TY - JOUR
T1 - Exploring the concept of psychological frailty in older adults
T2 - a systematic scoping review
AU - Zhao, Jinlong
AU - Liu, Yat Wa Justina
AU - Tyrovolas, Stefanos
AU - Mutz, Julian
N1 - Funding Information:
We thank our librarian (Ms. Lydia Ngai) of the Faculty of Health and Social Sciences at the Hong Kong Polytechnic University, who provided specialized advice regarding the literature search strategy. Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. JM is funded by the National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care.
Funding Information:
Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. JM is funded by the National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care.
Publisher Copyright:
© 2023 The Authors
PY - 2023/7
Y1 - 2023/7
N2 - Objectives: We reviewed the existing definitions of psychological frailty and provided a comprehensive overview of the concept and associated measurements. Study Design and Setting: We followed the PRISMA guidelines for scoping reviews and the Joanna Briggs Institute Manual for Evidence Synthesis. The eligibility criteria for including studies were developed based on the participants-concept-context framework. We searched the Cumulative Index to Nursing and Allied Health Literature, Scopus, PubMed, Web of Science and PsycINFO databases, and other sources for relevant studies published between January 2003 and March 2022. Results: The final scoping review included 58 studies. Of these, 40 defined psychological frailty, seven provided a novel definition, and 11 focused on the components defining psychological frailty. We proposed four groups of components to better characterize psychological frailty: mood, cognitive, other mental health, and fatigue-related problems. We identified 28 measuring tools across studies, and the Tilburg Frailty Indicator was the most frequently used (46.6%). Conclusion: Psychological frailty is a complex concept whose definition seems to lack consensus. It could include both psychological and physical features. Depression and anxiety are commonly used to define it. This scoping review outlined future research directions for refining the concept of psychological frailty.
AB - Objectives: We reviewed the existing definitions of psychological frailty and provided a comprehensive overview of the concept and associated measurements. Study Design and Setting: We followed the PRISMA guidelines for scoping reviews and the Joanna Briggs Institute Manual for Evidence Synthesis. The eligibility criteria for including studies were developed based on the participants-concept-context framework. We searched the Cumulative Index to Nursing and Allied Health Literature, Scopus, PubMed, Web of Science and PsycINFO databases, and other sources for relevant studies published between January 2003 and March 2022. Results: The final scoping review included 58 studies. Of these, 40 defined psychological frailty, seven provided a novel definition, and 11 focused on the components defining psychological frailty. We proposed four groups of components to better characterize psychological frailty: mood, cognitive, other mental health, and fatigue-related problems. We identified 28 measuring tools across studies, and the Tilburg Frailty Indicator was the most frequently used (46.6%). Conclusion: Psychological frailty is a complex concept whose definition seems to lack consensus. It could include both psychological and physical features. Depression and anxiety are commonly used to define it. This scoping review outlined future research directions for refining the concept of psychological frailty.
KW - Depression
KW - frailty
KW - Older adult
KW - Psychological frailty
KW - Tilburg frailty indicator
UR - http://www.scopus.com/inward/record.url?scp=85161959483&partnerID=8YFLogxK
U2 - 10.1016/j.jclinepi.2023.05.005
DO - 10.1016/j.jclinepi.2023.05.005
M3 - Review article
C2 - 37156339
AN - SCOPUS:85161959483
SN - 0895-4356
VL - 159
SP - 300
EP - 308
JO - Journal of Clinical Epidemiology
JF - Journal of Clinical Epidemiology
ER -