BACKGROUND: Reminiscence therapy (RT) is a widely used approach to promote well-being among older adults and is an effective intervention method for older adults with diverse health conditions, including community-dwelling older adults. OBJECTIVES: The aim of the study was to determine the impact of group RT on assessments of depression, anxiety and self-esteem in older adults living in the community. METHODS: We implemented sessions of group simple RT. The sample consisted of 24 older adults living in the community who attended a 12-week RT course. The duration of each reminiscence session was 60 min. The average age of the sample was 74.7 years. We used the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Rosenberg self-esteem scale, the Older adults' Quality of Life-Brief version and the Sense of Coherence scale to assess mental health outcomes before and after intervention. RESULTS: After intervention, we observed statistically significant improvements in assessments of depression (p < 0.001), anxiety (p = 0.011), self-esteem (p = 0.007) and the comprehensibility dimension of the sense of coherence scale (p = 0.039). Depression showed the largest effect size (Cohen's d = 0.870; 95% CI: 0.392 to 1.335), indicating a large effect, followed by self-esteem (Cohen's d = 0.612; 95% CI: -1.044 to -0.170) and anxiety (Cohen's d = 0.543; 95% CI: 0.108 to 0.967), both of which demonstrated a moderate effect. CONCLUSIONS: We found group RT to be effective for several outcomes among older adults. Reminiscence is a good non-invasive treatment for the promotion of mental health in community-dwelling older adults. IMPLICATIONS FOR PRACTICE: As research has now established RT to be an essential component of activities for older adults in senior care facilities, we should also offer it to those living in the community as an effective activity for the promotion of healthy aging among older adults.

• MeSH
• deprese * terapie   psychologie   MeSH
• geriatrické hodnocení MeSH
• kvalita života MeSH
• lidé MeSH
• samostatný způsob života * MeSH
• sebepojetí * MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• skupinová psychoterapie metody   MeSH
• úzkost * terapie   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

Objectives: The main objective was to determine the prevalence of depression and anxiety in older adults living in the Moravian-Silesian region. Methods: Empirical data was collected using a set of questionnaires and a personal data form. These tools were the Geriatric Scale of Depression, the Inventory of Geriatric Anxiety, the OPQoL-brief questionnaire, the Rosenberger Self-Esteem Scale, and the Social Support Questionnaire. A total of 935 older adults participated in the research. Results: Depression symptoms were found in 17.2% of older adults and anxiety symptoms in 22.8%. A correlation was shown between a higher prevalence of depression and anxiety and between the number of diseases and low social support. A higher prevalence of depression was also associated with older age (r = 0.162, p = 0.039). Older adults with depression and anxiety also showed a lower quality of life (r = -0.529, p < 0.001; r = -0.362, p < 0.001), lower self-assessment (r = -0.464, p < 0.001; r = -0.429, p < 0.001), and little social support (r = -0.260, p < 0.001; r = -0.211, p < 0.001). Conclusion: Depression and anxiety in older people is underdiagnosed and treated in primary care settings, although it significantly affects morbidity and quality of life in affected persons.

• MeSH
• deprese * diagnóza   epidemiologie   MeSH
• duševní zdraví MeSH
• lidé středního věku MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• senioři MeSH
• sociální opora MeSH
• úzkost diagnóza   epidemiologie   psychologie   MeSH
• Check Tag
• lidé středního věku MeSH
• senioři MeSH
• Publikační typ
• práce podpořená grantem MeSH

