BackgroundThe status of being unmarried is commonly associated with a higher tendency for loneliness and cognitive impairment. However, it has yet to be determined whether there is a link between loneliness and cognitive function among unmarried older people. Therefore, this study used longitudinal data to determine the link between loneliness and cognitive function, and the subjects were unmarried community‐dwelling older adults.MethodsThe study follows up a sample of 733 unmarried older adults who were either never married, widowed, divorced or separated, from waves one and two of the ‘Neuroprotective Model for Healthy Longevity among Malaysian Older Adults’ study. The main statistical analysis used to answer the research question was the PROCESS macro (model 1) for SPSS.ResultsThe study found that increased loneliness was associated with a decline in cognitive function over a 3‐year period. Additionally, gender moderated the link between loneliness and cognitive function, with this association being particularly prominent in older men.ConclusionsLoneliness among unmarried older people should be given attention as it could lead to deteriorating cognitive function. Notably, older men experience a more substantial impact of loneliness on cognitive function than women. Therefore, special attention should be focused on this population, and more social services should be developed to reduce the incidence of cognitive impairment, improve their quality of life, and promote successful ageing.
{"title":"Longitudinal relationship between loneliness and cognitive function among unmarried older adults in Malaysia: exploring gender disparities","authors":"Hui Foh Foong, Rahimah Ibrahim, Siti Farra Zillah Abdullah, Mohamad Fazdillah Bagat","doi":"10.1111/psyg.13196","DOIUrl":"https://doi.org/10.1111/psyg.13196","url":null,"abstract":"BackgroundThe status of being unmarried is commonly associated with a higher tendency for loneliness and cognitive impairment. However, it has yet to be determined whether there is a link between loneliness and cognitive function among unmarried older people. Therefore, this study used longitudinal data to determine the link between loneliness and cognitive function, and the subjects were unmarried community‐dwelling older adults.MethodsThe study follows up a sample of 733 unmarried older adults who were either never married, widowed, divorced or separated, from waves one and two of the ‘Neuroprotective Model for Healthy Longevity among Malaysian Older Adults’ study. The main statistical analysis used to answer the research question was the PROCESS macro (model 1) for SPSS.ResultsThe study found that increased loneliness was associated with a decline in cognitive function over a 3‐year period. Additionally, gender moderated the link between loneliness and cognitive function, with this association being particularly prominent in older men.ConclusionsLoneliness among unmarried older people should be given attention as it could lead to deteriorating cognitive function. Notably, older men experience a more substantial impact of loneliness on cognitive function than women. Therefore, special attention should be focused on this population, and more social services should be developed to reduce the incidence of cognitive impairment, improve their quality of life, and promote successful ageing.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"20 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reply to ‘The clinical application value of psychological nursing intervention for patients with prostatic hyperplasia during treatment’","authors":"Kohei Kajiwara, Jun Kako, Masamitsu Kobayashi, Yasuhide Etou, Teppei Yamashita, Makoto Yamanaka","doi":"10.1111/psyg.13193","DOIUrl":"https://doi.org/10.1111/psyg.13193","url":null,"abstract":"","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"97 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundThe global increase in life expectancy has significantly raised the elderly population. In Türkiye, the proportion of individuals aged 65 and over rose from 8.8% in 2018 to 10.2% in 2023. This demographic shift necessitates the planning of social and health services for the elderly. Ageism affects elderly health negatively and is prevalent in healthcare settings. This study aimed to determine the prevalence of ageism among resident physicians at Pamukkale University Hospital and identify factors influencing their preferences for providing healthcare to elderly patients.MethodsThis cross‐sectional study was conducted at Pamukkale University Hospital between 6 June and 16 June, 2024. A total of 448 resident physicians were selected through simple random sampling. Data were collected using a self‐administered questionnaire, which included sociodemographic information, factors affecting ageism, and the Fraboni Scale of Ageism (FSA). Descriptive statistics, Chi‐square tests, and logistic regression were used to evaluate factors influencing healthcare preferences.ResultsThe FSA score averaged 71.89 ± 7.87, indicating a 20.1% (95% CI:16.48–24.10) prevalence of age discrimination among resident physicians. Logistic regression analysis revealed that male participants (odds ratio (OR) = 1.519, P = 0.042), those with moderate to very poor perceived knowledge of elderly health (OR = 2.418, P < 0.001), and higher FSA scores (OR = 1.046, P < 0.001) were more likely to prefer not providing healthcare services to elderly patients.ConclusionsAgeism among resident physicians is prevalent, impacting their willingness to provide care to elderly patients. Gender, perceived knowledge, and ageist attitudes influence their preferences for providing healthcare to elderly patients. Addressing these factors is crucial for improving healthcare services for the elderly.
