首页 > 最新文献

Journal of Aging and Health最新文献

英文 中文
The Mediating Role of Lifestyle Activities in the Association Between Social Deprivation and Cognition in Older Adulthood: Results From the Health and Retirement (HRS) Study. 生活方式活动在老年期社会贫困与认知之间的中介作用:健康与退休(HRS)研究的结果。
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-13 DOI: 10.1177/08982643241273988
Lena M Hofbauer, Pd Francisca S Rodriguez

Objectives: We aimed to investigate the mediating role of lifestyle activities in the association between social deprivation and cognition. Methods: To investigate, we analysed data of 3867 respondents (Mean Age: 73.37, SD: 5.57) in the U.S. Health and Retirement Study (HRS) using growth curve and path analysis, adjusted for demographic and health covariates. Results: Being in the high (vs. moderate) Social Deprivation Index group was associated with lower cognition scores (β = -2.63, [95 % CI: -2.90, -2.36]). Conversely, higher (vs. lower) Lifestyle Index scores were associated with higher cognition scores (β = 1.17, [95 % CI: 0.72, 1.63]). In mediation analysis, the Lifestyle Index score explained 27 % of the association of So Dep Index group on cognition at the final follow-up. Discussion: While lifestyle activities did mediate the association between social deprivation and cognition, factors not investigated accounted for the majority of the variation. These may include systemic disadvantages.

研究目的我们旨在研究生活方式在社会贫困与认知之间的关联中的中介作用。研究方法为了进行研究,我们使用增长曲线和路径分析方法分析了美国健康与退休研究(HRS)中的 3867 名受访者(平均年龄:73.37 岁,标准差:5.57 岁)的数据,并对人口统计学和健康协变量进行了调整。结果显示社会贫困指数高(与中等)组与认知得分较低有关(β = -2.63,[95 % CI:-2.90, -2.36])。相反,生活方式指数得分越高(相对于越低),认知得分越高(β = 1.17, [95 % CI: 0.72, 1.63])。在中介分析中,生活方式指数得分可解释 27% 的 So Dep 指数组与最终随访时认知能力的关联。讨论虽然生活方式活动确实对社会贫困与认知之间的关联起到了中介作用,但未调查的因素却占了大部分差异。这些因素可能包括系统性不利因素。
{"title":"The Mediating Role of Lifestyle Activities in the Association Between Social Deprivation and Cognition in Older Adulthood: Results From the Health and Retirement (HRS) Study.","authors":"Lena M Hofbauer, Pd Francisca S Rodriguez","doi":"10.1177/08982643241273988","DOIUrl":"10.1177/08982643241273988","url":null,"abstract":"<p><p><b>Objectives:</b> We aimed to investigate the mediating role of lifestyle activities in the association between social deprivation and cognition. <b>Methods:</b> To investigate, we analysed data of 3867 respondents (Mean Age: 73.37, SD: 5.57) in the U.S. Health and Retirement Study (HRS) using growth curve and path analysis, adjusted for demographic and health covariates. <b>Results:</b> Being in the high (vs. moderate) Social Deprivation Index group was associated with lower cognition scores (β = -2.63, [95 % CI: -2.90, -2.36]). Conversely, higher (vs. lower) Lifestyle Index scores were associated with higher cognition scores (β = 1.17, [95 % CI: 0.72, 1.63]). In mediation analysis, the Lifestyle Index score explained 27 % of the association of So Dep Index group on cognition at the final follow-up. <b>Discussion:</b> While lifestyle activities did mediate the association between social deprivation and cognition, factors not investigated accounted for the majority of the variation. These may include systemic disadvantages.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241273988"},"PeriodicalIF":2.2,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hukou Status and Cognitive Function Among Older Chinese Adults: Does Support from Friends Matter? 中国老年人的户口状况和认知功能:朋友的支持重要吗?
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2023-10-16 DOI: 10.1177/08982643231206819
Changmin Peng, Jeffrey A Burr, Bei Wu, Mengting Li

Objectives: This study examined whether older Chinese adults with different types of hukou status (government household registration system) exhibited different cognitive outcomes and whether receiving support from friends, an under-appreciated resource, helped mitigate the negative impacts of agricultural hukou status on cognitive health disparities.

Methods: Using nationally representative data from the China Longitudinal Aging Social Survey, this study tested these relationships with well-validated measures.