Cíl: Cílem naší průřezové studie bylo zjistit, jaké mají senioři znalosti o demenci a postoje k demenci a zda se tyto postoje a znalosti liší dle vybraných faktorů. Soubor a metodika: Výzkumný soubor tvořilo 269 účastníků Univerzity třetího věku v Ostravě, kteří byli starší 60 let. Pro sběr dat byla použita škála znalostí o demenci (Dementia Knowledge Scale) a škála postojů k lidem s demencí a k péči o ně (The Scale of Attitudes toward People with Dementia and their Care; APDC). Statistické vyhodnocení bylo provedeno pomocí Mann-Whitneyho testu a Spearmanova korelačního koeficientu. Výsledky: Senioři průměrně znali pět z osmi příznaků demence a pět z deseti rizikových faktorů. Lepší znalosti o příznacích demence měli senioři se zkušeností s péčí o osobu s demencí (p = 0,002) a ženy (p = 0,043). Více znalostí o rizikových faktorech demence uvedli muži (p = 0,028). Největší neznalost rizikových faktorů byla v oblasti obezity, vysokého krevního tlaku, diabetu a kouření. Mezi znalostmi a postoji vůči demenci nebyla zjištěna žádná souvislost. Závěr: Zvyšování znalostí seniorů o příznacích a rizikových faktorech demence může vést k vyššímu dodržování preventivních opatření a včasnému rozpoznání nemoci. Současně je vhodné do preventivních programů zařazovat intervence formující postoje seniorů k demenci a péči o osoby s demencí.

Aim: The aim of our cross-sectional study was to find out what knowledge seniors have about dementia and attitudes towards dementia and whether these attitudes and knowledge differ according to selected factors. Materials and methods: The research set consisted of 269 participants from the University of the Third Age in Ostrava who were over 60 years of age. The Dementia Knowledge Scale and The Scale of Attitudes toward People with Dementia and their Care (APDC) were used for data collection. Statistical evaluation was performed using the Mann-Whitney test and Spearman correlation coefficient. Results: On average, seniors knew five out of eight symptoms of dementia and five out of ten risk factors. Seniors with experience in caring for a person with dementia (P = 0.002) and women (P = 0.043) had better knowledge about the symptoms of dementia. Men reported greater knowledge about risk factors for dementia (P = 0.028). The greatest ignorance of risk factors was in the areas of obesity, high blood pressure, diabetes, and smoking. No association was found between knowledge and attitudes toward dementia. Conclusions: Increasing the knowledge of seniors about the symptoms and risk factors of dementia can lead to greater adherence to preventive measures and early recognition of the disease. At the same time, it is appropriate to include interventions shaping seniors‘ attitudes towards dementia and care for people with dementia in prevention programmes.

• MeSH
• časná diagnóza MeSH
• demence * diagnóza   prevence a kontrola   MeSH
• lidé MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• průzkumy zdravotní péče metody   MeSH
• rizikové faktory MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• výchova a vzdělávání metody   MeSH
• znalosti * MeSH
• Check Tag
• lidé MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Publikační typ
• práce podpořená grantem MeSH

BACKGROUND: Due to the aging of the population, the promotion of healthy aging is an important part of public health. Healthy aging of the population can be influenced by the attitudes of the elderly themselves towards old age and aging. The aim of this cross-sectional study was to find out the attitudes of older people living in a community environment toward old age and the predictors that influence these attitudes. METHODS: The evaluation of attitudes towards old age using the WHO AAQ (Attitudes to Aging Questionnaire) questionnaire involved 1,174 elderly people living in the community. Age, sex, marital status, education, subjective health assessment, social support, depression (GDS-15), anxiety (GAI), sense of coherence (SOC-13) and self-esteem (RSES) were used to evaluate related factors. RESULTS: As part of the exploratory factor analysis, a three-factor model (Psychosocial Loss, Physical Change, and Psychological Growth) was confirmed. The Cronbach alpha was found to be acceptable (α = 0.835). The predictors of better AAQ in the Psychological Loss domain were: subjective health, age, quality of life, self-esteem, sense of coherence, life satisfaction, anxiety, and social support; in the Physical Change domain: subjective health, quality of life, self-esteem, life satisfaction, cohabitation, and depression; and in the Psychological Growth domain: age, self-esteem, sense of coherence, life satisfaction, and social support. CONCLUSION: Preventive and policy measures should aim to increase the satisfaction and self-assessment of the elderly, which can help them evaluate the period of old age more positively. It is also important to create a positive perspective of ageing and elderly in society.

