Clinical Gerontologist最新文献_第2页

Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations. 老年人中儿童虐待：心理治疗干预和临床考虑的叙述性回顾。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-05-31 DOI: 10.1080/07317115.2023.2219671

Rachel Zack Ishikawa, Ilana Ander, Dominique L Popescu, Chirag M Vyas, Olivia I Okereke

{"title":"Child Maltreatment Among Older Adults: A Narrative Review of Psychotherapeutic Interventions and Clinical Considerations.","authors":"Rachel Zack Ishikawa, Ilana Ander, Dominique L Popescu, Chirag M Vyas, Olivia I Okereke","doi":"10.1080/07317115.2023.2219671","DOIUrl":"10.1080/07317115.2023.2219671","url":null,"abstract":"Objectives: The goals of this narrative review are to review the literature on psychotherapeutic interventions for older adults with histories of child maltreatment (CM) and to examine the unique considerations for assessing, diagnosing, and treating older adults with CM histories.Methods: Online database searches were conducted to identify the extant research into the efficacy of psychotherapeutic interventions for older adults with CM-related trauma.Results: Eight studies met inclusion criteria. The primary target diagnoses were post-traumatic stress disorder and depression. Psychotherapeutic interventions included Narrative Exposure Therapy, exposure-based treatments, Life Review Therapy, integrated treatments, and a spiritually-focused group therapy.Conclusions: While limited in number and generalizability due to study design and sample size and characteristics, the studies provide preliminary evidence of potentially effective psychotherapeutic treatments for older adults with CM histories. Further research is needed to determine the most effective psychotherapeutic interventions for this population.Clinical implications: Many older adults suffer for decades with the repercussions of CM. Due to knowledge gaps regarding best practices for treating older adults with CM histories, many clinicians are poorly equipped to treat this population. Therefore, awareness of CM-related pathology and familiarity with effective psychotherapeutic interventions are essential for clinicians to meet the needs of this population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"22-36"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified Prolonged Exposure Therapy for Posttraumatic Stress Disorder with an 85-Year-Old Native American Cajun Man With Late-Onset Deafness: A Case Report. 改良延长暴露疗法治疗创伤后应激障碍：一名 85 岁患有晚期耳聋的美国原住民卡真人：病例报告。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-02-02 DOI: 10.1080/07317115.2023.2173693

Adam M Lewis

{"title":"Modified Prolonged Exposure Therapy for Posttraumatic Stress Disorder with an 85-Year-Old Native American Cajun Man With Late-Onset Deafness: A Case Report.","authors":"Adam M Lewis","doi":"10.1080/07317115.2023.2173693","DOIUrl":"10.1080/07317115.2023.2173693","url":null,"abstract":"Objectives: Few studies of exposure therapy with adults 85 years and older exist. This case report presents results of prolonged exposure (PE) for posttraumatic stress disorder (PTSD) modified for an 85-year-old Native American Cajun man with late-onset deafness, who used a cochlear implant, and reported high Western/non-Native American acculturation. The following modifications were made primarily in response to the client's individual, disability-related barriers to completing the standard PE protocol: (a) inclusion of the client's spouse in aspects of treatment planning and homework assignments; (b) variable session length and frequency; (c) homework was limited to the daily practice of breathing retraining and in vivo exposure to triggering images; and (d) therapist reliance on nonverbal indicators of distress during imaginal exposures.Methods: The PTSD Checklist for DSM-5 (PCL-5) and 15-item Geriatric Depression Scale (GSD-15) were primary progress and outcome measures.Results: The modified treatment was associated with clinically significant decreases in baseline PTSD (19 points) and depressive (8 points) symptoms.Conclusions: PE protocol modifications did not compromise treatment outcomes for this client.Clinical implications: PE protocols should be modified based on the individual needs of diverse older adults underrepresented in efficacy research.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"182-189"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9212594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived Need, Mental Health Literacy, Neuroticism and Self- Stigma Predict Mental Health Service Use Among Older Adults. 感知需求、心理健康素养、神经质和自我污名预测老年人心理健康服务的使用。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2022-04-10 DOI: 10.1080/07317115.2022.2058440

