The prevalence of lifetime trauma and association with physical and psychosocial health among adults at the end of life DOI
Kate A. Duchowny, Alexander K. Smith, Irena Cenzer

et al.

Journal of the American Geriatrics Society, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 1, 2024

Abstract Background National guidelines recognize lifetime trauma as relevant to clinical care for adults nearing the end of life. We determined prevalence early life and cumulative among persons at by gender birth cohort, association with end‐of‐life physical, mental, social well‐being. Methods used nationally representative Health Retirement Study data (2006–2020), including age > 50 who died while enrolled ( N = 6495). Early traumatic events were measured using an 11‐item scale (cumulative trauma: 0–5+ over lifespan). included six cohorts (born <1924; children depression [1924–1930]; HRS cohort [1931–1941]; war babies [1942–1947]; baby‐boomers [1948–1953]; mid‐baby boomers [1954–1959]). End‐of‐life outcomes validated measures physical (pain, fatigue, dyspnea), mental (depression, satisfaction), (loneliness, isolation) needs. report adjusted probability each outcome multivariable logistic regression. Results The mean death was 78 years (SD 11.1) 52% female. Lifetime common (0 events: 19%; 1–2: 47%; 3–4: 25%; 5+: 9%), variation in individual (e.g., a child, weapons combat) cohort. After adjustment, increasing significantly associated p ‐value<0.001) higher reports moderate‐to‐severe pain 46%; 1–2 50%; 3–4 57%; 5+ 60%), fatigue (58%; 60%; 66%; 69%), dyspnea (46%; 51%; 56%; 58%), (24%; 33%; 37%; 40%), loneliness (12%; 17%; 22%), lower satisfaction (73%; 63%; 58%; 54%). Conclusion Older last high which are worse psychosocial health. A trauma‐informed approach management needs may improve patient's quality

Language: Английский

Lifetime Stressor Severity and Diurnal Cortisol in Older African American Adults: A Comparison of Three Theoretical Models DOI Creative Commons
Katherine Knauft, Kristin M. Davis, Yanping Jiang

et al.

Developmental Psychobiology, Journal Year: 2025, Volume and Issue: 67(2)

Published: March 1, 2025

ABSTRACT Multiple theoretical models have been proposed to explain how stressor exposure across the life course relates functioning of hypothalamic‐pituitary‐adrenal (HPA) axis, as indexed by daily cortisol secretion. However, this association remains understudied in African Americans. The present study tested three competing severity lifespan and diurnal secretion a sample 203 older American adults. cumulative model emphasizes total lifespan, biological embedding early‐life severity, sensitization instead interaction between recent severity. Lifetime was assessed using Stress Adversity Inventory for Adults (Adult STRAIN). Analyses did not support any but, rather, characteristics perspective, wherein specific associated with blunted slopes. Sensitivity analyses revealed that early count, rather than Rather supporting one our findings provide preliminary evidence approach when examining lifetime affects HPA‐axis activity.

Language: Английский

Citations

0

Religious stress coping is associated with lower entorhinal tau pathology and better memory performance in autosomal dominant Alzheimer's disease DOI
Jairo E. Martínez, Yamile Bocanegra, Ana Baena

et al.

Journal of Alzheimer s Disease, Journal Year: 2025, Volume and Issue: unknown

Published: April 3, 2025

Stress is a known risk factor for Alzheimer's disease (AD), but religious stress coping practices, (e.g., prayer and attending services) may reduce this risk. We investigated the relation between memory in cognitively-unimpaired individuals from Colombian kindred with autosomal dominant AD. Additionally, we examined link brain pathology. Religious was associated lower entorhinal tau ( p = 0.02) better performance 0.04) Presenilin-1 E280A mutation carriers, not non-carriers. These findings suggest that mitigate AD pathology cognitive decline warrant further investigation.

Language: Английский

Citations

0

The prevalence of lifetime trauma and association with physical and psychosocial health among adults at the end of life DOI
Kate A. Duchowny, Alexander K. Smith, Irena Cenzer

et al.

Journal of the American Geriatrics Society, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 1, 2024

Abstract Background National guidelines recognize lifetime trauma as relevant to clinical care for adults nearing the end of life. We determined prevalence early life and cumulative among persons at by gender birth cohort, association with end‐of‐life physical, mental, social well‐being. Methods used nationally representative Health Retirement Study data (2006–2020), including age > 50 who died while enrolled ( N = 6495). Early traumatic events were measured using an 11‐item scale (cumulative trauma: 0–5+ over lifespan). included six cohorts (born <1924; children depression [1924–1930]; HRS cohort [1931–1941]; war babies [1942–1947]; baby‐boomers [1948–1953]; mid‐baby boomers [1954–1959]). End‐of‐life outcomes validated measures physical (pain, fatigue, dyspnea), mental (depression, satisfaction), (loneliness, isolation) needs. report adjusted probability each outcome multivariable logistic regression. Results The mean death was 78 years (SD 11.1) 52% female. Lifetime common (0 events: 19%; 1–2: 47%; 3–4: 25%; 5+: 9%), variation in individual (e.g., a child, weapons combat) cohort. After adjustment, increasing significantly associated p ‐value<0.001) higher reports moderate‐to‐severe pain 46%; 1–2 50%; 3–4 57%; 5+ 60%), fatigue (58%; 60%; 66%; 69%), dyspnea (46%; 51%; 56%; 58%), (24%; 33%; 37%; 40%), loneliness (12%; 17%; 22%), lower satisfaction (73%; 63%; 58%; 54%). Conclusion Older last high which are worse psychosocial health. A trauma‐informed approach management needs may improve patient's quality

Language: Английский

Citations

0