• MeSH
• kvalita života * psychologie   MeSH
• lidé MeSH
• postoj MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• sebepojetí MeSH
• senioři MeSH
• stárnutí * psychologie   MeSH
• Check Tag
• lidé MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH

Cíl: Cílem této průřezové studie bylo vyhodnotit kvalitu života, úzkost a depresi u seniorů s kardiovaskulárním onemocněním, kteří žijí v komunitě, a zjistit jejich souvislost se subjektivním hodnocením zdravotního stavu a s tím, zda senior žije v domácnosti sám. Také byla zjišťována souvislost s pohlavím a věkem. Metodika: Kvalita života byla hodnocena pomocí nástroje Older People's Quality of Life - Brief version (OPQOL-BRIEF), pro hodnocení úzkosti byl použit Inventář geriatrické úzkosti (GAI) a pro hodnocení deprese Geriatrická škála deprese (GDS-15). Kritériem pro zařazení do výzkumného souboru byl věk nad 60 let, jedinec s kardiovaskulárním onemocněním v anamnéze žijící v soukromé domácnosti, bez diagnózy demence, se schopností vyplnit dotazník v českém jazyce. Výsledky: Výzkumný soubor byl tvořen 639 respondenty, z toho bylo 74,2 % žen. Průměrný věk ve výzkumném souboru byl 72,9 roku (min. 60, max. 94) a 56,7 % respondentů žilo s manželem či partnerem nebo s dětmi. Průměrné skóre kvality života bylo 53,7 (min. 25, max. 65), průměrné skóre úzkosti bylo 4,9 (min. 0, max. 20), a průměrné skóre deprese 3,3 (min. 0, max. 15). Ženy udávaly statisticky významně lepší kvalitu života (p = 0,0001). Lepší kvalita života byla spojena s lepším subjektivním hodnocením zdravotního stavu (r = 0,439; p < 0,01), klesajícím skóre deprese (r = -0,526; p < 0,01), klesajícím skóre úzkosti (r = -0,342; p < 0,01) a mladším věkem respondentů (r = -0,166; p < 0,01). U seniorů, kteří žili v domácnosti samostatně, bylo zjištěno statisticky významně vyšší skóre deprese (p = 0,028). Závěr: Kvalitu života seniorů ovlivňuje celá řada aspektů, jejichž znalost je důležitá pro efektivní cílení programů určených pro seniory v komunitě. Z hlediska zlepšení kvality života seniorů s kardiovaskulárním onemocněním žijících v komunitě se jako efektivní jeví programy zaměřené na zlepšení celkového zdraví a intervence vázané na zmírnění symptomů deprese a úzkosti.

Aim: The aim of this cross-sectional study was to evaluate a quality of life, anxiety, and depression of the senior citizens with cardiovascular diseases living in the community. Their links with the subjective assessment of the state of health, with whether the senior lives alone in the household, with gender and age were also investigated. Methods: Quality of life was assessed by Older People's Quality of Life - Brief version (OPQOL-BRIEF), the Geriatric Anxiety Inventory (GAI) was used to assess anxiety and the Geriatric Depression Scale (GDS-15) was used to assess depression. The criteria for inclusion in the sample were: age over 60 years, an individual living in a private household, with cardiovascular disease, without a diagnosis of dementia, with the ability to fill out a questionnaire. Results: The sample comprised of 639 respondents, of which 74.2% were women. The average age in the sample was 72.9 years (min. 60, max. 94), and 56.7% of respondents lived with a spouse or partner, or with children. The average quality of life score was 53.7 points (min. 25, max. 65), average anxiety score was 4.9 (min. 0, max. 20) and average depression score was 3.3 (min. 0, max. 15). Women reported a statistically significantly better quality of life (p = 0.0001). Better quality of life was associated with better subjective assessment of health status (r = 0.439; p < 0.01), decreasing depression scores (r = -0.526; p < 0.01), decreasing anxiety scores (r = –0.342; p < 0.01) and the younger age of respondents (r = –0.166; p < 0.01). A statistically significantly higher depression score (p = 0.028) was found in senior citizens who lived alone in the household. Conclusion: The quality of life of senior citizens is affected by a number of aspects, the knowledge of which is important for effective targeting of programs intended for senior citizens in the community. From the point of view of improving the quality of life of senior citizens with cardiovascular disease living in the community, programs aimed at improving overall health and interventions linked to the mitigation of symptoms of depression and anxiety appear to be effective.