Corey S Mackenzie, Lily Pankratz

{"title":"Perceived Need, Mental Health Literacy, Neuroticism and Self- Stigma Predict Mental Health Service Use Among Older Adults.","authors":"Corey S Mackenzie, Lily Pankratz","doi":"10.1080/07317115.2022.2058440","DOIUrl":"10.1080/07317115.2022.2058440","url":null,"abstract":"Objectives: Older adults are the least likely age group to seek mental health services. However, few studies have explored a comprehensive range of sociodemographic, psychological, and social barriers and facilitators to seeking treatment in later life.Methods: A cross-sectional, national sample of Canadian older adults (55+, N = 2,745) completed an online survey including reliable and valid measures of predisposing, enabling, and need characteristics, based on Andersen's behavioral model of health, as well as self-reported use of mental health services. Univariate and hierarchical logistic regressions predicted past 5-year mental health service use.Results: Mental health service use was most strongly and consistently associated with greater perceived need (OR = 11.48) and mental health literacy (OR = 2.16). Less self-stigma of seeking help (OR = .65) and greater neuroticism (OR = 1.57) also predicted help-seeking in our final model, although their effects were not as strong or consistent across gender, marital status, and age subgroups.Conclusions: The need category was crucial to seeking help, but predisposing psychological factors were also significant barriers to treatment.Clinical implications: Interventions that target older adults high in neuroticism by improving perceptions of need for treatment, mental health literacy, and self-stigma of seeking help may be particularly effective ways of improving access to mental health services.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":"1 1","pages":"161-174"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47347970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship Between Adverse Childhood Experiences and Subjective Cognitive Decline Based on Sexual Orientation. 儿童期不良经历与基于性取向的主观认知能力下降的关系

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-11-13 DOI: 10.1080/07317115.2023.2282484

Yan Xu, Yanfang Wang, Yana Chen, Yuan Zhang, Li Tong, Yue He, Jiaxin Fang, Runhong Li, Xinyao Zhang, Lina Jin

{"title":"The Relationship Between Adverse Childhood Experiences and Subjective Cognitive Decline Based on Sexual Orientation.","authors":"Yan Xu, Yanfang Wang, Yana Chen, Yuan Zhang, Li Tong, Yue He, Jiaxin Fang, Runhong Li, Xinyao Zhang, Lina Jin","doi":"10.1080/07317115.2023.2282484","DOIUrl":"10.1080/07317115.2023.2282484","url":null,"abstract":"Objectives: Research indicates adverse childhood experiences (ACEs) were associated with subjective cognitive decline (SCD), with higher ACEs reported by sexual minoritized individuals (i.e. lesbian, gay, and bisexual; LGB). This study aimed to explore the relationships between ACEs and SCD based on sexual orientation in middle-aged and older adults.Methods: The study included 76,592 participants from the 2019-2020 Behavioral Risk Factor Surveillance Survey (BRFSS). Multivariate logistic regressions analyzed ACEs status, score, and type associations with SCD.Results: 2.18% of the participants identified as sexual minoritized individuals. More sexual minoritized individuals reported SCD compared to heterosexual individuals (10.70% for heterosexuals; 17.27% for sexual minoritized individuals). Positive association between SCD and ACEs status (OR = 2.18, 95%CI: 1.09-4.40) was identified among sexual minoritized individuals.Conclusions: The association between ACEs and SCD was strong in both heterosexual and sexual minoritized populations. Given the higher experience of ACEs among sexual minoritized adults, the subsequent frequency of SCD among these adults also may be higher.Clinical implications: Sexual minoritized older adults may have a history of numerous ACEs, which could contribute to a greater burden of SCD. Clinicians and other stakeholders may wish to consider relationships between ACEs and SCD based on sexual orientation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"75-83"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89717137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in Positive Life Orientation Among 70-Year-Olds: A Comparison of Two Finnish Cohorts Born 20 Years Apart. 70 岁老人积极生活取向的趋势：相隔 20 年出生的两组芬兰人的比较。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2024-02-27 DOI: 10.1080/07317115.2024.2320927

