{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:46:23Z","timestamp":1785743183499,"version":"3.56.0"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1R24AG089064\u201001"],"award-info":[{"award-number":["1R24AG089064\u201001"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG056325"],"award-info":[{"award-number":["R01AG056325"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["U54AG063546"],"award-info":[{"award-number":["U54AG063546"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The impact of dementia screening on the mental health of older adults and their family members remains insufficiently understood, particularly in light of the bidirectional dynamics within the older adult\u2010family dyad. This study aims to examine how dementia screening affects older adults and their family members over time, and whether these effects occur independently or simultaneously within the dyad.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and Setting<\/jats:title>\n                    <jats:p>One thousand eight hundred five older adults (\u2265\u200965\u2009years old) and their family member dyads participated in the multi\u2010site Caregiver Outcomes of Alzheimer's Disease Screening (COADS) trial were randomized into three study arms: screening only, screening plus referral for diagnostic assessment, and no\u2010screening control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Depressive symptoms measured by Patient Health Questionnaire\u20109 (PHQ\u20109) were collected in both older adults and their family members at baseline, 6\u2009months, and 12\u2009months post\u2010intervention. A cross\u2010lagged panel model was used to examine longitudinal and dyadic associations in depressive symptoms between members of the dyad. Intervention status (0\u2009=\u2009no\u2010screening control, 1\u2009=\u2009combined screening group who received negative results, 2\u2009=\u2009combined screening group who received positive results) was included as a predictor of depressive symptoms at 6\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with controls, dyads in the combined screening groups who received negative (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.53,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090) and positive (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.84,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.058) results showed lower depressive symptoms among older adults at 6 months. Improvements in older adults\u2019 depressive symptoms subsequently influenced family members\u2019 mental health through a dyadic pathway, resulting in reduced depressive symptoms among family members at 12\u2009months (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that screening for dementia in older adults has a spillover effect to family members. Dementia screening may have a double benefit in families. Further clinical trials should include measures of both dyad members to understand how to best target the mental health of families more efficiently.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70603","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:03:25Z","timestamp":1785740605000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Does Receipt of Dementia Screening Impact Depressive Symptoms Among Patients and Their Family Members?"],"prefix":"10.1111","author":[{"given":"Yifan","family":"Lou","sequence":"first","affiliation":[{"name":"School of Social Work Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1729-0230","authenticated-orcid":false,"given":"Joan K.","family":"Monin","sequence":"additional","affiliation":[{"name":"School of Public Health Yale University  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole R.","family":"Fowler","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15330"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/23337214231213185"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610221000119"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.0435"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pneurobio.2013.04.005"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-020-00302-6"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-024-03012-8"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/9708413"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.02.011"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.882389"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/fam0001009"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2022.2087212"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016355"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-4029-5"},{"key":"e_1_2_10_16_1","first-page":"509","volume-title":"The PHQ\u20109: A New Depression Diagnostic and Severity Measure","author":"Kroenke K.","year":"2002"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.82.6.887"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860500114555"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70603","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70603","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70603","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:03:26Z","timestamp":1785740606000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70603"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,3]]},"references-count":17,"alternative-id":["10.1111\/jgs.70603"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70603","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,3]]},"assertion":[{"value":"2026-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jgs.70603"}}