Abstract:
:Objectives: Impaired cognition and pre-frailty are associated with poor health outcomes. However, research has not examined the combined impact of cognitive impairment and pre-frailty on future frailty and mortality among older Mexican Americans. Methods: Data for this analysis came from the 2006-2007 and 2010-2011 waves of the Hispanic EPESE. The final sample included 639 Mexican Americans aged ≥77 years who were non-frail or pre-frail in 2006-2007. Frailty measure included weight loss, exhaustion, weakness, and slow walking speed. Participants were classified as non-frail (0 criteria) and pre-frail (1 criterion) at baseline. Cognitive impairment was defined as <21 points on the MMSE. At baseline, participants were grouped as: cognitively intact non-frail, cognitively intact pre-frail, cognitively impaired non-frail, and cognitively impaired pre-frail. Logistic and hazard regression models were used to evaluate the odds of being frail in 2010-2011 and risk for 10-year mortality. Results: Cognitively impaired pre-frail participants were more likely to become frail (OR = 4.82, 95% CI = 2.02-11.42) and deceased (HR = 1.99, 95% CI = 1.42-2.78). Cognitively impaired non-frail participants had significantly higher risk for mortality (HR = 1.55, 95% CI = 1.12-2.19) but not frailty (OR = 1.29, 95% CI = 0.50-3.11). Being cognitively intact and pre-frail at baseline was not significantly associated with being frail at follow-up (OR = 1.62, 95% CI = 0.83-3.19) or mortality (HR = 1.29, 95% CI = 0.97-1.71). Conclusions: Comorbid cognitive impairment and pre-frailty is associated with future frailty and mortality in older Mexican Americans. Screening for cognitive impairment may be effective for identifying pre-frail Mexican Americans who are at the highest risk of frailty and mortality.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Downer B,Al Snih S,Howrey BT,Raji MA,Markides KS,Ottenbacher KJdoi
10.1080/13607863.2018.1493719subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1405-1412issue
10eissn
1360-7863issn
1364-6915journal_volume
23pub_type
杂志文章abstract:OBJECTIVES:The steeling effect suggests that early-life adversity can have a beneficial impact later in life. However, little is known about its underlying mechanisms and long-term outcomes . The study aimed to examine the role of early-life adversity (ELA) on successful aging, and whether this relationship can be expl...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1433635
更新日期:2019-05-01 00:00:00
abstract::Objectives: A considerable body of work addresses prevalence and treatment options for depression in older adults. However, less is known about their capacity to self-manage their depression. Effective self-management of depression has the potential to improve individuals' quality of life through information, empowerm...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1562538
更新日期:2020-06-01 00:00:00
abstract::This study examined the relationship between adherence to tradition and depression in a large sample (N = 1502) of Chinese elders living in the People's Republic of China. In Chinese traditional culture, an elder's purpose, meaning and self-worth are derived, in large, from their social roles within the family and com...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500308017
更新日期:2006-01-01 00:00:00
abstract::Objectives: Humans often hold structured generalizations about themselves, which include attributes of qualities or characteristics they consider as important to their personal self-definitions. In this regard, holding one's age as an important defining personal category (high age awareness) was demonstrated to be con...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1566815
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:This study investigated the mental health of a cohort of 262 female and 168 male grandparents across the first two years of their transition to grandparenthood, with particular focus on the impact of providing childcare for the grandchild. METHOD:Baseline assessments were made during the pregnancy with the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1248897
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVES:With the process of population aging and urbanization, a vast amount of studies have confirmed the increasing urban-rural cognition gaps, while less is known about the extent to which cognition gaps can be explained by urban-rural difference and urbanization status. This study aimed to examine the role of ur...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2021.1872490
更新日期:2021-01-20 00:00:00
abstract::In many countries there is a concern to improve assessment procedures for older people to avoid misplacement in nursing homes and ensure that rehabilitation takes place where possible. The study examined assessment documentation in 126 care homes in North West England. On a set of core domains for assessing need, the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600637794
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:This study examined determinants of discriminatory behavior towards a person with Alzheimer's disease (AD) using an attribution model. More specifically, the effects of residing in a nursing home compared with the community were examined. METHOD:A phone survey was conducted during the summer of 2007 with a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802380649
更新日期:2008-11-01 00:00:00
abstract::Objectives: Poor social connections may be associated with poor cognition in older people who are not experiencing mental health problems, and the trajectory of this association may be moderated by cognitive reserve. However, it is unclear whether this relationship is the same for older people with symptoms of depress...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
doi:10.1080/13607863.2018.1506742
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:Financial debt held by older adults in the U.S. has grown over the past two decades. This study examines the extent to which credit cards, other consumer debts, and mortgage debt increase financial stress. Outcome measures of financial stress include the material domain ("bill-paying difficulty") and psychol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1843000
更新日期:2020-11-10 00:00:00
abstract:OBJECTIVES:Apathy is a prevalent neuropsychiatric manifestation in individuals with Alzheimer's disease (AD) that is associated with decreased social functioning and increased caregiver burden. Olfactory deficits are also commonly observed in AD, and prior work has indicated a link between increased apathy and olfactor...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.768208
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Demonstrations of the effectiveness of interventions requires evidence that the model can be implemented with fidelity. Caregiving interventions that are tailored to the individual or family require flexibility, which adds some challenges to the assessment of fidelity. This paper outlines the components nece...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1647134
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:The aims were to describe longitudinal patterns in terms of perceived ability to use everyday technology (ET) and involvement in everyday activities over five years in older adults with mild cognitive impairment (MCI), and to examine the predictive value of these patterns regarding diagnostic outcomes. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1297361
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:This paper reports on the acceptability and effectiveness of the FITS (Focussed Intervention Training and Support) into Practice Programme. This intervention was scaled up from an earlier cluster randomised-controlled trial that had proven successful in significantly decreasing antipsychotic prescribing in c...
