The Training Effect of Working Memory Based on Central Executive System Intervention in Older Adults: A Randomized Controlled Study

This article aims to investigate the training effect of working memory in older adults. A total of 43 older adults ranging in age from 75 to 95 were recruited to participate in the study. A battery of tests regarding central executive function, working memory, and primary mental ability were administered in the pretest phase. A total of 22 of the older participants were randomly selected as the intervention group. Thirteen days after the pretest, the same tests were administered to all of the participants. The results showed that (1) the differences in the pretest and posttest gains in the task-switching tests were not significant between the intervention group and the control group; (2) the performance of the intervention group on the operation working memory span test and the graphical reasoning test showed a significant improvement after the intervention compared with the control group who did not receive the intervention. We can conclude that the working memory of old adults may be improved by an intervention targeting the central executive system. However, this possibility needs further investigation.     

灾后儿童心理创伤及危机干预

地震后,幸存下来的儿童可能比成人心理承受的压力更大,及时地对他们进行危机干预,帮助他们进行灾后心灵的重建是非常重要的。本文就儿童心理创伤反应、危机、危机干预、展开,针对儿童较成人的特殊性提出了对儿童进行危机干预的具体措施。     

Managing Elder Suicide: A Profile of American and Canadian Crisis Prevention Centers

Suicides among older adults in the United States and Canada in the last decade have accounted for an increasing share of all suicides. In both countries the use of firearms among older adults has steadily increased. Despite these trends, little is known about the extent to which crisis centers are prepared to prevent elder suicide. A survey of AAS-listed crisis prevention centers examined the training, knowledge, and current practices relevant to elder suicide among personnel in 321 crisis prevention centers in both countries. Results revealed insufficient training, a lack of familiarity with recent suicide trends, and limited outreach to older adults.     

Encouraging Occupation: A Systematic Review of the Use of Life Review and Reminiscence Therapy for the Treatment of Depressive Symptoms in Older Adults

The present systematic review investigates the efficacy of both life review and reminiscence therapy interventions in the treatment of depressive symptoms in older adults. A systematic review of the literature was conducted using three databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, and PsycINFO. Six studies met the inclusion criteria, and pertinent variables were extracted for data analysis. In all six articles, the reminiscence therapy or life review intervention was found to be effective in the treatment of depressive symptoms in older adults. These interventions are appropriate for use in occupational therapy practice, as occupational therapists are well-equipped to treat the psychosocial needs of individuals.     

What do targeting positive views on ageing add to a physical activity intervention in older adults? Results from a randomised controlled trial

Objective: Physical activity is a key factor for healthy ageing, yet many older people lead a sedentary lifestyle. Traditional physical activity interventions do not consider the specific needs and views of older adults. As views on ageing are known to be related to health behaviours, the current study evaluates the effectiveness of prompting positive views on ageing within a physical activity intervention.

Design: Randomised controlled trial with three groups aged 65+: Intervention for physical activity with ‘views-on-ageing’-component (n?=?101; IGVoA), and without ‘views-on-ageing’-component (n?=?30; IG), and active control intervention for volunteering (n?=?103; CG).

Main outcome measures: Attitudes towards older adults and physical activity were assessed five weeks before intervention, two weeks, six weeks and 8.5?months after the intervention.

Results: Compared to the IG and CG, positive attitudes towards older adults increased in the IGVoA after the intervention. For IGVoA, the indirect intervention effect on change in activity via change in attitudes towards older adults was reliable.

Conclusion: A ‘views-on-ageing’-component within a physical activity intervention affects change in physical activity via change in views on ageing. Views on ageing are a promising intervention technique to be incorporated into future physical activity interventions for older adults.     

我国老年人的社会支持与服务

鉴于我国老龄化现状,简要地回顾了社会支持的定义与种类,考察了我国传统的孝顺价值观和行为;并着重分析了我国老年人的社会支持与服务,包括老年人的社会支持与幸福感,老年人的家庭支持与照料,老年组织与公共老年服务;以及我国老年人社会支持的城乡差异。     

A study of the intensity and frequency of crisis intervention for students enrolled in a school for the severely emotionally disturbed

The present study explored the characteristics of students with a marked need for disciplinary crisis intervention (a modified time-out procedure). The study's sample consisted of 62 adolescents enrolled at a school serving the severely emotionally disturbed. Data on student background characteristics (IQ, academic achievement), behavioral adjustment, and sociometric ratings were gathered and related to intensity and frequency of crisis intervention. Data were subjected to correlational and multiple regression statistical procedures. One noteworthy finding is that students with a pronounced need for crisis intervention were rejected by their peers, yet indicated having positive perceptions of them. However, the central finding is that students with strong crisis intervention needs displayed a range of behaviors that can be characterized as a disturbance in conduct. Thus, this study supports the use of therapeutic interventions aimed at enhancing behavioral control for these students.     

