The Importance of Emotional Intelligence and Cognitive Style in Institutionalized Older Adults' Quality of Life

Despite previous evidence showing a positive relationship between emotional intelligence (EI) and quality of life (QoL), associating older adults' emotional processing with several health indicators, few studies have explored both the IE and the a mechanisms through which they affect QoL. This cross-sectional study analyzes the mediator role of optimistic and pessimistic cognitive styles in the relationship between perceived EI (PEI) and QoL in 115 institutionalized older adults from Southern Spain. Regression analyses showed, after controlling for cognitive style, that PEI predicted a significant percentage of variance in: Health (β = .25, p < .01), Functional abilities (β = .20, p < .05), Activity and leisure (β = .17, p < .05) and Life satisfaction (β = .21, p < .05). Additionally, multiple mediation analysis revealed that cognitive style partially mediated the relationship between PEI and Health, Activity and leisure and Life satisfaction. Thus, PEI could promote personal but not external or environmental QoL aspects, highlighting the importance of developing emotional skills for healthy aging.     

老年人社会支持与期望的调查研究

运用问卷调查法,通过对272名城市老年人的调查,考察了老年人的社会支持与期望的现状及其特点。结果发现:老年人的社会支持系统很不平衡,性别、年龄、受教育年限和职业对老年人的婚姻和家庭生活,人际关系和互助行为,住房情况和经济状况,以及心理需要和社会期望等具有不同的影响;相当比例的老年人在不同侧面尚需要家人和社会的关注、理解和支持。     

The Impact of Spirituality on Wellness for Appalachian Older Adults

The authors examined the role spirituality can play as a protective factor in the wellness of older adults residing in the Appalachian region of the United States. Analysis of participants' interviews identified 4 themes. These themes and implications for counselors working with Appalachian older adults are discussed.     

Grief among near-death experiencers: pathways through religion and meaning

This study has three specific aims. The first is to see if social relationships in the church influence social relationships in the secular world. Data from a longitudinal nationwide survey provide support for this view. The second goal is to see if church-based social relationships are more likely to arise from church teachings at worship services or through informal reinforcement by fellow church members (as assessed by spiritual support). The findings suggest that informal spiritual support is more likely than attendance at worship services to bolster social relationships in the church. The third goal is to explore the influence of race. The results reveal that African Americans and Caucasian Americans get the same amount of support from secular social network members. However, the data further reveal that secular social ties among African Americans can be attributed to the social relationships they maintain in the church, but the same is not true for Caucasian Americans.     

Life Satisfaction After Spousal Loss: The Potential Influence of Age,Gender, and Leisure

Life satisfaction is considered an important part of successful aging. The purpose of this study was to examine how age, gender, and participation in leisure activities influence the life satisfaction of widowed older adults. Results suggest that age, gender, and changes in physical activity participation are possible predictors of widowed older adults’ life satisfaction. Implications for practice and suggestions for future research are discussed.     

Life Satisfaction and Symptoms of Mental Disorder Among Older African American Public Housing Residents

This study examines life satisfaction and symptoms of mental disorder in a sample of 831 older African American residents of urban public housing developments. Symptoms of mental disorder included measures of emotional distress, alcohol-related problems, and cognitive impairment. Subjects reporting less life satisfaction had significantly greater emotional distress. Neither lifetime alcohol-related problems nor cognitive impairment were significantly related to life satisfaction. Stepwise multiple regression analyses indicated that emotional distress subscales accounted for most of the explained variance in life satisfaction. Social dysfunction was the strongest predictor of life satisfaction, accounting for 17% of the variance. Having a confidant, instrumental social support, religious support, or being female also contributed to the explained variance in life satisfaction.     

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.     

