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Dementia-related stigma significantly influences help-seeking and affects the quality of care and support received by people with the condition. This review examines the impact of stigma on help-seeking among people with dementia and identifies key factors influencing this relationship. A systematic search across Web of Science, CINAHL, PsycINFO, PubMed, and Scopus identified seventeen qualitative studies that met the inclusion criteria. These criteria encompassed studies focusing on individuals aged 60 and older addressing public- or self-stigma and exploring help-seeking behaviors and related influencing factors. A thematic synthesis was employed to analyze the findings. The following five major themes emerged: reluctance to disclose the condition, internalization or rejection of stigmatizing beliefs, influence of family and community, attitudes of healthcare professionals, and lack of awareness in the broader society. Factors such as psychological decline, loss of autonomy, limited service access, peer support, and need for policy-level intervention were identified as central in shaping stigma. Findings related to the factors that influence this relationship indicate that stigma delays diagnosis and treatment, restricting access to adequate care. Both individual (e.g., autonomy, psychological well-being) and contextual (e.g., social networks, public policies) factors are crucial in moderating this dynamic. Targeted interventions addressing these dimensions are urgently needed to reduce stigma and facilitate timely help-seeking in dementia.

Extensive research indicates that cognitive interventions can lead to a general improvement in cognitive functioning throughout the lifespan. In this study, we evaluate the causal evidence supporting this relationship in healthy older adults and older adults with mild cognitive impairment (MCI) by means of an umbrella meta‐analysis of meta‐analyses. The meta‐analytic studies were identified through systematic searches in electronic databases (CINAHL, Cochrane Library, PsycINFO, PubMed, Scopus, and Web of Science) and were included in this umbrella meta‐analysis if they examined the effects of cognitive interventions, not mixed with other approaches, in healthy older adults and individuals with MCI. Of the 9734 publications that were screened, 25 met the inclusion criteria and reported comprehensive data suitable for statistical analysis. Findings showed that although the effect‐sizes across studies were variable, they were consistently positive, indicating a significant impact of different cognitive interventions on global cognitive functioning, memory, executive functions, visuospatial ability, and processing speed compared to control groups. This finding suggests that the efficacy of cognitive treatments is the best option for preclinical forms of aging, such as MCI. The underlying mechanisms of the observed improvements and their implications for further studies and clinical practice are discussed.

IntroductionResearch on psychosocial interventions for dementia demonstrates increased rigour and robustness. However, if we are to influence practice, beyond results from randomised controlled trials, a variety of types and sources of evidence is needed. The Medical Research Council (MRC) framework offers a valuable guide for developing, evaluating and implementing complex interventions, to facilitate integration of research into practice. There is limited knowledge of how researchers design, evaluate and implement psychosocial intervention studies in dementia, using the MRC framework. This scoping review aims to: (1) identify the methodological and methods trends, use and gaps in the development, evaluation and implementation of psychosocial interventions for dementia, and (2) determine if and how the MRC six core elements were considered and applied in studies.Methods and analysisSix databases (Ovid MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, Cochrane Library) will be searched for studies published from 2015 (when MRC process guidance was published) to 2025. Identified deduplicated citations will be imported into Covidence software, where up to 40% of title/abstracts will be double screened by independent reviewers. ASReview will be used to rank articles by relevance, with a stopping criterion of 250 consecutive irrelevant articles. Full texts will be reviewed by a single reviewer and those excluded will be checked by a second reviewer. Data extraction will include study aim/objective (ie, to develop/adapt; test feasibility/pilot; evaluate; implement); methodology and methods applied; information on which MRC six core elements were considered (yes/no), and if so, how they were addressed (ie, qualitative details). A narrative synthesis, alongside graphical representations (eg, table/bar charts/histograms), will be used to synthesise findings on methodologies and methods mapped onto the MRC framework.Ethics and disseminationThis secondary analysis scoping review does not require ethics approval. Results will be disseminated through peer-reviewed publication(s), seminars, webinars, conferences, postgraduate dementia programmes, blogs, commissioner briefings and social media. The findings will provide a state-of-the-art overview of current practices; advance methods/methodology such as informing a Delphi consensus study on appropriate research approaches; and guide researchers in application of the MRC framework to widen the scope of dementia care evidence for practice improvements.RegistrationSubmitted to Open Science Framework https://doi.org/10.17605/OSF.IO/S56NQ.

