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GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry最新文献

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Social Relations, Long-Term Care, and Well-Being of Older Migrants in Luxembourg 卢森堡老年移民的社会关系、长期护理和福利
IF 1 Q3 Nursing Pub Date : 2016-06-09 DOI: 10.1024/1662-9647/A000148
Anne Carolina Ramos, Ute Karl
Abstract. This paper is based on biographical and qualitative egocentric network analyses and examines the social relations of older Italian and Portuguese migrants in need of long-term care (LTC) in Luxembourg. It addresses three components of their everyday social relationships, including the relationships with emotionally close individuals in their egocentric networks, with careworkers, and with other care-recipients in institutional settings. The findings support two main theses: First, careworkers are central figures in providing emotional support to older migrants; second, the relations with other care-recipients can be difficult to establish in contexts of migration, which leads to the necessity of arranging new forms of institutional settings in order to decrease social isolation, being a pressing aspect to public health policies.
摘要本文基于传记和定性的自我中心网络分析,并研究了卢森堡需要长期护理(LTC)的老年意大利和葡萄牙移民的社会关系。它解决了他们日常社会关系的三个组成部分,包括与自我中心网络中情感亲密的个人的关系,与护理人员的关系,以及与机构设置中的其他护理对象的关系。研究结果支持了两个主要论点:首先,护理人员是为老年移民提供情感支持的核心人物;第二,在移徙的情况下,与其他接受照顾者的关系可能难以建立,这导致必须安排新形式的机构环境,以减少社会孤立,这是公共卫生政策的一个紧迫方面。
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引用次数: 5
Personality and life satisfaction over 12 years: Contrasting mid- and late life. 个性和生活满意度超过12年:对比中年和晚年生活。
IF 1 Q3 Nursing Pub Date : 2016-03-14 DOI: 10.1024/1662-9647/A000141
Benjamin Tauber, H. Wahl, J. Schröder
Abstract. Both theoretical reasoning and empirical data suggest that personality and well-being have substantial interrelationships. However, more longitudinal evidence is required, and the relationship lacks research attention from a lifespan perspective. We examined the mid-term and long-term interrelations of Neuroticism and Extraversion with life satisfaction in two cohorts from middle and late adulthood, using data from the “Interdisciplinary Longitudinal Study of Adult Development (ILSE).” Multigroup, cross-lagged models reveal personality to be more predictive of life satisfaction than vice versa. Furthermore, an aging effect occurs regarding the relationships between life satisfaction and personality, with life satisfaction being predictive of personality only in the old cohort. Controlling for health weakens the interrelationship. Results add to the understanding of lifespan dynamics among personality and life satisfaction.
摘要理论推理和实证数据都表明,人格和幸福感有着实质性的相互关系。然而,需要更多的纵向证据,并且从寿命角度来看,这种关系缺乏研究关注。我们使用来自“成人发展跨学科纵向研究(ILSE)”的数据,研究了两组中晚期成人的神经质和外向性与生活满意度的中期和长期相互关系。多组、交叉滞后模型显示,个性对生活满意度的预测要高于反之。此外,生活满意度与人格之间的关系存在年龄效应,生活满意度仅在老年人群中可预测人格。对健康的控制削弱了相互关系。结果增加了对人格和生活满意度之间的寿命动态的理解。
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引用次数: 15
Deficits in selective attention alter gait in frail older adults 选择性注意缺陷改变体弱老年人的步态
IF 1 Q3 Nursing Pub Date : 2016-03-14 DOI: 10.1024/1662-9647/A000137
Véronique Cornu, Jean-Paul Steinmetz, C. Federspiel
Abstract. A growing body of research demonstrates an association between gait disorders, falls, and attentional capacities in older adults. The present work empirically analyzes differences in gait...
摘要越来越多的研究表明,老年人的步态障碍、跌倒和注意力能力之间存在关联。本研究对步态的差异进行了实证分析。
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引用次数: 4
Education, occupational class and cognitive decline in preclinical dementia 临床前痴呆的教育程度、职业等级与认知能力下降
IF 1 Q3 Nursing Pub Date : 2016-03-14 DOI: 10.1024/1662-9647/A000138
D. Cadar, A. Piccinin, S. Hofer, B. Johansson, G. Muniz-Terrera
Abstract. We investigated education and occupational influences as markers of cognitive reserve in relation to cognitive performance and decline on multiple fluid and crystallized abilities in preclinical dementia. From the total sample of 702 participants stemming from the OCTO-Twin Study (Sweden), aged 80+ at baseline in 1992–1993, only those who developed dementia during the study period (N = 127) were included in these analyses. Random effects models were used to examine the level of performance at the time of dementia diagnosis and the rates of decline prior to diagnosis. The results demonstrated that both fluid and crystallized abilities decline in preclinical stages, and that education and occupational class have independent moderating roles on the cognitive performance at the time of diagnosis, but not on the rates of decline.