{"title":"Beyond the stethoscope: ageism in white coats and resident physicians' preferences for elderly patient care","authors":"Süleyman Utku Uzun, Merve Akın","doi":"10.1111/psyg.13192","DOIUrl":"https://doi.org/10.1111/psyg.13192","url":null,"abstract":"BackgroundThe global increase in life expectancy has significantly raised the elderly population. In Türkiye, the proportion of individuals aged 65 and over rose from 8.8% in 2018 to 10.2% in 2023. This demographic shift necessitates the planning of social and health services for the elderly. Ageism affects elderly health negatively and is prevalent in healthcare settings. This study aimed to determine the prevalence of ageism among resident physicians at Pamukkale University Hospital and identify factors influencing their preferences for providing healthcare to elderly patients.MethodsThis cross‐sectional study was conducted at Pamukkale University Hospital between 6 June and 16 June, 2024. A total of 448 resident physicians were selected through simple random sampling. Data were collected using a self‐administered questionnaire, which included sociodemographic information, factors affecting ageism, and the Fraboni Scale of Ageism (FSA). Descriptive statistics, Chi‐square tests, and logistic regression were used to evaluate factors influencing healthcare preferences.ResultsThe FSA score averaged 71.89 ± 7.87, indicating a 20.1% (95% CI:16.48–24.10) prevalence of age discrimination among resident physicians. Logistic regression analysis revealed that male participants (odds ratio (OR) = 1.519, <jats:italic>P</jats:italic> = 0.042), those with moderate to very poor perceived knowledge of elderly health (OR = 2.418, <jats:italic>P</jats:italic> < 0.001), and higher FSA scores (OR = 1.046, <jats:italic>P</jats:italic> < 0.001) were more likely to prefer not providing healthcare services to elderly patients.ConclusionsAgeism among resident physicians is prevalent, impacting their willingness to provide care to elderly patients. Gender, perceived knowledge, and ageist attitudes influence their preferences for providing healthcare to elderly patients. Addressing these factors is crucial for improving healthcare services for the elderly.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"70 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundDespite health benefits, many older adults struggle to meet physical activity guidelines, leading to stagnant activity levels. While integrating physical activity into daily routines has been proposed as a promising strategy for older adults, fit‐for‐purpose measurement tools to assess such routines are lacking. The Checklist for Habitual Physical Activity (CHaPA) was developed based on the positive deviance approach and socio‐ecological model to assess daily behaviours encouraging physical activity among adults aged 75 and older. It has been confirmed for its content and face validity. However, to ensure its broader applicability and usefulness, assessing its construct validity and reliability is necessary. Therefore, this study aims to assess the construct validity and reliability of the CHaPA and accordingly update the tool.MethodsTo validate the construct validity of the CHaPA 22‐item version, we conducted item analysis and exploratory and confirmatory factor analyses. We removed inappropriate items based on predefined criteria. Then, we assessed the reliability, internal consistency, test–retest reliability, and measurement errors of the CHaPA final version.ResultsItem analyses and factor analyses resulted in the deletion of 11 items. The results of confirmatory factor analysis validated the CHaPA 11‐item version with the three‐factor structure based on model fit index with χ2/degree of freedom = 1.25, comparative fit index = 0.965, Tucker‐Lewis index = 0.952, and root‐mean‐square error of approximation = 0.038. Omega coefficient (0.90) showed excellent internal consistency. Intraclass correlation coefficient (ICC) demonstrated good test–retest reliability (ICC (1, 2) = 0.77, 95% CI = 0.34–0.89, standard error of measurement = 1.75).ConclusionsWe finalised the CHaPA 11‐item version as a valid and reliable instrument for assessing daily behaviours conducive to physical activity among individuals aged 75 years and older. We need to examine the methods and effectiveness of disseminating this checklist to ensure its utilisation as a resource for promoting healthy ageing and aiding older adults in maintaining active lifestyles.
