Counseling for Wellness With Older Adults

Resulting from the assumption that older adulthood is a time of decline, there is a dearth of research on the application of wellness counseling with older adults. This article reviews the literature on wellness and older adults, synthesizes wellness with adult development theory, and describes wellness counseling with older adults.     

Susceptibility to retroactive interference: The effect of context as a function of age and cognition

Previous studies have shown that contextual cues improve memory performance and reduce interference in younger adults. However, it is not clear whether middle-aged and older adults can also benefit from contextual cues, or if this ability diminishes with ageing and cognitive decline. In order to test this question, we tested 69 middle-aged adults (aged 30–50 years) and 65 older adults (aged 65–85). Participants completed a retroactive interference paradigm with or without contextual cues. Cognitive functioning of older adults was assessed using the Montreal Cognitive Assessment, which is a sensitive and highly validated tool to detect cognitive decline in older age. The results showed that while middle-aged adults were able to benefit from context to improve recognition and reduce interference, older adults were not able to benefit from it. However, when we compared older adults with lower (<26) and higher (≥26) scores on the Montreal Cognitive Assessment, we found that older adults with high cognitive functioning could benefit from context advantage at retrieval to improve recognition compared to those with lower cognitive functioning. Yet, similar to older adults with lower cognitive functioning, they could not benefit from context advantage at encoding and hence were still susceptible to interference.     

Effects of age and type of picture on visuospatial working memory assessed with a computerized jigsaw-puzzle task

We investigated the effect of age and color in a computerized version of the jigsaw-puzzle task. In Experiment 1, young and older adults were presented with puzzles in color and black-and-white line drawings, varying in difficulty from 4 to 9 pieces. Older adults performed the task better with the black-and-white stimuli and younger adults performed better with the color ones. In Experiment 2, new older and young adults identified the same fragmented pictures as fast and accurately as possible. The older group identified the black-and-white stimuli faster than those presented in color, while the younger adults identified both similarly. In Experiment 3A, new older and young groups performed the puzzle task with the same color pictures and their monochrome versions. In Experiment 3B, participants performed a speeded identification task with the two sets. The findings of these experiments showed that older adults have a memory not a perceptual difficulty.     

Comparison of Privacy Consciousness Between Younger and Older Adults

The degree of being conscious about privacy for the self and others is known as privacy consciousness. This study aimed to compare privacy consciousness between younger and older adults. Japanese younger (n = 166) and older (n = 145) adults were requested to rate all items in the Privacy Consciousness Scale, which assessed their degree of consciousness about privacy for the self and others and behaviors for maintaining privacy based on this consciousness. Results indicated that older adults scored lower on Consciousness Regarding Privacy of Others and higher on Behaviors Regarding Privacy of Others than younger adults. However, no significant difference was found in Consciousness and Behaviors Regarding Privacy of the Self between younger and older adults.     

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。     

老年人日常人际问题解决中的悲伤情绪体验和情绪调节策略: 年龄和人格特质的作用

考察了日常人际问题解决中老年人的悲伤情绪体验和情绪调节策略与青年人的差异,以及年龄和人格特质的作用。共45名老年人和59名青年人接受半结构化访谈和人格特质测量。结果表明：（1）以教育水平为协变量的方差分析表明,老年人和青年人的悲伤情绪体验没有显著差异。老年人的被动情绪调节策略的使用和青年人存在显著差异;（2）老年人的被动情绪调节策略不但与年龄有关,而且与悲伤情绪体验有关。悲伤情绪体验可以显著预测其被动情绪调节策略使用;（3）老年人的悲伤情绪体验与人格特质神经质维度存在显著正相关;（4）老年人与年轻人的被动情绪调节策略都与悲伤情绪有关,但老年人的被动情绪调节策略不能由人格特质显著预测,而青年人的被动调节策略还可以由人格特质内外向维度显著预测。人格特质的内外向维度对老年人和青年人的前摄性情绪调节策略的预测效应是一致的。最后针对老年人的悲伤情绪体验和情绪调节策略的意义进行了讨论。     

Thinking about the past,present, and future: Time perspective and self-esteem in adolescents,young adults,middle-aged adults,and older adults

We examined time perspective and self-esteem in adolescents, young adults, middle-aged adults, and older adults. Time perspective was measured with scales that assess relative orientations and relationships among the past, present, and future. Age effects were examined with standard analytic strategies to determine categorical differences between age groups and with new statistical techniques designed to show continuous age patterns. Findings indicated that (1) thinking about the future was greatest for adolescents and young adults and lowest for middle-aged and older adults, and thinking about the present increased across ages; (2) fewer adolescents and middle-aged participants perceived that the time periods were interrelated compared to younger and older adults; and (3) across ages, a greater emphasis towards the past compared to other time periods was associated with lower self-esteem, whereas emphasizing the present and the future jointly was associated with higher self-esteem.     

The spiritual benefits of travel for senior tourists

This research explores the spiritual benefits of travel for older adults and illustrates how travel meets seniors' self‐actualization and spiritual growth needs. The theoretical point of departure for this research is seniors' quest for meaning and self‐actualization, which act as push factors inducing older adults to travel. Semistructured depth interviews were conducted with 16 retired senior informants who had extensive travel experience. Using an interpretive method, this research reveals four key themes that illustrate the spiritual benefits of travel, thereby extending the growing literature on the motivations of senior travelers. These themes are described as “traveling generates meaning for older adults,” “traveling reveals the self to older adults,” “traveling encourages older adults to better understand others,” and “traveling enables older adults to better understand their relationship to nature”. In sum, the themes describe how older adults may meet their unique spiritual needs through travel and thereby enhance their spiritual development. This research represents one of a few studies examining senior tourism to employ an interpretive method and provides rich insights as a result. This research also extends the emerging research on spirituality in marketing by illustrating how the tourism industry may benefit from a perspective that considers the spiritual benefits of consumption. The research findings suggest that the intangible spiritual benefits of travel, in addition to the tangible benefits, should be highlighted in travel offers and tourism communications targeted to older adults. Copyright © 2014 John Wiley & Sons, Ltd.     

