{"title":"Employment over the life course and post-retirement social networks: a gendered perspective.","authors":"Ella Cohn-Schwartz, Laura Naegele","doi":"10.1017/S1041610223000558","DOIUrl":"10.1017/S1041610223000558","url":null,"abstract":"<p><strong>Objectives: </strong>The present study examines how different lifelong employment patterns are related to social relationships in old age, and whether there are gender differences in the impact of lifelong employment patterns.</p><p><strong>Designs and participants: </strong>The study was based on data collected among European adults as part of the Health, Aging and Retirement Survey in Europe (SHARE) and focuses on retired adults.</p><p><strong>Measurements: </strong>The study combines data on social relationships, collected in 2015, with retrospective data on employment history (number of jobs and years of employment) collected in 2017.</p><p><strong>Results: </strong>The findings show that adults who worked in more jobs had overall better structural characteristics of their later life networks - they had larger social networks and were more likely to include children and friends within those networks but less likely to include their spouse. On the other hand, working in more jobs was related to less emotional closeness with the network. These results varied between men and women; women who were involved in the labor market over their life had larger social networks and tended to include friends as confidants. Among men, working for more years was related to higher emotional closeness with the social network.</p><p><strong>Conclusions: </strong>The study may indicate a gendered pattern of social advantages and disadvantages to involvement in the labor market over the work course. Practitioners should consider the lifelong employment of adults to identify those who might be at risk of social isolation.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"655-665"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections on the health-related effects of social ties with pastors.","authors":"Neal Krause","doi":"10.1017/S1041610222000503","DOIUrl":"https://doi.org/10.1017/S1041610222000503","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 8","pages":"615-617"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alone but not lonely: The concept of positive solitude.","authors":"Sharon Shiovitz-Ezra, Ran Rozen","doi":"10.1017/S1041610223004416","DOIUrl":"10.1017/S1041610223004416","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"621-624"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138295149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Religious doubt and depression in later life: gender differences in the buffering role of supportive pastoral relationships.","authors":"Laura Upenieks, Rebecca Bonhag, Amanda C McGowan","doi":"10.1017/S1041610222000448","DOIUrl":"10.1017/S1041610222000448","url":null,"abstract":"<p><strong>Objectives: </strong>Research suggests that religious/spiritual (R/S) matters take on increasing importance in later life and tend to be favorably associated with mental health, but religious doubt or uncertainty can undermine this salubrious relationship. Few studies assess whether social relationships, and the support contained within them, can mitigate these negative mental health consequences. The current study focuses on an important yet understudied social relationship in the context of spiritual struggles in later life: <i>informal support from a religious pastor</i>. Members of the clergy occupy a highly prestigious position in the church and are often a trusted resource for older adults as they confront problems.</p><p><strong>Design/participants: </strong>We use two waves of longitudinal data of Christian older adults in the <i>Religion, Health, and Aging</i> Study (2001-2004) from the United States (<i>N</i> = 639) to test whether support from a pastor attenuates any detrimental mental health effects of carrying religious doubt in later life.</p><p><strong>Results: </strong>Results from lagged dependent variable models suggest that increases in religious doubt are associated with increases in depression over time, and that greater pastoral support attenuates the relationship between increases in religious doubt and depression, but only for men.</p><p><strong>Conclusions: </strong>We highlight the need for future research to explore this important social relationship with religious clergy for older adults in confronting both spiritual and secular challenges and the importance of considering gender differences in the process. We also suggest several practical implications for religious clergy, family members, and older adults in dealing with or helping others confront spiritual struggles.