Background In Italy, migrant family care assistants (MFCAs) represent the most cost-effective answer to dementia home care need and to desire of ageing in place of older adults and family caregivers. Nevertheless, MFCAs very often have no training in elder care and even less in the dementia care. Conversely, elder care training may improve MFCAs’ working condition and mental health. Exploring MFCAs’ educational needs is one of the objectives of the “Age-It” project, aiming at advancing knowledge and competences on ageing by applying a holistic, interdisciplinary, and problem-solving approach through the synergic work of research and educational institutions, care providers and civil society associations, businesses and industries. Methods In Autumn 2023, 25 semi-structured questionnaires, including both closed and open-ended questions, were conducted with MFCAs living in two Italian regions: Marche and Molise. The research material was thematically analysed to answer four research questions: Which is the work experience of MFCAs of older adults with long-term care needs? Which are their educational needs? Which are the barriers to training? Did the emigration geographical area of respondents and the migration route influence their willingness to attend an elder care training? Results Three main themes were identified: (1) Migration: a painful choice to flee poor (violent) societies; (2) Elder care: a stressful work; (3) Needs and barriers to elder care education. Most interviewed MFCAs face many difficulties at work, including stress, burden and lack of free time. Many respondents expressed the need and willingness to improve their knowledge on ageing processes, dementia, behavioural disorders, medicine administration, bedsores and injuries medication. The 24 h work represents the main barriers to attend the lessons. Discussion Suggestions for future trainings include a co-designed curriculum embedding contents on dementia and behavioural disorders; self-care and resilience; host country language. Concerning policy and practice recommendations, mandatory, free and periodic, blended trainings, a clear offer of elder care education, the recognition of previous courses at EU and national level are encouraged. Conclusions Given the pivotal role of MFCAs in the LTC in Italy, it is urgent that they are adequately trained. Given the stressful and 24 h work, a co-designed e-learning platform may be a promising means for reaching and training them. Clinical trial number Not applicable

Background Emerging evidence shows an impact of the COVID-19 pandemic on people living with dementia and informal carers, without any evidence-based global comparison to date. The aim of this international study was to explore and compare the perceived impact of COVID-19 and associated public health restrictions on the lives of people living with dementia and informal carers and access to dementia care across five countries. Methods Informal carers and people living with dementia who were residing in the community in the UK, Australia, Italy, India, and Poland were interviewed remotely between April and December 2020. Participants were asked about their experiences of the pandemic and how restrictions have impacted on their lives and care. Transcripts were analysed by researchers in each country using inductive thematic analysis. Results Fifteen people living with dementia and 111 informal carers participated across the five countries. Four themes emerged: (1) Limited access and support; (2) Technology and issues accessing remote support; (3) Emotional impact; and (4) Decline of cognitive and physical health reported by carers. Whilst variations were noted, the pandemic has indirectly affected people with dementia and carers across all five countries. The pandemic removed access to social support services and thus increased carer burden. Remote services were not always provided and were very limited in benefit and usability for those with dementia. As a result, carers appeared to notice reduced cognitive and physical health in people with dementia. Particular differences were noted between India and Poland vs. the UK, Italy, and Australia, with less impact on care provision in the former due to limited uptake of support services pre-pandemic based on cultural settings. Conclusions The pandemic has amplified dementia as a global public health problem, and people affected by the condition need support to better access vital support services to live well.