{"title":"Validity and reliability of the Checklist for Habitual Physical Activity for people 75 years and older in Japan","authors":"Kuniko Arita, Yu Ishibashi, Takayuki Tajima, Yoshiaki Ikechi, Hitomi Ishibashi","doi":"10.1111/psyg.13189","DOIUrl":"https://doi.org/10.1111/psyg.13189","url":null,"abstract":"BackgroundDespite health benefits, many older adults struggle to meet physical activity guidelines, leading to stagnant activity levels. While integrating physical activity into daily routines has been proposed as a promising strategy for older adults, fit‐for‐purpose measurement tools to assess such routines are lacking. The Checklist for Habitual Physical Activity (CHaPA) was developed based on the positive deviance approach and socio‐ecological model to assess daily behaviours encouraging physical activity among adults aged 75 and older. It has been confirmed for its content and face validity. However, to ensure its broader applicability and usefulness, assessing its construct validity and reliability is necessary. Therefore, this study aims to assess the construct validity and reliability of the CHaPA and accordingly update the tool.MethodsTo validate the construct validity of the CHaPA 22‐item version, we conducted item analysis and exploratory and confirmatory factor analyses. We removed inappropriate items based on predefined criteria. Then, we assessed the reliability, internal consistency, test–retest reliability, and measurement errors of the CHaPA final version.ResultsItem analyses and factor analyses resulted in the deletion of 11 items. The results of confirmatory factor analysis validated the CHaPA 11‐item version with the three‐factor structure based on model fit index with <jats:italic>χ</jats:italic><jats:sup>2</jats:sup>/degree of freedom = 1.25, comparative fit index = 0.965, Tucker‐Lewis index = 0.952, and root‐mean‐square error of approximation = 0.038. Omega coefficient (0.90) showed excellent internal consistency. Intraclass correlation coefficient (ICC) demonstrated good test–retest reliability (ICC (1, 2) = 0.77, 95% CI = 0.34–0.89, standard error of measurement = 1.75).ConclusionsWe finalised the CHaPA 11‐item version as a valid and reliable instrument for assessing daily behaviours conducive to physical activity among individuals aged 75 years and older. We need to examine the methods and effectiveness of disseminating this checklist to ensure its utilisation as a resource for promoting healthy ageing and aiding older adults in maintaining active lifestyles.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"27 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
André Hajek, Hans‐Helmut König, Angelina R. Sutin, Antonio Terracciano, Martina Luchetti, Yannick Stephan, Razak M. Gyasi
BackgroundTo date, most studies examining the prevalence and determinants of depression among individuals aged 80 and over have used geographically limited samples that are not generalisable to the wider population. Thus, our aim was to identify the prevalence and the factors associated with probable depression among the oldest old in Germany based on nationally representative data.MethodsData were taken from the nationally representative ‘Old Age in Germany (D80+)’ study (n = 8386; November 2020 to April 2021) covering both community‐dwelling and institutionalised individuals aged 80 and over. The Short Form of the Depression in Old Age Scale was used to quantify probable depression.ResultsProbable depression was found in 40.7% (95% CI: 39.5% to 42.0%) of the sample; 31.3% were men (95% CI: 29.7% to 32.9%) and 46.6% women (95% CI: 44.9% to 48.3%). The odds of probable depression were positively associated with being female (odds ratio (OR): 1.55, 95% CI: 1.30 to 1.84), being divorced (compared to being married, OR: 1.33, 95% CI: 1.01 to 1.76), being widowed (OR: 1.14, 95% CI: 1.00 to 1.30), having a low education (e.g., medium education compared to low education, OR: 0.86, 95% CI: 0.74 to 0.99), living in an institutionalised setting (OR: 2.36, 95% CI: 1.84 to 3.02), living in East Germany (OR: 1.21, 95% CI, 1.05 to 1.39), not having German citizenship (German citizenship compared to other citizenship, OR: 0.55, 95% CI: 0.31 to 0.95), poor self‐rated health (OR: 0.31, 95% CI: 0.28 to 0.34), and the number of chronic conditions (OR: 1.12, 95% CI: 1.09 to 1.14).ConclusionAbout four out of 10 individuals aged 80 and over in Germany had probable depression, underlining the importance of this challenge. Knowledge of specific risk factors for this age group may assist in addressing older adults at risk of probable depression.
