Protective Factors for Subjective Well-being in Chinese Older Adults: The Roles of Resources and Activity

The purpose of current study was to examine the relationships between resources, activity, and subjective well-being in later life. Using a national sample (N = 3,795) of older adults randomly selected from major Chinese mainland cities, we integrated the constructs of resources and activity into a structural model of subjective well-being. In the model, the three key resources, health, economic status and family relations, were specified as having direct effects on both activity and subjective well-being. Additionally, activity was specified as having a direct effect on subjective well-being. AMOS software was used to test and compare the goodness of fit of various models. The data had a satisfactory fit to the model (GFI = 0.980, NNFI = 0.959, CFI = 0.973, RMSEA = 0.049), indicating that the three resources had significant contributions to subjective well-being. Comparisons using several nested models also suggested that family relations had a stronger effect than health and economic status on subjective well-being. Further, activity was a partial mediator in the relationships between resources and subjective well-being.     

Spirituality and Healthy Lifestyle Behaviors: Stress Counter-balancing Effects on the Well-being of Older Adults

The goal of this study was to examine stress-ameliorating effects of religiosity, spirituality, and healthy lifestyle behaviors on the stressful relationship of chronic illness and the subjective physical well-being of 221 older adults. We also investigated whether the intervening variables functioned as coping behaviors and orientations or as adaptations in late life. Guided by the stress paradigm, path analysis was used to assess these relationships in a stress suppressor model and a distress deterrent model. No suppressor effects were found; however a number of distress deterrent relationships were detected. Spirituality, physical activities, and healthy diet all contributed to higher subjective physical well-being, as counter-balancing effects, in the distress deterrent model. The findings have implications for future research on the role of spirituality, religiosity and lifestyle behaviors on the well-being of chronically ill older adults. Findings also support the need for studying different dimensions of religiosity and spirituality in an effort to understand coping versus adaptation in behaviors and orientations. Gracie H. Boswell, Ph.D., M.Ed. (Case Western Reserve University) and (M. Ed.- Kent State University). She is a Carolina Program in Health and Aging Research Scientist at the Institute on Aging- University of North Carolina at Chapel Hill. Her research interests have been social gerontology and quality of life, emphasizing religiosity/spirituality. Eva Kahana, Ph.D. (University of Chicago) is Pierce T. and Elizabeth D. Robson Professor of Humanities and Director of the Elderly Care Research Center- Case Western Reserve University. Her research concentration has been the sociology of aging (coping & stress and institutionalization). Peggye Dilworth-Anderson, Ph.D. (Northwestern University) is Director- Center for Aging and Diversity, Institute on Aging, Professor- School of Public Health, Department of Health Policy and Administration at University of North Carolina at Chapel Hill. Her research interests have been caregiving and minority health disparities.     

老年人自尊、希望和抑郁关系的纵向研究

为考察老年人自尊、希望与抑郁间的关系,本研究对281名老年人进行为期一年的追踪调查。相关分析及纵向中介分析结果表明:(1)自尊和希望与老年人的抑郁显著负相关,老年人自尊和希望显著正相关。(2)自尊正向预测老年人的希望,老年人的希望负向预测抑郁。(3)希望在自尊对老年人抑郁的影响中起中介作用。本研究结果揭示了希望是自尊对老年人抑郁产生效应的重要机制变量。这些结果对于减缓老年人抑郁,促进老年心理健康具有一定的实践价值。     

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.     

Age and Gender Differences in Adaptation and Subjective Well-being of Older Adults Residing in Monastic Religious Communities

The purpose of this study was to explore age and gender differences in the adaptation and well-being of older adults residing in Catholic monasteries. Participants included 235 members, age 64 and older, from the Order of St. Benedict. 2 (Age) × 2 (Gender) analyses of variance were computed to determine significant differences. Young-old persons reported greater friendship, coping behaviors, and personal growth, however, old-old individuals reported greater engagement in religious coping and greater depression. In addition, women reported greater coping behaviors, life satisfaction, and personal growth, but men reported greater depression. The results have implications on how pastoral care providers and counselors can improve quality of life among older adults living in contemplative religious settings.     