Ville L Langén, Adriana Emidio, Jenni Vire, Matti Viitanen, Konsta Teppo

{"title":"Trends in Positive Life Orientation Among 70-Year-Olds: A Comparison of Two Finnish Cohorts Born 20 Years Apart.","authors":"Ville L Langén, Adriana Emidio, Jenni Vire, Matti Viitanen, Konsta Teppo","doi":"10.1080/07317115.2024.2320927","DOIUrl":"10.1080/07317115.2024.2320927","url":null,"abstract":"Objectives: We assessed if positive life orientation (PLO) has increased among older individuals and explored gender disparities in PLO changes.Methods: Two cohorts of 70-year-olds from Turku, Finland were included: the 1920 birth cohort (examined in 1991; n = 1,032) and the 1940 birth cohort (examined in 2011; n = 956). Participants completed an identical questionnaire assessing life satisfaction, feeling needed, future plans, zest for life, depression, and loneliness. A composite PLO score (range 0-1) was computed.Results: The 2011 cohort had a higher mean PLO score than the 1991 cohort (.87 vs. .83, p < .001). The 2011 cohort reported higher sense of being needed, more future plans, and reduced loneliness (all p < .001). No significant differences were found in life satisfaction, zest for life, or depression. Gender disparities in PLO persisted across both cohorts, with men scoring slightly higher but following similar trends as women.Discussion: PLO appears to have increased among older individuals.Clinical implications: Recognizing the rising trend of PLO in recent decades may influence the development of societal and healthcare policies to further improve overall well-being among older individuals.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"121-127"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of personality traits on the course of frailty. 人格特征对虚弱过程的影响。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-01-10 DOI: 10.1080/07317115.2023.2165469

Elizabeth G T Bos, Jamila Douairi, Rob M Kok, Isis Koolhoven, Nathaly Rius Ottenheim, Didi Rhebergen, Richard C Oude Voshaar

{"title":"The impact of personality traits on the course of frailty.","authors":"Elizabeth G T Bos, Jamila Douairi, Rob M Kok, Isis Koolhoven, Nathaly Rius Ottenheim, Didi Rhebergen, Richard C Oude Voshaar","doi":"10.1080/07317115.2023.2165469","DOIUrl":"10.1080/07317115.2023.2165469","url":null,"abstract":"Objectives: Determinants of frailty are generally explored within context of somatic healthcare and/or lifestyle characteristics. To examine the impact of personality traits on change in frailty and the potential role of depression.Methods: A 2-year follow-up study including 285 patients with a depressive disorder and 116 never-depressed controls. Multiple linear regression analyses were conducted to regress the Big Five personality traits (independent variables) on different frailty measures (dependent variables), including the Frailty Index, Frailty phenotype, gait speed, and handgrip strength. Analyses were adjusted for confounders (with and without depressive disorder) and baseline frailty severity. Interactions between personality traits and depressive disorder were examined.Results: All personality traits were associated with change in at least one frailty marker over time. Over time, a higher level of neuroticism was associated with an accelerated increase of frailty, whereas a higher level of extraversion, agreeableness, conscientiousness and openness were associated with an attenuated increase of frailty. None of the associations were moderated by depression. Additional adjustment for depression decreased the strength of the association of neuroticism, extraversion and conscientiousness with frailty.Conclusions: Personality traits have impact on frailty trajectories in later life.Clinical implications: Underlying pathways and potential modification by psychotherapy merit further study.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"141-148"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10859007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Features and Needs of Autistic Older Adults: A Delphi Study of Clinical Experiences. 孤独症老年人的特征与需求:临床经验的德尔菲研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2022-04-15 DOI: 10.1080/07317115.2022.2060157

S M J Heijnen-Kohl, B Hitzert, R Schmidt, H M Geurts, S P J van Alphen

{"title":"Features and Needs of Autistic Older Adults: A Delphi Study of Clinical Experiences.","authors":"S M J Heijnen-Kohl, B Hitzert, R Schmidt, H M Geurts, S P J van Alphen","doi":"10.1080/07317115.2022.2060157","DOIUrl":"10.1080/07317115.2022.2060157","url":null,"abstract":"Objectives: In geriatric psychiatry Autism Spectrum Disorders (ASD) are increasingly recognized. This study explores what clinicians know about diagnostic and/or therapeutic aspects of autistic older adults and how aging plays a role in the course of ASD.Methods: A Delphi study outlines the point of view of 11 clinical experts in the Netherlands and Belgium (Flanders).Results: Regarding diagnostics, age-specific aspects need to be considered. Age-related characteristics (cognitive differences, life events, co-occurring conditions) influence detecting autistic features in older adults. Regarding treatment, counseling methods need to be adapted. Psychoeducation, family therapy, couples therapy, behavioral counseling and psychopharmaca can be helpful in meeting the needs of autistic older adults. There was no consensus on the effects of aging on autistic older adults.Conclusions: Diagnosis and treatment of ASD need adaptation for autistic older adults. Further research is needed on the validation of measurement tools, recorded treatment, therapy, psychoeducation, and the effects of aging among people on the autism spectrum.Clinical implications: Available knowledge helps clinicians to detect ASD in older adults and adapt to the specific features and needs of autistic older adults. The effects of aging on the course of ASD are unclear yet.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":"1 1","pages":"110-120"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49163088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Marital Quality and Loneliness Among Aging Vietnam-Era Combat Veterans: The Moderating Role of PTSD Symptom Severity. 越南退伍军人的婚姻质量和孤独感：创伤后应激障碍症状严重程度的调节作用。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-10-27 DOI: 10.1080/07317115.2023.2274052

