Support interventions for older adults: Confidante relationships,perceived family support,and meaningful role activity

The rationale and problems encountered in implementing a peer-support telephone intervention are described. The research conducted by Heller, Thompson, Trueba, Hogg, and Vlachos-Weber (1991) was based on epidemiological literature documenting the moral enhancing value of confidante relationships. However, that literature may be insufficiently precise to form the basis for an intervention without prior ethnographic study of the local target population. Furthermore, the positive effects of peer friendships may refer to long established relationships rather than to newly formed social ties. It is concluded that future support intervention research with older adults should concentrate on reinforcing meaningful role activities, and that greater attention should be given to strengthening indigenous ties before attempting to create new ones. While prior process research and formative evaluation are of value, we also emphasize the importance of well-controlled field studies in the ultimate test of intervention hypotheses.     

Social control,social support,and companionship in older adults' family relationships and friendships

Social control, social support, and companionship represent basic elements of many close relationships, yet we know relatively little about how these distinctive elements separately and jointly influence relationship quality. Control and support may have incompatible effects, with efforts by a family member or friend to influence a focal person's behavior undermining the sense of support in the relationship. We examined the implications of control, support, and companionship for the perceived quality of older adults’family relationships and friendships in a sample of 180 older adults. Analyses indicated that the participants’family members and friends were differentially involved in performing control, support, and companionship functions. In addition, perceived relationship quality appeared to be anchored in somewhat different functions for family members versus friends. The perceived quality of family ties was related to emotional support, companionship, and social control, whereas the perceived quality of ties with friends was related to emotional support, instrumental support, and companionship. Contrary to expectation, we found no evidence that social control detracted from perceived relationship quality or that social control interacted with social support in predicting relationship quality. The results help to extend existing knowledge of relationship specialization in later adulthood, and they underscore the usefulness of distinguishing social control, social support, and companionship.     

鳏与寡对老年人抑郁水平的影响:社会网络的调节作用

为了进一步探讨丧偶与抑郁水平之间的关系,讨论社会网络（包括家庭网络和朋友网络）在其中的作用机制,并比较丧偶与抑郁水平的关系及社会网络作用机制的性别差异,本研究对中国老年社会追踪调查（CLASS）2014年调查中7649名老年人（其中丧偶老人2149名,男性715,女性1434;在婚老人5500名,男性3398,女性2102）的数据进行分析。结果发现,丧偶对老年人抑郁水平有消极影响,但影响作用不存在性别差异;男性丧偶老人的朋友网络显著低于男性在婚老人,而女性老年人中无此差异;相对于在婚老人,家庭网络对男性丧偶老人的抑郁水平的缓解作用更大,而在女性样本未发现家庭网络的缓冲作用。应重视丧偶老年人,特别是男性丧偶老年人,家庭网络的建设与维护,从而缓解丧偶对老年人心理健康的消极影响。     

Associations among relational values,support, health,and well‐being across the adult lifespan

Is the link between close relationships and health and well‐being static across the lifespan, or are the benefits most evident in older adulthood, when concerns about physical health are greater? In Study 1, a cross‐sectional survey of 271,053 adults, valuing friendships was related to better functioning, particularly among older adults, whereas valuing familial relationships exerted a static influence on health and well‐being across the lifespan. In Study 2, a longitudinal study of 7,481 older adults, only strain from friendships predicted more chronic illnesses over a 6‐year period; support from spouses, children, and friends predicted higher subjective well‐being over an 8‐year period.     

Adolescents' conceptions of the influence of romantic relationships on friendships

Although researchers have investigated how adolescents' friendships affect their romantic relationships, the influence of romantic relationships on friendships is unexamined. As a first step, 9th- (n = 198) and 11th grade students (n = 152) reported on their conceptions of friendship when one friend had a romantic relationship and when neither friend had a romantic relationship. As predicted, adolescents believed friendships in which a friend was dating would be characterized by less positive features and more negative features than friendships in which neither friend was dating. Additionally, older adolescents thought romantic relationships were more damaging to companionship and corumination than did younger adolescents. The closer nature of older adolescents' romantic relationships may result in lower quality friendships or older adolescents may be more aware of the potential negative consequences of romantic relationships for friendships. Girls viewed friendships as higher in conflict-rivalry and lower in corumination when one friend was dating while boys did not. And although girls and boys viewed friendships as lower in intimacy and companionship when a friend has a romantic partner, the difference was greater for girls than boys. Girls may be more sensitive to the effects of a friend's romantic relationship on their friendship than are boys. Findings necessitate theories of close relationships that incorporate age and gender as important variables.     

