L’appropriation de l’espace chez les personnes âgées dépendantes résidants en EHPAD

IntroductionThe present study focuses on space acquisition process in dependant elderly people living in institution.ObjectiveOur aim was to assess the role of the type of space and level of control on the quality of life in dependant elderly people living in institution.MethodThree variables were examined. The type of space (private versus collective, evaluated with two scales), the level of control (Levenson's IPC and EHIPA) and the quality of life (SF-36 and Geriatric Depression Scale). Our sample consisted of 30 elderly people living in institution.ResultsOur results showed that: (1) subjects appropriate more the private space than the collective space; (2) the level of control influences the acquisition process of collective space but not private space; and (3) the more subjects appropriate the collective space, the better is their quality of life.ConclusionThe results propose that potential applications should be developed in institution.     

Effet de la thérapie des schémas sur la dépression de la personne âgée institutionnalisée : 3 études de cas uniques de type AB en lignes de bases multiples

IntroductionSchema therapy has confirmed its effectiveness in caring for depression. However, few studies have evaluated its effectiveness of an institutionalized elderly population.ObjectiveThe aim of this pilot study is to evaluate the efficiency of this therapy for the treatment of depression in 3 elderly people, with no neurocognitive disease, living in a nursing home.MethodClinician conducted a single case experimental protocol AB with multiple baseline for 3 participants who were experiencing depressive symptoms. Participants were randomized in 3 baselines and performed respectively 8, 7, and 6 intervention sessions.ResultsThe results highlight progressive effectiveness for two of the three residents. From baseline to the end of the therapeutic sessions (11 weeks), the improvement was significant and clinically observable for the activation of the schemas (–1.4 and –2 points on average) as well as for the level of depression (–8 and –9 points to the GDS).ConclusionThis pilot study indicates the effectiveness and replicability of schema therapy as therapeutic intervention for depression in elderly people.     

Batting on a sticky wicket: Identifying sources of stress and associated coping strategies for professional cricket batsmen

ObjectivesThe purpose of this study was to examine the sources of stress and associated coping strategies as reported by professional cricket batters.MethodsNine male professional cricket batters completed a semi-structured interview to examine their stress sources and associated coping strategies. A combination of inductive and deductive content analyses provided a detailed data analysis for the two areas of investigation.ResultsThe interviews revealed a total of 25 general dimensions for the sources of stress and 23 general dimensions for the coping strategies.ConclusionsDespite the overlap between stress sources and coping strategies to previous literature, practitioners need to be aware of the specific demands of the sport in which they are working. Future research suggestions are made regarding the study of stress and coping in sport.     

Profils de routinisation différents chez les personnes âgées : entre adaptation et vulnérabilité

IntroductionThe purpose of the present investigation is to study the routinisation process in elderly persons according to physical, functional, psychological and cognitive resources.MethodsA person-centered approach revealed six profiles of resources in 235 elderly French participants from the 13-year follow-up of PAQUID cohort study.ResultsDifferent functioning profiles were highlighted and were significantly associated with different degrees and functions of routinisation. For the most routinised persons, the routinisation was associated with adaptive functioning. Instead for the less routinised persons, the routinisation was defined as a vulnerability marker. It seems also that this adaptive strategy was less used in persons with dementia.DiscussionThe adaptive attitudes, in particular the routinisation, would be less effective at higher levels of vulnerability.     

Is There Still Time?

In this article we intend to discuss the psychoanalysis of elderly patients and, also, to review certain prejudices that are based upon the psychoanalytic technique and theory.     

Spatial navigation deficits in amnestic mild cognitive impairment with neuropsychiatric comorbidity

Aims: To find out whether neuropsychiatric comorbidity (comMCI) influences spatial navigation performance in amnestic mild cognitive impairment (aMCI).

Methods: We recruited aMCI patients with (n = 21) and without (n = 21) neuropsychiatric comorbidity or alcohol abuse, matched for global cognitive impairment and cognitively healthy elderly participants (HE, n = 22). They completed the Mini-Mental State Examination and a virtual Hidden Goal Task in egocentric, allocentric, and delayed recall subtests.

Results: In allocentric navigation, aMCI and comMCI performed significantly worse than HE and similarly to each other. Although aMCI performed significantly worse at egocentric navigation than HE, they performed significantly better than patients with comMCI.

Conclusions: Despite the growing burden of dementia and the prevalence of neuropsychiatric symptoms in the elderly population, comMCI remains under-studied. Since trials often assess “pure” aMCI, we may underestimate patients’ navigation and other deficits. This finding emphasizes the importance of taking account of the cognitive effects of psychiatric disorders in aMCI.     