Results: Our results showed that older Chinese adults with agricultural hukou were more likely to have worse cognitive function than those with non-agricultural hukou. Further, friend support characteristics moderated the association between hukou status and cognitive function, whereby having better friend support was related to a weaker negative effect of agricultural hukou status on cognitive function.

Discussion: The findings suggested that agricultural hukou status reflects the effects of accumulated disadvantage across the life course with negative consequences for late-life cognition. The cognitive health disparities between agricultural and non-agricultural residents may be reduced in the context of a higher level of friend support, supporting a stress buffering hypothesis.

目的:本研究考察了具有不同类型户口(政府户籍制度)的中国老年人是否表现出不同的认知结果,以及接受朋友的支持(一种被低估的资源)是否有助于减轻农业户口对认知健康差异的负面影响。方法:利用中国老龄化社会纵向调查中具有全国代表性的数据,本研究用经过验证的测量方法检验了这些关系。结果:我们的研究结果表明,拥有农业户口的中国老年人比拥有非农业户口的老年人更有可能具有更差的认知功能。此外,朋友支持特征调节了户口状况与认知功能之间的关系,因此拥有更好的朋友支持与农业户口状况对认知功能的负面影响较弱有关。讨论:研究结果表明,农业户口状况反映了整个人生过程中累积劣势的影响,对晚年认知产生了负面影响。在更高水平的朋友支持的背景下,农业和非农业居民之间的认知健康差异可能会减少,这支持了压力缓冲假说。
{"title":"<i>Hukou</i> Status and Cognitive Function Among Older Chinese Adults: Does Support from Friends Matter?","authors":"Changmin Peng, Jeffrey A Burr, Bei Wu, Mengting Li","doi":"10.1177/08982643231206819","DOIUrl":"10.1177/08982643231206819","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined whether older Chinese adults with different types of <i>hukou</i> status (government household registration system) exhibited different cognitive outcomes and whether receiving support from friends, an under-appreciated resource, helped mitigate the negative impacts of agricultural <i>hukou</i> status on cognitive health disparities.</p><p><strong>Methods: </strong>Using nationally representative data from the <i>China Longitudinal Aging Social Survey</i>, this study tested these relationships with well-validated measures.</p><p><strong>Results: </strong>Our results showed that older Chinese adults with agricultural <i>hukou</i> were more likely to have worse cognitive function than those with non-agricultural <i>hukou</i>. Further, friend support characteristics moderated the association between <i>hukou</i> status and cognitive function, whereby having better friend support was related to a weaker negative effect of agricultural hukou status on cognitive function.</p><p><strong>Discussion: </strong>The findings suggested that agricultural <i>hukou</i> status reflects the effects of accumulated disadvantage across the life course with negative consequences for late-life cognition. The cognitive health disparities between agricultural and non-agricultural residents may be reduced in the context of a higher level of friend support, supporting a stress buffering hypothesis.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"492-503"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Longitudinal Study of Physical Activity and Personality in the Wellbeing of Older Adults. 老年人身体活动与人格健康的纵向研究。
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2023-10-14 DOI: 10.1177/08982643231206222
Bill Cheuk Long Chan, Michelle Luciano, Billy Lee

Objective: This study examines the interactions of physical activity and personality traits in the subjective wellbeing (SWB) of older adults. Methods: 520 Scottish participants (262 male; 258 female) completed self-reported surveys measuring their level of physical activity, personality, and SWB in 2011-2013 (mean age = 76.23 ± .68) and in 2014-2016 (mean age = 79.31 ± .62). Results: While all of the Big Five personality traits predicted SWB across the 3-year period in the expected direction, neither physical activity nor its joint effect with any of the personality traits was a significant predictor of subsequent SWB. Discussion: Further research on older adults with higher variation in age, exercise level, and cultural background is needed to disentangle how physical activity and personality influence SWB.