Most studies have been concerned with the experiences and needs of women with breast cancer and spouses/partners separately. In this review, the relationship dynamics that characterize the couple’s experience of breast cancer treatment were investigated. Findings will inform both researchers and professionals in the area of oncology. A systematic literature search was performed in CINAHL, PsychINFO, MEDLINE, Scopus and Web of Science. A checklist for qualitative and observational studies was used to evaluate the methodological quality of the studies. Seventeen studies were included, and the synthesis of the literature revealed five domains that characterized the dyadic process: dyadic coping strategies, psychosocial support, communication, the couple’s sexual life and spirituality. The included studies provide the basis for knowledge and awareness about the experience of couples with cancer, the specific dimensions enacted during the breast cancer treatment path and the type of responses that are associated with a positive couple’s adjustment to the disease.

The present study aims to investigate the outcomes of the Focal Play Therapy with Children and Parents (FPT-CP) in terms of parent–therapist alliance, parent–child interactions, and parenting stress. Thirty parental couples (N = 60; 30 mothers and 30 fathers) and their children presenting behavioral, evacuation and eating disorders took part to the study. Through a multi-method longitudinal approach, data were collected at two time points (first and seventh sessions) marking the first phase of the intervention specifically aimed to build the alliance with parents, a crucial variable for the remission of the child’s symptoms (and to the assessment of the child’s symptoms within family dynamics.) Therapeutic alliance was assessed by the Working Alliance Inventory by therapists and parents. Parent–child interactions and parenting stress were evaluated using the Emotional Availability Scales and the Parenting Stress Index, respectively. Results showed that a positive parent–therapist alliance was developed and maintained during the first seven sessions. Furthermore, parent–child interactions significantly improved on both parents’ and child’s dimensions. However, parenting stress levels remained unchanged between the two time points. The findings should enrich scientific knowledge about the role of parental engagement in preschool child-focused treatments as to better inform practice and improve the quality of care for children and their families.

The present study investigated the patterns of mutual associations between maladaptive daydreaming-related variables (MD, i.e., interference with life and somatosensory retreat), psychopathological symptoms (i.e., depression, anxiety, somatization, obsessive–compulsive, interpersonal sensitivity, psychoticism), emotion regulation strategies (i.e., cognitive reappraisal and expressive suppression), and problematic social networking sites use (PSNSU). A total of 531 young adults completed self-report measures through an online survey shared on social network groups. Two network models were performed on 297 young adults with probable MD (MDers) ( M age  = 23.2, SD  = 2.7) vs. 234 non-MDers ( M age  = 23.4, SD  = 2.6). Results showed that, compared to non-MDers, MDers showed significantly higher scores in all the study variables, except for cognitive reappraisal. Moreover, in the MDers network, the following patterns were identified: (i) no connections between the cluster of psychopathological symptoms, and neither cognitive reappraisal nor expressive suppression; (ii) a connection, through obsessive–compulsive (OC) symptoms, between the cluster of psychopathological symptoms and MD-interference with life; and (iii) a connection between PSNSU and MD-interference with life. Accordingly, the Network Comparison Test evidenced that the network structures of MDers vs. non-MDers were significantly different ( M  = .24; p  = .01). Overall, higher scores on psychopathological symptoms in MDers provide support to the assumption that MD is a clinical condition, in which OC symptoms may play a critical role. Additionally, the association of PSNSU and MD-interference with life suggests that MDers might rely on PSNSU as a maladaptive emotion regulation strategy. Under this scenario, MD may be regarded as a potential vulnerability factor for PSNSU.

We are presenting four abstracts here for four inter-related talks into the global impact of the pandemic on dementia. Specifically, we will be presenting four talks from our international consortium (UK, India, Italy, Poland, Australia) highlighting how dementia has increased as a global public health concern during the pandemic with similar and different impacts across countries; the mental health impact on people with dementia and carers; the difficulties in using technology for social contact in dementia; as well as the impact on carers with relatives residing in institutional long-term care settings. Public involvement has been a key element of this study. The symposium will be hosted by Dr Clarissa Giebel, the PI of this international 5-country study, and talks will be presented by Dr Giebel, Marta Lenart, Dr Ilaria Chirico, and Dr Katarzyna Lion.