Aging and a Meaningful Future

Summary

An analysis of some theological resources older persons may use in seeking a meaningful future. Pilgrimage, covenant, baptism and hope are woven into a tapestry of meaning for the elderly.     

Meaning in Long Term Care Settings: Victor Frankl's Contribution to Gerontology

Summary

This is a discussion of urban and rural congregations and communities in service to older persons. Emphasis is on the elderly in an urban Shepherd Center and a rural life center.     

Understanding enjoyment in youth sport: A developmental perspective

ObjectivesHistorically, the youth sport emotional response literature focused mainly on stress and enjoyment. Although research on these emotional responses has been significant, no systematic examination of these responses from a developmental perspective has been undertaken and therefore, developmental influence and implications for competitive youth sport are largely unknown. To begin to address this issue, the present study examined the developmental progression of sources of enjoyment among youth sport participants.DesignA multivariate analysis of variance (MANOVA) was used to examine the developmental differences in sources of enjoyment among younger (under 11 years) and older (over 11 years) children participating in individual and team sports.MethodsParticipants (n=152) aged 8–15 years were categorized into groups of younger and older children based on underlying cognitive-developmental criteria. Self-report measures of enjoyment, sources of enjoyment, perceived sport competence, and task and ego goal orientation were recorded.ResultsOlder children reported significantly greater enjoyment and other-referenced competency and recognition than younger children. Although all sources of enjoyment predicted enjoyment among younger children, no single source added a unique proportion of variance to the model. Competitive excitement (CE) and other-referenced competency and recognition significantly predicted enjoyment among older children. Team sport participants reported significantly greater self-referenced competency (SRC), affiliation with peers (AP), competitive excitement (CE), positive parental involvement (PPI) and enjoyment compared with individual sport participants. Finally, aligned with previous research, task orientation and perceived competence significantly predicted enjoyment.ConclusionsThe results of the present study underline the importance of understanding the developmental progression of sources of enjoyment among children and adolescents in sport. Furthermore, consideration should also be given to the nature of the sport (team or individual) children participate in for long-term enjoyment and commitment to sport.     

Preaching and Aging

Summary

An insightful account of the role of preaching in congregations with various ages, including the elderly, present. It deals with three topics: “Preparation For Preaching,” “How One Preaches,” and “What One Preaches.”     

Simple reaction time and depression in the elderly

Abstract

A measure of simple reaction time was administered to 111 elderly outpatients who were classified as depressed or nondepressed on two measures and as cognitively impaired or unimpaired based on the Mini-Mental State Exam (MMSE). Patients with cognitive impairment had slower reaction times, whether they were depressed or not. These results support previous findings of minimal influence of depression on cognitive measures in the elderly. They also point to the decreased efficiency of information processing in cognitively impaired individuals, with implications for their engaging in potentially hazardous activities.     

Influence of depression on verbal fluency performance

Abstract

Neuropsychologists are often faced with the challenge of assessing older adults who exhibit both cognitive deficits and symptoms of depression. This study examined factors associated with diminished fluency in elderly adults. Three groups were tested: 54 community elderly, 35 institutionalized elderly, and 40 young adults using the Controlled Oral Word Association test. Significant incremental contributions to performance on verbal fluency included age, education, depression, and the interaction term for depression and functional impairment. Diminished verbal fluency was associated with depression among older adults who were not functionally impaired. the results suggest that variables other than cerebral integrity must be taken into consideration when interpreting older adults' performance on fluency tests.     

Congruence in Sales Force Evaluations: Relation to Sales Force Perceptions of Conflict and Ambiguity

Abstract

This research examined the relationship between salespersons' perceptions of role conflict and role ambiquity from various sources and the degree of agreement between salespeople and sales managers on salesperson performance. Three sources of role ambiguity were found to explain the most variance in performance congruence. Implications for management are discussed.     