目的:本研究探讨身体活动与人格特征在老年人主观幸福感(SWB)中的相互作用。方法:520名苏格兰参与者(262名男性;258名女性)在2011-2013年(平均年龄=76.23±.68)和2014-2016年(平均岁=79.31±.62)完成了自我报告的调查,测量了他们的身体活动水平、个性和主观幸福感,无论是体力活动还是其与任何人格特征的联合作用都不是随后SWB的显著预测因素。讨论:需要对年龄、运动水平和文化背景差异较大的老年人进行进一步研究,以弄清体育活动和个性如何影响主观幸福感。
{"title":"A Longitudinal Study of Physical Activity and Personality in the Wellbeing of Older Adults.","authors":"Bill Cheuk Long Chan, Michelle Luciano, Billy Lee","doi":"10.1177/08982643231206222","DOIUrl":"10.1177/08982643231206222","url":null,"abstract":"<p><p><b>Objective:</b> This study examines the interactions of physical activity and personality traits in the subjective wellbeing (SWB) of older adults. <b>Methods:</b> 520 Scottish participants (262 male; 258 female) completed self-reported surveys measuring their level of physical activity, personality, and SWB in 2011-2013 (mean age = 76.23 ± .68) and in 2014-2016 (mean age = 79.31 ± .62). <b>Results:</b> While all of the Big Five personality traits predicted SWB across the 3-year period in the expected direction, neither physical activity nor its joint effect with any of the personality traits was a significant predictor of subsequent SWB. <b>Discussion:</b> Further research on older adults with higher variation in age, exercise level, and cultural background is needed to disentangle how physical activity and personality influence SWB.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"484-491"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41219724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Paradox in Positive and Negative Aspects of Emotional Functioning Among Older Adults with Early Stages of Cognitive Impairment. 早期认知障碍老年人情绪功能的积极和消极方面的悖论。
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2023-10-06 DOI: 10.1177/08982643231199806
Manrui Zhang, Emily Ho, Cindy J Nowinski, Rina S Fox, Ezgi Ayturk, Tatiana Karpouzian-Rogers, Miriam Novack, Hiroko H Dodge, Sandra Weintraub, Richard Gershon

Introduction: Emotional functioning in older adults is influenced by normal aging and cognitive impairment, likely heterogeneous across positive versus negative aspects of emotional functioning. Little is known about positive emotional experiences at the early stages of cognitive impairment. Methods: We assessed different aspects of emotional functioning among 448 participants aged 65+ (Normal Control (NC) = 276, Mild Cognitive Impairment (MCI) = 103, and mild dementia of the Alzheimer type (mild DAT) = 69) and tested moderators. Results: Compared to NC, older adults with MCI and mild DAT have maintained many positive aspects of emotional functioning, despite higher levels of negative affect, sadness, and loneliness. Among the oldest-old, the mild DAT group experienced higher fear and lower self-efficacy. Discussion: Older adults at early stages of cognitive impairment can experience positive aspects of emotional functioning, such as positive affect, purpose, and life satisfaction, all of which are important buildable psychological resources for coping.

引言:老年人的情绪功能受到正常衰老和认知障碍的影响,情绪功能的积极和消极方面可能是异质的。人们对认知障碍早期的积极情绪体验知之甚少。方法:我们评估了448名年龄在65岁以上的参与者(正常对照组(NC)=276,轻度认知障碍(MCI)=103,轻度阿尔茨海默型痴呆(轻度DAT)=69)的情绪功能的不同方面,并测试了调节因子。结果:与NC相比,患有MCI和轻度DAT的老年人保持了许多积极的情绪功能,尽管负面情绪、悲伤和孤独程度更高。在年龄最大的老年人中,轻度DAT组经历了更高的恐惧和更低的自我效能。讨论:处于认知障碍早期的老年人可以体验到情绪功能的积极方面,如积极的情感、目标和生活满意度,所有这些都是应对的重要可构建的心理资源。
{"title":"The Paradox in Positive and Negative Aspects of Emotional Functioning Among Older Adults with Early Stages of Cognitive Impairment.","authors":"Manrui Zhang, Emily Ho, Cindy J Nowinski, Rina S Fox, Ezgi Ayturk, Tatiana Karpouzian-Rogers, Miriam Novack, Hiroko H Dodge, Sandra Weintraub, Richard Gershon","doi":"10.1177/08982643231199806","DOIUrl":"10.1177/08982643231199806","url":null,"abstract":"<p><p><b>Introduction:</b> Emotional functioning in older adults is influenced by normal aging and cognitive impairment, likely heterogeneous across positive versus negative aspects of emotional functioning. Little is known about positive emotional experiences at the early stages of cognitive impairment. <b>Methods:</b> We assessed different aspects of emotional functioning among 448 participants aged 65+ (Normal Control (NC) = 276, Mild Cognitive Impairment (MCI) = 103, and mild dementia of the Alzheimer type (mild DAT) = 69) and tested moderators. <b>Results:</b> Compared to NC, older adults with MCI and mild DAT have maintained many positive aspects of emotional functioning, despite higher levels of negative affect, sadness, and loneliness. Among the oldest-old, the mild DAT group experienced higher fear and lower self-efficacy. <b>Discussion:</b> Older adults at early stages of cognitive impairment can experience positive aspects of emotional functioning, such as positive affect, purpose, and life satisfaction, all of which are important buildable psychological resources for coping.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"471-483"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Childhood Interpersonal Trauma and Depression of Middle-Aged and Older Adults in China: The Mediation Effect of Social Integration. 中国中老年人的童年人际创伤与抑郁:社会融合的中介效应
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2023-08-24 DOI: 10.1177/08982643231197081
Jia-Jia Zhou, Shuai Zhou

