The International Journal of Aging and Society最新文献

{"title":"The Use of Internet-Enabled Cognitive Behavioral Therapy in the Treatment of Depression and Anxiety amongst Older People","authors":"S. Burch, Claire Preston, S. Bateup, F. Hina","doi":"10.18848/2160-1909/cgp/v08i01/1-11","DOIUrl":"https://doi.org/10.18848/2160-1909/cgp/v08i01/1-11","url":null,"abstract":"This article reports on the experience of internet-enabled cognitive behavioural therapy (IECBT) for older people diagnosed with depression and anxiety. IECBT involves synchronous real-time communication between the therapist and patient via instant messaging and has been found to be effective in the treatment of patients over eighteen diagnosed with depression. While younger populations are an obvious focus for studies into the potential of internet-based therapies, older people’s experience of such therapies can be overlooked due to assumptions about their relatively lower rates of internet use. However, rapid increases in this generation’s levels of internet access make this an important avenue of enquiry. In addition, such therapies may offer a route to address the underdiagnosis and undertreatment of depression and anxiety among older people. Once older people are diagnosed, evidence suggests that they tend to prefer psychological therapies, and these can be effective in this age group. This article therefore builds on the positive findings about IECBT as a treatment option in general by, for the first time, analysing quantitative data relating to older people’s use of this form of therapy. It analyses secondary data on patient characteristics, take-up of treatment, and treatment outcomes, finding that older men are over-represented among IECBT patients and that rates of self-referral are higher in this age group.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124595760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Housing and an aging population:implications for architectural education","authors":"O. Ijatuyi, Errol Haaroff, A. Melis","doi":"10.18848/2160-1909/CGP/V07I03/75-96","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V07I03/75-96","url":null,"abstract":"The question of aging population in the built environment is one of several societal realities in the world, and its connection with housing cannot be ignored. The indispensability of housing as one of man’s basic needs makes it crucial to the concept of active aging in the built environment. This paper examines the place of architectural education within the context of housing for the aging population, and its role in fostering intergenerational linkage. The study examines the curricula of the Departments of Architecture in the University of Auckland, New Zealand, and the Federal University of Technology, Akure Nigeria, to identify the knowledge gaps affecting appropriate age-friendly housing design. The discovery of the absence of crucial course contents useful for modelling pedagogy and the comprehension of the dynamics of changing housing needs, both underscore the need to review the curricula. Where these courses exist, their applications are not evident. Acknowledging that tutelage cannot be completely exhausted in the design studio, the study recommends that the academic training of architecture students should embrace options that involve socio-economic and psychological concerns such as behavioral architecture, building economics and demography; this will facilitate intergenerational relationships and age-friendly designs. Keyword: Aging Population, Architectural Education, Curriculum, and Housing.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128407906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of clinician attitudes toward older adults experiencing mental and physical health problems in the UK","authors":"A. Clifton, A. Clarke, G. Marples, Danielle Brady, Barbara E. Harrington, J. Wilcockson","doi":"10.18848/2160-1909/CGP/V07I01/1-16","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V07I01/1-16","url":null,"abstract":"It has been suggested that ageism, stigma, and other forms of discrimination lead to older adults with serious mental illness (SMI) being invisible in policy, practice, and research. This paper explores and critically examines stakeholders’ attitudes and perceptions concerning older adults with serious mental illness who also experience physical health needs and is based on research conducted in the United Kingdom. A qualitative case study approach was utilised, and a purposive sample of twenty-four staff involved in the commissioning, managing, planning, and provision of services for older adults with SMI were recruited. Data collected from ten semi-structured interviews and two focus groups were analysed using a framework analysis. Four themes emerged: 1) defining the patient group and their journey in care, 2) seeing the whole person, 3) devolving care (falling through the gap), and 4) making it happen and moving forward. Although participants held positive attitudes towards older adults with SMI with an emphasis on the provision of holistic care, gaps in service provision and organisational structures were apparent. Service users appeared to be moved through services dependent on presentation rather than need without a coordinated approach. Practitioners felt it was becoming increasingly challenging to manage physical healthcare needs in addition to managing more pressing mental health issues, and many older adults with SMI and physical health needs were falling through the gap in that they were not accessing the relevant services to manage their complex needs. However, the hospital trust was seen to be making steady progress with the implementation of early warning systems, recognition of the importance of education for all healthcare professionals, and early signs of linkage between physical and mental health services. It is suggested that more collaborative working between relevant services is required, and it is proposed that the establishment of a community psychiatric liaison service to coordinate care could prevent crisis situations arising for patients with comorbidities.