Coping With Losses and Past Trauma In Old Age: The Separation-Individuation Perspective

Abstract

Old age is a stage in life in which numerous changes associated with loss can be expected to occur in major life domains. Deterioration of health; retirement; relocation; occupational and financial loss; loss of social roles, identity, status, and support; and the loss of spouse and significant others (siblings, friends) pose an ongoing threat to everyday functioning, forcing the individual to adapt. Thus, effective functioning in daily life represents a major developmental task for the aging (Bakes & Carstensen, 1996; Marsiske, Lang, Bakes, & Bakes, 1995). There is marked variability in adjustment among the elderly, and despite the numerous losses associated with aging, many elderly people are well adjusted and report experiencing high levels of well-being (George & Clipp, 1991;Wetle, 1990).     

Validation de la version française d’une échelle abrégée de coping religieux : Brief-RCOPE

The involvement of religious beliefs and practices in the way of coping with stressful events is coined by the term of religious coping. It is commonly distinguished the positive from the negative patterns of religious coping (i.e., a secure and a less secure relationship with God respectively) as assessed by the Brief RCOPE. The interest for the religious coping patterns lies in their predictive value for the quality of the adjustment to stress. After controlling for the effects of sociodemographic variables, and nonreligious coping measures, the positive pattern is a significant predictor of well-being while the negative pattern promotes a poorer physical and mental health. This study was designed to validate the French version of the Brief RCOPE.

Cognitive and Non-Cognitive Factors Contributing to the Longitudinal Identification of Successful Older Adults in the Betula Study

ABSTRACT

Studies of successful aging have typically defined elderly who fall in the upper end of a distribution of test scores as successful. A different definition of successful aging requires that older adults fall at or above the mean level of younger adults and maintain this level over time. Here we examined this definition of successful aging in a sample of 1463 individuals between the ages of 50 of 85. Based on principal coordinate analysis of cognitive and non-cognitive variables, we identified a group of 55 (8.3%) 70–85 years olds that were high functioning. This group of elderly showed elevated performance on a range of cognitive tasks. Non-cognitive factors that characterized this group included education and subjective health. The participants were retested 5 years later and the same type of analysis was repeated. Of the remaining individuals who initially were classified as high functioning, 18 (35%) remained high functioning and thus met the definition for successful aging. Years of education was a significant predictor of who remained successful over time.     

Perceptions de la qualité de vie et de la bientraitance par des personnes âgées résidant en institution gériatrique et par leurs proches

Introduction

The present study focuses on patient-centered care and quality of life in dependent aging people living in nursing home.

Meaning in Life Promotes Proactive Coping via Positive Affect: A Daily Diary Study

Previous research on meaning in life and coping has generally been focused on reactive coping strategies and global meaning judgments. To extend this, the present study used a daily diary method to collect longitudinal data, and examined whether individuals’ daily meaning in life predicted use of proactive coping techniques and whether this relationship was mediated by positive affect. Adults (n = 132) completed a diary to track their meaning in life and positive affect every day for 21 consecutive days. Global levels of meaning in life, positive affect, and proactive coping were measured both at baseline and after the daily reporting phase ended. Hierarchical linear modeling demonstrated that daily meaning in life was a positive predictor of daily positive affect. Furthermore, combined latent growth curve and structural equation models indicated that the rate of change in daily meaning in life predicted change in proactive coping over the course of the study, and that this relationship was mediated by change in positive affect. The mediational effect of positive affect in the relationship between meaning in life and proactive coping was also verified by the reported global levels of these variables. These findings suggest that meaning in life may play an important role in coping with future life stress. Our discussion centers on the positive functions of meaning in life and the mechanisms of the predictive relationship of meaning in life in terms of proactive coping.     