Christina M Marini, Jeremy B Yorgason, Anica Pless Kaiser, Lance D Erickson

{"title":"Marital Quality and Loneliness Among Aging Vietnam-Era Combat Veterans: The Moderating Role of PTSD Symptom Severity.","authors":"Christina M Marini, Jeremy B Yorgason, Anica Pless Kaiser, Lance D Erickson","doi":"10.1080/07317115.2023.2274052","DOIUrl":"10.1080/07317115.2023.2274052","url":null,"abstract":"Objectives: We examined links between marital quality and loneliness among aging veterans and explored whether veterans' PTSD symptom severity moderated these associations.Methods: Data came from 269 Vietnam-Era combat veterans who had a spouse/partner (M age = 60.50). Utilizing two waves of data spanning six years, we estimated multiple regression models that included positive and negative marital quality, PTSD symptom severity, and loneliness in 2010 as predictors of loneliness in 2016.Results: Facets of positive (but not negative) marital quality were associated with veterans' loneliness. Companionship - spousal affection and understanding - was associated with lower subsequent loneliness among veterans with low/moderate - but not high - PTSD symptom severity. Conversely, sociability - the degree to which one's marriage promotes socializing with others - was associated with lower subsequent loneliness regardless of PTSD symptom severity.Conclusions: Companionship and sociability were each associated with veterans' subsequent loneliness. Whereas benefits of companionship were attenuated at higher levels of PTSD symptom severity, benefits of sociability were not.Clinical implications: For veterans with higher PTSD symptoms, recommending mental health treatment to decrease symptom severity may help them to reap the benefits of close/intimate relationships. However, bolstering veterans' social participation more broadly may provide an additional means of reducing their loneliness.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"60-74"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54227952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treating Symptoms of Posttraumatic Stress in People with Dementia: Expert Consensus Using the Delphi Method. 治疗痴呆症患者的创伤后应激症状：使用德尔菲法达成专家共识。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-02-02 DOI: 10.1080/07317115.2023.2170842

S Driessen, R Ponds, S P J van Alphen, A Nederstigt, K Deckers, S Sobczak

{"title":"Treating Symptoms of Posttraumatic Stress in People with Dementia: Expert Consensus Using the Delphi Method.","authors":"S Driessen, R Ponds, S P J van Alphen, A Nederstigt, K Deckers, S Sobczak","doi":"10.1080/07317115.2023.2170842","DOIUrl":"10.1080/07317115.2023.2170842","url":null,"abstract":"Objectives: Posttraumatic stress disorder is frequently present in people with dementia, but the symptoms are difficult to recognize and suitable treatments are lacking. The aim of the present study was to investigate which trauma-focused treatments are applicable to these patients.Methods: The Delphi method is a process which is used to reach consensus from a panel of experts. The study was conducted online and consisted of three rounds with statements about support for treatment, treatment, and implementation.Results: There are several treatment options available, but it depends on the symptoms, and the severity of PTSD and dementia which treatment is most suitable.Conclusions: The outcomes offer some practical tips for health care workers, and they provide a fundamental base for future research.Clinical implications: Clinicians should pay attention to the treatment of PTSD symptoms in people with dementia and it is necessary to examine the type and severity of both PTSD symptoms and dementia. Taking these factors into account, clinicians are able to focus on the best treatment option in order to improve the quality of life of these specific type of patients.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"95-109"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9205293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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. 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。

IF 2.6 3区医学

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

{"title":"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.","authors":"Clarissa Giebel, Gabriel Saldarriaga-Ruiz, Mark Gabbay, Santiago Zea, Danicza Martínez Morales, Yeferson Castano-Pineda, Erika Maria Montoya, Douglas Lizcano, Maria Isabel Zuluaga-Callejas","doi":"10.1080/07317115.2023.2274055","DOIUrl":"10.1080/07317115.2023.2274055","url":null,"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.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"84-94"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0