AGING & MENTAL HEALTH

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Cross-cultural translation and adaptation of the Dementia Public Stigma Scale
Lu J, Shan Y, Ji M and Jin C
The Dementia Public Stigma Scale (DPSS) is a brief, user-friendly tool for assessing public stigma related to dementia. While widely used in Western contexts, it has not been validated in China. This study aimed to rigorously translate, adapt, and validate the DPSS for use in Chinese populations, filling a critical gap in dementia research.
Coping with a cost of living crisis in the English care home workforce: a qualitative study
Evans S, Roper L, Murray N, Dean A and Giebel C
This study aimed to examine how the current state and limitations of the English older adult care home sector, within the context of the cost of living crisis, influenced the psychological wellbeing of care home staff.
Efficacy of technology interventions in preventing depression among older adults experiencing social isolation: a systematic review and meta-analysis
Bermúdez Endrino LM, Berral García A, Gómez Peña B, Uclés-Torrente MDM and Aparicio-Martinez P
The global rise in the aging population, intensified by the COVID-19 pandemic, has increased loneliness, social isolation, and depression among older adults. This review aimed to examine the relationships between these psychological challenges and to assess the effectiveness of Information and Communication Technology (ICT)-based interventions in mitigating them.
Cultural motivations, instrumental support, and depressive mood among dementia family caregivers in rural Appalachia
Nah S, Savla J and Roberto KA
Although many dementia family caregivers receive instrumental help from relatives and friends for caregiving tasks, prior research on its impact on caregivers' mood has been inconsistent. Guided by the sociocultural stress and coping model, we used daily diary data to examine whether receiving instrumental support is associated with lower depressive mood among dementia family caregivers, and whether this association varies by caregivers' cultural motivations for caregiving (e.g. sense of duty).
Social environment profiles and cognitive outcomes: a cross-sectional latent class analysis using the Canadian Longitudinal Study on Aging
Labonté K, Nielsen DE, Dubé L and Paquet C
The present study evaluated associations between social environment profiles and cognitive outcomes among generally healthy adults using cross-sectional data from the Canadian Longitudinal Study on Aging (CLSA) Comprehensive Cohort ( = 19,793).
"Still a man": exploring the psychosocial experience of sexual aging and identity among older men with hypogonadism
Badawy W and Shaban M
This study explored how older men with hypogonadism perceive and navigate sexual aging, masculinity, and identity shifts within a conservative Middle Eastern context.
Flywheel resistance training and depressive symptoms in older women: a randomized controlled trial
Andrés Pérez Bedoya É, Puerta-López LF, Garcia Agostinho PA, Reis Cota AD, Patrocínio de Oliveira CE, Araujo Carneiro-Júnior M, Patiño-Villada FA and Costa Moreira O
This randomized controlled trial compared flywheel-based resistance training with traditional resistance training on depressive symptoms in sedentary older women.
Independent associations between loneliness, self-reported hearing loss, and episodic memory: findings from the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA)
Loughrey DG, Feeney J, Kee F, Lawlor BA, McGuinness B, Woodside JV, Neville CE and Power JM
Age-related hearing loss (ARHL) and loneliness have been independently associated with poor cognitive function in older adults. However, the extent to which loneliness modifies the relationship between ARHL and cognitive impairment remains poorly understood. This study examined the independent and interactive associations of ARHL and loneliness with episodic memory in older adults.
Cost-consequence analysis of the partner in balance program for informal carers of persons with dementia
Osstyn SL, Handels R, Rupprecht C, Boots LMM and de Vugt ME
Informal caregivers often seek additional support. Partner in Balance (PiB), a blended self-management program for informal caregivers of persons with dementia, presents a promising avenue for providing cost-effective support. This study aims to evaluate the cost-consequence of PiB compared to usual care.
Pilot trial of the intervention in an outpatient memory disorders clinic
Wharton T, Paulson D, McClure NV, Laird RD, Campos BM, Churchill EG, Lysandrou AE and Maynard M
Translation of the foundational REACH II intervention for caregivers of persons with Alzheimer's disease and related dementias (ADRD) into practice has been limited. Most interventions generally focus on later-stage caregiving. The FL-REACH intervention was adapted from REACH II, addressing issues of implementation burden and shifting focus to prolonging in-home care through intervention delivered soon after diagnosis. Goals of this single-arm pilot study were to examine effectiveness of a six-session intervention delivered through an outpatient memory disorders clinic to caregivers of those diagnosed with mild to moderate stage memory disorders.
