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Aging & Mental Health

Charlotte A Poyser, Anna Tickle
OBJECTIVES: The objective of this review was to identify, appraise and synthesise qualitative research that explores the experience of the disclosure of a dementia diagnosis from the perspectives of clinicians, patients and carers. METHOD: A systematic search of four databases, grey literature and reference lists identified 13 studies, which met the required criteria to be included in the review. All were appraised using a quality appraisal tool. Data were extracted and synthesised using a meta-ethnographic approach...
November 15, 2018: Aging & Mental Health
Lianne Scarlett, Elizabeth Baikie, Stella W Y Chan
OBJECTIVES: Fear of falling is common amongst older adults with and without a prior experience of falling. It is related to decreased quality of life, isolation, and institutionalisation. It also poses a risk for future falls when activity is avoided because of fear of falling and muscle deconditioning occurs. Relatively little is known about the psychological factors underpinning fear of falling. This study explored the relationship between emotion regulation and fear of falling in community dwelling older adults...
November 15, 2018: Aging & Mental Health
Alison Carver, Alanna Lorenzon, Jenny Veitch, Ashley Macleod, Takemi Sugiyama
OBJECTIVES: Older adults living in residential aged care facilities (RACFs) may be vulnerable to mental health issues. Evidence suggests greenery is beneficial for adults' mental health in community settings. This review aims to summarise evidence of associations between greenery in RACFs and residents' mental health. METHOD: Six databases were searched with three sets of terms related to: (1) exposure (e.g. garden, green); (2) outcome (e.g. mental health, well-being); and (3) setting (e...
November 15, 2018: Aging & Mental Health
Karen S van den Berg, Matheus H L Arts, Rose M Collard, Rob H S van den Brink, Hannie C Comijs, Radboud M Marijnissen, Richard C Oude Voshaar
OBJECTIVE: To study the association between vitamin D levels and frailty, its components and course in a depressed sample. METHODS: Baseline and two-year follow-up data from the depressed sample of the Netherlands Study of Depression in Older persons (NESDO), a prospective observational cohort study, were analyzed. The 378 participants (aged 60-93) had a diagnosis of depression according to DSM-IV criteria. Frailty was defined according to Fried's physical phenotype...
November 15, 2018: Aging & Mental Health
Claire Bamford, Alison Wheatley, Caroline Shaw, Louise M Allan
OBJECTIVES: People with dementia are more likely to fall and less likely to recover well after a fall than cognitively intact older people. Little is known about how best to deliver services to this patient group. This paper explores the importance of compensating for cognitive impairment when working with people with dementia. METHODS: Qualitative methods - interviews, focus groups and observation - were used to explore the views and experiences of people with dementia, family carers and professionals providing services to people with dementia following an injurious fall...
November 15, 2018: Aging & Mental Health
Anna Pendergrass, Mary Mittelman, Elmar Graessel, Dominik Özbe, Nina Karg
OBJECTIVE: We investigated a) the number of reported benefits in an informal caregiving situation and b) the factors that predict the caregiver's (CG's) experience of benefits. METHOD: In this cross-sectional study, we computed univariate analyses and a multiple regression analysis using a benefit score as the dependent variable. Participants were 734 informal CGs who provide care for a person with chronic care needs in Germany. We examined the CG's self-reported physical complaints (GBB-24), subjective burden (CSI), depressive symptoms (PHQ-9), quality of life (CarerQoL), and benefits (BIZA-D)...
November 14, 2018: Aging & Mental Health
Nicole Nehrig, Cory K Chen
OBJECTIVE: This study used qualitative methods to understand how to further alleviate symptoms of depression and caregiver burden and address the needs of non-responders following a course of Resources for Enhancing Alzheimer's Caregiver Health in VA (REACH VA). METHODS: Semi-structured interviews with caregivers and interventionists post-treatment were coded for themes related to ways to address the needs of non-responder caregivers. RESULTS: The following suggestions recurred among non-responder caregivers and interventionists: (1) tailor skills and psychoeducation material to caregiver's needs; (2) provide greater overall support within the realm of caregiving; (3) explore and process caregiver's emotions around caregiving experience and grief; (4) address interpersonal difficulties and barriers to asking for help; (5) spend more time practicing skills to aid in implementing them at home...