• MeSH
• deprese komplikace   MeSH
• kardiovaskulární nemoci * komplikace   MeSH
• kvalita života * MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• senioři * MeSH
• úzkost komplikace   MeSH
• Check Tag
• lidé MeSH
• senioři * MeSH
• Publikační typ
• práce podpořená grantem MeSH

OBJECTIVES: The aim of the research was to identify the most frequent symptoms of patients with progressive neurological disease (PND) in relation to their functional state. Another objective was to determine the effects of consultations with a multidisciplinary palliative team on mitigating the symptoms burden, subjective evaluation of health, disease progression and improvement of the functional state. METHODS: The interventional control study included 151 patients with PND (98 patients in the intervention group, 53 patients in the control group). The intervention group was provided with consultations of a multidisciplinary palliative team. The symptoms scale of the progressive neurological diseases quality of life was used to collect data. The patients completed the questionnaire before the provided intervention and 3 months after that. RESULTS: Pain and fatigue were identified as the symptoms that trouble the patients the most. After the intervention, there was a determined statistically significant improvement in the evaluation of 9 out of 11 symptoms (except excretion and urination) among the patients from the intervention group compared with the control group. When assessed again, the patients from the intervention group showed an improvement with respect to six symptoms (pain, fatigue, tremor, stiffness, cramps, excretion), while the patients from the control group had six symptoms that deteriorated (drowsiness, dyspnoea, stiffness, swallowing, salivation, excretion). There was not any confirmed positive impact of the intervention on the cognitive functions of the patients. CONCLUSION: The provision of consultations with the multidisciplinary palliative team to patients with PND in an advanced stage of disease resulted in decreasing their symptoms burden and improving their functional state.

• MeSH
• bolest MeSH
• hospicová a paliativní ošetřovatelská péče * MeSH
• kvalita života psychologie   MeSH
• lidé MeSH
• paliativní péče * metody   MeSH
• únava MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

• Publikační typ
• abstrakt z konference MeSH

Cílem přehledové studie je shrnout dosavadní důkazy o efektivitě kognitivně-behaviorální terapie u pacientů s chronickou bolestí. Za účelem nalezení studií nejvyšší úrovně důkazů zabývajících se efektem kognitivně-behaviorální terapie u nemocných s chronickou bolestí byly prohledávány elektronické databáze PubMed, Science Direct, Cochrane Library pomocí klíčových slov - kognitivně-behaviorální terapie, chronická bolest, terapie, dospělý. Sledované období bylo od roku 2012 do roku 2022. Zařazující kritéria splnilo 33 systematických přehledů. Systematické přehledy zjistily, že KBT poskytuje krátkodobě malý přínos ve srovnání s obvyklou léčbou. Silný terapeutický vztah je zásadní pro maximalizaci účinku KBT, přičemž nejlepšími kandidáty jsou motivovaní, vzdělaní jedinci s jasnými cíli a komorbiditami (např. poruchami nálad nebo s úzkostnými poruchami), které bolest zesilují. Zjištění tohoto přehledu byla smíšená, přičemž některé studie poskytly důkazy na podporu domněnky, že lidé trpící chronickým bolestmi mohou mít prospěch z KBT a že KBT může mít vliv na snížení chronické bolesti. Nedostatky metodologie v zjištěných přehledech však ztěžují vyvození jednoznačných závěrů.

The review study aims to summarise the existing evidence on the effectiveness of cognitive behavioural therapy in patients with chronic pain. In order to find the highest level of evidence studies addressing the effect of cognitive behavioural therapy in patients with chronic pain, electronic databases PubMed, Science Direct, Cochrane Library were searched using key words - cognitive behavioural therapy, chronic pain, therapy, adult. The reporting period was from 2012 to 2022. 33 systematic reviews met the inclusion criteria. Systematic reviews found that CBT provides little benefit in the short term compared to usual treatment. A strong therapeutic relationship is essential to maximise the effect of CBT, with the best candidates being motivated, educated individuals with clear targets and compartments involving mood disorders or anxiety disorders that increase pain. The findings of this review were mixed, with some studies providing evidence to support the assumption that people with chronic pain may benefit from CBT and that CBT may have an impact on reducing chronic pain. However, the methodological weaknesses in the surveys made it difficult to draw firm conclusions.

