No Place Like Home? Potential Pathways to Loneliness in Older Adults Under the Care of a Live-In Foreign Home Care Worker

The arrangement in which frail older adults from the developed world are cared for in their homes by individuals from the developing world has become increasingly prevalent worldwide. In Israel, this arrangement is termed foreign home care. In this article, the authors first describe the global phenomenon of foreign home care of frail older adults as well as the more local characteristics of this arrangement in Israel. The authors then describe the concept of loneliness. Based on empirical and theoretical knowledge in the field of loneliness, the authors argue that older adults under live-in foreign home care may be particularly prone to feelings of loneliness for several reasons: some that are general to older adults with cognitive or physical disability and others that are specific to this particular caregiving arrangement. The authors conclude by providing ideas for future practice and research on this highly vulnerable group that, to date, has received only minimal research attention.     

Views on Aging: How Caring for an Aging Parent Influences Adult Daughters’ Perspectives on Later Life

Approximately 24 million Americans provide informal (unpaid) care to a family member or friend who is disabled or ill. The most common informal caregiving relationship is that of an adult child providing assistance to an elderly parent. Women in midlife represent most of the unpaid caregivers for older adults, yet little is known about how providing care affects women’s beliefs about and desires for their own aging. The purpose of this study was to understand how being a caregiver affected adult daughters’ perspectives on their own late life. In-depth interviews were conducted with a diverse sample of 15 women between the ages of 50 and 65 who were providing care to an ill and disabled parent or parent-in-law. Analysis of the qualitative data revealed that caregivers were affected by the caregiving experience in five ways: gaining awareness, provoking fears, providing a comparison for current functioning, providing firsthand knowledge about aging, and providing an example of how to age. This study offers an alternative perspective on the well-documented negative consequences of caring for an older person, suggesting that caregiving encourages personal growth for adult daughters in midlife.     

Reactions to Receiving Assumptive Help: The Moderating Effects of Group Membership and Perceived Need for Help1

The present study examined how group membership and need for help, variables that can operate independently or in combination, can affect reactions to receiving help. Arab participants (n = 164) received or did not receive help from an in‐group member (Arab helper) or from an out‐group high‐status member (Jewish helper) when the task was described as easy or difficult, or when no information was given. As predicted, Arab participants who received assistance from a Jewish helper or received assistance on an easy task showed more negative reactions than did those who received assistance from an Arab helper or on a difficult task. The theoretical implications for disentangling intergroup and interpersonal influences on reactions to receiving help are considered.     

Aging and mental health in the decade ahead: what psychologists need to know

Until relatively recently, most psychologists have had limited professional involvement with older adults. With the baby boomers starting to turn 65 years old in 2011, sheer numbers of older adults will continue to increase. About 1 in 5 older adults has a mental disorder, such as dementia. Their needs for mental and behavioral health services are not now adequately met, and the decade ahead will require an approximate doubling of the current level of psychologists' time with older adults. Public policy in the coming decade will face tensions between cost containment and facilitation of integrated models of care. Most older adults who access mental health services do so in primary care settings, where interdisciplinary, collaborative models of care have been found to be quite effective. To meet the needs of the aging population, psychologists need to increase awareness of competencies for geropsychology practice and knowledge regarding dementia diagnosis, screening, and services. Opportunities for psychological practice are anticipated to grow in primary care, dementia and family caregiving services, decision-making-capacity evaluation, and end-of-life care. Aging is an aspect of diversity that can be integrated into psychology education across levels of training. Policy advocacy for geropsychology clinical services, education, and research remains critical. Psychologists have much to offer an aging society.     

A Closer Look at Religiosity Among Family Caregivers

This article addresses the relationships between the dimensions of religiosity and positive appraisal of caregiving among African American, Hispanic, and non-Hispanic Caucasian family caregivers for older adults. Data analysis of 69 subjects revealed a negative correlation between non-organizational religiosity and positive appraisal of care among African American caregivers and a positive correlation between organizational religiosity and positive appraisal of care among Hispanic caregivers. Findings from this analysis challenges the overall assumption that religiosity increases positive appraisal of caregiving. Rather, the nature and outcomes of family caregiving are different for various ethnic groups.     

Revue de la littérature sur les jeunes aidants : qui sont-ils et comment les aider ?

Young carers (YC) are children and teenagers who provide care, help or support to a relative who is ill or has a disability. This literature review aims at presenting an overview on YC. Previously published studies mainly focused on estimating YC prevalence, exploring the areas in which YC provide help, especially caring activities, as well as positive and negative consequences of the caregiving experience (social, academic, physical, and psychological consequences). Specific tools to evaluate YC have been developed for professionals and researchers. Finally, if many interventions have been proposed for YC, they have rarely been evaluated. The limits of these studies are discussed and research perspectives are suggested.     