Friendships of older men and women: exchange patterns and satisfaction

In this study we examined the relation between perceived equity of exchanges and friendship satisfaction for a sample of 110 older men and women. Respondents were interviewed concerning their relationship with their best friend and one other friend in their support network. Perceived equity was a significant predictor of friendship satisfaction only in the case of the other friend. In addition, results showed that men were involved in more equitable friendships than were women. Discussion focuses on the importance of equity consideration and gender differences in the friendships of older adults.     

Adolescents’ Conceptions of the Influence of Romantic Relationships on Friendships

Although researchers have investigated how adolescents’ friendships affect their romantic relationships, the influence of romantic relationships on friendships is unexamined. As a first step, 9th- (n = 198) and 11th grade students (n = 152) reported on their conceptions of friendship when one friend had a romantic relationship and when neither friend had a romantic relationship. As predicted, adolescents believed friendships in which a friend was dating would be characterized by less positive features and more negative features than friendships in which neither friend was dating. Additionally, older adolescents thought romantic relationships were more damaging to companionship and corumination than did younger adolescents. The closer nature of older adolescents’ romantic relationships may result in lower quality friendships or older adolescents may be more aware of the potential negative consequences of romantic relationships for friendships. Girls viewed friendships as higher in conflict-rivalry and lower in corumination when one friend was dating while boys did not. And although girls and boys viewed friendships as lower in intimacy and companionship when a friend has a romantic partner, the difference was greater for girls than boys. Girls may be more sensitive to the effects of a friend's romantic relationship on their friendship than are boys. Findings necessitate theories of close relationships that incorporate age and gender as important variables.     

Religious Conservatives and Outsiders: Determinants of Cross-Racial Ties Among White Christians

This article analyzes how a congregation’s theology and denominational affiliation influence the racial ties of its white members. We posit two distinct pathways. In the first, theologically conservative congregations generate more embedded social ties (measured by number of friendships) than do non-conservative congregations, and more congregation friendships increase the likelihood of cross-racial ties. In the second pathway, congregations not affiliated with historically major denominational families report higher levels of racial diversity, and high levels of congregation racial diversity increase the likelihood of cross-racial ties. Our key methodological innovation is to divide Evangelical congregations into two categories: those affiliated with the historically major families (Baptist, Lutheran, Methodist, Presbyterian) and those not (e.g., Pentecostal, Seventh-Day Adventist). Christian groups that join theological conservatism and outsider (non-major) status generate high levels of friendships and racial diversity in their congregations, both of which contribute to cross-racial ties among white members. Analysis of survey data from a national probability sample of white Christians (2006 Faith Matters Survey) mostly supports our hypotheses.     

Positive and negative social ties among older adults: Measurement models and the prediction of psychological distress and well-being

The factor structure of positive and negative social ties was studied among 246 older adults who were either recently physically disabled, recently conjugally bereaved, or matched controls. Covariance structure analyses were carried out on a network measure to determine whether positive and negative social ties represent independent domains of social experience, and to assess the degree to which their structure is invariant across groups undergoing major loss transitions. Positive and negative social ties were found to be independent and there was substantial similarity in their factor structure across the three groups. Hierarchical regression analyses revealed that, whereas positive social ties were related to psychological well-being, negative social ties were predictive of both psychological well-being and distress. These results demonstrate the importance of assessing both positive and negative ties in explaining the psychological adjustment of older adults.     

Prevention Activities for Older Adults: Social Structures and Personal Competencies That Maintain Useful Social Roles

A conceptual reorientation for providing responsive psychological services to older adults is presented, focusing on the need to develop prevention programs for older adults that encourage the maintenance of useful social roles. Changes in social structures that encourage more active social engagement are discussed, with examples drawn from housing options, part-time employment, and ways to develop more supportive social ties for older adults faced with network losses. Counselors and other mental health specialists can play a useful role in helping the public understand the social dilemmas faced by older adults and the value of their continued integration as useful citizens.     