Counseling Older Adults with Dementia: A Survey of Therapists in Massachusetts

Although much has been written about therapeutic interventions with caregivers, little is known about the counseling services that are available for victims of dementia. The present study was designed to explore community mental health center (CMHC) services and therapists' experiences in providing psychotherapy to this population in Massachusetts. Only 27 of the 36 CMHCs in the state reported providing mental health services to older adults with a dementing illness. A survey of therapists who specialized in working with older adults found that the percentage of older adult clients estimated to have dementia averaged about half of their caseload. Older persons in the early phase of a dementing illness were most frequently referred for depression and anxiety, whereas those with moderate decline were most frequently referred for management of disruptive behavior. The most common services provided to clients with dementia consisted of assessment and individual counseling. The latter finding indicates a discrepancy between what is practiced and the professional literature. Most of the psychotherapy described in the literature concerns group interventions, which were rarely provided by the mental health centers in Massachusetts. The centers tended to offer individual counseling; however, little information on how to provide this form of treatment can be found.     

The Beck Anxiety Inventory: Psychometric Properties with Older Adults

The assessment of anxiety disorders in late life is often hindered by the lack of measures specifically validated with older adults. Because anxiety manifestations may vary across age groups, it is important to design new instruments or validate existing measures with older adults. This study examined the psychometric properties of the Beck Anxiety Inventory (BAI) in a sample of 281 older adults who were community-dwelling (82.6%) or living in residential care facilities (17.4%). The mean total BAI score was 6.5 (SD = 7.2), indicating minimal anxiety symptomatology in this older sample. There was a trend for older subjects to score higher. Females scored higher than males, and subjects living in a residential facility scored higher than did community dwellers. Item-total correlations were in the moderate range and the internal consistency of the BAI was adequate (alpha = 0.89). A factor analysis yielded a six-factor structure accounting for 64.6% of the variance, with a somatic factor accounting for the largest portion of the variance (32.2%). Because somatic symptoms are more prevalent with aging, such symptoms should not be weighed as heavily in the total BAI score as cognitive or behavioral symptoms. The findings indicate that the BAI is a useful self-report scale for assessing anxiety symptomatology among older adults.     

身体活动对老年认知功能的影响

如何促进老年人的认知功能, 延缓认知老化, 是老年心理学的关键课题之一。大量研究表明不同的身体活动类型、活动强度、活动量以及生命早期的身体活动可能对老年人认知功能的各个方面有积极的影响, 包括执行功能、注意力、认知速度、记忆力等。此外, 选择性提高假说、心血管功能假说以及认知-锻炼模型用来解释这一影响机制。这些发现对维护老年人认知功能, 提高老年人的生命质量, 有效延缓衰老有着重要的意义。     

Unresolved Childhood Sexual Abuse and Older Adults: Late-Life Vulnerabilities

Several long-term correlates of childhood sexual abuse (CSA) have been identified, including depression, fear, anxiety, guilt, anger, and poor interpersonal functioning (e.g., Browne and Finkelhor, 1986). However, little is know about how CSA survivors fare in old age. This article addresses the impact of unresolved CSA on late-life (emotional, cognitive, and behavioral) functioning. Three case studies of older adults ages 60 and older who were struggling with unresolved CSA are presented. Two observed stressors (loss of social support and declining health) and one developmental task (reminiscence or life-review) appear to be linked to exacerbated vulnerabilities in older survivors. Specifically, because CSA may arrest specific childhood developmental tasks (e.g., ability to form secure attachments, autonomy) or facilitate development of coping strategies that are maladaptive when outside of an abusive environment (e.g., generalized interpersonal distrust, avoidance, dissociation), the survivor may be at risk for developmental vulnerabilities for dysfunction in adulthood. These vulnerabilities may exacerbate unresolved CSA, particularly when the adult encounters stressors or developmental tasks that exceed his or her capacity for adaptive coping. Recommendations for mental health professionals and future research are suggested.     