• MeSH
• behaviorální terapie * metody   MeSH
• chronická bolest * etiologie   terapie   MeSH
• kognitivní psychologie * metody   MeSH
• lidé MeSH
• management bolesti MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• přehledy MeSH

BACKGROUND: Evaluation of life satisfaction of older people using standardised tools can play a crucial role in evaluating the effectiveness of policy measures aimed at mitigating the effects of population aging. OBJECTIVES: The aim of the study was to verify the psychometric properties of the Czech version of a 12-item scale (the Life Satisfaction Index for the Third Age) for older people living in the community. METHODS: The research involved 1113 older people from the Moravian-Silesian Region over 60 years of age living in a home environment. For the newly created Czech version of LSITA-SF12, we tested validity (construct validity and convergent validity) and reliability (internal consistency). RESULTS: We confirmed a single-factor model for the LSITA-SF12 scale (χ2 = 71.33, p < .001, CFI = 0.995, TLI = 0.994, RMSEA = 0.065, SRMR = 0.056, GFI = 0.999) by confirmatory factor analysis and load factor analysis (values of explorations ≥0.45). The internal consistency of the scale was satisfactory (α = 0.878). Furthermore, there was a medium correlation rate (r = 0.592; p < .001) between the overall score of the LSITA-SF and quality-of-life score (OPQoL-Brief). CONCLUSIONS: We found the Czech version of the LSITA-SF12 questionnaire to have satisfactory psychometric properties. The questionnaire is suitable for use in research and clinical practice to evaluate the effectiveness of preventive measures. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov. PRS Protocol Registration and Results System; NCT05637177. IMPLICATION FOR PRACTICE: The LSITA_SF12 questionnaire can beadministered by a community gerontological nurse and can be used in clinicalpractice and research.

• MeSH
• kvalita života * MeSH
• lidé středního věku MeSH
• lidé MeSH
• osobní uspokojení * MeSH
• průzkumy a dotazníky MeSH
• psychometrie MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

OBJECTIVES: The aim of this cross-sectional study was to determine the life satisfaction of older people living in a home environment and to find out what predictors influence it. METHODS: The research involved 1,121 older people 60 years and above from the Moravian-Silesian region who live in a home environment. The short form of the Life Satisfaction Index for the Thirds Age (LSITA-SF12) was used to assess life satisfaction. The Geriatric depression scale (GDS-15), the Geriatric Anxiety Inventory Scale (GAI), The Sense of Coherence Scale (SOC-13), and the Rosenberg Self-Esteem Scale (RSES) were used to evaluate related factors. In addition, age, gender, marital status, education, social support, and subjective health assessment were evaluated. RESULTS: The overall life satisfaction score was found to be 36.34 (s = 8.66). The satisfaction of older people was classified into four grades: high satisfaction (15.2%), moderate satisfaction (60.8%), moderate dissatisfaction (23.4%), and high dissatisfaction (0.6%). The predictors of the longevity of the lives of older people were confirmed, both health factors (subjective health assessment, anxiety, and depression [Model 1: R = 0.642; R2 = 0.412; p<0.000]) and psychosocial factors (quality of life, self-esteem, sense of coherence, age, and social support [Model 2: R = 0.716; R2 = 0.513; p<0.000]). CONCLUSION: In implementing policy measures, these areas should be emphasized. The availability of educational and psychosocial activities (e.g. reminiscence therapy, music therapy, group cognitive behavioural therapy, cognitive rehabilitation) within the community care of the older people and university of third age is appropriate to increase the life satisfaction of the older people. An initial depression screening is also required as part of preventive medical examinations to ensure early diagnosis and treatment of depression.

• MeSH
• deprese psychologie   MeSH
• emoce * MeSH
• kvalita života * psychologie   MeSH
• lidé MeSH
• osobní uspokojení MeSH
• průřezové studie MeSH
• senioři MeSH
• Check Tag
• lidé MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Geografické názvy
• Česká republika MeSH