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"399 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114378905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older International Migrant Women's Reflexive Engagement with Religion","authors":"S. Wray, Michelle L. Bartholomew","doi":"10.18848/2160-1909/cgp/v06i03/35-49","DOIUrl":"https://doi.org/10.18848/2160-1909/cgp/v06i03/35-49","url":null,"abstract":"This article considers older international migrant women’s reflexive engagement with religion. The article is based on a sub-sample of data from an ESRC research study that set out to explore the ethnically diverse experiences of older women. In this article we argue older migrant women’s relationship with religion is a reflexive dynamic process influenced by social identities of age, ethnicity, and migrant. Moreover, that religion is multidimensional and its reflexive incorporation into older women’s lives is influenced by ongoing and previous life events.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133505746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Representation of Older Adults in Malaysian Advertising","authors":"I. Idris, L. Sudbury-Riley","doi":"10.18848/2160-1909/CGP/V06I03/1-16","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V06I03/1-16","url":null,"abstract":"This paper presents the results of a content analysis of older adults in Malaysian advertising. It is the first study to utilize both print and television advertisements. Despite a global ageing population, many businesses in general and advertisers in particular have been criticized for not meeting the needs of older consumers. Previous content analyses reveal that older adults are vastly under-represented, and this is true across many countries in the world. The present study finds that while older women are still slightly underrepresented, there appears to be progress made in that greater numbers of older adults are now included in mainstream advertising. Moreover, these seniors are depicted as relatively happy, active, and physically strong and are utilized in ads for a range of different products. The study is the first content analysis to tentatively suggest that business is now beginning to respond to the shift in demographics.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127649099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“We never thought exercise was doing us any good. It was just a natural part of living”: Sociocultural influences of physical activity in older adults","authors":"Kelly Semper, C. Notley, C. Salter, J. Hernon, J. Saxton","doi":"10.18848/2160-1909/CGP/V06I01/23-31","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V06I01/23-31","url":null,"abstract":"The numerous positive effects gained through engaging in physical activity (PA) in one’s later years are becoming increasingly well documented; however, despite this, reports conclude that fewer than three percent of adults over the age of 65 years are achieving the recommended levels. This study attempts to shed light upon the possible sociocultural influences which may have an impact on PA behaviour within our ageing population. An in-depth qualitative study purposefully recruited participants involved in a PA intervention. Semi-structured interviews with twenty-four adults over 60 years were undertaken using an approach informed by grounded theory to elicit past and current PA levels and changing perceptions of active living over their lifetime. Early findings suggest that our ageing participants were unwilling to “exercise for exercise sake” and disassociated themselves from the “unnatural” gym environments often associated with PA in modern times. Their memories of “unforced” childhood play resonated to adult life with the belief their “busy” daily activities were adequate and often surpassed current recommendations. Findings provide a unique insight and enhanced understanding into the more theoretical underpinnings of PA behaviour from a sociocultural perspective. Such understanding may enable policy makers in this field to design and implement increasingly relevant and therefore successful PA programmes.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130311201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older Women Want to Look Good Despite Media Pressure to Look Young","authors":"C. Mair, Glenis Wade, S. Tamburić","doi":"10.18848/2160-1909/CGP/V05I01/35129","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V05I01/35129","url":null,"abstract":"Abstract: The media’s obsession with a youthful appearance can have detrimental effects on older adults’ well-being. Scholars have argued that the anti-ageing movement, rather than ageing itself, should be contested. From an evolutionary psychology perspective attractiveness is related to mating preference. This poses an issue for older women who are bombarded with idealised images of youthfulness equating to beauty in media and society. For many, the result is distorted body image, low self-esteem and poor health. It is clear that appearance matters and therefore many women manage the appearance of their ageing skin by using cosmetics or medical interventions. The main objective of this paper was to investigate the influence of the media’s obsession with youthful appearance on women aged over 60 and the impact of this on their attitudes towards managing the skin ageing process. Individual