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Clinical Gerontologist

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https://www.readbyqxmd.com/read/30362909/the-relationship-between-maladaptive-personality-and-social-role-impairment-in-depressed-older-adults-in-primary-care
#1
Aliza Romirowsky, Richard Zweig, Lauren Glick Baker, Jo Anne Sirey
OBJECTIVE: Personality pathology is associated with impaired social functioning in adults, though further evidence is needed to examine the individual contributions of personality traits and processes to social functioning in depressed older adults. This study is a secondary analysis examining the relationship between maladaptive personality traits and processes and social role impairment in depressed older adults in primary care. METHODS: Participants (N = 56) were 77% female and ranged in age between 55-89 (M = 66...
October 26, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30358503/serving-all-who-served-piloting-an-online-tool-to-support-cultural-competency-with-lgbt-u-s-military-veterans-in-long-term-care
#2
Weston Donaldson, Heather M Smith, Brendt P Parrish
OBJECTIVE: Given health disparities between lesbian, gay, bisexual, and transgender (LGBT) and non-LGBT older adults, ensuring that the care provided in long-term care (LTC) settings is both supportive and sensitive to their unique needs and challenges is essential. This has become a matter of increasing priority in the United States Department of Veterans Affairs (VA), which in recent years has stated its mission to "serve all who served," including LGBT Veterans. With this in mind, we piloted an online training tool designed to enhance the LGBT cultural competence of interdisciplinary staff working in geriatric extended care units...
October 25, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30346918/medical-help-seekers-with-anxiety-from-deterioration-in-memory-are-characterized-with-risk-factors-for-cognitive-decline
#3
Ariela Gigi, Merav Papirovitz, Eli Vakil, Therese Treves
OBJECTIVES: Anxiety and subjective memory complaints (SMC) are major risk factors for Mild Cognitive Impairment (MCI) and dementia. However, the association between anxiety, SMC and medical help-seeking due to complaints is not clear. Here, we assessed anxiety which rose specifically by memory examination and compared it between help-seekers in memory clinics (HS) and non-help seekers (NHS). METHODS: Twenty HS (60% female) were recruited from a memory Clinic, and 55 NHS (63% female) were recruited from the community...
October 22, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30321125/a-short-form-of-the-lichtenberg-financial-decision-rating-scale
#4
Peter A Lichtenberg, Evan Gross, Rebecca Campbell
OBJECTIVES: This article examines the convergent validity and clinical utility of the 34-item short form of the Lichtenberg Financial Decision Rating Scale (LFDRS-SF). A briefer scale can lead to enhanced and efficient use of a person-centered approach to the assessment of financial decision-making. METHODS: Using data on 200 community-dwelling older adults from Lichtenberg and colleagues (2017a), convergent validity was examined with cognitive and financial management measures using a correlational and regression approach...
October 15, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30321114/mental-health-differences-between-older-and-younger-lesbian-gay-bisexual-and-transgender-veterans-evidence-of-resilience
#5
Jose Cortes, Terri L Fletcher, David M Latini, Michael R Kauth
OBJECTIVE: To examine health and identity differences between older (50+) and younger (< 50) lesbian, gay, bisexual, and transgender (LGBT) veterans. METHODS: Participants (N = 254) completed an internet survey assessing depression, anxiety, alcohol use, identity, minority stress, and outness. T tests and logistic regression were used to analyze results. RESULTS: Older LGBT veterans reported less alcohol use (p < .01) than younger counterparts...
October 15, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30321105/trajectories-of-depressive-symptomatology-and-loneliness-in-older-adult-sexual-minorities-and-heterosexual-groups
#6
Christopher R Beam, Emma M Collins
OBJECTIVES: This article examines whether sexual minority men and women experience greater increases in depressive symptoms and loneliness with age compared to heterosexual men and women. METHODS: Using three waves of data from sexual minority (nMen  = 87 and nWomen  = 62) and heterosexual (nMen  = 1,297 and nWomen  = 1,362) older adults in the National Social Life, Health, and Aging Project, we used latent growth curve modeling to test whether change in depressive symptoms and loneliness varies across sexual orientation and whether annual household income and family support accounted for this change...