Shared space: Different age groups’ perspectives

BackgroundShared spaces, in the context of road transport, often refer to areas shared by unprotected and protected road users and intended to facilitate a living city space for every-one. A basic idea behind shared spaces is to create traffic safety by inducing some uncertainty. This study investigates how young, middle-aged, and elderly pedestrians experience shared space, as well as whether and, if so, how two shared space designs (without and with large flowerpots) affect this experience.MethodThirty-seven participants, divided into three age groups, participated in the study, conducted in Fisherman’s Square, Västervik, Sweden. An adjacent non-signal-regulated pedestrian crossing was used as a control. Two studies – visual scanning and Q studies – were combined. In the visual scanning study, eye-tracking examined how the two designs affected the participants’ visual scanning behaviour (i.e., what participants looked at) as pedestrians. In the Q-study, Q-methodology was used to examine how the two designs affected the participants’ experiences as pedestrians.ResultsThe visual scanning study showed that different age groups were affected in different ways by designs without and with large flowerpots in the shared space. While the middle-aged participants always glanced more often at traffic-relevant objects, and young participants always glanced equally often at traffic-relevant and non-traffic-relevant objects, the elderly participants changed their visual scanning behaviour depending on the design. Without large flowerpots deployed, the elderly participants glanced more often at traffic-relevant than non-traffic-relevant objects. No such difference was obtained when large flowerpots were deployed. The Q-study showed that participants, regardless of age, experienced no great uncertainty in this shared space. The perceived uncertainty, which nevertheless existed, was reduced with large flowerpots deployed to recreate the traditional division with clear zones where pedestrians could stay in relatively car-free areas while motor vehicles had clear paths to travel along.ConclusionThe results suggest that shared space, without large flowerpots, succeeded in inducing some uncertainty, especially among middle-aged and elderly pedestrians. However, deploying large flowerpots seemed to decrease this uncertainty, especially among elderly pedestrians. The major concern prompted by these results is how this decreased uncertainty affects traffic safety. Shared space also needs to be studied from the car driver’s perspective to understand the interaction between different road user groups.     

Aging: Setting Limits Within a Christian Vision: A Theology of the Paschal Mystery

ABSTRACT

Daniel Callahan, in his provocative book Setting Limits, Medical Goals in an Aging Society, has affirmed that in a period of declining resources, it should be the function of medicine to help elderly to achieve a natural and fitting life span, and has invited the elderly to set limits to their demands. “To set limits” in a cultural context marked by frenzied consumerism, and a discriminatory attitude toward aging is to demand of the elderly what no one else is willing to do. What is needed for the “setting of limits” is a frame of reference where loss and negativity can be accepted without despair. In the Paschal Mystery Christianity provides us with a model of humanhood where the letting go of power and the acceptance of creatureliness are predominant characteristics. Disengagement is not simply for the end of the life cycle, but on-going from the beginning.     

Informal care in social context: A social psychological analysis of participation,impact and intervention in care of the elderly

Abstract

Concern about the provision and effects of care to elderly people by unpaid family, relatives and friends has arisen in the contexts of changing demographic structures of populations and, in Britain at least, explicit policy by Government which seeks to promote familial responsibility for the financial, physical and emotional needs of elderly populations. The present review examines the extent and nature of informal care to elderly people, assesses the evidence to support sociological models of care work participation and the extent to which such models are reflected in beliefs concerning care of elderly people and intentions to cease direct provision of care. Studies of the psychological impacts of care work and of interventions to modify carer wellbeing are critically reviewed. It is suggested that future psychological research should focus on modeling the modifiable psychological processes which explain variance in care work participation, impact and uptake of services, and on the impacts of changing social policy on social perception and wellbeing of elderly people.     

Creatine Supplementation and Cognitive Performance in Elderly Individuals

ABSTRACT

The purpose of this study was to examine the effect of creatine supplementation on the cognitive performance of elderly people. Participants were divided into two groups, which were tested on random number generation, forward and backward number and spatial recall, and long-term memory tasks to establish a baseline level. Group 1 (n?=?15) were given 5 g four times a day of placebo for 1 week, followed by the same dosage of creatine for the second week. Group 2 (n?=?17) were given placebo both weeks. Participants were retested at the end of each week. Results showed a significant effect of creatine supplementation on all tasks except backward number recall. It was concluded that creatine supplementation aids cognition in the elderly.     

Religiousness and Subjective Well-Being Among Jewish Female Residents of Old Age Homes in Israel

ABSTRACT

The present study explored the prevalence of religiousness among Jewish elderly women residing in old age homes in Israel and its impact on their subjective well-being. The sample included 464 respondents residing in 48 old age homes. Religiousness was measured through self-rated religiousness and religious faith scales (Ben Meir & Kedem, 1979). Subjective well-being was measured by the PGC (Philadelphia Geriatric Center) Morale Scale (Lawton, 1975). The findings revealed that the majority of the elderly define themselves as traditional, orthodox or ultra orthodox. Multiple regression analysis revealed that religiousness did not affect the residents' subjective well-being.