Objectives: This study investigates the associations between five types of childhood interpersonal trauma (CIT) and depression in mid-later life, as well as the mediation roles of social integration in the associations. Methods: Two waves of data from a nationally representative survey in China were used, with participants aged 45 years and older (N = 14,180). Measures of CIT included physical abuse, physical neglect, emotional neglect, bullying victimization, and exposure to interparental violence. Binary logistic regression and Karlson-Holm-Breen mediation analysis were used as statistical methods. Results: People who were bullied, physically abused, and witnessed interparental violence during childhood were more likely to develop depression in mid-later years. The associations between CIT and depression were mediated by satisfaction with marriage, satisfaction with children, and perceived social support. Discussion: Although CIT elevates the risk of depression in later life, effective interventions that strengthen integration across family and social domains could benefit mental health.

研究目的本研究探讨了五种类型的童年人际创伤(CIT)与中晚年抑郁症之间的关联,以及社会融合在这些关联中的中介作用。研究方法研究使用了两波中国全国代表性调查的数据,参与者年龄在 45 岁及以上(14180 人)。CIT的测量指标包括身体虐待、身体忽视、情感忽视、欺凌受害以及遭受父母间暴力。统计方法采用二元逻辑回归和卡尔森-霍尔姆-布林中介分析。研究结果童年时期遭受欺凌、身体虐待和目睹父母间暴力的人在中晚年更容易患抑郁症。对婚姻的满意度、对子女的满意度和感知到的社会支持对CIT与抑郁之间的关联具有中介作用。讨论:虽然 CIT 会增加晚年抑郁的风险,但有效的干预措施可以加强家庭和社会领域的融合,从而有益于心理健康。
{"title":"Childhood Interpersonal Trauma and Depression of Middle-Aged and Older Adults in China: The Mediation Effect of Social Integration.","authors":"Jia-Jia Zhou, Shuai Zhou","doi":"10.1177/08982643231197081","DOIUrl":"10.1177/08982643231197081","url":null,"abstract":"<p><p><b>Objectives:</b> This study investigates the associations between five types of childhood interpersonal trauma (CIT) and depression in mid-later life, as well as the mediation roles of social integration in the associations. <b>Methods:</b> Two waves of data from a nationally representative survey in China were used, with participants aged 45 years and older (<i>N</i> = 14,180). Measures of CIT included physical abuse, physical neglect, emotional neglect, bullying victimization, and exposure to interparental violence. Binary logistic regression and Karlson-Holm-Breen mediation analysis were used as statistical methods. <b>Results:</b> People who were bullied, physically abused, and witnessed interparental violence during childhood were more likely to develop depression in mid-later years. The associations between CIT and depression were mediated by satisfaction with marriage, satisfaction with children, and perceived social support. <b>Discussion:</b> Although CIT elevates the risk of depression in later life, effective interventions that strengthen integration across family and social domains could benefit mental health.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"424-435"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alzheimer's Centers in US Hospitals: Enough to Adequately Address Dementia Care Nationwide? 美国医院的阿尔茨海默氏症中心:是否足以在全国范围内充分解决痴呆症护理问题?
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2023-09-12 DOI: 10.1177/08982643231200691
Ángela Gutiérrez, Cory E Cronin, Berkeley Franz, Graciela Muniz-Terrera