October 15, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30235072/moderating-effects-of-community-social-capital-on-depression-in-later-years-of-life-a-latent-interaction-model
#7
Sok An, Hyejin Jung, Sharon Lee
OBJECTIVE: This study tested the stress-buffering model and examined the buffering role of community social capital on late-life depression. METHODS: This study used the data from the second wave of National Social Life, Health, and Aging Project (NSHAP, 2010-2012). In the present study, a total of 2,362 older adults aged 65 and older (Mage = 74.5, SD = 6.69) were included. Latent moderated structural equations model was tested by comparing the main effect model and interaction model...
September 20, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30204557/mindfulness-based-stress-reduction-and-mindfulness-based-cognitive-therapy-with-older-adults-a-qualitative-review-of-randomized-controlled-outcome-research
#8
Holly Hazlett-Stevens, Jonathan Singer, Adrienne Chong
OBJECTIVE: Many older adults cope with various chronic physical health conditions, and in some cases, with mental health and/or cognitive difficulties. Mindfulness-based interventions offer an evidence-based, mind-body complementary treatment approach for a wide range of comorbidities, yet most investigations were conducted with young or middle-aged adults. The purpose of this review was to identify randomized controlled trials (RCTs) of two leading mindfulness-based interventions conducted with older adults...
September 11, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30183539/relations-of-religion-with-depression-and-loneliness-in-older-sexual-and-gender-minority-adults
#9
Catherine Escher, Rowena Gomez, Selvi Paulraj, Flora Ma, Stephanie Spies-Upton, Carlton Cummings, Lisa M Brown, Teceta Thomas Tormala, Peter Goldblum
OBJECTIVES: High levels of religious involvement have been associated with positive mental health outcomes in older adults. This study investigated whether the effects of religion on healthy aging could generalize to older LGBTQ adults. METHODS: This study examined religious affiliation in childhood versus at present, as well as the relationships of outness to religious community and religious engagement with depression and loneliness in 102 lesbian, gay, and bisexual cisgender, transgender, and questioning adults (LGBTQ) over the age of 55...
September 5, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/30212310/clinical-gerontologist
#10
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29877781/psychotherapy-with-older-adults-implementing-and-refining-best-practices
#11
Jennifer Moye
No abstract text is available yet for this article.
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29447588/psychotherapy-termination-practices-with-older-adults-impact-of-patient-and-therapist-characteristics
#12
Daniel J Sullivan, Patricia Zeff, Richard A Zweig
OBJECTIVES: The aims of this study were to survey clinicians' opinions regarding psychotherapy practices in mutual termination with a specified population (depressed older adult outpatients) and to examine the patient and therapist characteristics that may influence such practices. METHODS: We surveyed psychologists' (N = 96) psychotherapy termination practices, using a hypothetical depressed older adult as a referent, to assess consensus on the appropriateness of various guidelines to termination and to examine whether these differ as a function of patient and therapist characteristics...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29432082/enhancing-meaning-when-facing-later-life-losses
#13
Janet Anderson Yang, Breanna L Wilhelmi, Krista McGlynn
OBJECTIVE: This article presents several client cases to illustrate psychotherapeutic interventions for helping older adults facing later life losses enhance their sense of meaning. METHODS: Cases are derived from the client population of a community mental health clinic which provides psychotherapy for low income, seriously mentally ill, culturally diverse older adults, many of whom experience serious medical illnesses. Over the course of 24 years in this setting, the primary author has observed various interventions which offer possibilities to provide hope and meaning for clients with severe problems...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29279038/development-of-a-bereavement-group-in-a-geriatric-mental-health-clinic-for-veterans
#14
Elizabeth A Mulligan, Michele J Karel
OBJECTIVES: This article describes the development and program evaluation of an 8-session outpatient geriatric mental health clinic bereavement group for United States military veterans who experienced the death of a loved one. METHODS: Group materials were developed based on a review of literature, with a focus on the dual process model of coping with bereavement and complicated grief treatment. Data are presented from 19 veterans who attended at least 4 of the 8 sessions across the five offerings of this group between 2013 and 2015...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29279022/personality-and-its-relationship-to-depression-and-cognition-in-older-adults-implications-for-practice
