practice.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 3","pages":"e70041"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014066","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":"Relationship between apathy/post-stroke depression and gait training in patients with stroke.","authors":"Takashi Maeda, Kenichiro Shishido, Tomoki Ouchida, Yasuyuki Moriuchi, Atsuko Hayashi","doi":"10.1111/psyg.70002","DOIUrl":"10.1111/psyg.70002","url":null,"abstract":"<p><strong>Background: </strong>We examined the effect of gait training on apathy/post-stroke depression (PSD) in patients with walking disorders after stroke, and the effect of apathy/PSD on gait reacquisition in subacute stroke.</p><p><strong>Methods: </strong>Fifty-five participants with gait disorders after stroke underwent gait training for 6 weeks. Outcome measurements included Apathy Scale (AS), Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Mental State Examination, Lower Extremity Function of Stroke Impairment Assessment Set, and Functional Independence Measure-TRANSFER and -WALK scores. These scores of the participants were divided into groups with or without apathy based on AS scores for statistical analysis.</p><p><strong>Results: </strong>Both groups showed significant differences in all outcomes after gait training. In addition, even if the participants had apathy at baseline, there were no significant differences in outcomes other than AS/CES-D between the two groups after gait training. Logistic regression analysis showed that only Mini-Mental State Examination and Lower Extremity Function of Stroke Impairment Assessment Set scores affected the reacquisition of independent walking (odds ratio: 1.332, P = 0.015; odds ratio: 1.364, P = 0.005, respectively). AS and CES-D scores had no effects on gait reacquisition.</p><p><strong>Conclusion: </strong>Gait training may be beneficial for both physical impairment and psychiatric symptoms in patients with stroke and may prevent poor functional recovery caused by apathy and PSD. As opposed to previous studies that have shown a negative impact of apathy and PSD on functional recovery, our results suggest that apathy/PSD may not negatively affect functional recovery when gait training is conducted in subacute stroke.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70002"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017452","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":"Expressed emotion mediates the association between caregiver relationship closeness and psychological symptoms in people with dementia.","authors":"Xiaoji Liu, Wenping Mo, Reiko Kanaya, Kazue Shigenobu, Keigo Takiue, Eriko Koujiya, Yasushi Takeya, Miyae Yamakawa","doi":"10.1111/psyg.70000","DOIUrl":"10.1111/psyg.70000","url":null,"abstract":"<p><strong>Aim: </strong>This study examines whether expressed emotion (EE) mediates the association between caregiver relationship closeness and behavioural and psychological symptoms of dementia (BPSD).</p><p><strong>Methods: </strong>We recruited 64 families with dementia in Osaka and collected data for 3 months. Caregiver-patient relationship closeness was assessed using the Relationship Closeness Scale (RCS), and BPSD was measured with the Neuropsychiatric Inventory Questionnaire (NPI-Q). EE was evaluated using the Family Attitude Scale (FAS).</p><p><strong>Results: </strong>The results indicated significant correlations between EE, relationship closeness, and BPSD, showing that higher caregiver intimacy levels were associated with lower aggression in dementia people. Mediation analysis revealed that EE significantly and mainly mediated the relationship between RCS and BPSD.</p><p><strong>Conclusions: </strong>The findings underscore the importance of interventions focused on improving caregiver-patient relationships and managing caregiver emotional expressions to mitigate BPSD. These insights are valuable for developing targeted support programs for dementia care.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70000"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017531","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":"Related factors of cognitive frailty among older adults with type 2 diabetes: a cross-sectional study.","authors":"Min Cheng, Yan Qiao, Bailin Yang, Mei He","doi":"10.1111/psyg.70004","DOIUrl":"10.1111/psyg.70004","url":null,"abstract":"<p><strong>Background: </strong>The correlation between diabetes and cognitive frailty is still controversial. The purpose of this study was to explore the related factors of cognitive frailty in older adults with type 2 diabetes, and to provide new ideas for realising healthy ageing of diabetic patients.</p><p><strong>Methods: </strong>The survey was conducted at Mianyang Central Hospital affiliated to University of Electronic Science and Technology of China from January 15 to June 30, 2024. The subjects were older adults with type 2 diabetes aged 60 years or older. Cognitive frailty was assessed using Fried's phenotype and Mini-Mental State Examination. Statistical analysis and plotting were conducted using SPSS 25.0 and R 4.3.3. Least absolute shrinkage and selection operator (LASSO) regression was used to reduce the dimensionality of 30 clinical features collected, and the unimportant factors were initially screened out. The important factors with non-zero coefficients identified by LASSO regression were included in a multivariate logistic regression analysis to explore the factors influencing cognitive frailty in older diabetic patients.</p><p><strong>Results: </strong>This study included 301 older persons with type 2 diabetes. Among them, 91 (30.2%) cases of cognitive frailty occurred. Related factors for cognitive frailty in older adults with type 2 diabetes include: age (odds ratio (OR) = 6.417, 95% CI: 1.882-21.876, P = 0.003), hypomnesia (OR = 2,985, 95%CI: 1.143-7.797, P = 0.026), depression (OR = 9.926, 95%CI: 4.117-23.934, P < 0.001), diabetic retinopathy (OR = 6.489, 95%CI: 1.969-21.384, P = 0.002), history of diabetic ketoacidosis (OR = 12.024, 95%CI: 1.724-83.872, P = 0.012).