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"643-654"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Let there be light: The moderating role of positive solitude in the relationship between loneliness and depressive symptoms.","authors":"Sharon Ost-Mor, Dikla Segel-Karpas, Yuval Palgi, Hamama-Raz Yaira, Shacham Mayan, Menachem Ben-Ezra, Lee Greenblatt-Kimron","doi":"10.1017/S1041610223000698","DOIUrl":"10.1017/S1041610223000698","url":null,"abstract":"<p><p>Positive solitude (PS), the choice of being alone to engage in meaningful inner or physical, spiritual, mental, or cognitive activity/ experience, was recently suggested as a stand-alone phenomenon differentiated from loneliness and negative solitude. As loneliness was previously found to have adverse implications for mental health, the present study examined whether the ability to engage in PS can moderate the harmful effect of loneliness on depressive symptoms. The sample consisted of 520 community-dwelling older adults in Israel aged 68-87 (Mage = 72.66). Participants answered an online questionnaire through a survey company (Ipanel) assessing their background characteristics, depressive symptoms, loneliness, and PS. Loneliness was positively associated with depressive symptoms, whereas PS was negatively associated with depressive symptoms. Furthermore, PS moderated the relationship between loneliness and depressive symptoms, such that higher levels of PS weakened this association. The findings indicate that PS may serve as a buffering factor for mental health among older adults by augmenting coping with the adverse outcomes of loneliness. The results provide insight for tailoring future treatment interventions focusing on PS to enhance mental health among older adults.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"689-693"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia P Nguyen, Diane Hoang, Kieran Zhou, Danielle J Harvey, QuynhAnh Dam, Oanh L Meyer
{"title":"Associations between caregiving status, acculturation, and psychological distress in a diverse sample.","authors":"Julia P Nguyen, Diane Hoang, Kieran Zhou, Danielle J Harvey, QuynhAnh Dam, Oanh L Meyer","doi":"10.1017/S1041610222000928","DOIUrl":"10.1017/S1041610222000928","url":null,"abstract":"<p><strong>Objectives: </strong>Increasingly diverse caregiver populations have prompted studies examining culture and caregiver outcomes. Still, little is known about the influence of sociocultural factors and how they interact with caregiving context variables to influence psychological health. We explored the role of caregiving and acculturation factors on psychological distress among a diverse sample of adults.</p><p><strong>Design: </strong>Secondary data analysis of the California Health Interview Survey (CHIS).</p><p><strong>Participants: </strong>The 2009 CHIS surveyed 47,613 adults representative of the population of California. This study included Latino and Asian American Pacific Islander (AAPI) caregivers and non-caregivers (<i>n</i> = 13,161).</p><p><strong>Measurements: </strong>Multivariate weighted regression analyses examined caregiver status and acculturation variables (generational status, language of interview, and English language proficiency) and their associations with psychological distress (Kessler-6 scale). Covariates included caregiving context (e.g., support and neighborhood factors) and demographic variables.</p><p><strong>Results: </strong>First generation caregivers had more distress than first-generation non-caregivers (β=0.92, 95% CI: (0.18, 1.65)); the difference in distress between caregivers and non-caregivers was smaller in the third than first generation (β=-1.21, 95% CI: (-2.24, -0.17)). Among those who did not interview in English (β=1.17, 95% CI: (0.13, 2.22)) and with low English proficiency (β=2.60, 95% CI: (1.21, 3.98)), caregivers reported more distress than non-caregivers.</p><p><strong>Conclusions: </strong>Non-caregivers exhibited the \"healthy immigrant effect,\" where less acculturated individuals reported less distress. In contrast, caregivers who were less acculturated reported more distress.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"666-674"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9947257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The multidimensionality of social health.","authors":"Ella Razital Cohn-Schwartz","doi":"10.1017/S1041610222000692","DOIUrl":"https://doi.org/10.1017/S1041610222000692","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":"36 8","pages":"612-614"},"PeriodicalIF":4.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Struggling for access to suitable dementia care for individuals with dementia and unpaid carers.","authors":"Martin Knapp, Nazak Salehi","doi":"10.1017/S1041610223000571","DOIUrl":"10.1017/S1041610223000571","url":null,"abstract":"","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"522-524"},"PeriodicalIF":4.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9668279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiffeny James, Naaheed Mukadam, Andrew Sommerlad, Samara Barrera-Caballero, Gill Livingston
