Practical Memory Concerns of Older Adults

We examine practical memory concerns in a sample of community-dwelling older adults. Participants responded to open-ended questions that were designed to solicit information regarding memory self-efficacy, memory management, memory remediation, and fears about memory aging in adulthood. Results indicated that (a) important dates, such as birthdays and anniversaries, were easily remembered, but names were not; (b) external memory aids were used most frequently; (c) a desire to improve memory for names and certain types of verbal information was expressed; and (d) loss of independence emerged as a fear associated with memory aging. Implications of these findings for the design of strategies to improve everyday memory performance and clinical memory management in older adults are discussed.     

Useful Field of View and Other Neurocognitive Indicators of Crash Risk in Older Adults

Older adults represent a rapidly growing segment of the driving population. Although most older drivers are safe, research has shown that this group has more crashes per mile driven than most other age groups. The purpose of the present investigation was to examine the utility of a set of commonly used neuropsychological/cognitive tests in comparison to a newer measure of visual attention (Useful Field of View; UFOV®) in predicting state-recorded, at-fault crashes over the previous five years in a group of older adult drivers. Participants (N = 239) completed tests of mental status, visual attention, memory, and UFOV®. Results show that among all cognitive tests administered, UFOV® was most strongly related to crash involvement, with high levels of sensitivity (86.3%) and specificity (84.3%) at the standard cutoff score of 40% reduction. Practical implications for the assessment of crash risk are discussed.     

Psychopathology Following Interpersonal Violence: A Comparison of Risk Factors in Older and Younger Adults

A randomly selected sample of 549 women age 55 years and older and 2,669 women age 18–34 years was interviewed via telephone to determine prevalences of physical and sexual assault, posttraumatic stress disorder (PTSD) symptomatology, and depression. Prevalences of sexual and physical assaults were lower in older compared to younger women. In addition, given a trauma, prevalences and proportionate risk of posttraumatic psychopathology and depression were also lower for older, relative to younger women. Specifically, multivariate analyses revealed that sexual assault predicted only PTSD avoidance in older adults, but all forms of PTSD symptomatology and depression in younger adult women. Similarly, physical assault predicted only PTSD re-experiencing symptoms in older women, but all forms of PTSD symptoms and depression in younger women. Self-reported health status was not associated with any increased risk of psychopathology, and low income predicted increased avoidance and depression only in younger women.     

Bartlett Revisited: Reconfiguration of Long-Term Memory in Young and Older Adults

This study was performed after the tradition of F. C. Bartlett (1932), who demonstrated that memory reconfigures over time. The authors investigated the memory of young and older adults to examine the degree to which the aging process influences reconfigurative tendencies. From an initial sample of 53 participants, 20 young and 19 older adults completed 6 tests of recall for Bartlett's original text materials over an 84-day period. Consistent with the broad conclusions of Bartlett's study, reconfiguration was observed: Both young and older adults introduced errors into memory. Older adult recall was lower overall than that of young adults, and recall performance diminished over time. However, there was no difference between the performances of young and older adults with respect to incorrectly recalled intrusive elements.     

When Psychologists Work with Older Adults: A Survey of Ethical Beliefs and Practices

Despite the number of publications concerning legal and ethical issues faced by psychologists, and despite the increased interest in addressing specific concerns related to aging, little is known about the actual beliefs and practices of psychologists when they work with older adults. Given the changing demographics in the United States, many mental health professionals will have contact with older adult clients, and the focus of the present study was to examine the extent to which psychologists are prepared to work competently with older adult clients. Survey data were collected from 156 APA Division 12 (Clinical Psychology) and 17 (Counseling Psychology) members regarding the degree to which they engaged in each of 50 behaviors and the degree to which they considered each behavior ethical. Findings are presented in terms of percentages of responses to items on the questionnaire, and ANOVAs were performed on important demographic items to identify statistically significant differences among variables. Coursework in geropsychology or aging, specialization with older adults, and working with a high percentage of older adults were related to higher scores on the Overall Ethical Behavior scale. Females scored higher than males on the Overall Ethical Belief scale.     

Development and Validation of a Short Health Behaviors Index for Use with Low Socioeconomic Status (SES) Older Adults

This study reports on the development and validation of a health behavior index in predominantly low socioeconomic status (SES) older adults. In order to develop and validate the index for use in low SES older adults, the 24-item Health and Human Services HealthStyle Self-Test was used for item generation. It was reduced to a relatively brief instrument, the Short HealthStyle (SHS) Index with 13 items that measures four major content areas of lifestyle behaviors among low SES older adults. The SHS Index was administered to a sample of 350 low SES older individuals. Principal component model factor analysis indicated a four-factor structure. Items loading on the first factor appeared to assess fitness and leisure activities, whereas those loading on the second and third factor assessed nutrition practices and stress control, respectively. A fourth factor assessed drinking/eating behaviors. Discriminant validity of the SHS was confirmed using the Instrumental Activities of Daily Living, and other health measures that indicated distinct constructs. Internal consistency for the SHS was .72 using Chronbach's alpha. Overall, the SHS Index displayed good psychometric properties in this sample, suggesting the appropriateness of using it to measure selected health behaviors with low SES older adults.     

Spiritual,Religious, Nonspiritual,and Nonreligious Narratives in Marginalized Older Adults: A Typology of Coping Styles

SUMMARY

Narrative therapy is an important tool in the phenomenological framing of life events with older clients. Seventy-nine older adults who lived independently in four subsidized high-rise housing facilities in Chicago were interviewed in a research project about managing life challenges. Cases represent four types in a spiritual-religious typology: religious and spiritual, religious only, spiritual only, and neither religious nor spiritual (Zinnbauer, 1997). This article explores how older adults managed adversity and maintained a sense of self-efficacy. Findings indicate that older adults use many references to religion and spirituality in their narratives, either embracing these domains or defining themselves in contrast to them. Narrative therapy suggests that the implications of religious and spiritual resources addressed in client stories may reinforce coping capacity and promote aging well.     

Educational Prefrences of Older Adults and Implications for Local Congregations

This research project studied the educational preferences of older adults in 22 churches in North Carolina. These older adults displayed a significant preference for "instrumental" activities over "expressive" activities. Level of education and occupation (or previous occupation) were significantly related to educational preference. Persons with fewer years of schooling indicated significant preference for instrumental activities, almost to the exclusion of expressive interests. As levels of education rose, there was a decrease in the ratio of instrumental preferences to expressive preferences. Persons in white collar jobs preferred expressive learning experiences more than blue collar individuals. Programming implications for local churches are discussed.     

Recognition Memory for Faces: Reliability and Validity of the Warrington Recognition Memory Test (RMT) in a Neurological Sample

In response to critiques regarding the psychometric limitations of the Warrington Recognition Memory Test for faces (RMT-F), the current study was conducted to examine the test-retest reliability and validity of the measure in a neurological sample. Forty adult outpatients, ages 35–81, were administered the RMT-F as part of their diagnostic exam. A second evaluation was conducted after an average interval of 7 months (range = 2–20 months). Results yielded a Pearson reliability coefficient of 0.81 (p < .001), indicating a clinically satisfactory index of stability. Correlations with other measures were conducted to examine convergent and divergent validity. Results indicate that the facial component of the RMT has adequate reliability for patients with established neurological disease, shows moderate correlations with other measures of complex visuospatial function, and shows no significant correlation with measures of verbal reasoning, visual problem-solving, or verbal fluency. These findings provide additional support for the clinical efficacy of this instrument for use in a diverse neurological patient sample.