Aging family caregivers: policies and practices

This review examines later life family support for adults with developmental disabilities from a life course perspective that takes into account social trends and changes in service patterns and in attitudes of families. Key issues addressed include: (1) trends affecting family caregiving, (2) health and social outcomes of life-long caregiving, (3) support needs of families, (4) family support policies and practices, and (5) recommendations for a research and policy agenda. Research examining outcomes of life-long caregiving has shown that most families adapt well to having a family member with disabilities. However, some families are at risk for poorer physical and mental health outcomes. These include cultural minorities and families of adults with behavioral challenges. Caregiving does seem to have a negative impact on maternal employment and family income as mothers often give up or cut back on employment to care for a child with developmental disabilities, who is more likely to continue living in the family home throughout adulthood than other adult children. Federal and state initiatives are addressing issues of family support through both the developmental disabilities and aging service systems.     

Comme réponse à la précarité du lien mère–bébé, les « Petits Pas » : un réseau en périnatalité…

The “Baby Steps” network includes a multi-disciplinary team and aims to accompany parents-to-be and young parents as they meet their newborns. The exchange and development relationships that professionals develop among themselves help to support the notion of parenthood and circumscribe any potential risk. The professionals in the network hail from a variety of backgrounds but they are all involved in perinatal care and by grouping their skills can adapt and optimise the assistance and care they offer to parents. The “Parent Island” reception area and the mother-baby therapy group with a separate father oriented structure are the truly original aspects of the network. Prevention is vital, as is providing therapeutic care for disturbances related to early parent-child relationships. With a strong “group psychology focus” the network creates a sufficiently solid structure to receive any unconscious negative projections from momentarily or deeply distressed parents.     

Age differences in moral judgment: Older adults are more deontological than younger adults

In 2 studies, an older and a younger age group morally evaluated dilemmas contrasting a deontological judgment (do not harm others) against a utilitarian judgment (do what is best for the majority). Previous research suggests that deontological moral judgments are often underpinned by affective reactions and utilitarian moral judgments by deliberative thinking. Separately, research on the psychology of aging has shown that affect plays a more prominent role in the judgments and decision making of older (vs. younger) adults. Yet age remains a largely overlooked factor in moral judgment research. Here, we therefore investigated whether older adults would make more deontological judgments on the basis of experiencing different affective reactions to moral dilemmas as compared with younger adults. Results from 2 experiments indicated that older adults made significantly more deontological moral judgments. Mediation analyses revealed that the relationship between age and making more deontological moral judgments is partly explained by older adults exhibiting significantly more negative affective reactions and having more morally idealistic beliefs as compared with younger adults.     

Positive aspects of caregiving and adaptation to bereavement

This study examined how positive aspects of caregiving affect adaptation to bereavement among older adults who cared for a family member with dementia. The sample consisted of 217 caregivers who were part of the Resources for Enhancing Alzheimer's Caregiver Health Study. Using pre- and postloss data, hierarchical regressions were carried out to examine the effects of positive aspects of caregiving (caregiving benefit) on postloss depression and grief. Findings show that preloss caregiving benefit was associated with higher levels of postloss depression and grief, even after controlling for caregiver demographic characteristics, contextual factors, and caregiving burden. This effect was particularly strong for the relation between benefit and grief. Results demonstrate the importance of studying both positive and negative aspects of caregiving and their relation to bereavement outcomes.     

Age similarities in matching pro- and contra-hedonic emotional strategies to everyday scenarios

ABSTRACT

Older adults are motivated to maximize positive affect in the present. Young adults will purposely feel negative and high arousal emotions in order to achieve a goal. However, this type of contra-hedonic emotional alignment has not been extensively studied with older adults. We expected older adults are less likely than young adults to select high arousal and negative emotions within specific scenarios where those states could be useful. In two studies, participants selected the emotion they preferred in hypothetical problems that varied on the arousal and valence best suited for goal achievement. Young and older adults were equally likely to endorse affective strategies that matched both pro and contra-hedonic scenarios. While older adults may be generally motivated to avoid negative and high-arousing emotions, they are just as likely as young adults to indicate that these states could be helpful in certain situations.     

Welfare participation and social support in late life

The purpose of this study was to examine the relationships among participation in welfare programs, gender, and change in social support in adults aged 65 and older. It was hypothesized that older men receiving public assistance would encounter more social network problems than older women on welfare. The findings reveal that during the 7-year study older men in receipt of welfare benefits, compared with older women on welfare, received less social support from others, were more dissatisfied with the assistance they got, and encountered more negative interaction from informal social network members (i.e., family and friends). The results suggest that those who administer welfare programs, as well as public policymakers, should consider developing interventions that address the wider psychosocial problems associated with receiving public assistance.     

Young Women’s Accounts of Caregiving,Family Relationships,and Personal Growth When Mother Has Mental Illness

Family members often serve as the primary source of care and support for loved ones living with mental illness. Although existing research has examined the role of parents and well siblings in providing care to adult children with mental illness, relatively little is known about the caregiving experiences of adult children with a parent with a psychiatric disability. Guided by a life course perspective, the present qualitative study examined first-person accounts of 10 young women attending college (ages 18–22) who were raised by a mother living with mental illness (depression, bipolar, or schizophrenia). Participants completed individual semi-structured interviews in which they described their experiences of caregiving, role reversal, and felt obligation towards mother, their ties to father and siblings, and their views of the impact of maternal mental illness on their lives. Overall, young adults’ accounts of their relationship with mother could be characterized as either predominately positive or predominately negative. In general, participants’ accounts of their caregiving experiences, views of felt obligation, and supportiveness of family ties differed depending on their reports of the overall quality of the mother–daughter relationship. Adult daughters described positive impacts of maternal mental illness on their own lives, regardless of their accounts of relationship quality with their mothers.     

