Aging & Mental Health最新文献_第5页

Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area. 旧金山湾区患有认知障碍的拉美独居老人不稳定的特殊文化特征。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-27 DOI: 10.1080/13607863.2024.2407180

Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone

{"title":"Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area.","authors":"Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone","doi":"10.1080/13607863.2024.2407180","DOIUrl":"https://doi.org/10.1080/13607863.2024.2407180","url":null,"abstract":"Objectives: Latinos are about twice as likely to develop cognitive impairment. Culturally, filial support and familismo are expected within Latino families. Yet approximately twenty percent of Latinos live alone in the United States. The purpose of this study is to explore the concerns and priorities of older Latinos living alone with cognitive impairment, using a precarity framework.Method: We conducted 22 in-home interviews with older Latinos living alone with cognitive impairment, and we supplemented the interviews with interviews with members of the older adults' social circle and providers. Themes influencing the precarity of Latino older adults living alone were organized through the major areas of the precarity lens; 1) Limited awareness of cognitive impairment; 2) Self-management of cognitive impairment; and 3) Lacking tailored services for cognitive impairment.Results: Latino culture permeated and intersected across the lived experiences of participants living alone with cognitive impairment. Precarity was prevalent in all participants' lives and was exacerbated by familismo combined with cognitive impairment.Conclusion: Findings showed precarity in the experiences the participants shared. Participant narratives reveal how the Latino culture intersects with the experience of precarity while living alone with cognitive impairment, especially in reference to the role that family plays through the expectation of familismo. However, given the difficult demands of employment and raising their own families, familismo can become more like a goal than a practice. Further research is needed to better understand how to bridge the gap between the needs of these older Latino adults living alone with cognitive impairment, their families, and formal services.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333050","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

Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy. 摔倒是住在老年补贴住房的韩裔美国人的心理健康风险：与摔倒有关的自我效能的中介效应。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-25 DOI: 10.1080/13607863.2024.2407586

Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung

{"title":"Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy.","authors":"Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung","doi":"10.1080/13607863.2024.2407586","DOIUrl":"https://doi.org/10.1080/13607863.2024.2407586","url":null,"abstract":"Objectives: The study examined the mediating role of fall-related self-efficacy in the association between falls and mental health among older Korean Americans living in subsidized senior housing in the greater Los Angeles area. We focused on serious fall incidents (i.e. multiple falls or any fall with a fracture) and used symptoms of depression and anxiety as indicators of mental health.Method: Survey data from 315 participants (M age = 79.4 years) were used to examine the direct effects of serious fall incidents on mental health symptoms, as well as indirect effects through fall-related self-efficacy.Results: The mediating effect of fall-related self-efficacy was found to be significant in both models for depressive symptoms (B [SE] = 0.15 [0.07], bias-corrected 95% CI = [0.03, 0.31]) and anxiety symptoms (B [SE] = 0.11 [0.05], bias-corrected 95% CI = [0.02, 0.23]).Conclusion: The mental health impact of serious fall incidents was shaped by older individuals' perceived concerns about falls and confidence in performance. The findings highlight the importance of addressing fall-related psychological responses in preventing falls and promoting mental health among senior housing residents.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333048","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

Profiles of resilience resources among spousal caregivers. 配偶照顾者的复原力资源概况。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-25 DOI: 10.1080/13607863.2024.2407169

Hyojin Choi, Kristin Litzelman

{"title":"Profiles of resilience resources among spousal caregivers.","authors":"Hyojin Choi, Kristin Litzelman","doi":"10.1080/13607863.2024.2407169","DOIUrl":"https://doi.org/10.1080/13607863.2024.2407169","url":null,"abstract":"Objectives: Resilience resources play a significant role in a caregiver's adaptation process. Previous studies have primarily focused on the effects of individual resilience resources. This study aimed to examine diverse patterns of how those multiple resources simultaneously operate in a caregiving situation with the person-centered approach.Method: This study utilized data from the Health and Retirement Study. Participants were eligible if they completed the Left-Behind questionnaire at two consecutive timepoints (2014 and 2016; or 2016 and 2018) and provided care for their spouse with limitations in activities of daily living (n = 692).Results: Latent profile analysis identified three distinct groups among spousal caregivers: (1) Lack of Resilience Resources (17%), (2) Low Psychological and Cognitive Resources, but Having Moderate Support (21%), and (3) Strong Resilience Resources (62%). Spousal caregivers having functional limitations (Odds = 0.37, p = 0.016) and greater depressive symptoms (Odds = 0.59, p = 0.000), and high ongoing caregiving stress (Odds = 0.37, p = 0.007) were less likely to be in 'Strong Resilience Resources' than 'Lack of Resilience Resources'.Conclusion: The findings highlight the importance of taking a holistic view of resilience resources. It provides insights into potentially vulnerable groups and caregivers' adaptation process, thereby contributing to the development of interventions or policies aimed at enhancing the resilience resources of family caregivers.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333049","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

Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults. 在 COVID-19 大流行中的复原力：参与有意义的活动是老年人应对能力和抑郁症状之间的中介。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-16 DOI: 10.1080/13607863.2024.2403567

Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen

{"title":"Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults.","authors":"Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen","doi":"10.1080/13607863.2024.2403567","DOIUrl":"https://doi.org/10.1080/13607863.2024.2403567","url":null,"abstract":"Objectives: This study investigated the longitudinal association between coping ability and depressive symptoms from before to during and after the COVID-19 pandemic and whether engagement in meaningful activities plays a mediating role in this association.Method: Individuals aged 75, 80, and 85 years (n = 1021) were interviewed in 2017-2018 (T1, pre-pandemic). Of these persons, 608 were interviewed in 2020 (T2, first wave) and 2021-2022 (T3, partly post-pandemic). Coping ability, depressive symptoms, and engagement in meaningful activities were assessed using the 10-item Connor-Davidson Resilience Scale, 10-item Center for Epidemiologic Studies Depression Scale, and 17-item activity subscore of the University of Jyväskylä Active Aging Scale, respectively. Structural equation modeling was used for the mediation analyses.Results: Higher coping ability was associated with decreased depressive symptoms, partly mediated by higher activity scores between T1 and T2. From T2 to T3, higher coping ability reduced the depressive symptoms, but the activity scores did not mediate the changes during this period.Conclusion: Good coping ability may help older people sustain good mental well-being. With good coping ability, active engagement in meaningful activities contributed to the low level of depressiveness during the early phases of the pandemic, when many social activities were restricted.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301792","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

"I think we just saw happier residents": nursing home provider reported readiness assessment of the individualized positive psychosocial interaction (IPPI) program. "我想我们看到的是更快乐的居民"：疗养院提供者对个性化积极社会心理互动 (IPPI) 计划的准备评估报告。

IF 3.4 3区医学

Aging & Mental Health Pub Date : 2024-09-12 DOI: 10.1080/13607863.2024.2401960

Alexis Talmage,Miranda C Kunkel,Kamryn Kasler,Cassie Keiser,Nahida Akter,Kimberly Van Haitsma,Katherine M Abbott

{"title":"\"I think we just saw happier residents\": nursing home provider reported readiness assessment of the individualized positive psychosocial interaction (IPPI) program.","authors":"Alexis Talmage,Miranda C Kunkel,Kamryn Kasler,Cassie Keiser,Nahida Akter,Kimberly Van Haitsma,Katherine M Abbott","doi":"10.1080/13607863.2024.2401960","DOIUrl":"https://doi.org/10.1080/13607863.2024.2401960","url":null,"abstract":"OBJECTIVESThis study assessed the readiness of The Individualized Positive Psychosocial Interaction (IPPI) program in the nursing home (NH) setting from the perspective of NH providers implementing the IPPI. The evidence-based IPPI program is designed to help remediate distress and improve mood for residents living with dementia. NH staff are trained to engage residents in brief (i.e. 10-min) one-to-one, preference-based activities to alleviate emotional distress and enhance quality of life.METHODNH providers (n = 15) who championed the IPPI implementation completed an exit interview based on the nine domains of the Readiness Assessment for Pragmatic Trials (RAPT). Interviews were audio-recorded, transcribed, and coded by RAPT domains, then scored by the research team to reflect an average for each domain.RESULTSProviders rated the IPPI program's readiness high on the domains of alignment, impact, risk, implementation protocol, evidence, cost, and acceptability. The domains of measurement and feasibility scored lower, likely due to broader contextual issues and require particular attention.CONCLUSIONResults illustrate that the IPPI program successfully aligns with stakeholder priorities, is a safe intervention with minimal risk, and has beneficial outcomes. The IPPI's low cost, design, and alignment with organizational goals also facilitated implementation while measuring outcomes and staffing considerations impacted organizational capacity for implementation.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185714","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

‘Mental health is a mystery’: patient perspectives on treatment engagement in the referral process to specialty geriatric mental health services 心理健康是个谜"：患者对转诊至老年心理健康专科服务过程中参与治疗的看法

IF 3.4 3区医学

Aging & Mental Health Pub Date : 2024-09-12 DOI: 10.1080/13607863.2024.2400262

Nicole Del Rosario, Corey S. Mackenzie, Lesley Koven, Kristin A. Reynolds, Patricia Furer

引用次数: 0

Successful aging and its relationship with mindfulness, self-compassion factors, and subjective well-being in older adults 成功老龄化及其与老年人正念、自我同情因素和主观幸福感的关系

IF 3.4 3区医学

Aging & Mental Health Pub Date : 2024-09-11 DOI: 10.1080/13607863.2024.2401952

Francisco Vitor Soldá de Souza, Karine David Andrade Santos, Joilson Pereira da Silva

引用次数: 0

Mindsets over matter: priming theory of mind improves older adults' mental state attributions about naturalistic social interactions. 心态重于一切：心智理论引物可改善老年人对自然社会互动的心理状态归因。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-08 DOI: 10.1080/13607863.2024.2399091