Ethical Guidelines for Counselors Working With Older Adults

Counselors working with older adults may encounter situations that are not directly addressed by the ethical standards of the American Counseling Association (1995). After an extensive review of the literature, the Standards Committee of the Association for Adult Development and Aging (1998) identified 3 areas of concern: older adults with cognitive impairments, older adults who are the victims of abuse, and older adults with a terminal illness. This article examines the unique needs of older adults with these concerns and proposes guidelines for counselors working with such clients.     

The spiritual benefits of travel for senior tourists

This research explores the spiritual benefits of travel for older adults and illustrates how travel meets seniors' self‐actualization and spiritual growth needs. The theoretical point of departure for this research is seniors' quest for meaning and self‐actualization, which act as push factors inducing older adults to travel. Semistructured depth interviews were conducted with 16 retired senior informants who had extensive travel experience. Using an interpretive method, this research reveals four key themes that illustrate the spiritual benefits of travel, thereby extending the growing literature on the motivations of senior travelers. These themes are described as “traveling generates meaning for older adults,” “traveling reveals the self to older adults,” “traveling encourages older adults to better understand others,” and “traveling enables older adults to better understand their relationship to nature”. In sum, the themes describe how older adults may meet their unique spiritual needs through travel and thereby enhance their spiritual development. This research represents one of a few studies examining senior tourism to employ an interpretive method and provides rich insights as a result. This research also extends the emerging research on spirituality in marketing by illustrating how the tourism industry may benefit from a perspective that considers the spiritual benefits of consumption. The research findings suggest that the intangible spiritual benefits of travel, in addition to the tangible benefits, should be highlighted in travel offers and tourism communications targeted to older adults. Copyright © 2014 John Wiley & Sons, Ltd.     

Development and evaluation of the positive psychology intervention for older adults

Although research suggests that positive psychology intervention can enhance subjective well-being and reduce depression, its effectiveness on older adults remains largely unknown. Therefore the present study aimed to develop and evaluate a custom-tailored positive psychology intervention program for older adults. The program offered nine-week group sessions to 74 older people recruited from district community centers and nursing homes in Hong Kong. The intervention program covers eight themes, including optimism, gratitude, savoring, happiness, curiosity, courage, altruism, and meaning of life. The participants consisted mostly of females aged between 63 and 105?years. One-group pre-test/post-test design was adopted to evaluate the effectiveness of the intervention on depression, life satisfaction, gratitude, and happiness. Results revealed that the intervention reduced the number of depressive symptoms and increased the levels of life satisfaction, gratitude, and happiness. Effectiveness of the intervention is discussed in relation to self-awareness, education, self-reinforcement, and sensitivity to age and culture.     

Strategy-Based Cognitive Training for Improving Executive Functions in Older Adults: a Systematic Review

Given projected increases in dementia prevalence, emphasising earlier stages of cognitive impairment in older adults enables targeted early intervention strategies. Strategy-based cognitive training (SCT) is a remedial approach involving guidance and practice in compensatory techniques to improve cognition, including memory and attention. It may also be effective for improving executive functions (EF) integral to everyday tasks. This review systematically evaluates SCT effects on EF in older adults without dementia. Following PRISMA guidelines, we reviewed eligible trials according to pre-defined criteria, differentiating SCT from other cognitive interventions and stipulating total EF-focused intervention time, study design and target population (healthy older adults or mild cognitive decline). We then evaluated trials according to design, methodological quality and outcomes. Unfortunately, with too few studies in mild cognitive impairment, we refocused our review only on healthy older adults. Thirteen studies with 4120 participants in total were included, primarily targeting inductive reasoning. Despite heterogeneous study designs and SCT programs, 11/13 trials reported significant EF improvements, generally of moderate effect size (Hedges’ g > 0.3). Four studies reported sustained benefits from one month to 10 years. There was some evidence of far transfer. We conclude that there is promising evidence for SCT as a targeted intervention for EF in healthy older adults and preliminary evidence for maintaining effects over time. Fewer trials have investigated far transfer (e.g. improved everyday functioning) or capacity to delay/prevent dementia, which are most relevant to clinical utility. Limitations include the inability to calculate effect sizes for four studies and absence of statistical meta-analysis.     

Neuropsychological and neurophysiological effects of strengthening exercise for early dementia: a pilot study

Research demonstrates a positive effect of aerobic exercise on cognitive functioning in older adults. Unfortunately, aerobic exercise is often contraindicated for older adults due to cardiovascular and functional limitations. Low-intensity strengthening exercise may offer a practical alternative, but the neuropsychological benefits and potential neurophysiological mechanisms are less well understood. The current study evaluated the effects of a 10-week strengthening exercise intervention on cognitive functioning and EEG in a sample of 13 older adults with early dementia, and 9 normative controls. Results revealed beneficial effects of strengthening exercise on verbal memory coupled with frontal beta and delta power asymmetries and N200 amplitude asymmetry. Results point to increased cognitive efficiency following 10 weeks of strengthening exercise. The findings suggest it is feasible to conduct a strengthening intervention with early dementia patients, and to gather neuropsychological and neurophysiological data to evaluate outcomes. Strengthening exercise may serve as a useful alternative to aerobic exercise.     