Relationship Dynamics Between Aging Mothers and Caregiving Daughters: Filial Expectations and Responsibilities

Using qualitative analysis, this research examined filial responsibility and the relationship dynamics between aging mothers and their caregiving daughters. In-depth interviews with 11 mother–daughter pairs explored respondents' sense of filial responsibility, filial expectations, the congruence between mothers' and daughters' expectations, and strategies used to negotiate incongruent expectations. Employing grounded theory, seven categorical themes emerged describing the daughters' perceptions and experiences of providing care. Themes were later linked to the mothers' responses concerning filial responsibility and their experiences of receiving care. Three approaches to caregiving emerged: undifferentiated, dispassionate, and mutually balanced. Findings from the present study have important implications for practitioners working with older adults and their family caregivers.     

The Critical Need to Recognize That Families Matter for Adult Health: A Systematic Review of the Literature

A systemic approach to researching families and health should capture the complex network within which family members are embedded, including multiple family relationships and larger systems of health care. However, much of the families and health research focused on adult family members has focused solely on intimate partnerships, usually the marital relationship. This neglects the remainder of the powerfully influencing family relationships adults retain, and may increasingly focus on as they age. We conducted a systematic review of the families and adult health literature, retaining 72 articles which were subsequently thematically coded to highlight main foci of this area of research. Results highlight six themes, which include family relationship quality, family composition, behavioral factors in health and health care, psychophysiological mediators, caregiving, and aging health. Findings support an underrepresentation of family members, other than the intimate partner, in research on adult health.     

“Not performing worse but feeling older !” the negative effect of the induction of a negative aging stereotype

The present research investigated the effect of the induction of a negative stereotype on older adults’ performance during an endurance task, and how this stereotype influenced older adults’ subjective age. Thirty-four old women were randomly assigned to one of the two conditions: a negative stereotype condition and a nullified-stereotype condition. They performed an endurance task consisting of maintaining 30% of their maximal strength, as long as possible. Then, they answered a questionnaire including subjective age measurement. Contrary to expectations, the induction of the negative stereotype did not influence participants’ endurance performance. However, participants in the negative stereotype condition felt older than participants in the nullified-stereotype condition. As subjective age is relevant to late-life health outcomes, such as walking speed or mortality risk, it seems necessary to implement some strategies to decrease the negative effect of the negative stereotype on subjective age.     

Hassles and uplifts of giving care to a family member with dementia

The role of daily caregiving stressors (hassles) and small caregiving satisfactions (uplifts) in the well-being of 60 family caregivers was investigated. Hassles and uplifts in 4 domains of caregiving were examined, and direct effects of hassles, uplifts on caregivers' social and psychological well-being, as well as the interactive and net effects of hassles and uplifts, were assessed. Hassles associated with care recipients' behavior demonstrated strongest associations with well-being. Women and caregivers to socially responsive yet behaviorally inappropriate care recipients reported more behavior and cognitive hassles. Uplifts associated with assistance in activities of daily living and with care recipients' behavior were related to well-being, with more uplifts related to greater, rather than less, depression. More intensely involved caregivers reported more of these uplifts. Net effects in the hypothesized direction were found, but no interactive effects emerged.     

The effects of emotional content on reality-monitoring performance in young and older adults

Reality monitoring refers to a person's ability to distinguish between perceived and imagined events. Prior research has demonstrated that young adults show a reality-monitoring advantage for negative arousing information as compared with neutral information. The present research examined whether this reality-monitoring benefit extends to positive information in young adults and whether older adults show a reality-monitoring advantage for emotional information of either valence. Two studies revealed no evidence for a reality-monitoring advantage for positive information; in both age groups, the reality-monitoring advantage existed only for negative information. Older adults were, however, more likely to remember that a positive item had been included on a study list than they were to remember that a nonemotional item had been studied. Young adults did not show this mnemonic enhancement for positive information. These results indicate that although older adults may show some mnemonic benefits for positive information (i.e., an enhanced ability to remember that a positive item was studied), they do not always show enhanced memory for source-specifying details of a positive item's presentation.     

Maternal sensitivity during infancy and subsequent life events relate to attachment representation at early adulthood.

A prospective longitudinal research study of 86 prematurely born children from birth to age 18 years provided empirical evidence for continuity from infancy experience to representations of attachment at age 18 years. Young adults whose representation of attachment was dismissing had been objectively observed during infancy, 16-17 years earlier, to receive less sensitive maternal care than those infants who were later judged at early adulthood to have secure or preoccupied representations. Infancy experience alone did not differentiate young adults with secure representations from those with preoccupied representations. Rather, adverse life events through age 12, particularly parental divorce, reduced the likelihood of secure representations and increased the likelihood of preoccupied representations. The absence of adverse life events did not increase the likelihood of security for those who had not experienced early sensitive caregiving.