semi-structured interviews were conducted with 21 participants whose mean age was 65.38 years. Ten of the participants had used some type of medical intervention (chemical peels, Botox, skin fillers, cosmetic surgery, laser and HRT). These formed the Medical group; the other eleven used skin care products and regimes but had not undergone medical interventions. These were the Nonmedical group. The transcripts were thematically analysed and showed that although the participants objected to the negative portrayal of older women in the media and to pressures to conform to a youthful appearance, they were not unduly influenced by this. Instead they were overwhelmingly in favour of looking good rather than looking young or even looking younger and the majority was not interested in cosmetic surgery. Taking a social constructivist approach, the findings challenge those which suggest women are weakened by the pressures of media representations of youthfulness as the only goal. The women in our study were aware of the pressures to look young, but were generally more concerned with looking good.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123183142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Active ageing in Australian community-dwelling older adults","authors":"H. Thomason, D. McLaughlin, N. Pachana","doi":"10.18848/2160-1909/CGP/V03I03/35119","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V03I03/35119","url":null,"abstract":"The World Health Organization Active Ageing Policy Framework outlines a broad range of determinants that are used to inform policy decisions worldwide; however, there is currently no quantitative standard to assess and measure active ageing. The current study aimed to reflect the determinants of active ageing using corresponding variables from two Australian longitudinal studies. Participants were men and women, aged 73-79 years, who completed the Health in Men Study in 2001-2004 and Australian Longitudinal Study on Women’s Health in 1999. Exploratory and confirmatory factor analyses indicated a reconfiguration of active ageing determinants into five factors (physical health, healthcare accessibility, falls, psychosocial, and social environment) that explained 51.84% of total variance. This model provided an acceptable fit to the overall data and was stable across genders. Health and socio-environmental variables play an important role when conceptualizing active ageing in our Australian sample. These findings can be used to guide specific community-based interventions that are tailored according to unique cultural variants.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121486489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy ageing and neighbourhood design: a case study in South Australia","authors":"A. Sivam, S. Karuppannan","doi":"10.18848/2160-1909/CGP/V02I03/35213","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V02I03/35213","url":null,"abstract":"It is well recognised that the population throughout the world is ageing. By 2021, an estimated 18% of the population will be aged 65 years and over, and close to four in every 10 households will be occupied by at least one older person, the majority living alone or in a couple. These demographic changes are producing economic, social, and personal challenges for society, families and individuals, and the issues for governments are numerous. In the developed world, the elderly population will exert significant pressure on the neighbourhood. Unfortunately, the existing built environment in Australia in the form of predominantly low density developments with high automobile dependency is not sympathetic to the needs of aged population. It is widely acknowledged that ageing of the society is a challenge for fiscal and social policy. However, there is little literature on planning policy for making neighbourhood design to support healthy ageing. The aim of this paper is to identify the relationship between neighbourhood design and healthy ageing. Neighbourhood consists of both housing and spaces in which we live and work. A triangulation approach is used to address the aim of the research. Both focus groups and household surveys were conducted in the state of South Australia to obtain the perception of the aged population on age friendly neighbourhood and housing options. The study concluded that there is a need to create a safe pedestrian environment; easy access to public transport, shopping centre and public facilities; and recreational facilities and nearby health centres. These elements can substantially improve the neighbourhood and can positively affect ageing.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127156922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural understanding of health and adjustment to cardiovascular disease among the Greek elderly","authors":"M. Avgoulas, R. Fanany","doi":"10.18848/2160-1909/CGP/V01I04/35191","DOIUrl":"https://doi.org/10.18848/2160-1909/CGP/V01I04/35191","url":null,"abstract":"The onset of chronic illness is a major lef event that presents serious challenges for the individual at a micro and macro level. The way in which adaptation to such illness occurs is closely related to cultural and linguistic factors that are an integral part of personal identity. This study presents the health beliefs of elderly Greek Australians and they way in which they understand health and disease. The process by which this population conceptualizes CVD and seeks medical care is discussed in the context of their specific cultural views and attitudes towards illness.","PeriodicalId":322696,"journal":{"name":"The International Journal of Aging and Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124065346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}