November 14, 2018: Aging & Mental Health
Gerard A Riley, Julie Achiampong, Tanja Hillberg, Jan R Oyebode
OBJECTIVES: Some spouses providing care for a partner with dementia experience continuity in the relationship: Despite the changes that have occurred, the person with dementia and the relationship are felt to be essentially the same as they were before the dementia. Others experience discontinuity: The person and the relationship feel very different. Previous qualitative research has suggested that continuity may be linked with the delivery of more person-centred care. Using a mixed-methods approach, the present study aimed to provide a more robust test of this claim...
November 10, 2018: Aging & Mental Health
Andria L Norman, John L Woodard, John E Calamari, Evan Z Gross, Noelle Pontarelli, Jami Socha, Brandon DeJong, Kerri Armstrong
OBJECTIVES: To determine if the fear of developing Alzheimer's disease (FDAD) construct, in combination with similar psychoemotional factors, could help elucidate the nature of older adults' subjective memory complaints (SMCs) and subsequent objective memory performance. METHODS: One hundred ninety-three healthy older adults (aged 65-93) were administered clinician and self-report measures of depression, worry, anxiety, illness attitudes, and memory, and each rated their concern with developing AD...
November 9, 2018: Aging & Mental Health
Nan Qin, Elsie C W Yan, Daniel W L Lai
OBJECTIVES: This study examined the associations between perceived crime-specific victimization risk, avoidance behavior, and their relationships with health of older adults. METHOD: A representative sample of 453 Chinese aged 60 and older from Kunming provided information on their socio-demographic characteristics, perceived crime victimization risk, avoidance behavior, physical and mental health. RESULTS: Avoidance behavior was common among participants, with 61...
November 9, 2018: Aging & Mental Health
Isabelle Hansson, Sandra Buratti, Boo Johansson, Anne Ingeborg Berg
OBJECTIVES: The retirement transition is a multidimensional and dynamic process of adjustment to new life circumstances. Research has shown that individual differences in resource capability accounts for a substantial amount of the previously observed heterogeneity in retirement adjustment. The aim of the present study was to investigate interaction effects of self-esteem, autonomy, social support, self-rated physical health, self-rated cognitive ability, and basic financial resources on levels and changes in life satisfaction in the retirement transition...
November 9, 2018: Aging & Mental Health
Siu-Yau Lee, Kee-Lee Chou
OBJECTIVES: The role of social exclusion in depressive symptoms in older people has not been examined systematically. This study examines the associations of social exclusion, income poverty, and financial strain with depressive symptoms and evaluates the moderating effect of social support in the link between social exclusion and depressive symptoms. METHOD: Our sample consisted of 850 older people (65 years old or above) in Hong Kong randomly selected through a household survey...
November 9, 2018: Aging & Mental Health
D L Gerritsen, A P A van Beek, R T Woods
OBJECTIVES: This study investigates the relationship between attitudes of care staff and social well-being and challenging behavior of residents in long-term dementia care. METHODS: The study was based on a cross-sectional design using questionnaires. Care staff members (N = 291) of 15 long-term care facilities in the Netherlands completed the Approaches to Dementia Questionnaire. Additionally, the primary professional caregiver of each participating resident (N = 239) completed an observational questionnaire regarding that resident's behavior, which contained the scale for Social Wellbeing Of Nursing home residents and the Cohen-Mansfield Agitation Inventory...
November 8, 2018: Aging & Mental Health
Markus Wettstein, Hans-Werner Wahl, Vera Heyl
OBJECTIVES: Sensory impaired older adults may be particularly dependent on coping strategies such as assimilation (or tenacious goal pursuit [TGP]) and accommodation (or flexible goal adjustment [FGA]) to secure high levels of well-being. We investigated if late-life changes in these coping strategies and prospective associations of TGP and FGA with affective well-being vary according to sensory impairment status. METHOD: Our study sample consisted of 387 adults aged 72-95 years (M = 82...