Objectives: To investigate the availability of Alzheimer's Centers (ACs) in US hospitals. Methods: Utilizing the American Hospital Association Annual Survey, Area Health Resource File, and US Census (n = 3251), we employed multivariable logistic regression to examine hospital, county, and regional predictors of AC availability. Results: Large hospitals (>399 beds) had approximately 14 times higher odds of having an AC than small hospitals (<50 beds; OR = 14.0; 95% CI = 6.44 - 30.46). Counties with a higher proportion of Latino residents, relative to non-Latino Whites, had lower odds of having an AC (OR = .05; 95% CI = .01 - .41). Northeastern (OR = 1.92; 95% CI = 1.15 - 3.22) and Midwestern (OR = 2.12; 95% CI = 1.34 - 3.37) hospitals had higher odds of having an AC than Southern hospitals. Discussion: To address dementia needs and disparities, investment in a national infrastructure is critical.

目的调查美国医院是否设有阿尔茨海默氏症中心(AC)。方法: 利用美国医院协会年度调查、地区卫生资源档案和美国人口普查(n = 325 人):利用美国医院协会年度调查、地区卫生资源档案和美国人口普查(n = 3251),我们采用多变量逻辑回归法来研究医院、县和地区的阿尔茨海默病中心可用性预测因素。结果如下大型医院(床位数大于 399 张)拥有 AC 的几率大约是小型医院的 14 倍(讨论):要解决痴呆症的需求和差异问题,对国家基础设施的投资至关重要。
{"title":"Alzheimer's Centers in US Hospitals: Enough to Adequately Address Dementia Care Nationwide?","authors":"Ángela Gutiérrez, Cory E Cronin, Berkeley Franz, Graciela Muniz-Terrera","doi":"10.1177/08982643231200691","DOIUrl":"10.1177/08982643231200691","url":null,"abstract":"<p><p><b>Objectives:</b> To investigate the availability of Alzheimer's Centers (ACs) in US hospitals. <b>Methods:</b> Utilizing the American Hospital Association Annual Survey, Area Health Resource File, and US Census (<i>n</i> = 3251), we employed multivariable logistic regression to examine hospital, county, and regional predictors of AC availability. <b>Results:</b> Large hospitals (>399 beds) had approximately 14 times higher odds of having an AC than small hospitals (<50 beds; OR = 14.0; 95% CI = 6.44 - 30.46). Counties with a higher proportion of Latino residents, relative to non-Latino Whites, had lower odds of having an AC (OR = .05; 95% CI = .01 - .41). Northeastern (OR = 1.92; 95% CI = 1.15 - 3.22) and Midwestern (OR = 2.12; 95% CI = 1.34 - 3.37) hospitals had higher odds of having an AC than Southern hospitals. <b>Discussion:</b> To address dementia needs and disparities, investment in a national infrastructure is critical.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"458-470"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10220591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cross-National Analysis of the Associations Between Familism and Self-Efficacy in Family Caregivers of People With Dementia: Effects on Burden and Depression. 痴呆症患者家庭照顾者的家庭主义与自我效能之间的跨国分析:对负担和抑郁的影响
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2023-08-10 DOI: 10.1177/08982643231193579
Andrés Losada-Baltar, Francesca B Falzarano, David W Hancock, María Márquez-González, Karl Pillemer, Cristina Huertas-Domingo, Lucía Jiménez-Gonzalo, José A Fernandes-Pires, Sara J Czaja

Objectives: To examine the cross-national associations between familism and self-efficacy dimensions, and levels of burden and depression. Methods: Sociodemographic, familism, self-efficacy, depressive symptoms, and burden variables were measured in 349 dementia family caregivers from the US and Spain. Results: US sample: greater support from family was positively related to self-efficacy for obtaining respite and self-efficacy for controlling upsetting thoughts and behaviors. Both self-efficacy constructs were negatively related to depression. Similar findings were obtained for burden. Spanish sample: higher scores on family as referents were associated with lower scores on self-efficacy for obtaining respite; lower scores on self-efficacy for obtaining respite were associated with higher depressive symptomatology. Discussion: Study findings suggest that a significant interplay exists between the various facets of familism and self-efficacy, leading to differential caregiving outcomes. Unique cultural contexts and values derived from each country may exert distinct influences on how the caregiving role is perceived and appraised.