{"title":"Prevalence and factors associated with probable depression among the oldest old during the Covid‐19 pandemic: evidence from the large, nationally representative ‘Old Age in Germany (D80+)’ study","authors":"André Hajek, Hans‐Helmut König, Angelina R. Sutin, Antonio Terracciano, Martina Luchetti, Yannick Stephan, Razak M. Gyasi","doi":"10.1111/psyg.13129","DOIUrl":"https://doi.org/10.1111/psyg.13129","url":null,"abstract":"BackgroundTo date, most studies examining the prevalence and determinants of depression among individuals aged 80 and over have used geographically limited samples that are not generalisable to the wider population. Thus, our aim was to identify the prevalence and the factors associated with probable depression among the oldest old in Germany based on nationally representative data.MethodsData were taken from the nationally representative ‘Old Age in Germany (D80+)’ study (<jats:italic>n</jats:italic> = 8386; November 2020 to April 2021) covering both community‐dwelling and institutionalised individuals aged 80 and over. The Short Form of the Depression in Old Age Scale was used to quantify probable depression.ResultsProbable depression was found in 40.7% (95% CI: 39.5% to 42.0%) of the sample; 31.3% were men (95% CI: 29.7% to 32.9%) and 46.6% women (95% CI: 44.9% to 48.3%). The odds of probable depression were positively associated with being female (odds ratio (OR): 1.55, 95% CI: 1.30 to 1.84), being divorced (compared to being married, OR: 1.33, 95% CI: 1.01 to 1.76), being widowed (OR: 1.14, 95% CI: 1.00 to 1.30), having a low education (e.g., medium education compared to low education, OR: 0.86, 95% CI: 0.74 to 0.99), living in an institutionalised setting (OR: 2.36, 95% CI: 1.84 to 3.02), living in East Germany (OR: 1.21, 95% CI, 1.05 to 1.39), not having German citizenship (German citizenship compared to other citizenship, OR: 0.55, 95% CI: 0.31 to 0.95), poor self‐rated health (OR: 0.31, 95% CI: 0.28 to 0.34), and the number of chronic conditions (OR: 1.12, 95% CI: 1.09 to 1.14).ConclusionAbout four out of 10 individuals aged 80 and over in Germany had probable depression, underlining the importance of this challenge. Knowledge of specific risk factors for this age group may assist in addressing older adults at risk of probable depression.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"4 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundDrivers with dementia are at a higher risk of motor vehicle accidents. The characteristics of driving behaviour of patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD) have not been fully elucidated. We investigated driving ability and its relationship with cognitive function and magnetic resonance imaging (MRI) morphometry indicators.MethodsThe driving abilities of 19 patients with AD and 11 with amnestic MCI (aMCI) were evaluated using a driving simulator. The association between each driving ability parameter and the Mini‐Mental State Examination (MMSE) score or voxel‐based specific regional analysis system for AD (VSRAD) was assessed.ResultsPatients with AD made a significantly higher number of operational errors than those with aMCI in attention allocation in the complex task test (P = 0.0008). The number of operational errors in attention allocation in the complex task test significantly and negatively correlated with MMSE scores in all participants (r = −0.4354, P = 0.0162). The decision time in the selective reaction test significantly and positively correlated with the severity and extent of medial temporal structural atrophy (r = 0.4807, P = 0.0372; r = 0.4862, P = 0.0348; respectively).ConclusionAn increase in the operational errors for attention allocation in the complex task test could be a potential indicator of progression from aMCI to AD. Atrophy of the medial temporal structures could be a potential predictor of impaired judgement in driving performance in aMCI and AD. A driving simulator could be useful for evaluating the driving abilities of individuals with aMCI and AD.