Proactive Coping as a Mediator Between Resources and Outcomes: A Structural Equations Modeling Analysis

Proactive coping is a recent construct in the field of positive psychology. It refers to the efforts aimed at building general forces to facilitate the path toward challenging goals and personal growth. The current study adopted a theoretical model of proactive coping as a mediator of resources with positive and negative outcomes. Our aim was to examine two separate models with satisfaction with life and depression as the proposed outcomes of proactive coping. The proposed models presumed direct relationships between self-efficacy, optimism and social support with life satisfaction or depression, as well as indirect paths through proactive coping. We administered a set of questionnaires that consisted of demographic data, the Proactive Coping Scale, the General Self-efficacy Scale, the Life Orientation Test-Revised, the Perceived Social Support Scale, the Beck Depression Inventory, and the Satisfaction with Life Scale. Data were obtained from a sample of high school graduates (N?=?485, age 17 to 19, 174 males and 311 females). Our analyses confirmed presumed direct and indirect relationships between resources and outcomes. The results showed that the data fit well in the model with life satisfaction as an outcome, while the data did not fit well in the model with depression as an outcome. A subsequent model was formed in which satisfaction with life was used as a full mediator between proactive coping and depression; this model provided a good fit to the data. Theoretical implications, as well as suggestions for future research, are discussed.     

社会发展过程中城市老年人心理适应的柏林智慧范式研究

基于智慧显义理论,对社会发展过程中我国城市老年人的心理适应进行柏林智慧范式研究。在对上海市社区老年人(n=247)进行社会发展相关典型现实生活问题的随机抽样调查的基础上,遴选三种问题情境,通过结构性晤谈采集老年人(n=65)应对这些问题的认知-行为反应,对晤谈记录进行五个维度的评价,并且考察评价结果与生活满意度的关系。研究结果表明,受访老年人中多数表现出中度的心理适应水平,心理适应较好者具有较高的生活满意度。本研究采用的测评方式具有符合心理测量学要求的信度和效度。本研究对于生活在现代社会的城市老年人的成功老龄化心理适应辅导工作具有重要的指导意义,也有助于进一步开展成功老龄化的跨文化研究。     

Stress and coping in the elderly

Changing demographics indicate a significant increase in the number of surviving elderly, a decrease in the number of children in each family, and an increase in the number of surviving generations. Four guidelines are offered for minimizing the stress and maximizing the coping strategies of the elderly and their families: a) aging must be viewed as a life-span developmental experience, b) aging is a biopsychosocial phenomenon, c) supportive others can occupy critical positive or negative roles in the adaptation process, and d) the elderly and their families must develop proactive, anticipatory strategies for coping with the exigencies of age. These guidelines are offered to help the elderly face the challenge of aging successfully.     

Continuity,Spiritual Growth,and Coping in Later Adulthood

SUMMARY

Continuity of values, lifestyles, and relationships combines with spiritual growth in later life to provide most people a sense of direction and adequate resources for coping with changes that occur with aging. Being able to recognize threads of continuity and to perceive benefit from one's inner life are significant predictors of being able to maintain life satisfaction in the face of negative aspects of aging. Data from a 20-year longitudinal study are used to provide details.     

The impact of coping and resilience on anxiety among older Australians

Objective: This study aims to explore the relationships between various coping types, resilience, and anxiety among older Australians. Particular attention is paid to whether resilience moderates coping's effect on anxiety. Method: A total of 324 Australians aged between 55 and 90 (M = 66.7, SD = 8.6) were surveyed as part of the study. Moderation was assessed using structural equation modelling and plots of simple slopes. Results: Significant negative correlations were detected between anxiety and both proactive coping and preventive coping. Higher levels of resilience were associated with lower levels of anxiety. Age moderated both proactive coping and reflective coping's effects on anxiety and gender moderated avoidance coping's effect on anxiety. Resilience was found to moderate the relationships between proactive coping and anxiety, and instrumental support seeking and anxiety. For those high in resilience, there was little association between anxiety and proactive coping or anxiety and instrumental support seeking. Among low resilience individuals, there was a negative association between proactive coping and anxiety, but a positive association between instrumental support seeking and anxiety. Conclusion: Resilience, proactive coping, and preventive coping are all important predictors of anxiety among older people. Among those who are low in resilience, proactively coping with stress may be particularly important for good mental health. The results of the study highlight the complexity of the relationship between resilience, coping, and anxiety among older people.     