#15
Nasreen A Sadeq, Victor Molinari
OBJECTIVES: Personality is an important contributor to an individual's mental health and is consistently linked to the two most prevalent mental health conditions among older adults: dementia and depression. This review summarizes the current findings on personality and its association with cognitive decline and depression, as well as treatment outcomes and possible intervention strategies. METHODS: Literature searches were conducted in Web of Science, PubMed, and PsycINFO...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29257939/bringing-creative-writing-instruction-into-reminiscence-group-treatment
#16
Katherine D King
OBJECTIVES: This article describes the program evaluation of a group intervention combining reminiscence with literary creative writing instruction. METHOD: This 10-week, 1-hour group was completed seven times in an outpatient geriatric mental health clinic. Each session introduced a different reminiscence theme and creative writing practice. Feasibility and acceptability were assessed through group monitoring and qualitative feedback. Effectiveness was assessed with pre- and post-test depression screening (PHQ-9) and qualitative feedback...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29252112/program-evaluation-of-group-based-cognitive-behavioral-therapy-for-insomnia-a-focus-on-treatment-adherence-and-outcomes-in-older-adults-with-co-morbidities
#17
Brian M Ludwin, Patricia Bamonti, Elizabeth A Mulligan
OBJECTIVE: To describe a program evaluation of the interrelationship of adherence and treatment outcomes in a sample of veteran older adults with co-morbidities who participated in group-based cognitive behavioral therapy for insomnia. METHODS: Retrospective data extraction was performed for 14 older adults. Adherence measures and sleep outcomes were measured with sleep diaries and Insomnia Severity Index. Demographic and clinical information was extracted through chart review...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29240531/enhancing-dignity-for-older-inpatients-the-photograph-next-to-the-bed-study
#18
Ruth E Hubbard, Melissa Bak, Jacqueline Watts, David Shum, Angelica Lynch, Nancye M Peel
OBJECTIVES: Older inpatients compromised by illness and cognitive decline may be stripped of physical and cultural identifiers, making them vulnerable to erosion of dignity. This study explored the experiences of patients, carers and clinical staff in response to a simple intervention that could enhance the dignity of care for older inpatients. METHODS: All patients in a rehabilitation ward were encouraged to have a photograph of themselves next to their bed. Of those who participated, focus groups were recruited for patients, family members and staff to explore their reflections...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29236623/group-based-acceptance-and-commitment-therapy-act-for-older-veterans-findings-from-a-quality-improvement-project
#19
M Lindsey Jacobs, Katherine Luci, Lauren Hagemann
OBJECTIVES: The purpose of this project was to develop, implement, and evaluate a 12-session Acceptance and Commitment Therapy (ACT) for Older Veterans group protocol. METHODS: The Plan-Do-Study-Act (PDSA) quality improvement model was the foundational process for this project. Veterans age 55 years and older participated in an ACT for Older Veterans group in an outpatient geropsychology clinic at a Veterans Affairs Medical Center. Study methods included analysis of participant feedback gathered in a focus group, process measures (i...
October 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29227742/the-evaluation-of-a-compassion-focused-therapy-group-for-couples-experiencing-a-dementia-diagnosis
#20
Rebecca N Collins, Liam J Gilligan, Rebecca Poz
OBJECTIVES: This study evaluated the effectiveness of a Compassion-Focused Therapy (CFT) group on reducing anxiety, depression, and respiratory rate (RR) in people with dementia (PwD) and their spouses, and improving quality of life (QoL) of PwD. METHOD: Sixty-four participants completed six weekly CFT sessions. Baseline and post-intervention assessments were analyzed using t-tests and Reliability Change Index. RESULTS: Mean baseline and post-assessment anxiety and depression scores fell in the 'normal range'; although a significant reduction in depression with moderate effect was observed for PwD...
October 2018: Clinical Gerontologist
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