{"title":"Alterations in driving ability and their relationship with morphometric magnetic resonance imaging indicators in patients with amnestic mild cognitive impairment and Alzheimer's disease","authors":"Hideaki Wakita, Yu Takahashi, Satoshi Masuzugawa, Hiroyuki Miyasaka, Shigeru Sonoda, Akihiro Shindo, Hidekazu Tomimoto","doi":"10.1111/psyg.13128","DOIUrl":"https://doi.org/10.1111/psyg.13128","url":null,"abstract":"BackgroundDrivers with dementia are at a higher risk of motor vehicle accidents. The characteristics of driving behaviour of patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD) have not been fully elucidated. We investigated driving ability and its relationship with cognitive function and magnetic resonance imaging (MRI) morphometry indicators.MethodsThe driving abilities of 19 patients with AD and 11 with amnestic MCI (aMCI) were evaluated using a driving simulator. The association between each driving ability parameter and the Mini‐Mental State Examination (MMSE) score or voxel‐based specific regional analysis system for AD (VSRAD) was assessed.ResultsPatients with AD made a significantly higher number of operational errors than those with aMCI in attention allocation in the complex task test (<jats:italic>P</jats:italic> = 0.0008). The number of operational errors in attention allocation in the complex task test significantly and negatively correlated with MMSE scores in all participants (<jats:italic>r</jats:italic> = −0.4354, <jats:italic>P</jats:italic> = 0.0162). The decision time in the selective reaction test significantly and positively correlated with the severity and extent of medial temporal structural atrophy (<jats:italic>r</jats:italic> = 0.4807, <jats:italic>P</jats:italic> = 0.0372; <jats:italic>r</jats:italic> = 0.4862, <jats:italic>P</jats:italic> = 0.0348; respectively).ConclusionAn increase in the operational errors for attention allocation in the complex task test could be a potential indicator of progression from aMCI to AD. Atrophy of the medial temporal structures could be a potential predictor of impaired judgement in driving performance in aMCI and AD. A driving simulator could be useful for evaluating the driving abilities of individuals with aMCI and AD.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"11 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camille Mercier, Victoria Rollason, Mohamed Eshmawey, Aline Mendes, Giovanni B. Frisoni
Behavioural and psychological symptoms of dementia (BPSD) are a clinical challenge for the lack of a sound taxonomy, frequent presentation with comorbid BPSD, lack of specific pharmacologic interventions, poor base of methodologically sound evidence with randomized clinical trials, contamination from the treatment of behavioural disturbances of young and adult psychiatric conditions, and small efficacy window of psychotropic drugs. We present here a treatment workflow based on a concept‐driven literature review based on the notions that (i) the aetiology of BPSD can be mainly neurobiological (so‐called ‘primary’ symptoms) or mainly environmental and functional (‘secondary’ symptoms) and that this drives treatment; (ii) the clinical efficacy of psychotropic drugs is driven by their specific profile of receptor affinity; (iii) drug treatment should follow the rules of ‘start low–go slow, prescribe and revise’. This article argues in support of the distinction between primary and secondary BPSD, as well as their characteristics, which until now have been just sketchily described in the literature. It also offers comprehensive and pragmatic clinician‐oriented recommendations for the treatment of BPSD.