{"title":"Equity in care and support provision for people affected by dementia: experiences of people from UK South Asian and White British backgrounds.","authors":"Tiffeny James, Naaheed Mukadam, Andrew Sommerlad, Samara Barrera-Caballero, Gill Livingston","doi":"10.1017/S1041610223000121","DOIUrl":"10.1017/S1041610223000121","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the care and support received and wanted by United Kingdom (UK) South Asian and White British people affected by dementia and whether access to it is equitable.</p><p><strong>Design: </strong>Semi-structured interviews using a topic guide.</p><p><strong>Setting: </strong>Eight memory clinics across four UK National Health Service Trusts; three in London and one in Leicester.</p><p><strong>Participants: </strong>We purposefully recruited a maximum variation sample of people living with dementia from South Asian or White British backgrounds, their family carers, and memory clinic clinicians. We interviewed 62 participants including 13 people living with dementia, 24 family carers, and 25 clinicians.</p><p><strong>Measurements: </strong>We audio-recorded interviews, transcribed them, and analyzed them using reflexive thematic analysis.</p><p><strong>Results: </strong>People from either background were willing to accept needed care and wanted competence and communication from carers. South Asian people frequently discussed needing care from someone with a shared language, but language differences could also be an issue for White British people. Some clinicians thought South Asian people had a stronger preference to provide care within the family. We found that preferences for who provides care varied across families regardless of ethnicity. Those with more financial resources and English language have more options for care that meets their needs.</p><p><strong>Conclusions: </strong>People of the same background make differing choices about care. Equitable access to care is impacted by people's personal resources, and people from South Asian backgrounds may experience the double disadvantage of having fewer options for care that meets their needs and fewer resources to seek care elsewhere.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"564-573"},"PeriodicalIF":4.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10740775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irene Heger, Martin van Boxtel, Kay Deckers, Hans Bosma, Frans Verhey, Sebastian Köhler
{"title":"Socioeconomic position, modifiable dementia risk and cognitive decline: results of 12-year Maastricht Aging Study.","authors":"Irene Heger, Martin van Boxtel, Kay Deckers, Hans Bosma, Frans Verhey, Sebastian Köhler","doi":"10.1017/S1041610223000819","DOIUrl":"10.1017/S1041610223000819","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether the association between modifiable dementia risk and rate of cognitive decline differs across socioeconomic status (SES) strata.</p><p><strong>Design, setting and participants: </strong>Data were used from Maastricht Aging Study, a prospective cohort study with a 12-year follow-up. The baseline sample consisted of 1023 adults over 40 years old.</p><p><strong>Measurements: </strong>The \"LIfestyle for BRAin health\" (LIBRA) index was used to assess modifiable dementia risk. Cognitive performance was assessed at baseline, 6 and 12 years, and measured in the domains of information processing speed, executive functioning and verbal memory function. An SES score was calculated from equivalent income and educational level (tertiles). Linear mixed models were used to study the association between LIBRA, SES and their interaction on the rate of cognitive decline.</p><p><strong>Results: </strong>Participants in the lowest SES tertile displayed more decline in information processing speed (vs. middle SES: X<sup>2</sup> = 7.08, <i>P</i> = 0.029; vs. high SES: X<sup>2</sup> = 9.49, <i>P</i> = 0.009) and verbal memory (vs. middle SES: X<sup>2</sup> = 9.28, <i>P</i> < 0.001; vs. high SES: X<sup>2</sup> = 16.68, <i>P</i> < 0.001) over 6 years compared to their middle- and high-SES counterparts. Higher (unhealthier) LIBRA scores were associated with more decline in information processing speed (X<sup>2</sup> = 12.66, <i>P</i> = 0.002) over 12 years and verbal memory (X<sup>2</sup> = 4.63, <i>P</i> = 0.032) over 6 years. No consistent effect modification by SES on the association between LIBRA and cognition was found.</p><p><strong>Conclusions: </strong>Results suggest that lifestyle is an important determinant of cognitive decline across SES groups. Yet, people with low SES had a more unfavorable modifiable risk score suggesting more potential for lifestyle-based interventions.</p>","PeriodicalId":14368,"journal":{"name":"International psychogeriatrics","volume":" ","pages":"574-586"},"PeriodicalIF":4.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}