</p><p><strong>Conclusion: </strong>The prevalence of cognitive frailty in older persons with type 2 diabetes mellitus was higher. It was closely related to age, hypomnesia, depression, diabetic retinopathy and history of diabetic ketoacidosis. Early detection of the risk and effective intervention can reduce the incidence of adverse events and improve the quality of life of patients.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70004"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400984","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":"Knee osteoarthritis emotional meaning scale development study.","authors":"Arife Azak, Nurgün Platin","doi":"10.1111/psyg.70017","DOIUrl":"10.1111/psyg.70017","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (OA) is a chronic, long-term disease with both physical and psychosocial consequences. In determining the treatment programs of patients diagnosed with knee OA and ensuring compliance with treatment, it is important to understand the emotional attitudes and experiences of patients regarding the physical and psychosocial effects of the disease. This study aimed to create a scale for evaluating the emotional attitudes of patients with knee OA as they manage and cope with the condition.</p><p><strong>Methods: </strong>The research was a validity and reliability study designed using methodological methods. Study data were collected from the Department of Physical Therapy and Rehabilitation at a university hospital in Turkey between November and December 2024. The study sample included 90 patients diagnosed with knee OA. To establish the validity of the scale, content validity and construct validity were assessed. Internal consistency was determined using Cronbach's alpha reliability coefficient, item-total score correlations, and the Hotelling T² test. The test-retest method was applied to determine the scale's stability over time.</p><p><strong>Results: </strong>The content validity index (CVI) values for the draft form of the scale ranged between 0.91 and 1.00. The exploratory factor analysis indicated that the scale consisted of a single factor, which explained 41.62% of the total variance. The scale demonstrated strong reliability, with a Cronbach's alpha coefficient of 0.86, item-total correlations ranging from 0.36 to 0.73, and a significant Hotelling T² value (P < 0.001). Test-retest analysis indicated a positive and highly significant correlation for the overall scale (r = 0.964, P < 0.001).</p><p><strong>Conclusion: </strong>The knee osteoarthritis emotional meaning scale (KOEMS) was demonstrated to be a valid and reliable instrument for this patient sample.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70017"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517349","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":"Psychosocial problems observed in older adults after disaster.","authors":"Zeynep Güngörmüş, Safiye Özgüç","doi":"10.1111/psyg.70001","DOIUrl":"10.1111/psyg.70001","url":null,"abstract":"<p><p>Natural disasters are large-scale catastrophic events that seriously disrupt the functioning of a community or society. The frequency and severity of disasters are increasing and involve widespread human, material, economic, or environmental impacts that exceed the ability of the society affected by them to cope using its resources. In addition, disasters significantly affect the physical, emotional, and psychological health of individuals and cause numerous deaths, injuries, and economic losses. One of the most vulnerable groups to the negative effects of disasters is the elderly. The increase in the elderly population worldwide brings with it the problems specific to this period and the service needs for these problems. The population consists of older adults, who are among the most vulnerable groups to the negative effects of natural disasters. During the social traumatisation process triggered by natural disasters, elderly people experience intense feelings of anxiety, fear, anger, helplessness, loneliness, hopelessness, futurelessness, and insecurity. Reactions such as unresponsiveness, alienation, inability to focus, and inability to remember are normal during this process. The normality of these feelings and responses in the acute period, which can last up to 3 months, will give way to abnormality unless the necessary physical and psychosocial conditions are provided. When the necessary psychosocial conditions are not provided, elderly individuals who experience a disaster may experience mental problems such as post-traumatic stress disorder, depression, somatisation disorder, anxiety disorders, and substance use disorders. In this context, providing the necessary psychosocial support for older adults to cope with psychosocial problems after a disaster and facilitating access to this support is very important in terms of adapting to the post-disaster period.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70001"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034844","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":"Knowledge and attitudes about dementia among nursing students in Vietnam: a cross-sectional study.","authors":"Dung Thi My Pham, An Dang Do, Hien Thi Thu Do, Anh Ngoc Nguyen, Binh Thanh Nguyen, Mai Do","doi":"10.1111/psyg.70003","DOIUrl":"10.1111/psyg.70003","url":null,"abstract":"<p><strong>Background: </strong>Dementia is one of the most pressing health concerns among the ageing population, imposing significant health, financial and caregiving burdens on people with dementia (PWD), their families and caregivers. Building the capacity of nursing students is essential for effectively improving quality of life for affected people. This study aimed to assess nursing students' knowledge and attitudes toward dementia and its associated factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in four medical schools educating 3-year and 4-year diploma nursing students in northern, central and southern Vietnam, who were selected based on convenience. Six hundred full-time diploma senior nursing students were recruited for the survey. A self-administered questionnaire consisted of 34 true-false questions evaluating students' knowledge about dementia (Alzheimer's Disease Knowledge Scale) and 20 items using a five-point Likert scale assessing their attitudes toward dementia (Dementia Attitudes Scale) was used. The tools were validated with 60 students and showed good internal reliability.