{"title":"The treatment of behavioural and psychological symptoms in dementia: pragmatic recommendations","authors":"Camille Mercier, Victoria Rollason, Mohamed Eshmawey, Aline Mendes, Giovanni B. Frisoni","doi":"10.1111/psyg.13116","DOIUrl":"https://doi.org/10.1111/psyg.13116","url":null,"abstract":"Behavioural and psychological symptoms of dementia (BPSD) are a clinical challenge for the lack of a sound taxonomy, frequent presentation with comorbid BPSD, lack of specific pharmacologic interventions, poor base of methodologically sound evidence with randomized clinical trials, contamination from the treatment of behavioural disturbances of young and adult psychiatric conditions, and small efficacy window of psychotropic drugs. We present here a treatment workflow based on a concept‐driven literature review based on the notions that (i) the aetiology of BPSD can be mainly neurobiological (so‐called ‘primary’ symptoms) or mainly environmental and functional (‘secondary’ symptoms) and that this drives treatment; (ii) the clinical efficacy of psychotropic drugs is driven by their specific profile of receptor affinity; (iii) drug treatment should follow the rules of ‘start low–go slow, prescribe and revise’. This article argues in support of the distinction between primary and secondary BPSD, as well as their characteristics, which until now have been just sketchily described in the literature. It also offers comprehensive and pragmatic clinician‐oriented recommendations for the treatment of BPSD.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"40 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140626923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The post‐stroke period is associated with a lot of sequelae, including depression, decreased quality of life, and decline of cognitive function. Apart from the pharmacotherapy, it is also important to find a non‐pharmacological treatment to relieve the sequelae. Cognitive behavioural therapy (CBT) might be a potential candidate, which can be clarified by a systematic review and meta‐analysis. The eligible criteria of enrolled studies in the systematic review and meta‐analysis were the randomised clinical trials (RCTs) using CBT to treat post‐stroke depression, or with the focus on quality of life or cognitive function in the post‐stroke period. The endpoint scores of depression, quality of life, and cognitive function scales were the targeted outcome for the final meta‐analysis in the random effects model. Ten RCTs with 432 post‐stroke patients receiving CBT and 385 controls were included. The meta‐analysis results showed significant improvements in depression severity and quality of life. However, no significant difference between CBT and control groups was found in cognitive function. In addition, significant heterogeneity was derived from the meta‐analysis. According to the meta‐analysis results, CBT might be beneficial for relieving depression severity and improving quality of life. However, cognitive function might not be influenced by CBT. Further studies with a more consistent CBT design with greater sample sizes should be warranted to clarify and confirm the treatment effects of CBT for post‐stroke depression and quality of life.
