{"title":"The impact of malignancy on death anxiety and psychological well-being in middle-aged and older patients undergoing abdominal surgery: a quasi-experimental study.","authors":"Ebru Akbaş, Pınar Yilmaz Eker","doi":"10.1111/psyg.13209","DOIUrl":"10.1111/psyg.13209","url":null,"abstract":"<p><strong>Background: </strong>Malignancy is a critical factor affecting death anxiety and psychological well-being. This study examined the impact of malignancy on death anxiety and psychological well-being in middle-aged and older adult patients undergoing abdominal surgery and projected it along with sociodemographic profiles.</p><p><strong>Methods: </strong>This study is quasi-experimental in design. It was conducted with patients undergoing abdominal surgery at a university hospital due to suspected malignancy. A total of 93 patients participated in the study: 57 patients diagnosed with malignancy were included in the experimental group, while 36 patients without a malignancy diagnosis were included in the control group. Data were collected using a questionnaire developed by the researchers based on the literature, the 'Turkish Death Anxiety Scale', and the 'Psychological Well-being Scale'. The analyses revealed that the data were normally distributed, and parametric tests were used to analyze differences between demographic variables and groups. Cohen's d and r values were examined to assess the effect size in the tests.</p><p><strong>Results: </strong>The study found a significant difference in death anxiety between the experimental and control groups (P < 0.05), with higher mean scores in the experimental group. Malignancy had a large effect on death anxiety (d = 1.42). Additionally, the control group had significantly higher mean psychological well-being scores compared to the experimental group (P < 0.05).</p><p><strong>Conclusions: </strong>The study found that malignancy significantly affects death anxiety and psychological well-being. Increased death anxiety in patients with malignancy was associated with reduced psychological well-being. Thus, assessing death anxiety and providing targeted nursing care are essential for supporting the psychological well-being of these patients.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13209"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634049","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":"Characteristics of the Japanese version of the Alzheimer's Disease Cooperative Study Scale for Activities of Daily Living in Mild Cognitive Impairment (ADCS-MCI-ADL-J): preliminary data.","authors":"Daiki Ishimaru, Maki Suzuki, Kunihiko Katsuki, Yuma Nagata, Natsuho Hirakawa, Daiki Taomoto, Yuto Satake, Kenji Yoshiyama, Kazue Shigenobu, Hideki Kanemoto, Manabu Ikeda","doi":"10.1111/psyg.13234","DOIUrl":"10.1111/psyg.13234","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":"25 1","pages":"e13234"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924266","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":"Application and effectiveness of adaptive AI in elderly healthcare.","authors":"Hsiao-Hui Li, Yuan-Hsun Liao","doi":"10.1111/psyg.13214","DOIUrl":"10.1111/psyg.13214","url":null,"abstract":"<p><strong>Background: </strong>In addressing elderly healthcare issues, cognitive impairment can cause significant disruptions in daily life and may potentially develop into dementia. Thus, finding ways to delay the progression of cognitive impairment is a critical issue.</p><p><strong>Methods: </strong>This study aims to develop an adaptive artificial intelligence (AI) mechanism that creates enjoyable and beneficial content to help delay cognitive impairment in the elderly. Utilising virtual reality (VR) and a fishing game, the design enhances reaction time and attention through interactive fishing activities. The AI personalises content based on individual performance to improve cognitive function.</p><p><strong>Results: </strong>Experimental results showed that adaptive AI increased participant satisfaction from 86.84 to 91.05 points and future willingness from 75.26 to 85.68 points. The number of fish caught rose from 98 to 120, with the average per participant increasing from 2.64 to 2.85.</p><p><strong>Conclusions: </strong>This is undoubtedly the trend of the future. VR allows the elderly to have a more impactful and memorable first experience, while AI dynamically adjusts the game's difficulty based on the elderly's performance, addressing the issue of reduced willingness to continue due to inappropriate game difficulty. The VR game developed in this study is designed to be relaxing and incorporates mechanisms to promote the elderly's health. It is not restricted by location or time and, more importantly, meets the health promotion needs of the elderly.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13214"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633942","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":"Different physical exercise in the treatment of Alzheimer's disease.","authors":"Tianqing Deng, Weihua Yu, Yang Lü","doi":"10.1111/psyg.13207","DOIUrl":"10.1111/psyg.13207","url":null,"abstract":"<p><p>Alzheimer's disease (AD) is rapidly becoming one of the most expensive, burdening, and deadly diseases of this century. Up to now, there is still a lack of pharmacotherapy with substantial efficacy, and physical exercise is a promising and low-cost way to aid in delaying the process of AD. The aim of this review is to summarise the efficacy of different physical exercise approaches and doses in the management of AD, including aerobic exercise, resistance exercise and multicomponent exercise. A literature search using MeSH terms for each topic is undertaken using PubMed and the Web of Science Core Collection database, supplemented by hand searching for additional references. Retrieved articles were reviewed, synthesised, and summarised. This review shows that aerobic exercise has been almost unanimously recognised for the improvement of cognition, neuropsychiatric symptoms and activities of daily living. Resistance exercise also shows a good prospect in the above aspects and has a unique advantage in enhancing muscle strength, while multicomponent physical activity does not seen to significantly improve cognitive function. Each type of exercise has a dose effect, but for individuals with AD, the most appropriate exercise dose is still controversial.</p>","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13207"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514336","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":"Delusional jealousy and psychological factors in very late-onset schizophrenia-like psychosis with positive result of Lewy body disease biomarker: a case report.","authors":"Hisaki Omori, Yuto Satake, Shunsuke Sato, Daiki Ishimaru, Masahiro Hata, Manabu Ikeda","doi":"10.1111/psyg.13220","DOIUrl":"10.1111/psyg.13220","url":null,"abstract":"","PeriodicalId":74597,"journal":{"name":"Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society","volume":" ","pages":"e13220"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670028","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}
Jasmine K Vickers, Danny Wang, Maria Yefimova, Henrietta Armah, Kellie Flood, Carolyn E Z Pickering
{"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}
Eda Kılınç İşleyen, Sinan Emre Korkmaz, Ceyda Narcıkara, Büşra Ekici
{"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}