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

{"title":"Delirium-like symptomatology in community-dwelling older adults with dementia.","authors":"Jasmine K Vickers, Danny Wang, Maria Yefimova, Henrietta Armah, Kellie Flood, Carolyn E Z Pickering","doi":"10.1111/psyg.13226","DOIUrl":"10.1111/psyg.13226","url":null,"abstract":"<p><strong>Background: </strong>Delirium, a sudden and acute state of confusion, is known to be more prevalent in hospitalised older adults with dementia and is associated with lower levels of functioning after the delirium episode; yet, the literature on estimates of delirium prevalence in community-dwelling older adults with dementia is scarce. The aim of this study was to define and determine the frequency of delirium-like symptoms in two different samples of community-dwelling persons living with dementia, as reported by their family caregivers. 'Delirium-like symptoms' is a concept that specifies an occurrence of cognitive and behavioural symptoms, provoking suspicion of delirium, that represent a sudden and unusual deleterious change in a community-dwelling person living with dementia that can be identified by family caregivers and prompt healthcare seeking behaviours.</p><p><strong>Methods: </strong>The frequencies of delirium-like symptoms were assessed from two intensive longitudinal 21-day diary studies. Caregivers reported on presence of sudden and unusual cognition and behaviours each day. Descriptive statistics were used to determine the number of caregivers who reported delirium-like symptoms.</p><p><strong>Results: </strong>Family caregivers (n = 50, n = 102) were predominately non-Hispanic White (75%, 61%), female (94%, 85%), and a child (60%, 59%) of the care-recipient and completed 1389 and 1739 diaries from the first and second study respectively. Caregivers reported delirium-like symptoms for 12 (24%) and 27 (27%) of care-recipients.</p><p><strong>Conclusion: </strong>Other studies of delirium in community-dwelling persons living with dementia have reported similar rates. More research is needed to understand the dynamic context of delirium in community settings to improve the care provided to them by their family caregivers and clinicians in services such as home, primary, and specialty healthcare.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13226"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879009","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":"Challenges faced by the caregivers of the elderly: a cross-sectional survey from India.","authors":"Ruchi Saini, Vanshika Mittal, Amandeep Chaudhary, Priyanka Simar, Shivani Gopera, Vasudha Kapoor, Sukhpal Kaur","doi":"10.1111/psyg.13245","DOIUrl":"10.1111/psyg.13245","url":null,"abstract":"<p><strong>Background: </strong>Older people often require support due to age-related health issues, thereby increasing their dependency on caregivers. The caregivers often experience burdens of varying nature.</p><p><strong>Objective: </strong>To assess the dependency level of the elderly and the challenges faced by their caregivers.</p><p><strong>Materials and method: </strong>A total of 1265 elderly and 1000 caregivers were enrolled consecutively from an urban locality. After obtaining informed consent, the elderly were interviewed using the Lawton Independent Activities of Daily Living Scale to assess their dependency levels while the caregivers were interviewed using the Zarit Caregiver Burden Scale to assess their burden related to caregiving. The study was approved by the Ethics Committee of the Institute.</p><p><strong>Results: </strong>About half (52.7%) of the elderly were aged between 60 and 70 years old and were female (54%). Sixty percent of the elderly were affected by a single illness. Among caregivers, 46% were aged between 31 and 40 years, 60% were female, and 44% were unemployed. The mean per capita family income was Rs 12 202.06 ± 7025.16 per month. It was found that about half (51.4%) of the elderly were independent, 48.1% were partially dependent and 0.5% were fully dependent. Zarit Caregiver Burden Scale revealed that 58.6% of caregivers experienced no to mild burden, 39.4% had mild to moderate burden, 2.0% had moderate to severe burden while none of them experienced severe burden. Significant association was found between the elderly's dependency level and their age, gender, education, occupation, and number of illnesses. It was also observed that an increase in the independence status of the elders reduces the caregiver's burden (r = -0.454, P < 0.01).</p><p><strong>Conclusion: </strong>The caregiver burden increases with the dependency level of the elderly, highlighting the need for adequate support for caregivers.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13245"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018017","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 relationship between frailty levels and quality of life in patients over 65 years of age receiving regular hemodialysis treatment.","authors":"Sümeyye Dilek, Işın Cantekin","doi":"10.1111/psyg.13242","DOIUrl":"10.1111/psyg.13242","url":null,"abstract":"<p><strong>Background: </strong>This study was conducted to investigate the relationship between frailty levels and quality of life in patients over 65 years of age receiving regular haemodialysis treatment.</p><p><strong>Materials and methods: </strong>The study was designed as a descriptive and correlational study. Data were collected from patients in a university hospital and two private dialysis centres in Konya between August and September 2023. The study sample consisted of 171 patients. The data collection tools included the Descriptive Characteristics Information Form, the Edmonton Frail Scale (EFS), and the EQ-5D-5L Quality of Life Questionnaire. Data analysis was performed using the SPSS software program. Frequency and percentage calculations were obtained for the measurements in the personal information form. Since the data in the personal information form and EFS did not show normal distribution, non-parametric tests, specifically the Mann-Whitney U-test and the Kruskal-Wallis H-test, were used.</p><p><strong>Results: </strong>The results obtained in the present study showed a significant, moderate, negative correlation between the quality of life and frailty levels of patients over 65 years of age receiving dialysis treatment.</p><p><strong>Conclusion: </strong>This study demonstrated that as quality of life increased, frailty levels decreased. Improvements in patients' quality of life could potentially lead to a reduction in frailty levels.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13242"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017951","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":"Combining micro-skills to manage dementia agitation: insights from family caregivers.","authors":"Dai Noguchi","doi":"10.1111/psyg.13202","DOIUrl":"10.1111/psyg.13202","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13202"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482687","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":"Caregiver burden, religious coping, and spiritual well-being among caregivers of elderly stroke patients and predictors affecting spiritual well-being.","authors":"Eda Kılınç İşleyen, Sinan Emre Korkmaz, Ceyda Narcıkara, Büşra Ekici","doi":"10.1111/psyg.13206","DOIUrl":"10.1111/psyg.13206","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a disease that affects the arteries leading to and within the brain. Stroke usually creates a range of disabilities such as physical deficits and difficulty in performing daily activities. These long-term needs and the continuous caregiving sequence affect the care burden and spiritual well-being of caregivers.</p><p><strong>Method: </strong>The correlational study population consisted of caregivers of stroke older patients (N = 100). Burden Interview Scale, Spiritual Well-Being Scale and Religious Coping Scale were used. Descriptive analyses, independent sample t-test, one-way analysis of variance, correlation, regression analyses were used to evaluate the data.</p><p><strong>Results: </strong>The mean age of caregivers was 48.38 ± 13.52 years. The score of Burden Interview Scale was 31.41 ± 15.13 (light/moderate), Negative Religious Coping was 7.39 ± 3.17 (moderate), Positive Religious Coping was 24.30 ± 4.34 (high), and Spiritual Well-Being was 21.65 ± 6.73 (low). There is a significant relationship between Burden Interview and Negative Religious Coping (r = 0.274; P = 0.006), Burden Interview and spiritual well-being (r = -0.563; P = 0.000), and spiritual well-being and positive religious coping (r = 0.228; P = 0.026). The predictors that affect the spiritual well-being of caregivers were found to be Burden Interview (β = -0.571) and Positive Religious Coping (β = 0.181) (P < 0.05).</p><p><strong>Conclusion: </strong>Nurses play an important role in increasing the spiritual well-being levels and religious coping behaviours of caregivers. Nurses should communicate empathically with caregivers, understand their feelings, and provide emotional support.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13206"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514335","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":"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}