{"title":"Cognitive behavioural therapy for depression, quality of life, and cognitive function in the post‐stroke period: systematic review and meta‐analysis","authors":"Mingye Wan, Ying Zhang, Youping Wu, Xia Ma","doi":"10.1111/psyg.13125","DOIUrl":"https://doi.org/10.1111/psyg.13125","url":null,"abstract":"The post‐stroke period is associated with a lot of sequelae, including depression, decreased quality of life, and decline of cognitive function. Apart from the pharmacotherapy, it is also important to find a non‐pharmacological treatment to relieve the sequelae. Cognitive behavioural therapy (CBT) might be a potential candidate, which can be clarified by a systematic review and meta‐analysis. The eligible criteria of enrolled studies in the systematic review and meta‐analysis were the randomised clinical trials (RCTs) using CBT to treat post‐stroke depression, or with the focus on quality of life or cognitive function in the post‐stroke period. The endpoint scores of depression, quality of life, and cognitive function scales were the targeted outcome for the final meta‐analysis in the random effects model. Ten RCTs with 432 post‐stroke patients receiving CBT and 385 controls were included. The meta‐analysis results showed significant improvements in depression severity and quality of life. However, no significant difference between CBT and control groups was found in cognitive function. In addition, significant heterogeneity was derived from the meta‐analysis. According to the meta‐analysis results, CBT might be beneficial for relieving depression severity and improving quality of life. However, cognitive function might not be influenced by CBT. Further studies with a more consistent CBT design with greater sample sizes should be warranted to clarify and confirm the treatment effects of CBT for post‐stroke depression and quality of life.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"72 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140626931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundReal‐world research to evaluate the effect of device technology in preventing fall‐related morbidity is limited. This pilot study aims to investigate the effectiveness of a non‐wearable fall detection device in older nursing home residents.MethodsThe study was conducted in a nursing home with single‐resident rooms. Fall detection devices were randomly set up in half of the rooms. Demographic data, comorbidities, lists of medications, and functional, nutritional, and frailty status were recorded. The residents were followed up for 3 months. The primary outcome was falls and the secondary outcome was all‐cause mortality.ResultsA total of 26 participants were enrolled in the study. The study group consisted of 13 residents who had a fall detection device in their rooms. The remaining 13 residents on the same floor formed the control group. Participants had a mean age of 82 ± 10 years and 89% of the residents were female. The most prevalent comorbidity was dementia. Two residents from the control group and one resident from the study group experienced a fall event during follow‐up. The fall events in the control group were identified retrospectively by the nursing home staff, whereas the fall in the study group received a prompt response from the staff who were notified by the alarm. One resident was transferred to the hospital and died due to a non‐fall related reason.ConclusionDevice technology may provide an opportunity for timely intervention to prevent fall‐related morbidity in institutionalized older adults.
{"title":"The effectiveness of a fall detection device in older nursing home residents: a pilot study","authors":"Büşra Can, Aslı Tufan, Şevval Karadağ, Nurdan Şentürk Durmuş, Mümüne Topçu, Berrin Aysevinç, Songül Çeçen Düzel, Sevda Dağcıoğlu, Nazire Afşar Fak, Gökhan Tazegül, Ali Serdar Fak","doi":"10.1111/psyg.13126","DOIUrl":"https://doi.org/10.1111/psyg.13126","url":null,"abstract":"BackgroundReal‐world research to evaluate the effect of device technology in preventing fall‐related morbidity is limited. This pilot study aims to investigate the effectiveness of a non‐wearable fall detection device in older nursing home residents.MethodsThe study was conducted in a nursing home with single‐resident rooms. Fall detection devices were randomly set up in half of the rooms. Demographic data, comorbidities, lists of medications, and functional, nutritional, and frailty status were recorded. The residents were followed up for 3 months. The primary outcome was falls and the secondary outcome was all‐cause mortality.ResultsA total of 26 participants were enrolled in the study. The study group consisted of 13 residents who had a fall detection device in their rooms. The remaining 13 residents on the same floor formed the control group. Participants had a mean age of 82 ± 10 years and 89% of the residents were female. The most prevalent comorbidity was dementia. Two residents from the control group and one resident from the study group experienced a fall event during follow‐up. The fall events in the control group were identified retrospectively by the nursing home staff, whereas the fall in the study group received a prompt response from the staff who were notified by the alarm. One resident was transferred to the hospital and died due to a non‐fall related reason.ConclusionDevice technology may provide an opportunity for timely intervention to prevent fall‐related morbidity in institutionalized older adults.","PeriodicalId":20784,"journal":{"name":"Psychogeriatrics","volume":"17 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140626859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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