摘要我们调查了教育和职业影响作为认知储备与临床前痴呆患者认知表现和多种液体和结晶能力下降相关的标志物。来自OCTO-Twin研究(瑞典)的702名参与者,在1992-1993年的基线年龄为80岁以上,只有那些在研究期间患上痴呆的人(N = 127)被纳入这些分析。随机效应模型用于检查痴呆诊断时的表现水平和诊断前的下降率。结果表明,流体和结晶能力均在临床前阶段下降,教育和职业阶层对诊断时的认知表现有独立的调节作用,但对下降速度没有调节作用。
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引用次数: 5
Special Issue on Aging and Migration in Europe 欧洲老龄化与移民问题特刊
IF 1 Q3 Nursing Pub Date : 2016-01-01 DOI: 10.1024/GRO.2016.29.ISSUE-2
Isabelle Albert
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引用次数: 0
Daily Activity Abilities in MCI, Alzheimer's Disease, and Healthy Controls. MCI、阿尔茨海默病和健康对照组的日常活动能力。
IF 1 Q3 Nursing Pub Date : 2015-12-01 Epub Date: 2015-11-26 DOI: 10.1024/1662-9647/a000136
Justina Avila, Amina Flowers, Travis M Scott, Jill Quilici, Liana G Apostolova, Ellen Woo, John Ringman, Jill Razani

Mild cognitive impairment (MCI) is a risk state for dementia. The present study assessed daily functioning in MCI individuals (amnestic [aMCI] and nonamnestic [naMCI]) relative to those with Alzheimer's disease (AD) and healthy controls (NC). Twenty AD participants, 14 aMCI, 12 naMCI, and 30 healthy controls were administered the Direct Assessment of Functional Status (DAFS). The AD group performed poorer than all groups on all DAFS subscales. The aMCI group performed poorer than controls on the shopping subtests, while the naMCI group performed poorer than controls on only the free recall shopping. Finally, DAFS subscales discriminated the AD and aMCI groups well, but only recognition shopping discriminated between naMCI and aMCI individuals. These findings suggest that circumscribed ADL deficits distinguish subtypes of MCI and AD.

轻度认知障碍(MCI)是痴呆症的一种危险状态。本研究评估了 MCI 患者(有记忆障碍 [aMCI] 和无记忆障碍 [naMCI])相对于阿尔茨海默病(AD)患者和健康对照组(NC)的日常功能。对 20 名阿尔茨海默病患者、14 名无症状阿尔茨海默病患者、12 名无症状阿尔茨海默病患者和 30 名健康对照者进行了功能状态直接评估(DAFS)。在所有 DAFS 分量表上,注意力缺失症组的表现均差于所有组别。aMCI 组在购物分量表上的表现比对照组差,而 naMCI 组仅在自由回忆购物上的表现比对照组差。最后,DAFS 分量表很好地区分了 AD 组和 aMCI 组,但只有识别购物才能区分 naMCI 和 aMCI 患者。这些研究结果表明,周身ADL缺陷可区分MCI和AD的亚型。
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引用次数: 0
Using Exercise to Fight Depression in Older Adults 用运动来对抗老年人的抑郁症
IF 1 Q3 Nursing Pub Date : 2015-11-26 DOI: 10.1024/1662-9647/A000133
S. Heinzel, Jimmy B Lawrence, Gunnar Kallies, M. Rapp, A. Heissel
Abstract. Depression is the most prevalent psychiatric disorder in the general population. Despite a large demand for efficient treatment options, the majority of older depressed adults does not receive adequate treatment: Additional low-threshold treatments are needed for this age group. Over the past two decades, a growing number of randomized controlled trials (RCT) have been conducted, testing the efficacy of physical exercise in the alleviation of depression in older adults. This meta-analysis systematically reviews and evaluates these studies; some subanalyses testing specific effects of different types of exercise and settings are also performed. In order to be included, exercise programs of the RCTs had to fulfill the criteria of exercise according to the American College of Sports Medicine, including a sample mean age of 60 or above and an increased level of depressive symptoms. Eighteen trials with 1,063 participants fulfilled our inclusion criteria. A comparison of the posttreatment depression ...
