Evidence map›Paper›PMID 42723026›Full record

ArticleBMC geriatrics2026

Symptom heterogeneity and factors associated with dignity-related distress in older adults with incontinence-associated dermatitis.

Jinlei Du, Chunhua Song, Xiaoling Wu, Yulian Wu, Yao Chen, Chencong Nie

Abstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Jinlei Du *Zigong Fourth People's Hospital, Zigong, Sichuan Province, China.
Chunhua Song *Zigong Fourth People's Hospital, Zigong, Sichuan Province, China.
Xiaoling WuZigong Fourth People's Hospital, Zigong, Sichuan Province, China.
Yulian WuZigong Fourth People's Hospital, Zigong, Sichuan Province, China.
Yao ChenZigong Fourth People's Hospital, Zigong, Sichuan Province, China.
Chencong NieZigong Fourth People's Hospital, Zigong, Sichuan Province, China. suifengpiaoyao012@163.com.

Funding

Health Commission of Zigong Medical Science and Technology Program 24zd006Zigong Key Science and Technology Program-Zigong Academy for Medical Big Data and Artificial Intelligence Joint Project 2023-YGY-3-02
6 · The paper itself

Abstract

objectiveTo identify latent symptom profiles of dignity-related distress among older adults with incontinence-associated dermatitis (IAD) and to explore the associated sociodemographic and clinical factors, aiming to inform targeted care strategies.

methodsA cross-sectional study was conducted from June 1 to 20, 2025, involving 382 older adults with IAD recruited from 39 tertiary hospitals across Sichuan Province, China. Participants completed a general information questionnaire and the Patient Dignity Inventory (PDI). Latent profile analysis (LPA) was used to identify distinct subgroups of dignity-related symptoms, and multivariate logistic regression analysis was performed to identify factors associated with latent profile membership.

resultsTwo distinct symptom profiles of dignity-related distress were identified: Class 1 (64.4%) was characterized by low levels of psychological distress, symptom burden, and dependency, but relatively high needs for spiritual and social support, and was thus labeled as the "Low Symptom Distress and Spiritual Support Needs" group. Class 2 (35.6%) showed markedly higher levels of psychological distress, social support deficiency, and dependency, despite relatively milder symptom burden, and was designated the "High Dependency and Severe Psychological Distress" group. Multivariate logistic regression revealed that personality traits (OR = 0.469, 95% CI: 0.276-0.798), employment status (OR = 3.666, 95% CI: 1.978-6.795), self-rated family harmony (OR = 0.729, 95% CI: 0.573-0.928), and the clinical grading of incontinence-associated dermatitis (OR = 0.440, 95% CI: 0.211-0.961) were significant associated with class membership.

conclusionDignity-related distress in older adults with incontinence-associated dermatitis (IAD) presents heterogeneous symptom profiles shaped by individual, familial, and disease-related factors. Tailored psychological and dignity-focused care strategies should be developed according to patients' symptom patterns to enhance overall well-being and clinical outcomes.

Indexed as

DermatitisFecal IncontinencePsychological DistressStress, PsychologicalUrinary IncontinenceAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesSymptom Burdendignity-related distressElderly patientsIncontinence-associated dermatitisLatent profile analysisSymptom heterogeneity

Identifiers

PMID42723026
PMCPMC13560423

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.