老年人社会适应性与主观幸福感的结构关系

该研究通过编制适应老年人的社会适应性与主观幸福感问卷,探讨了老年人社会适应性与主观幸福感的结构关系。结果表明,问卷具有良好的结构效度和内部一致性信度,人际交往适应性和角色转换适应性对主观幸福感各维度具有显著的预测价值,生活自理适应性对积极情感具有显著预测作用,但预测力不如人际交往适应性和角色转换适应性,而社会整体变化适应性对主观幸福感不存在预测的价值。地区差异对老年人社会适应性和主观幸福感结构预测关系存在显著的调节效应。     

Older Women: Hope and Approaches to Life

This study investigated hope levels and approaches to life in women who were 70 years of age or older and living in nursing homes. The overall findings indicated that these women tended to approach life from a hopeful mindset, although a slightly different pattern emerged between more-hopeful women and less-hopeful women.     

Spiritual Need Two: Continued Learning for Older Adults and Older Adult Organizations

SUMMARY

Age provides opportunity not only for a person to grow spiritually, but also for people to enlarge their understandings of the world about them, including God, and connect them to previous learnings and life-experiences. In older age, learning is not merely an affirmation of what has been, but a re-creation of the self in relation to everything that surrounds the person. The theories of James Fowler, Malcom Knowles, Peter Senge, and Erik Erikson provide insight as to the purpose of older adult education. The goal is for churchs to encourage and assist in each person's re-construction of their lives as they view life from the perspective of length of years. Concrete examples of re-constructive learning are provided.     

Body Image in Older Adults: Links with Religion and Gender

Research has confirmed a healthy link between young adults’ religiosity and body image. This study explored this relationship in 127 older men and women (mean = 74 years) who completed measures on two dimensions of body image (body satisfaction and anxiety about an aging appearance) and on different indices of religiosity. Men reported higher body satisfaction and lower anxiety about an aging appearance than women. For men, body satisfaction correlated with many religiosity variables and was predicted by religious well-being, existential well-being, and manifestation of God in their body; aging-appearance anxiety was unrelated to religiosity. For women, body satisfaction was weakly related to religiosity but aging-appearance anxiety was predicted by intrinsic orientation, religious well-being, and existential well-being; in all cases higher religiosity predicted lower anxiety about an aging appearance. Results are discussed in the context of differing cultural standards of aging and attractiveness for men and women.     

老年人对情绪性事件的情景模拟:回忆过去与想象未来

研究采用自传体访谈技术,首次考察了老年人在对情绪性事件进行回忆和想象中生成的内部细节和外部细节数量,及其对回忆和想象内容的主观评估。结果发现:(1)无论是回忆还是想象任务,老年人都比年轻人提供了更少的内部细节和略多的外部细节;(2)与年轻人相似,老年人在想象未来积极事件时产生了更多的内部细节,表现出对积极信息的加工偏好;(3)老年人比年轻人更倾向于认为想象的事件与过去发生的事件相似度高,表明该群体在想象过程中更多地依赖了过去的记忆。该结果揭示了老年人对情绪性事件的回忆和想象特点,说明在回忆和想象过程中出现的与年龄有关的缺陷同样会体现在情绪性事件中,这很好地支持了建构性情景模拟假说。     

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。     

Cognitive-Behavioral Therapy for Insomnia in Older Adults

Sleep is disturbed by a range of factors across the lifespan. However, older adults experiencing disruptions in their sleep are often simultaneously contending with a range of comorbid medical and psychiatric conditions that compound the biological changes in sleep that commonly occur with age. Cognitive behavioral therapy for insomnia (CBT-I) is the gold-standard, nonpharmacological intervention for sleep disturbances, and is a cost-effective treatment approach that can occur in either individual or group format. It has also been shown effective in older adults with medical, psychiatric, and cognitive comorbid disorders. This review highlights the success of CBT-I with older adults, as well as studies that illustrate the use of alternative delivery methods and treatment modifications for complex clinical presentations.     

Hope and Burden among Latino Families of Adults with Schizophrenia

This study examined hope and family burden among Latino families of individuals with schizophrenia. The sample consisted of 54 family members, one family member per outpatient adult recruited from public mental health programs in a diverse urban community. Hierarchical linear regression analyses were used to test the hypothesis that the family member's increased hope for the patient's future would be associated with decreased family burden beyond effects explained by the patient's length of illness and severity of symptoms. Results supported the study hypothesis. Family hope for the patient's future was associated with four of five types of family burden. Findings point to the prominent role of hope as a source of resilience for Latino families dealing with severe mental illness of a loved one.     