家庭居住与机构居住老年人社会支持的比较研究

以65位家庭居住和92位机构居住的老年人为样本,采用Sherbourne和Stewart的MOS社会支持问卷和自编社会支持问卷调查了老年人的社会支持现状,比较了家庭居住与机构居住老年人社会支持的不同特点。结果发现：（1）家庭居住和机构居住老年人在社会支持维度上存在显著差异：在心理支持、行为支持、活动支持等维度上,机构居住的老年人显著高于家庭居住的老年人;而在感情支持维度上家庭居住的老年人显著高于机构居住的老年人。（2）社会支持对老年人的身心健康具有显著影响。（3）性别,年龄,教育水平,职业状况,婚姻状况,子女数量,健在兄弟姐妹数量等人口统计变量对不同居住背景老年人的社会支持有显著影响。     

Motivating minority older adults to exercise

The purpose of this qualitative study was to explore with minority older adults their experience in the Senior Exercise Self-Efficacy Pilot Program (SESEP) and establish what aspects of the SESEP helped the participants engage in exercise and what decreased their willingness to exercise. A total of 148 older adults from 12 Senior Centers participated. The majority of the participants were African American (77%), and female (79%) and the average age was 72.9+/-8.0. Analysis of the semi-structured interviews revealed 36 codes which were categorized and reduced to 13 major themes. Eleven of these themes focused on factors that facilitated participation in exercise and two themes included factors that decreased willingness to participate in exercise. Findings support the use of the theory of self-efficacy to change behavior among minority older adults, and future research should focus on identifying culturally specific interventions that will strengthen these beliefs and thereby increase exercise behavior.     

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.     

The effects of interword spacing on the eye movements of young and older readers

Recent evidence indicates that older adults (aged 65+) are more disrupted by removing interword spaces than young adults (aged 18–30). However, it is not known whether older readers also show greater sensitivity to the more subtle changes to this spacing that frequently occur during normal reading. In the present study the eye movements of young and older adults were examined when reading texts for which interword spacing was normal, condensed to half its normal size or expanded to 1.5 times its normal size. Although these changes in interword spacing affected eye movement behaviour, this influence did not differ between young and older adults. Furthermore, a word frequency manipulation showed that these changes did not affect word identification for either group. The results indicate that older adults can adapt their eye moment behaviour to accommodate subtle changes in the spatial layout of text equally effectively as young adults.     

Anxiety Disorders in Late Life: Considerations for Assessment and Cognitive-Behavioral Treatment

Anxiety disorders are among the most frequently diagnosed mental disorders in late life. As older adults comprise a growing segment of the population, evidence-based treatments for anxiety disorders in late life have come into sharper focus. Cognitive-behavioral therapy (CBT) for anxiety disorders in late life has received less empirical attention and widespread dissemination relative to other age groups. Increasing older adults’ access to timely assessment and effective treatment can help reduce the personal and societal costs of anxiety disorders. The purpose of this review paper is to discuss important considerations for the assessment of anxiety disorders in older adults and offer adaptations to CBT treatment for this population. As part of assessment considerations, we discuss how physical health conditions, cognitive impairment, and functional limitations can impact anxiety disorder diagnoses with older adults. We also outline validated self-report measures of anxiety disorder symptoms for older adults and highlight the importance of assessing older adults’ suitability for CBT. Several recommendations for adapting CBT protocols for older adults with anxiety disorders are described, such as extending psychoeducation, altered treatment pacing, use of content aids, and medical contraindications for interoceptive exposure. A case study is included that illustrates helpful assessment and treatment adaptions for an older woman with panic disorder. We highlight the pressing need to increase research and dissemination of CBT for anxiety disorders for older adults to meet the needs of an increasing segment of the population worldwide.     

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.     

Professional Counselors’ Interest in Counseling Older Adults

The authors surveyed professional counselors (N = 956) to examine self‐efficacy in counseling older adults, contact with older adults, and ageism as related to their interest in working with older adults. Higher self‐efficacy, contact, and positive ageism predicted increased interest. These results and implications for counseling 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.     

Cognitive Behavior Therapy for Older Adults: Practical Guidelines for Adapting Therapy Structure

Cognitive behavioral therapy (CBT) has been shown to be an effective approach for a wide range of problems affecting older adults. While a variety of empirical and clinical papers have examined modifications to the content and delivery of CBT to enhance its efficacy with older adults, changes to the structure of therapy with this population have not been as widely discussed. Issues around optimizing the structure of CBT with older adults are presented, along with suggestions for realizing these changes within a clinical context.     

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。     

Younger and older adults’ prospective memory: the role of delay task difficulty

ABSTRACT

There is mixed evidence on the impact of delay task difficulty on prospective memory (PM) performance and little research has examined this among older adults. The present study examined younger (N = 60) and older (N = 57) adults’ prospective memory (PM) performance after completing an easy or difficult Raven’s matrices task. To assess whether delay difficulty impacted how often participants thought about their PM intention, participants were asked to report on what they thought about during the delay task itself and retrospectively after all tasks were completed. Younger adults outperformed older adults on the PM task; however, delay task difficulty had no impact PM for either age group. Reports of thinking about the intention during the delay task differed by age group depending whether they were online or retrospective, however, overall greater reports of thinking about the intention was positively associated with PM performance.