Predictors of physical frailty in older adults living in the community from clinical, functional, mental and social variables: a scoping review of longitudinal studies
Castillo-Carreño A, Puchi Gómez C, Aslan Parra J and Saldivia Bórquez S
To identify and synthesize the evidence from longitudinal studies on predictors of clinical, functional, mental, and social variables of physical frailty incidence in older adults living in the community.
A cross-sectional study on existential regret, social efficacy and social outcome expectations ın older adults
Çakı Döner B, Kuşlu S, Eminoğlu A and Çakır B
Older adults who continue to struggle with or wish to change their past decisions and experiences may experience existential regrets. Such regrets can lead to a weakening of social relationships and social withdrawal among older adults. This study aims to evaluate the relationships between existential regret and social efficacy and social outcome expectations among older adults.
Supporting LGBTQ+ people living with dementia: what can we learn from LGBTQ+ dementia peer supporters?
Smith L, Taylor S, Newman CE and Phillipson L
LGBTQ+ people living with dementia are a heterogeneous group who are more likely to be socially isolated and may have unique social support structures. After lifetimes of personal, structural and systemic isolation, LGBTQ+ people living with dementia are less likely to seek formal support, particularly from heteronormative and cisgenderist aged care providers. With most people living with dementia relying on informal care, it is important for us to understand the distinct ways in which peer support may operate for socially isolated LGBTQ+ people living with dementia. This paper focusses on the experiences of LGBTQ+ peer supporters who visited LGBTQ+ people living with dementia as part of a formal program in Australia. In focus groups with peer supporters the arts-based method, body mapping, was used to support participants to describe their embodied experiences and needs when caring for and about an LGBTQ+ person living with dementia. The study highlighted that the peer supporters used strengths based, gender affirming approaches to support LGBTQ+ people living with dementia. In line with concepts drawn from ethics of care, these relationships value diversity and emerge from a deep moral commitment to caring for LGBTQ+ elders as an expression of mutual authenticity. Despite this commitment, volunteer visitors experienced grief, not only because the people they visited died, but also at their inability to change systems that did not serve the people they cared for.
Widowhood and cognitive function among older adults in China: short-, medium-, and long-term relationships and underlying mechanisms
Jing R, Jin G and Li L
This study aimed to examine the association between widowhood duration and cognitive function among Chinese older adults and to analyze the mediating effects of stress and social participation, with gender differences also explored.
Integrating dementia care into primary health services: lay health workers with internal facilitation in Uganda
Wakida EK, Rukundo GZ, Talib ZM, Lopez-Vera A, Maling S, Karungi CK and Obua C
Dementia care is underdeveloped in low- and middle-income countries (LMICs), with limited specialist services. In Uganda's decentralized health system, Health Assistants supervise Lay Health Workers (LHWs), yet dementia care is not part of their remit. This study explored the feasibility of the WHO Lay Health Worker Dementia Care model with Internal Facilitation (WLDC+IF), in which Health Assistants support LHWs in delivering community-based dementia care.
Longer-ago baby loss: a qualitative study to explore the experiences of older women
Corcoran RL, Smith DM, Clancy A and Shirley L
From increased recognition that the death of a baby can have a negative impact on women's wellbeing, baby loss practices in the UK have evolved significantly over the last 40 years. Minimal research exists, however, on the impact of baby loss for women bereaved before or around this time. The present study aimed to explore older women's experiences of longer-ago baby loss.
Adaptation and validation of the Chinese version of the Fear of Alzheimer's Disease Scale
Lin RSY, Su JJ, Chan TW and Kwan RYC
Despite emerging evidence suggesting the importance of alleviating dementia fear in improving psychological wellbeing and effective coping strategies, a major barrier to the evaluation and management of dementia fear is the lack of a valid tool to measure it, especially among the Chinese ethnic group. This study aims to evaluate the validity and reliability of the Chinese version of the Fear of Alzheimer's Disease Scale (FADS).
Dementia-related crisis admissions destabilize regular care: a qualitative study among Dutch nursing-home staff
Heil TC, Kosman M, Debby L G and Perry M
This study explores nursing-home staff experiences with crisis admissions of persons with dementia and their impact.
Effect of cognitive frailty on falls, hospitalization, and disability among older adults in nursing homes: a prospective cohort study
Gao J, Luo H, Chen H, Chen X, Bai D, Zhang L, Ji W, Dong X and Hou C
A higher prevalence of cognitive frailty exists among geriatric residents in nursing homes that provide long-term residential care for older adults. However, research specifically focused on examining the effects of cognitive frailty on adverse outcomes among older adults residing in nursing homes remains limited.