Linkage from Self-Sacrifice to Hope Through the Intervening Roles of Perceived Family Support and Attitudes to Aging in Chinese Older Adults

Journal of Happiness Studies - The objective of this study was to examine the relationships between self-sacrifice and hope as well as the possible intervening roles of perceived family support and...     

Growing Older in Portugal: Gender Issues in Physical Health and Well-being

This article presents three studies which demonstrate that (1) Older women enjoy the status of grandparenthood, and they show resources, continued personal growth, and positive functioning; (2) Spouses provide emotional support, and widowhood has an impact on the experience of emotional loneliness; and (3) As they age, men remain cognitively more preserved, and women affectively more preserved. Over a 3-year period, older people showed smooth changes in physical health, cognitive functioning, and mental health. Results are discussed in terms of healthy living, resilience, positive affect, and also conditions that promote undesirable pathways in older age. Implications for feminist therapy with older people are discussed.     

Using Motion Tracking to Measure Avoidance in Children and Adults: Psychometric Properties,Associations With Clinical Characteristics,and Treatment-Related Change

Avoidance is implicated in many areas of psychopathology, particularly anxiety and its disorders. Accurate, reliable, valid, and objective measurement of avoidance behavior poses methodological challenges. Two key technological advances, increased computing power and the advent of motion-tracking technology, offer novel solutions to these challenges. We describe a series of three studies using a novel motion-tracking system to measure avoidance in children and adults. The first study examined behavioral avoidance of spider stimuli in large samples of children and adults (N = 200 each; the adults were the mothers of the children). Behavioral avoidance was associated with self-rated fear of spiders and increased state anxiety from before to after the task. The second study examined avoidance of threat faces in children and adults (N = 35 each; the adults were the mothers of the children) and test-retest reliability in the adults. Avoidance of threat faces was associated with broadband anxiety symptom severity. Test-retest correlations in behavioral avoidance measured 6 weeks apart was high and significant. The third study examined behavioral avoidance of spiders in clinically anxious children (N = 25) before and after cognitive-behavioral therapy for childhood anxiety disorders. Behavioral avoidance was significantly reduced following cognitive-behavioral therapy and reduction in behavioral avoidance correlated significantly with improvement in child-rated anxiety symptoms. Taken together, these studies provide strong support for the promise of motion-tracking technology to enable a new phase of behavioral avoidance research with sensitive, valid, reliable, and cost- and time-effective measurement of behavioral avoidance across the lifespan.     

Decreasing Neuroleptic Doses in Older Adults with Schizophrenia

This prospective study of 27 older adults, residing in long-term care facilities, examined the effects of reducing neuroleptic medications to the point of controlling symptoms and reducing side effects. Schizophrenia is a challenging health care condition that leads to delusions, hallucinations, disorganized speech, and a host of other symptoms. Unfortunately, medications control many of the symptoms but cause unwanted side effects unless monitored closely and regulated to each person's needs. This study addresses six research questions related to the reduction of neuroleptic medications. Study findings related to neuroleptic medication dose reduction were encouraging. Additionally, the findings strongly suggest that health care providers working with older adults with the diagnosis of schizophrenia would benefit from planned educational programs about behavior, observations, and medications.     

Guided Autobiography: A Counseling Tool for Older Adults

The author describes Guided Autobiography, a course based on the life review concept, and evaluates its impact on self-concept, time competence, and purpose in life. Despite a lack of significant results on the dependent measures, informal evaluations and a follow-up study indicated that the course had resulted in some positive changes.     

Predicting Treatment Response in Older Adults with Insomnia

This study examined potential predictors of treatment outcome in late-life insomnia. Fifty-four older adults with chronic insomnia were treated with cognitive–behavior therapy (CBT), pharmacotherapy (PCT), or combined CBT plus PCT. Pretreatment characteristics such as demographic, clinical, psychometric, and sleep variables were examined as correlates or potential predictors of treatment response. Treatment response was defined by posttreatment sleep efficiency as measured subjectively by daily sleep diary and objectively by polysomnography. The results indicate that age, insomnia duration, medical illness, and previous use of sleep medications can moderate subjective or objective treatment outcome or both of these in late-life insomnia. However, there are no reliable predictors of outcome across all treatment and assessment modalities. The implications of these findings for the treatment of insomnia in older adults seen in primary care settings are discussed.