Coping in the Face of Violence - a Qualitative Study on the Impacts of Stressful Life Events on the Mental Health of Older Adults in Colombia.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-11-03 DOI:10.1080/07317115.2023.2274055
Clarissa Giebel, Gabriel Saldarriaga-Ruiz, Mark Gabbay, Santiago Zea, Danicza Martínez Morales, Yeferson Castano-Pineda, Erika Maria Montoya, Douglas Lizcano, Maria Isabel Zuluaga-Callejas
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引用次数: 0

Abstract

Background: Many older adults in Colombia have lived through violent and stressful life events, particularly in areas of poverty. The aim of this qualitative study was to understand the impact of stressful life events on the mental health and wellbeing of older Colombians living in areas of relative poverty.

Methods: Older adults (aged 60+) living in the Turbo region in Colombia were interviewed face-to-face between August and December 2021. Transcripts were coded in Spanish and English by at least two researchers, using inductive thematic analysis.

Results: Twenty-six older adults participated in the study. Four overarching themes were generated: Living in violent and dangerous communities; Disturbing gender violence and gender roles; Lack of mental health awareness; Coping mechanisms. Older adults experienced a long narrative of stressful life events. Younger generations appeared to disrespect older members of Society. Without any mental health support, older adults coped by accepting the extreme situations or seeking solace in their faith.

Conclusions: The health system and Government need to build up trust and generate an awareness of mental health, as older Colombians will not approach psychological support otherwise. Intergenerational community-based interventions may provide a first avenue of mental health support.

面对暴力的应对——哥伦比亚压力生活事件对老年人心理健康影响的定性研究。
背景:哥伦比亚的许多老年人都经历过暴力和紧张的生活事件,尤其是在贫困地区。这项定性研究的目的是了解压力生活事件对生活在相对贫困地区的哥伦比亚老年人的心理健康和幸福感的影响。方法:在2021年8月至12月期间,对居住在哥伦比亚Turbo地区的老年人(60岁以上)进行了面对面采访。至少有两名研究人员使用归纳主题分析对转录本进行了西班牙语和英语编码。结果:26名老年人参与了这项研究。产生了四个总体主题:生活在暴力和危险的社区;令人不安的性别暴力和性别角色;缺乏心理健康意识;应对机制。老年人经历了一段关于压力生活事件的长篇叙事。年轻一代似乎不尊重年长的社会成员。在没有任何心理健康支持的情况下,老年人通过接受极端情况或在信仰中寻求慰藉来应对。结论:卫生系统和政府需要建立信任,提高对心理健康的认识,因为哥伦比亚老年人不会以其他方式获得心理支持。基于社区的代际干预可能提供心理健康支持的第一途径。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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