摘要抑郁症是普通人群中最普遍的精神疾病。尽管对有效治疗方案的需求很大,但大多数老年抑郁症成年人没有得到充分的治疗:需要对这一年龄组进行额外的低阈值治疗。在过去的二十年里,越来越多的随机对照试验(RCT)被进行,以测试体育锻炼在缓解老年人抑郁症方面的功效。本荟萃分析系统地回顾和评估了这些研究;还进行了一些子分析,测试不同类型的运动和设置的具体效果。为了纳入研究,随机对照试验的运动项目必须符合美国运动医学学院的运动标准,包括样本平均年龄在60岁或以上,抑郁症状水平增加。18项试验1063名受试者符合我们的纳入标准。治疗后抑郁症的比较
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引用次数: 45
Feasibility of an exercise program for older depressive inpatients: A pilot study. 老年抑郁症住院患者运动方案的可行性:一项初步研究。
IF 1 Q3 Nursing Pub Date : 2015-11-26 DOI: 10.1024/1662-9647/A000134
A. Heissel, Anou Vesterling, Stephanie White, Gunnar Kallies, Diana Behr, A. Arafat, F. Reischies, S. Heinzel, H. Budde
Abstract. Twelve older inpatients (M age = 66.8) with Major Depressive Disorder (MDD) participated in this controlled pilot trial either in a physical exercise group (PEG; n = 6; aerobic, strength, and coordination exercises) or an active control group (ACG; n = 6; relaxation exercises) twice a week for four weeks. While depressive symptoms decreased in both groups, reduction of symptoms was significantly larger in the PEG. However, the PEG had higher BDI scores compared to the ACG at pretest. Neurocognitive functioning and brain-derived neurotrophic factor (BDNF) concentration did not change significantly. A four-week exercise program may be a feasible adjunct therapy in older MDD patients but the efficacy of the program needs to be proven with larger samples.
摘要12名患有重度抑郁症(MDD)的老年住院患者(M年龄= 66.8岁)参加了这项对照先导试验,其中一组是体育锻炼组(PEG;N = 6;有氧,力量和协调运动)或积极对照组(ACG;N = 6;放松练习)每周两次,持续四周。虽然两组的抑郁症状都有所减轻,但PEG组的症状减轻幅度更大。然而,与ACG相比,PEG在前测时具有更高的BDI得分。神经认知功能和脑源性神经营养因子(BDNF)浓度无明显变化。对于老年重度抑郁症患者,为期四周的锻炼计划可能是一种可行的辅助疗法,但该计划的有效性需要用更大的样本来证明。
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引用次数: 9
Enhancement of the Chinese Movement Specific Reinvestment Scale in Older Adults 中国老年人运动专项再投资量表的提高
IF 1 Q3 Nursing Pub Date : 2015-08-04 DOI: 10.1024/1662-9647/A000130
Thomson W. L. Wong, B. Abernethy, R. Masters
Abstract. The Chinese version of the Movement Specific Reinvestment Scale (MSRS-C) was discovered to have good discriminative power between older fallers from nonfallers, and it shows potential as a novel fall prediction tool by assessing conscious motor processing propensity of the older adults. This qualitative study (focus group) investigated potential weaknesses during the application of the MSRS-C in community-dwelling older adults. The results confirmed two major potential weaknesses of the MSRS-C: older adults may respond differently when asked to complete the MSRS-C in the context of movements related or unrelated to balance or locomotion; older adults may be better able to differentiate a 4-point Likert response format than the original 6-point format MSRS-C. Further study was developed to examine the identified potential weaknesses.
摘要中文版的运动特异性再投资量表(MSRS-C)在老年人和非老年人之间具有良好的判别能力,并有望作为一种评估老年人有意识运动加工倾向的新型跌倒预测工具。本定性研究(焦点小组)探讨了MSRS-C在社区居住老年人中应用的潜在弱点。结果证实了MSRS-C的两个主要潜在弱点:当被要求在与平衡或运动相关或不相关的运动背景下完成MSRS-C时,老年人可能会有不同的反应;老年人可能能够更好地区分4点李克特反应格式比原来的6点格式的MSRS-C。为检查已确定的潜在弱点,开展了进一步的研究。
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引用次数: 5
Age-Appropriate Augmented Cognitive Behavior Therapy to Enhance Treatment Outcome for Late-Life Depression and Anxiety Disorders 适合年龄的增强认知行为疗法提高晚年抑郁和焦虑障碍的治疗效果
IF 1 Q3 Nursing Pub Date : 2015-06-03 DOI: 10.1024/1662-9647/A000128
K. Laidlaw, Naoko Kishita
We present an explanation of the benefits of using gerontological theory to augment treatment outcome in cognitive behavior therapy (CBT). Traditional formulations/conceptualizations of CBT may not always be the most optimal fit when working with older people, who may be experiencing different developmental life stages compared to adults of working age. In addressing how CBT may be different with older people, it is proposed that one may augment CBT outcome by applying gerontological theory as “vehicles for change.” This evidence-based scientist approach is consistent with standard practice in CBT. This paper outlines some examples of how gerontological theory can be useful to bring about an enhanced treatment outcome.
我们提出了使用老年学理论来增加认知行为疗法(CBT)治疗结果的好处的解释。CBT的传统公式/概念可能并不总是最适合老年人,他们可能经历与工作年龄的成年人不同的发展生命阶段。在讨论CBT对老年人的不同之处时,有人提出,人们可以通过将老年学理论作为“变革的载体”来增强CBT的效果。这种循证科学家的方法与CBT的标准实践是一致的。本文概述了老年学理论如何有助于提高治疗效果的一些例子。
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引用次数: 27
期刊
GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry
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