journal_title:Aging & mental health
pub_type: 评论,杂志文章
doi:10.1080/13607863.2015.1063102
更新日期:2016-07-01 00:00:00
abstract::This study examines the effectiveness of a peer counselling program in Hong Kong for the elderly with depression living in the community, and its impact on the peer counsellors. Thirty depressed elderly subjects participated in the program, which was found to have improved their perceived health status and level of de...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600735861
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:Normal aging involves progressive prefrontal declines and impairments in executive control. This study aimed to examine the efficacy of an executive-control training focusing on working memory and inhibition, in healthy older adults, and to explore the role of individual differences in baseline capacities an...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1858755
更新日期:2020-12-16 00:00:00
abstract::The current emphasis on early detection and disclosure of a diagnosis of dementia highlights the need to examine couples' shared constructions of, and responses to, the diagnosis, and to explore the appraisals that couples make about the illness at an early stage. While the experiences of carers and of people with dem...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500114555
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:Most research on learning in the field of dementia has studied teaching approaches, while little is known about learning as experienced and enacted by the people with dementia. The aim was to explore the lived experience of learning and maintaining knowledge related to technology among people with mild to mo...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1222347
更新日期:2017-12-01 00:00:00
abstract::Objectives: Explorations of relationships between loneliness and depression have focused on loneliness as a uni-dimensional construct. We hypothesised that reciprocal relationships may exist between depressive symptomatology and social and emotional subtypes of loneliness.Methods: Using data from 373 adults aged over ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1517728
更新日期:2020-01-01 00:00:00
abstract::When diagnosis of dementia occurs earlier in the disease process, more time is available for treatment aimed at maintaining patient function and delaying decline, and for family education about the disease and its management. Primary care providers often, however, face challenges in making timely diagnoses. Nineteen p...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001725018
更新日期:2004-09-01 00:00:00
abstract::I examine: whether specific emotion-focused coping and help-seeking strategies adopted by older widow(er)s 6 months postloss affect depressive, anger, and yearning symptoms 1 year later; whether these effects are accounted for by psychosocial factors which guide the selection of coping strategies; and the extent to wh...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1531381
更新日期:2020-02-01 00:00:00
abstract::Objectives: Providing care for family members with Alzheimer's disease (AD) might awaken ambivalent feelings in caregivers. This topic, however, has received little research attention. Having reliable and valid scales is a first step in expanding our knowledge in this area, particularly among different cultural groups...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1715341
更新日期:2020-01-20 00:00:00
abstract:OBJECTIVES:The aim of this population-based study was to investigate the usefulness of the Geriatric Depression Scale 15-item version (GDS-15) to assess depressive symptoms among very old people with differing levels of cognitive function. METHODS:The 834 participants were aged 85 and over. Feasibility of GDS-15 was e...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.758231
更新日期:2013-01-01 00:00:00
abstract::Objectives: Informal caregivers who recognize patients' depressive symptoms can better support self-care and encourage patients to seek treatment. We examined patient-caregiver agreement among patients with heart failure (HF). Our objectives were to (1) identify distinct groups of HF patients and their out-of-home inf...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1481923
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:The purpose of this cross-sectional study was to compare health-related quality of life (QOL) and mental health between older women with and without urinary incontinence. METHOD:This study is a secondary data analysis using raw data from 1874 women aged 65 years or older who participated in the Korea Nation...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1033682
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Assessment of personality changes in patients with dementia has received little systematic investigation, although caregivers report personality modifications in every phase of dementia. METHODS:A group of 52 patients with probable Alzheimer's disease (AD) vs. a group of fifteen control subjects were select...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860601086603
更新日期:2007-09-01 00:00:00
abstract::Objectives: Mentally stimulating leisure activities and cognitive interventions are associated with delayed cognitive decline, although evidence has not been unequivocal, possibly due to differential contribution of the two types of activities. This study aimed to examine the respective contributions of mentally activ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1636204
更新日期:2020-11-01 00:00:00
abstract::This cross-sectional study investigated the relationship between apathy and quality of life (QOL) in nursing home residents (n = 227). In all, 92 residents could be assessed with the Mini Mental State Examination (MMSE), the Geriatric Depression Scale (GDS) and the Philadelphia Geriatric Centre Morale Scale (PGCMS), a...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860412331336797
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:The authors set out to systematically review the research literature in order to identify the anxiety measures most commonly used in the assessment of older adults. Once identified, the literature was reviewed to determine the extent to which these instruments had age-relevant norms and psychometric data sup...
journal_title:Aging & mental health
pub_type: 杂志文章,评审
doi:10.1080/13607863.2011.602960
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Although generalized anxiety disorder (GAD) is one of the most prevalent anxiety disorders in older adults, very little is known about the neurobiology of worry, the hallmark symptom of GAD in adults over the age of 60. This study investigated the neurobiology and neural circuitry of worry in older GAD patie...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1109058
更新日期:2017-04-01 00:00:00