Internet Safety and the Silver Surfer: The Relationship Between Gist Reasoning and Adults' Risky Online Behavior

Currently, fewer older adults are online compared with younger generations. However, with many new initiatives aiming to significantly increase the number of older internet users, they will increasingly be exposed to potential victimisation from internet fraud, a fundamental issue affecting all adult internet users. Despite this, little research has examined online risk‐taking across the adult lifespan or adults' reasoning about risky online behaviors. Using fuzzy trace theory, we investigated adults' online risk‐taking behavior and intentions, and whether these behaviors were related to different ways of reasoning about risk, namely, gist reasoning (using qualitative, intuitive knowledge) and verbatim reasoning (using quantitative, specific knowledge). Participants (326 adults, 18–79 years old, M_age = 49.54 years) reported their past risk‐taking behavior, future online risk intentions, gist and verbatim reasoning about online risk, sensation seeking, and time spent online. Age was negatively correlated with past risk‐taking, time online, future risk intentions, and sensation seeking. However, time spent online was positively related to future risk intentions, suggesting that spending more time using the internet could lead individuals to take more risks. Increased verbatim reasoning predicted increased intentions to take online risks, while gist reasoning predicted reduced intentions to take risks online. Our findings extend online risk research applying fuzzy trace theory to adolescents and young adults and suggest that online safety training incorporating gist‐based reasoning strategies could benefit all adults and, in particular, older generations. Copyright © 2017 John Wiley & Sons, Ltd.     

Androgyny and Adjustment in Later Life: Living in a Veterans' Home

This study builds on literature that suggests that interaction with friends in later life is important to the well-being of older adults and other research that argues that androgynous individuals may have a greater range of social skills with which to further their adjustment. We apply these arguments to later life through interviews from a pilot sample of 27 residents in a state-operated veterans' home. Findings suggest that women, who often hold high expectations for the interpersonal domain, are more likely to experience adjustment problems than are men. Men, who may have lower expectations for friendship and intimacy, seem less likely to report dissatisfaction, regardless of gender characteristics. A typology of adjustment and androgyny in later life is developed.     

老年人夫妻依恋问卷的编制

为编制适用于老年人的夫妻依恋测量问卷,将18份常用的成人依恋问卷的题目作为最初的项目来源,经过预试初步筛选得到85个项目。对434名60～88岁的社区老年人进行施测,并对施测结果进行项目分析和探索性因素分析,初步形成《老年人夫妻依恋问卷》。该问卷包含18个项目,分属于安全、焦虑和拒绝三个维度。该问卷具有良好的信度和效度,可用于测量城市社区老年人的夫妻依恋状况。运用《老年人夫妻依恋问卷》对样本的依恋模式进行考察,发现老年人夫妻依恋模式的分布特点表现为:安全型依恋模式的人数比例最高,其次是焦虑型依恋,最少是拒绝型依恋。     

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.     

Disposable Time and Disposable Income: Problem Casino Gambling Behavior in Older Adults

Increasing numbers of retirees spend their leisure time in the ever-growing number of gambling casinos in this country. For most older adults, casino gambling is a new form of excitement and entertainment. However, for some retirees, especially those vulnerable to depression from the changes and losses that can occur in aging, casino gambling can become disordered, problematic, and/or an addiction. Although prevalence studies have examined the incidence of problem gambling in other age groups, little attention has been directed to the impact of casino gambling on older adults. The authors discuss problem and pathological gambling in retired older adults, and provide clinical case examples of a growing number of older adults with problem gambling behaviors seen in an outpatient geriatric psychiatry clinic. Finally, they urge that an evaluation of gambling behaviors be a routine portion of geriatric clinical evaluations.     

“More Life,Not Less”: Using Narrative Therapy With Older Adults With Bipolar Disorder

Counselors who work with older adults with bipolar disorder are in a unique position to help them navigate their challenges. Older adults with bipolar disorder have lived decades with mental illness and also face the regular aging process. Narrative therapy provides counselors with a framework to deal with these issues.     

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.     

老年抑郁症的症状、诊断及测量

对老年抑郁症的症状、诊断和测量的探讨有利于寻找更有效的治疗方法。文章在简要讨论老年抑郁症主要症状以及诊断特点的基础上,重点介绍老年抑郁症的测量工具。文章指出,开展老年抑郁症研究的多学科研究,运用认知神经科学方法深入研究老年抑郁症,制订相对独立的老年抑郁症的分类标准,结合老年抑郁症患者身心特点开发更简便可靠的老年抑郁症量表,将有利于老年抑郁症的进一步研究。