成功老化内涵及影响因素分析

本文在Rowe和Kahn成功老化模型的基础上,结合中国文化背景,提出了生理健康、心理功能、社会参与、生活满意度的四维度成功老化模型。人口学特征、早期经历、社会互动环境、社会历史文化等被动因素,生活方式和习惯、认知活动与训练、老化态度等主动因素,都会影响老年人的成功老化。成功老化是老年人为之奋斗的目标,积极老化是通往该目标的途径。     

Memory aging and brain maintenance

Episodic memory and working memory decline with advancing age. Nevertheless, large-scale population-based studies document well-preserved memory functioning in some older individuals. The influential ‘reserve’ notion holds that individual differences in brain characteristics or in the manner people process tasks allow some individuals to cope better than others with brain pathology and hence show preserved memory performance. Here, we discuss a complementary concept, that of brain maintenance (or relative lack of brain pathology), and argue that it constitutes the primary determinant of successful memory aging. We discuss evidence for brain maintenance at different levels: cellular, neurochemical, gray- and white-matter integrity, and systems-level activation patterns. Various genetic and lifestyle factors support brain maintenance in aging and interventions may be designed to promote maintenance of brain structure and function in late life.     

Coping strategies and quality of life in women with advanced breast cancer and their family caregivers

Abstract

This study examines the effects of personal resources of both heart patients and their close social partners on patients' coping and quality of life. Generalized personal resources (self-efficacy beliefs, dispositional optimism, self-regulation competence) and outcomes were assessed by questionnaire 1–3 days before surgery (n = 122) and again six months later (n= 50). Outcome variables were coping styles, social resources (social support and social integration), emotional states, and further measures of quality of life. Patients' personal resources were dominant in the prediction of most of the outcomes. Partners' resources were uniquely related to social support, social integration, and quality of life as perceived by the patients. Further, partners' personality resources predicted changes in patients' loneliness and energy levels during the six-month interval.     

Cognitive and non-cognitive factors contributing to the longitudinal identification of successful older adults in the betula study

Studies of successful aging have typically defined elderly who fall in the upper end of a distribution of test scores as successful. A different definition of successful aging requires that older adults fall at or above the mean level of younger adults and maintain this level over time. Here we examined this definition of successful aging in a sample of 1463 individuals between the ages of 50 of 85. Based on principal coordinate analysis of cognitive and non-cognitive variables, we identified a group of 55 (8.3%) 70-85 years olds that were high functioning. This group of elderly showed elevated performance on a range of cognitive tasks. Non-cognitive factors that characterized this group included education and subjective health. The participants were retested 5 years later and the same type of analysis was repeated. Of the remaining individuals who initially were classified as high functioning, 18 (35%) remained high functioning and thus met the definition for successful aging. Years of education was a significant predictor of who remained successful over time.     

Spiritual Inquiry and Well-Being in Life-Limiting Illness

ABSTRACT

Introduction: End of life, as a developmental phase, is accompanied by inner resources as well as losses. Spirituality is a potential inner resource for integrating illness that often occurs during this time. Despite the increase in spirituality research, how spiritual perspectives are used in life-limiting illness remains under-investigated. Better knowledge about this process may be useful for health care providers, family caregivers and patients themselves to enhance well-being at end of life. This study describes the process of how patients and family care-givers use their spiritual resources to facilitate well-being at the end of life.

Method: A qualitative study was designed, based upon the grounded theory method, that entails theoretical sampling of concepts (not sampling of people as in quantitative designs), and the analytic technique of constant comparison of the data until conceptual categories are saturated with supporting data and a theory can be identified. The sample consisted of 12 respondents: 6 dyads of elderly patients with a life-limiting illness and family caregivers. Interviews occurred over a 2-year period.

Results: Data analysis generated a theory about a process called “transcending life-limiting illness,” which derived from two related themes: spiritual inquiry and end-of-life dimensions.

Conclusion: The results expand existing knowledge about how people, either as patients or as family caregivers of persons facing end of life, live with life-limiting illness. The process of transcending life-limiting illness goes beyond merely coping to tap resources for well-being. This resource is expressed through an ongoing dialectic process of spiritual inquiry about life and death as supported by six critical life dimensions.     