Connect for caregivers: an exemplar using the NIH Stage Model for behavioral intervention development
Norton SA, Carter RM, Moskow M, Bobry M, Wittink MN, Heffner KL and Van Orden KA
In this study, we adapted, refined, and tested feasibility of a card sort-based prioritization tool, Connect for Caregivers (C4C), to foster action planning for social connectedness in lonely family caregivers of persons living with dementia (PLWD).
Differential impacts of psychological and social factors on fear of falling amongst community-dwelling older adults
Torbitt M, O'Brien SR, MacDonald G, Mooney K, Silsupadol P, Turner I, Bautista S and Lugade V
This cross-sectional study explored the differential impact of psychological and social factors on fear of falling (FoF) beyond the impact of biological factors. The authors hypothesized that self-reported depressive symptoms, income, and living arrangement would have a greater impact on FoF than a model including biological measures of current level of physical function controlling for, age, sex, race, and past falls history (Biological Model).
Delirium, genetic susceptibility and Parkinson's disease progression: a community- and UK biobank-based matched cohort study
Li M, Duan W, Feng Y, Wang Z, Hao X, Li S, Sun S and Shi C
While various psychological factors increase Parkinson's disease (PD) risk, delirium's role remains unexplored. This study examined whether delirium is associated with PD incidence and identified potential modifying factors.
Association between living alone period, social isolation and death in middle-aged and older adults
Kim MS, Yang JM, Hwang JE, Jang TS and Kim JM
This study aims to analyze the relationship between the living alone period and social isolation among middle-aged and older adults and mortality, and to identify vulnerable groups considering individual characteristics.
Dyadic associations of loneliness with sleep between husbands and wives in older couples: findings from a national 10-year longitudinal study
Fan Y, Chen H, Lin J, Ma Z, Wang D and Fan F
This study investigated the concurrent and longitudinal dyadic associations of loneliness with sleep duration and quality between wives and husbands among retired couples over 10 years.
Effect of perceived stress on depressive symptoms among the elderly: the moderating roles of subjective cognitive decline and impermanence acceptance
Liu F, Fang R, Wang X, Lu R, Wang B and Wang Y
This study aimed to examine whether subjective cognitive decline and impermanence acceptance would moderate the effect of perceived stress on depressive symptoms among the elderly.
Self-perceptions of aging and cognitive function: the mediating role of volunteering and intergenerational activities
Lee Y, Cho YI and Steward AT
According to stereotype embodiment theory (SET), negative self-perceptions of aging (SPA) affect health across the lifespan. Research indicates that both positive and negative SPA are associated with various health outcomes, including cognitive function. SET postulates three pathways through which SPA can affect health: psychological, behavioral, and physiological. The behavioral pathway suggests that older adults with negative SPA are less likely to engage in a healthy lifestyle, viewing such efforts as futile. Although studies have explored the relationship between SPA and cognitive function, limited research has examined activities that may mediate this relationship. Volunteering and intergenerational activities are potential pathways, as past interventions have shown improvements in memory, attention, and cognitive function. This study investigated the associations of SPA, volunteering, intergenerational activities, and cognitive function, including volunteering and intergenerational activities as mediators in the SPA-cognition relationship, during a 4-year period.
Exploring the role of residential surrounding greenness in global and domain-specific cognitive function among community-dwelling mature and older adults from Southern Italy
Ricciardi E, Spano G, Giannico V, Lopez A, Tinella L, Napoletano R, Traficante S, Sanesi G, Bosco A and Caffò AO
Recent evidence suggests residential surrounding greenness may benefit cognitive functioning. Although benefits have been widely studied in children and young adults, research involving mature and older adults, especially studies using objective greenness measures and comprehensive cognitive assessments, remains limited and shows mixed results. This study examines the effect of residential surrounding greenness on global and domain-specific cognition (memory, attention, language, executive functions) in community-dwelling mature and older adults. Also, moderating factors (age, gender, and education) are investigated.
'See something, say something': a qualitative study of neighborhood perceptions and brain health
Heuer S, Besser LM, Dominguez B, Huynh S, Le BN, Nguyen BS, Pham J, Vu U and Meyer OL
Studies have shown the importance of neighborhood factors, such as residential segregation and green space, in associations with older adult brain health. In this qualitative study, we examine older adults' perceptions of their neighborhood, with a particular focus on residential diversity and segregation.