November 8, 2018: Aging & Mental Health
Anne-Marie Chouinard, Eddy Larouche, Marie-Claude Audet, Carol Hudon, Sonia Goulet
OBJECTIVES: Amnestic mild cognitive impairment (aMCI) often corresponds to the prodromal stage of Alzheimer disease (AD). The aMCI stage represents a crucial time window to apply preventive interventions in an attempt to delay cognitive decline. Stress, one of AD's modifiable risk factors frequently co-occurring with aMCI, stands out as a key intervention target. The goal of this study was to assess the impacts of two non-pharmacological interventions, mindfulness and psychoeducation, on stress at the psychological and physiological levels among aMCI older adults...
November 8, 2018: Aging & Mental Health
Paula Gasparini Emery Trindade, Raquel Luiza Santos, Isabel Barbeito Lacerda, Aud Johannessen, Marcia Cristina Nascimento Dourado
OBJECTIVE: We aim to assess different objects of awareness of disease of people with Alzheimer's disease (AD) in mild and moderate stages Method: Semi-structured interviews were conducted with 34 participants with AD and qualitative analyses were used to analyze the participants' reports. RESULTS: Cognitive impairment was the most peserved area of awareness. The participants' explanations were mainly categorized as biological/genetic and psychosocial causes. Also, awareness of social/emotional functioning and interpersonal relationships were generally well-preserved in this group...
November 8, 2018: Aging & Mental Health
Jimpei Misawa, Katsunori Kondo
OBJECTIVES: Preventing the onset of depression among older people in Japan requires clarifying the social determinants of depression by using longitudinal data, while also taking biological and psychological factors into account. Identification of such determinants may enable more active intervention through social policy. We aimed to reveal the social factors related to depression in Japan's older people and consider associated policy implications. METHOD: Panel data obtained from a longitudinal survey (Wave 1 to Wave 2) of 3464 elderly subjects, aged 65 years or more, as part of the Aichi Gerontological Evaluation Study (AGES) project was employed...
November 8, 2018: Aging & Mental Health
Oksana Harasemiw, Nancy Newall, Corey S Mackenzie, Shahin Shooshtari, Verena Menec
OBJECTIVES: The objectives of this study were to examine: 1) whether the relationship between social network types, depressive symptoms and life satisfaction is mediated by different types of perceived social support; and, 2) whether social support plays a mediational role for married versus unmarried older adults. METHODS: The study was based on national, baseline data (Tracking Cohort) from the Canadian Longitudinal Study on Aging for participants aged 65 to 85 (N = 8782)...
November 8, 2018: Aging & Mental Health
Vidya Fatania, Danielle De Boos, Anna Tickle, David Connelly
OBJECTIVES: Existing literature demonstrates that nurses' understanding of behaviours in dementia influences their responses to persons with dementia. However, there is limited research on the psychological processes involved in how nurses make sense of the behaviours and how these impact on responding, and a dearth of such literature from inpatient acute dementia settings. This study explored how inpatient psychiatric nurses make sense of and respond to behaviours in dementia. METHOD: This study employed Interpretative Phenomenological Analysis (IPA), a qualitative method that explores in detail how participants make sense of their experiences...
November 8, 2018: Aging & Mental Health
Galit Weinstein, Roni Elran Barak, Michal Schnaider Beeri, Ramit Ravona-Springer
OBJECTIVES: Personality may constitute an important domain of influence on cognitive function in old-adults. We assessed the relationship of personality traits and cognitive performance in individuals with Type-2 Diabetes (T2D), and explored possible mediators. METHOD: The sample includes 377 dementia-free subjects with T2D participating in the Israel Diabetes and Cognitive Decline study who underwent assessment of cognition and personality (mean age 72 ± 4y; 42% females)...
November 8, 2018: Aging & Mental Health
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