研究目的研究家庭主义和自我效能维度与负担和抑郁水平之间的跨国关联。方法对来自美国和西班牙的 349 名痴呆症家庭照顾者的社会人口学、家庭主义、自我效能、抑郁症状和负担变量进行测量。结果美国样本:来自家庭的更多支持与获得喘息机会的自我效能以及控制令人不安的想法和行为的自我效能呈正相关。这两种自我效能与抑郁呈负相关。负担方面也有类似的发现。西班牙样本:家庭作为参照物的得分越高,获得喘息机会的自我效能感得分越低;获得喘息机会的自我效能感得分越低,抑郁症状越严重。讨论研究结果表明,家庭主义的各个方面与自我效能感之间存在着重要的相互作用,从而导致不同的护理结果。各国独特的文化背景和价值观可能会对如何看待和评价护理角色产生不同的影响。
{"title":"Cross-National Analysis of the Associations Between Familism and Self-Efficacy in Family Caregivers of People With Dementia: Effects on Burden and Depression.","authors":"Andrés Losada-Baltar, Francesca B Falzarano, David W Hancock, María Márquez-González, Karl Pillemer, Cristina Huertas-Domingo, Lucía Jiménez-Gonzalo, José A Fernandes-Pires, Sara J Czaja","doi":"10.1177/08982643231193579","DOIUrl":"10.1177/08982643231193579","url":null,"abstract":"<p><p><b>Objectives:</b> To examine the cross-national associations between familism and self-efficacy dimensions, and levels of burden and depression. <b>Methods:</b> Sociodemographic, familism, self-efficacy, depressive symptoms, and burden variables were measured in 349 dementia family caregivers from the US and Spain. <b>Results:</b> US sample: greater support from family was positively related to self-efficacy for obtaining respite and self-efficacy for controlling upsetting thoughts and behaviors. Both self-efficacy constructs were negatively related to depression. Similar findings were obtained for burden. Spanish sample: higher scores on family as referents were associated with lower scores on self-efficacy for obtaining respite; lower scores on self-efficacy for obtaining respite were associated with higher depressive symptomatology. <b>Discussion:</b> Study findings suggest that a significant interplay exists between the various facets of familism and self-efficacy, leading to differential caregiving outcomes. Unique cultural contexts and values derived from each country may exert distinct influences on how the caregiving role is perceived and appraised.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"403-413"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10858290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Mindfulness-Based Interventions on Mental Health and Cognitive Function in Older Adults: A Systematic Review and Meta-Analysis. 正念干预对老年人心理健康和认知功能的影响:系统回顾与元分析》。
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-07-24 DOI: 10.1177/08982643241263882
Fatemeh Talebisiavashani, Mohsen Mohammadi-Sartang

Objectives: To assess whether mindfulness-based interventions (MBIs) affect mental health and cognitive abilities in older adults.

Methods: A systematic search was performed in PubMed, SCOPUS, Web of Science, and Google Scholar up to June 2023. Weight mean difference and 95% confidence intervals were provided as summary statistics.

Results: In total, 26 articles were eligible. Overall, MBIs showed a statistically significant improvement in depression, anxiety, quality of life, and working memory compared to controls. However, no significant effects of MBIs on other cognitive parameters were found. In moderator analysis, less than eight weeks of MBIs showed greater improvement in anxiety and quality of life than longer periods. There was no evidence for publication bias.

Discussion: Mindfulness-based interventions can be an encouraging alternative in place of conventional treatments in improving depression, anxiety, quality of life and working memory in cognition among older adults. However, findings strongly recommend future research to have definite conclusion.