Mental Health Concerns of Older Adults Living in Long-Term Care Facilities: An Area of Expansion for MFTs

As baby boomers reach retirement age, the number of older adults living in long-term care will inevitably increase. Living in long-term care often brings psychological, relational, and emotional challenges for older adults, their families, and professional care-providers. Despite these trends and associated challenges, there appears to be an underrepresentation of attention addressing the mental health care of older adults and their families in marriage and family therapy (MFT) literature. Emphasis needs to be turned to assessing the quality and effectiveness of mental health resources for older adults in residential facilities, and to filling the gap where needed services are unavailable. The current review summarizes research addressing residential care for older adults, detailing a) mental health challenges faced by residents, families, and professional care-providers, b) effective mental health treatment options, and c) how MFTs are uniquely suited to working in long-term care settings.     

Anxiety Disorders in Late Life: Considerations for Assessment and Cognitive-Behavioral Treatment

Anxiety disorders are among the most frequently diagnosed mental disorders in late life. As older adults comprise a growing segment of the population, evidence-based treatments for anxiety disorders in late life have come into sharper focus. Cognitive-behavioral therapy (CBT) for anxiety disorders in late life has received less empirical attention and widespread dissemination relative to other age groups. Increasing older adults’ access to timely assessment and effective treatment can help reduce the personal and societal costs of anxiety disorders. The purpose of this review paper is to discuss important considerations for the assessment of anxiety disorders in older adults and offer adaptations to CBT treatment for this population. As part of assessment considerations, we discuss how physical health conditions, cognitive impairment, and functional limitations can impact anxiety disorder diagnoses with older adults. We also outline validated self-report measures of anxiety disorder symptoms for older adults and highlight the importance of assessing older adults’ suitability for CBT. Several recommendations for adapting CBT protocols for older adults with anxiety disorders are described, such as extending psychoeducation, altered treatment pacing, use of content aids, and medical contraindications for interoceptive exposure. A case study is included that illustrates helpful assessment and treatment adaptions for an older woman with panic disorder. We highlight the pressing need to increase research and dissemination of CBT for anxiety disorders for older adults to meet the needs of an increasing segment of the population worldwide.     

Neuropsychological and neurophysiological effects of strengthening exercise for early dementia: A pilot study

ABSTRACT

Research demonstrates a positive effect of aerobic exercise on cognitive functioning in older adults. Unfortunately, aerobic exercise is often contraindicated for older adults due to cardiovascular and functional limitations. Low-intensity strengthening exercise may offer a practical alternative, but the neuropsychological benefits and potential neurophysiological mechanisms are less well understood. The current study evaluated the effects of a 10-week strengthening exercise intervention on cognitive functioning and EEG in a sample of 13 older adults with early dementia, and 9 normative controls. Results revealed beneficial effects of strengthening exercise on verbal memory coupled with frontal beta and delta power asymmetries and N200 amplitude asymmetry. Results point to increased cognitive efficiency following 10 weeks of strengthening exercise. The findings suggest it is feasible to conduct a strengthening intervention with early dementia patients, and to gather neuropsychological and neurophysiological data to evaluate outcomes. Strengthening exercise may serve as a useful alternative to aerobic exercise.     

Chapter 9: A Christian Education for the Spiritual Growth of Senior Adults

SUMMARY

Spiritual maturity among older adults is not automatic. The achievement of this most significant and worthy goal is, in part, an individual's choice. However, it is assisted by the deliberate efforts of Christian education, as a church seeks to meet the needs of seniors by appealing to their life concerns. How this is done may vary, but the needs and interests of senior adults dictate that it must be done. This article provides an overview of older adults' needs as they relate to spiritual development, and then offers some general suggestions a church might consider for guiding them toward spiritual maturity.     

Improving Memory Knowledge,Satisfaction, and Functioning Via an Education and Intervention Program for Older Adults

Many healthy older adults are concerned about memory change and are interested in learning techniques for enhancing memory function in their everyday lives A memory education and intervention program was developed and administered to 36 community-dwelling older adults Pretest-posttest change scores showed significant improvement on measures of knowledge (ie, general facts about memory, memory strategies), metamemory (ie, satisfaction with memory, self-rated memory ability), and objective memory performance (ie, everyday prospective memory) in comparison to 24 demographically matched control participants Findings support the effectiveness of memory education and training in improving everyday functioning, particularly for older adults whose memory concerns result from inadequate knowledge about memory and aging     

Day Centers for Older Adults:

As a relatively new service concept which addresses the care of the frail older adult, Day Centers offer a rare opportunity for the partnership of local parishes and service agencies. In typical local parishes, there is a vast increase in the number of frail older adults as- well as the number of their care-giving families. Day Centers offer an opportunity for wholistic care for the older adults. By careful programing the needs of the whole person are addressed: social, physical, emotional, and spiritual. Care-giving families appreciate sharing their responsibility. Parishes have vast resources to offer Day Centers. Agencies have the expertise for program development and operations. With the partnership of parish and agency, resources are enhanced. Benefited are the older adults served, the parish, the agency and the community.