农村老年人社会参与对老化态度的影响：自我效能感和孤独感的中介作用

本文从积极老龄化的角度,采用入户问卷调查的方式,探究了河南某地农村老年人社会参与对其老化态度的影响,以及自我效能感和孤独感在二者关系中的作用。研究结果显示,社会参与对老化态度具有积极的促进作用,同时,自我效能感、孤独感以及自我效能感与孤独感的链式中介效应在社会参与和老化态度之间起部分中介作用。因此,提高农村老年人的社会参与度,能够一定程度上改变老年人的认知,减少消极情绪,促进成功老化。     

Correlates of spirituality and well-being in a community sample of people living with HIV disease

While the past several years have witnessed an increase in the amount of research examining the spiritual perspectives of people living with HIV/AIDS, this literature is still insufficient to guide the conceptualization and development of spiritually based interventions to improve the life quality of people living with HIV illness. The present study assessed a community sample of 275 persons living with HIV disease to examine relationships among their spirituality, quality of life, perceptions of social support, and coping and adjustment efforts. This study found relationships between social support, active problem solving, life satisfaction, and gender and race with higher levels of spirituality among people living with HIV/AIDS. Mental health providers may need to routinely include assessments of spirituality and religious practices. Caregivers, faith communities, and mental health providers will need to assist in developing supportive environments that enhance the spiritual life and social well-being of people living with HIV infection. Additionally, caregiver training programs will need to focus on spiritual practices as a means of establishing a support system that increases the psychosocial well-being of people living with HIV/AIDS.     

A one year study of coping,social support and quality of life in parkinson's disease

Abstract

The role of coping and social support in the quality of life for Parkinson's Disease (PD) patients is not well understood. Most studies are cross-sectional and concentrate on depression as an outcome measure. The aim of the present study was to explore the role of coping and social support in quality of life for patients with PD. Self-report measures were completed by 105 sufferers of PD; 75 completed the same questionnaire a year later. Patients had the most problems with social function, followed by problems with mobility control and psychological autonomy and communication. After controlling for age, gender and illness duration, the number of PD symptoms predicted mobility control, social functioning and psychological function. Passive coping explained additional variance in most functional domains with more passive coping being related to increased problems. The quality of life was highly stable over the course of the year. Active coping was related to superior psychological functioning one year later. In fact, this was the only coping and social support variable related to functioning after one year, when controlling for previous functions. The results are discussed in terms of the importance of symptom management in PD.     

老年人乐观、领悟社会支持与主观幸福感的关系—控制策略的中介作用

基于毕生控制理论，方便选取杭州市60~95岁的老年人320名，采用问卷法考察了老年人控制策略使用的现状和特点，并在控制了年龄、健康状况、日常活动数量后，探讨了老年人的乐观、领悟社会支持与主观幸福感的关系，以及控制策略的中介作用。结果发现：低龄的老年男性和女性更偏好选择初级和补偿初级策略，而高龄老年女性更偏好补偿初级策略；乐观和领悟社会支持不仅可以直接影响老年人的主观幸福感，还可以通过选择初级策略间接影响主观幸福感。初级控制在老年人中依然具有首要性地位，老年人的资源越丰富，越有可能采用积极的控制策略（选择初级），进而提高主观幸福感，实现成功老龄化。     

The Association of Negative Urgency with Psychological Distress: Moderating Role of Proactive Coping Strategies

Abstract

Negative urgency, which is the tendency to act impulsively under the influence of negative emotions, is a risk factor for various psychological disorders including anxiety and depression. In contrast, proactive coping is a future oriented coping strategy that aims to prepare the self for future stressors by reappraising the stressors as challenges or keep oneself prepared for impending losses. Although the effect of proactive coping and preventive coping strategies on reducing depression and anxiety has been consistently documented, the association of their interaction with risk factors received little attention. In the current study, the moderator roles of two dimensions of Proactive Coping strategies in the association of negative urgency with anxiety and depression, is examined. Data were collected from 404 individuals (255 women) aged 18 to 59 (M?=?31.29, SD = 11.70) through scales assessing negative urgency, proactive coping, anxiety and depression from a community sample. The results revealed that the interaction of proactive coping with negative urgency to be significantly associated with individual differences in depression scores, indicating that appraising the threats as challenges may have potential for buffering the effects of negative urgency on depression. However, a similar pattern was not observed for anxiety or preventive coping.