目的:评估正念干预(MBI)是否会影响老年人的心理健康和认知能力:评估正念干预(MBI)是否会影响老年人的心理健康和认知能力:方法:在PubMed、SCOPUS、Web of Science和Google Scholar上进行了系统性搜索,搜索结果截止到2023年6月。结果:共有 26 篇文章符合条件:共有 26 篇文章符合条件。总体而言,与对照组相比,MBI 在抑郁、焦虑、生活质量和工作记忆方面均有统计学意义上的显著改善。然而,MBIs对其他认知参数的影响并不明显。在主持人分析中,少于八周的 MBIs 对焦虑和生活质量的改善要大于较长时间的 MBIs。没有证据表明存在发表偏倚:讨论:以正念为基础的干预可以替代传统治疗,改善老年人的抑郁、焦虑、生活质量和认知工作记忆,令人鼓舞。然而,研究结果强烈建议未来的研究得出明确的结论。
{"title":"The Effect of Mindfulness-Based Interventions on Mental Health and Cognitive Function in Older Adults: A Systematic Review and Meta-Analysis.","authors":"Fatemeh Talebisiavashani, Mohsen Mohammadi-Sartang","doi":"10.1177/08982643241263882","DOIUrl":"https://doi.org/10.1177/08982643241263882","url":null,"abstract":"<p><strong>Objectives: </strong>To assess whether mindfulness-based interventions (MBIs) affect mental health and cognitive abilities in older adults.</p><p><strong>Methods: </strong>A systematic search was performed in PubMed, SCOPUS, Web of Science, and Google Scholar up to June 2023. Weight mean difference and 95% confidence intervals were provided as summary statistics.</p><p><strong>Results: </strong>In total, 26 articles were eligible. Overall, MBIs showed a statistically significant improvement in depression, anxiety, quality of life, and working memory compared to controls. However, no significant effects of MBIs on other cognitive parameters were found. In moderator analysis, less than eight weeks of MBIs showed greater improvement in anxiety and quality of life than longer periods. There was no evidence for publication bias.</p><p><strong>Discussion: </strong>Mindfulness-based interventions can be an encouraging alternative in place of conventional treatments in improving depression, anxiety, quality of life and working memory in cognition among older adults. However, findings strongly recommend future research to have definite conclusion.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241263882"},"PeriodicalIF":2.2,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring Consumer-Reported Quality of Life Among Recipients of Publicly Funded Home- and Community-Based Services: Implications for Health Equity. 在接受公共资助的家庭和社区服务的受助者中衡量消费者反映的生活质量:对健康公平的影响》。
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-07-24 DOI: 10.1177/08982643241267378
Tetyana P Shippee, Yinfei Duan, Zachary G Baker, Romil Parikh, Taylor Bucy, Eric Jutkowitz

Objectives: Despite an increased policy focused on home- and community-based services (HCBS), little is known about their quality of life (QoL)-a key measure of person-centered care. This paper addresses this gap by measuring consumers' self-reported QoL and identifying factors associated with disparities in QoL.

Methods: We analyzed the 2015-2016 National Core Indicators-Aging and Disability survey for 3426 respondents in Minnesota, using factor analyses to identify latent QoL domains. Multivariable regression models identified predictors of QoL domains.

Results: Factor analyses identified three valid and reliable latent QoL domains: security, self-determination, and care experiences. Younger consumers with disabilities (versus consumers ≥65 years of age), minoritized racial/ethnic groups, consumers with hearing loss, without a spouse/domestic partner, and not living in consumer's own/family home reported significantly lower QoL in various domains (p < .001).

Discussion: Disparities in HCBS consumer-reported QoL exist, necessitating equitable reforms to improve HCBS quality for its increasingly diversified consumer base.