Anne C Krendl, Colleen S Hughes

{"title":"Mindsets over matter: priming theory of mind improves older adults' mental state attributions about naturalistic social interactions.","authors":"Anne C Krendl, Colleen S Hughes","doi":"10.1080/13607863.2024.2399091","DOIUrl":"10.1080/13607863.2024.2399091","url":null,"abstract":"Objectives: Aging is associated with declines in theory of mind - the ability to infer the mental states of others. We examined whether priming theory of mind mindsets actively (Study 1) and passively (Study 2) improved older adults' performance.Method: Across two studies, participants completed a novel question-and-answer theory of mind task using the television show Nathan for You® in a mindset or no mindset condition. In Study 1, participants (N = 324, 18-84 years) completed a similar task related to a different show prior to the Nathan for You task (active mindset). In Study 2, young (N = 235; MAge = 20.47) and older (N = 193, MAge = 74.48) adults made continuous ratings of awkwardness of different episodes of Nathan for You before completing the question-and-answer task (passive mindset). We also measured executive function and episodic memory. In both studies, the same tasks were performed in reverse order for the control conditions (no mindset).Results: Mindsets were associated with small-to-medium increases in theory of mind performance. Cognitive ability did not explain these improvements.Conclusion: These findings suggest that theory of mind performance can be improved through motivation (e.g. mindsets); cognitive function (e.g. ability) does not moderate this relationship.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156754","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

Feasibility of training family caregivers of people living with dementia online to deliver life review depression intervention at home. 对痴呆症患者的家庭护理人员进行在线培训，以便在家中提供生活回顾抑郁干预的可行性。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-08 DOI: 10.1080/13607863.2024.2400597

Christina E Miyawaki, Angela McClellan, Erin D Bouldin

{"title":"Feasibility of training family caregivers of people living with dementia online to deliver life review depression intervention at home.","authors":"Christina E Miyawaki, Angela McClellan, Erin D Bouldin","doi":"10.1080/13607863.2024.2400597","DOIUrl":"https://doi.org/10.1080/13607863.2024.2400597","url":null,"abstract":"Objectives: To alleviate the high prevalence of depressive symptoms and dementia in older Americans (≥65 years), we developed a depression intervention, Caregiver-Provided Life Review (C-PLR), and taught family caregivers life review skills online compared to a synchronous group virtual training, and examined the feasibility and delivery impact (N = 20 dyads).Method: In a cross-sectional, mixed-methods dyadic design, we recruited family caregiver-care recipient dyads nationwide, collected the pre- and post-intervention measures on care recipients' depression (primary outcome), life satisfaction, caregivers' burden, caregiving rewards, and dyads' relationship quality (secondary outcomes), and compared them using t-tests. We took fidelity scores to measure caregivers' feasibility of delivering life reviews adhering to the protocol.Results: Care recipients' depressive symptoms declined significantly following the C-PLR intervention (p = 0.034) and caregivers' rewards increased from the pre- to post-period (p = 0.019). Caregivers' qualitative interviews supported the quantitative results that online-trained caregivers' ability to deliver the intervention with high adherence to protocol (15.9 ± 0.27 out of 16) without increasing caregiver burden.Conclusion: This pilot study suggested that the C-PLR could make a positive impact on both caregivers' and care recipients' mental health. This innovative, cost-effective, and easily implemented activity can be used by any dyad regardless of whether they have any health-related deficits.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156724","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

In the presence of death and dying: death attitudes and compassion fatigue among certified nursing assistants in skilled care. 在死亡和濒死面前：专业护理中注册护理助理的死亡态度和同情疲劳。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-08 DOI: 10.1080/13607863.2024.2399089

Morgan K Eichorst, Ashley L Fromenthal, Grant M Harris, Candice D Reel, Rebecca S Allen

{"title":"In the presence of death and dying: death attitudes and compassion fatigue among certified nursing assistants in skilled care.","authors":"Morgan K Eichorst, Ashley L Fromenthal, Grant M Harris, Candice D Reel, Rebecca S Allen","doi":"10.1080/13607863.2024.2399089","DOIUrl":"https://doi.org/10.1080/13607863.2024.2399089","url":null,"abstract":"Objectives: Certified Nursing Assistants (CNAs) are responsible for 80-90% of direct-to-resident care in skilled nursing facilities (SNFs), and may develop close, family-like relationships with their residents. With SNFs becoming a common place of death for older adults, CNAs now find themselves engaging in end-of-life caregiving with limited training and institutional support for emotional outcomes. This study aimed to understand and evaluate the relations between bereavement, death exposure, and compassion fatigue among CNAs, hypothesizing that (a) experiential avoidance moderates the relation between death exposure and negative death attitudes and (b) death attitudes moderate the relation between death exposure and compassion fatigue.Method: One hundred and ten CNAs across all shifts from four skilled nursing facilities in the southeastern United States participated in surveys and, potentially, focus groups.Results: Results failed to find support for death exposure being related either to experiential avoidance or negative death attitudes. However, results supported the relation between negative death attitudes and compassion fatigue.Conclusion: Implications highlight the need to develop interventions focusing on palliative skills-based training and emotional support of CNAs in their role as end-of-life caregivers. By reducing compassion fatigue, it may be possible to decrease job turnover and increase quality-of-care for residents.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156725","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