</p><p><strong>Findings: </strong>Senior nursing students exhibited insufficient knowledge of dementia (mean score of 20.82 ± 2.96 out of 34) but demonstrated positive attitudes toward dementia care (mean score of 65.54 ± 8.25 out of 90). Engaging in a 4-year diploma program (β = 0.501), being female (β = 0.827), and achieving greater academic performance (β = 0.795) were positively associated with increased knowledge of dementia (P < 0.05). Being female (β = 2.179) and possessing better knowledge of dementia (β = 2.740) also positively affected nursing students' attitudes toward dementia (P < 0.05).</p><p><strong>Conclusions: </strong>The study is the first to shed light on the gaps in dementia knowledge among senior nursing students in Vietnam. It also provides a comparison in dementia knowledge and attitudes between students enrolling in 3-year versus 4-year nursing diploma programs. Educational strategies are needed to not only equip students with adequate knowledge and reinforced positive attitudes toward dementia, but to strengthen nursing graduates' knowledge and attititudes of dementia to better their capacity in ageing and dementia care.</p><p><strong>Implications for nursing practice: </strong>The findings highlighted the need to enhance training programs to meet the growing demand for dementia care. Additional post-graduation training activities are also recommended to increase competencies of nurses in caring for PWD.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70003"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070261","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":"Health literacy and frailty: the mediating role of instrumental activities of daily living.","authors":"Keisuke Nakamura, Tomohiro Sasaki, Yoshiharu Yokokawa, Shinobu Yokouchi","doi":"10.1111/psyg.70010","DOIUrl":"10.1111/psyg.70010","url":null,"abstract":"<p><strong>Introduction: </strong>Japan has the fastest ageing population worldwide, with a high prevalence of frailty. This study aimed to investigate the impact of communicative and critical health literacy (CCHL) on the progression of frailty in older adults participating in community-based programs over 1 year, and whether instrumental activities of daily living (IADL) mediate this relationship.</p><p><strong>Methods: </strong>This retrospective cohort study used data from the Matsumoto City Frailty Prevention Project, involving 373 older adults aged 65 years and over. Health literacy was measured using the CCHL scale, and IADL was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC), which includes five items of IADLs. Frailty was classified using the Japanese version of the Cardiovascular Health Study (J-CHS) criteria. Mediation analysis was used to evaluate the role of IADL in the relationship between health literacy and frailty.</p><p><strong>Results: </strong>Participants with higher CCHL had significantly better IADL scores (coefficient = 0.127, P = 0.043) and were less likely to progress to frailty (odds ratio: 0.546, P = 0.009). Mediation analysis revealed that IADL accounted for approximately 10.7% of the total effect of health literacy on frailty progression (P = 0.030).</p><p><strong>Conclusion: </strong>Higher CCHL reduces the risk of frailty progression, with IADL playing a mediating role. Interventions targeting both health literacy and IADL may effectively prevent frailty in older adults.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70010"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392719","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":"Neuropsychiatric symptom-related role and activity restrictions by relatives: focusing on the gender of older adults with suspected dementia.","authors":"Yu Fujita, Yuka Kato, Hikaru Oba, Nana Hashimoto, Jin Narumoto","doi":"10.1111/psyg.70009","DOIUrl":"10.1111/psyg.70009","url":null,"abstract":"<p><strong>Background: </strong>As cognitive function declines, relatives may restrict the roles and activities they consider older adults unable to continue independently performing. We examined the characteristics of these role and activity restrictions by relatives among older adults prior to their first visit to a memory clinic for an official diagnosis, focusing on gender and the diagnosis of dementia. Additionally, we examined the relationship between role and activity restrictions by relatives and the presence of neuropsychiatric symptoms (NPS) controlling for older adults' gender.</p><p><strong>Methods: </strong>We retrospectively reviewed the medical charts of 213 older adults. First, we calculated descriptive statistics for the characteristics of role and activity restrictions by relatives. Second, we examined the association between these roles and activity restrictions and NPS using multivariate logistic regression analysis controlling for older adults' gender, diagnosis, and presence of a cohabitant.</p><p><strong>Results: </strong>The rate of role and activity restrictions by relatives was 21.6%. Of the older adults experiencing these restrictions, 78.3% were women, and 34.8% had mild cognitive impairment. The most common role and activity restriction was money-related. Role and activity restrictions were associated with the NPS of hyperactivity, psychosis. Hyperactivity was related to men.</p><p><strong>Conclusions: </strong>Hyperactivity psychosis may be more strongly related to family involvement than other NPS. These findings highlight the importance of avoiding premature role and activity restrictions among older adults with suspected dementia.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 2","pages":"e70009"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411963","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}