目标:尽管政策越来越关注家庭和社区服务(HCBS),但人们对其生活质量(QoL)却知之甚少,而生活质量是衡量以人为本的护理的关键指标。本文通过测量消费者自我报告的 QoL 并确定与 QoL 差异相关的因素来弥补这一不足:我们对明尼苏达州 3426 名受访者的 2015-2016 年国家核心指标--老龄和残疾调查进行了分析,利用因子分析确定了潜在的 QoL 领域。多变量回归模型确定了 QoL 领域的预测因素:因子分析确定了三个有效可靠的潜在 QoL 领域:安全感、自我决定和护理体验。年龄较小的残疾消费者(相对于年龄≥65 岁的消费者)、少数种族/民族群体、听力受损的消费者、没有配偶/家庭伴侣的消费者以及不住在消费者自己/家人家中的消费者在各个领域的 QoL 都明显较低(p < .001):讨论:高龄社区保健服务(HCBS)消费者报告的 QoL 存在差异,因此有必要进行公平改革,以提高高龄社区保健服务(HCBS)的质量,满足日益多样化的消费者群体的需求。
{"title":"Measuring Consumer-Reported Quality of Life Among Recipients of Publicly Funded Home- and Community-Based Services: Implications for Health Equity.","authors":"Tetyana P Shippee, Yinfei Duan, Zachary G Baker, Romil Parikh, Taylor Bucy, Eric Jutkowitz","doi":"10.1177/08982643241267378","DOIUrl":"10.1177/08982643241267378","url":null,"abstract":"<p><strong>Objectives: </strong>Despite an increased policy focused on home- and community-based services (HCBS), little is known about their quality of life (QoL)-a key measure of person-centered care. This paper addresses this gap by measuring consumers' self-reported QoL and identifying factors associated with disparities in QoL.</p><p><strong>Methods: </strong>We analyzed the 2015-2016 National Core Indicators-Aging and Disability survey for 3426 respondents in Minnesota, using factor analyses to identify latent QoL domains. Multivariable regression models identified predictors of QoL domains.</p><p><strong>Results: </strong>Factor analyses identified three valid and reliable latent QoL domains: security, self-determination, and care experiences. Younger consumers with disabilities (versus consumers ≥65 years of age), minoritized racial/ethnic groups, consumers with hearing loss, without a spouse/domestic partner, and not living in consumer's own/family home reported significantly lower QoL in various domains (<i>p</i> < .001).</p><p><strong>Discussion: </strong>Disparities in HCBS consumer-reported QoL exist, necessitating equitable reforms to improve HCBS quality for its increasingly diversified consumer base.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241267378"},"PeriodicalIF":2.2,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations. 与自杀有关的急诊科就诊老年人的社会人口学和临床特征。
IF 2.2 3区 医学 Q2 GERONTOLOGY Pub Date : 2024-07-20 DOI: 10.1177/08982643241261094
Anja Gysin-Maillart, David Bettschen, Pascale Annaheim, Stella Brogna, Sebastian Walther, Margda Waern, Martin Müller, Aristomenis K Exadaktylos, Jolanta Klukowska-Rötzler

Objectives: To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.

Methods: A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013-2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted.

Results: Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65-74 age group, while dementia impacted 20% of those ≥75. Men had a six-fold higher 30-day post-discharge mortality.

Discussion: Older ED patients with suicidal ideation and/or behavior exhibit typical characteristics. The dementia prevalence suggests tailored care for those ≥75, and the heightened post-discharge mortality rate in older men requires further research.

目的确定年龄≥65岁、有自杀意念和/或行为的老年急诊科(ED)患者的特征:单中心回顾性病历审查分析了 392 名有自杀意念和/或行为的患者(≥65 岁)(2013-2019 年)。采用了全面的全文检索。对年龄和性别进行了分组分析:50%的病例存在抑郁障碍。值得注意的是,54%的女性接受了抗抑郁药物治疗,而男性仅为31%。大多数患者患有一般疾病(74.5%)和慢性多病(71.2%)。40.1%的患者受到社会压力的影响;35.7%的患者在就诊时酗酒。酗酒在 65-74 岁年龄组中更为常见,而≥75 岁的患者中有 20% 患有痴呆症。男性患者出院后30天的死亡率高出六倍:讨论:有自杀意念和/或行为的老年急诊患者具有典型特征。痴呆症的发病率建议对≥75岁的患者进行有针对性的护理,而老年男性出院后的死亡率则需要进一步研究。
{"title":"Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations.","authors":"Anja Gysin-Maillart, David Bettschen, Pascale Annaheim, Stella Brogna, Sebastian Walther, Margda Waern, Martin Müller, Aristomenis K Exadaktylos, Jolanta Klukowska-Rötzler","doi":"10.1177/08982643241261094","DOIUrl":"https://doi.org/10.1177/08982643241261094","url":null,"abstract":"<p><strong>Objectives: </strong>To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.</p><p><strong>Methods: </strong>A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013-2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted.</p><p><strong>Results: </strong>Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65-74 age group, while dementia impacted 20% of those ≥75. Men had a six-fold higher 30-day post-discharge mortality.</p><p><strong>Discussion: </strong>Older ED patients with suicidal ideation and/or behavior exhibit typical characteristics. The dementia prevalence suggests tailored care for those ≥75, and the heightened post-discharge mortality rate in older men requires further research.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241261094"},"PeriodicalIF":2.2,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Aging and Health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1