Filial Piety,Generativity and Older Adults’ Wellbeing and Loneliness in Denmark and China

The article considers the potential of intergenerational encounters and family and social ties for alleviating loneliness and promoting older adults’ wellbeing. Loneliness has been widely recognized as one of the factors that are most deeply and pervasively detrimental to older adults’ wellbeing. We combine theoretical reflections with a comparative study of older adults in Denmark and China. Both countries have to deal with an aging population and growing number of cases of isolation and loneliness in an increasingly individualized society. They differ, however, with regard to how far they have developed a system of institutionalized care, as well as with regard to their culture-specific views of family life and parent-child relationships. We apply the notions of filial piety, known from Confucian philosophy but often misinterpreted as conservative and conformist, and generativity, to qualitative studies of older adults in Denmark and China. The great potential of intergenerational ties is confirmed. Our study also shows that filial piety is still highly valued, in both China and Denmark, and can be maintained even in a highly individualized society. There is, however, considerable uncertainty among both older adults and their younger relatives as to what is required and what can be expected; realism, and an emphasis on the quality, rather than the quantity of interaction, may be sensible coping strategies, but can also lead to unnecessary acquiescence and self-abnegation. Our study also serves to distinguish different aspects and effects on wellbeing of intergenerational relationships.

     

Daily well-being of older adults with friends and family

Family members are the major source of physical and emotional support for older adults, yet researchers suggest that friendships have a stronger bearing on subjective well-being. In this research we sought an explanation for this inconsistency in older adults' immediate experiences with friends. Retired adults provided self-reports on their subjective states at random moments during a typical week. Analyses of these reports confirmed the prediction that older adults have more favorable experiences with their friends than with family members. The difference is partly attributable to the greater frequency of active leisure activities with friends, but is also due to unique qualities of interactions with friends that facilitate transcendence of mundane daily realities. We propose that friends provide an immediate situation of openness, reciprocity, and positive feedback that engenders enjoyment and subjectively meaningful exchanges.     

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.     

Testing latent longitudinal models of social ties and depression among the elderly: a comparison of distribution-free and maximum likelihood estimates with nonnormal data.

Using a latent-variable modeling approach, relationships between social ties and depression were studied in a sample of 201 older adults. Both positive and negative ties were related to concurrent depression, whereas only negative ties predicted future depression. Nonnormally distributed scores were observed for several variables, and results based on maximum likelihood (ML), which assumes multivariate normality, were compared with those obtained using Browne's (1982, 1984) arbitrary distribution function (ADF) estimator for nonnormal variables. Inappropriate use of ML with nonnormal data yielded model chi-square values that were too large and standard errors that were too small. ML also failed to detect the over-time effect of negative ties on depression. The results suggest that the negative functions of social networks may causally influence depression and illustrate the need to test distributional assumptions when estimating latent-variable models.     

Applying Continuity Theory to Older Adult Friendships

Continuity theory provides a rationalization for understanding older adult friendships. Older adults do not have to anticipate disengagement but can exercise their choice to actively participate in establishing and maintaining friendship structures. The role of friend is one a person can choose to maintain. Friendships are dynamic and progress on a continuum with beginnings, periods of endurance and change, and endings. Continuity theory provides ways to understand why particular people have developed and adapted distinct friendship and social support networks. This insight provides social service professionals, gerontologists, and family members ways to enable older adults to remain in their communities longer and maintain support stability.     

INCREASING ENGAGEMENT IN DAILY ACTIVITIES BY OLDER ADULTS WITH DEMENTIA

This study analyzed the effects of nursing assistants' use of prompts and praise to increase the engagement of older adults with dementia in daily living activities. The multiple baseline design across morning and afternoon work shifts showed consistent increases in engagement by each of the 5 residents during the intervention. These results suggest that increasing prompts and praise by nursing assistants may, in turn, increase the rate of engagement of older adults with dementia.     

A friendship intervention for children with Attention-Deficit/Hyperactivity Disorder: preliminary findings

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) are known to experience difficulty in peer relationships. Neither standard interventions for ADHD nor peer acceptance-oriented interventions fully remedy this problem. We propose that interventions targeting ADHD children's dyadic friendships may be more realistic strategies for improving peer relationships. Hence, a friendship intervention, implemented within the context of an intensive behavioral treatment program with 209 ADHD children, is described. A model is proposed in which the friend's antisocial behavior relates to parental compliance with the friendship intervention, and both the friend's antisocial behavior and parental compliance predict friendship quality and treatment response. Results indicate that children paired with peers lower on antisocial behavior and children whose parents had higher levels of compliance with the friendship intervention achieved higher quality friendships and were rated by teachers as more improved.     

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.     

Crisis Model for Older Adults: Special Considerations for an Aging Population

As the U.S. population ages, counselors must begin structuring their interactions to meet the unique needs of older adults, especially in the area of crisis intervention. The authors propose a new crisis intervention model that accounts for the needs of older adults in crisis by giving special attention to the roles of advocacy, education, and prevention.