Evaluation of the effects a caregiver training programme has on the cognitive and functional maintenance of the elderly / Valoración de los efectos de un programa de formación de cuidadores sobre el mantenimiento cognitivo y funcional de ancianos

Abstract

With the increase in the elderly population comes a need to ensure they remain cognitively and functionally stable for as long as possible. Achieving this through a caregiver training programme based on the Person Centred Care (PCC) approach has been suggested. On this basis, the purpose of this study has been to evaluate the effectiveness of a caregiver training programme on the cognitive and functional maintenance of the elderly. The study sample comprised 56 elderly people and 14 caregivers, who were assessed using the MMSE, Clifton, Barthel, EuroQol, RMBPC (elderly) and SSFQ (caregivers) measurement scales. The results at intergroup level show significant differences in the pre-treatment assessment: the control group had higher scores for MMSE, Barthel, EuroQol and RMPBC scales, but that difference disappeared as scores for the treatment group increased. At an intragroup level, increases in scores were observed in the MMSE, Clifton and EuroQol scales for the treatment group and decreases in the Clifton, EuroQol and Barthel scales for the control group. From these results we can conclude that a caregiver training programme based on a PCC approach produces cognitive and functional benefits in the elderly. In addition, caregivers in the treatment group felt more competent, confident and satisfied with their work.     

Gratitude as a Variable of Mediation between Parental Support and Self-Esteem in Adolescence

Despite there has been a growing interest in the study of gratitude, few studies have investigated which factors support and promote it; notably, no study has yet addressed ways in which parents could promote gratitude in their children. The present study aims to investigate the relation between parental emotional support and self-esteem through the mediation of gratitude. The analyses have been conducted considering both the maternal and the paternal roles. To that end, an explorative model has been proposed of these relations. A self-report questionnaire was administered to 279 15–19 year-old adolescents (M?=?16.83, SD?=?.85) living in Northern Italy. Findings show that (a) the mother’s emotional support, but not the father’s, sustains gratitude, and (b) gratitude completely mediates the relation between maternal emotional support and self-esteem. Limitations and research implications are discussed.     

Normalisation Versus Medicalisation of Sexual Disturbances During Menopause: A Qualitative Research in the Italian Context

Past research has found consistent correlations between menopause and increase in sexual disturbances, but very little research has inquired into the attribution of meanings to this change from the womens’ own perspectives and the role of the negotiating between sexes in the social-construction of the problem. This study aims to investigate how professionals, women diagnosed with hypoactive sexual desire disorder and ordinary people, both men and women, signify this phenomenon in the Italian context. Interviews were conducted by asking participants whether or not they considered the decrease in sexual desire to be a problem, and what this was dependent on. The analysis of the 146 participants’ answers revealed that women with sexual deficit emphasized the need for treating the biological changes of menopause; specialists considered both the gynecological and the psychological components, while ordinary people seemed to ‘normalise’ the problem, encoding it as the effect of menopause; they did not seem to be inclined to turn the situation into a call for help, suggesting the importance of sharing the problem within the relationship and underestimating the organic level of the question. The negotiation between sexes seems to transform a sexual problem into normality.     

Self-prospection and energization: The joint influence of time distance and consideration of future consequences

The way people envision their future (self-prospection) plays a key role in the energization required to pursue desired goals. We proposed that energization is determined by time distance from the imagined future-self and the individual’s consideration of future consequences (CFC). We hypothesized that, when imagining their distant (vs. near) future-self, individuals higher on CFC (i.e., those who construe a stronger link between present and future selves), would report greater energization. Participants completed the CFC scale, imagined their distant or near future-self, and reported their energy level. Imagining distant (vs. near) future-self fostered energy among participants higher on CFC (Experiments 1–2), an effect mediated by vividness of self-representations (Experiment 2). Self-prospection has implications for current states, and specifically for felt energy.     

Friendship and romance across the U.S. political divide: Hindrance or help for outgroup political attitudes?

Consistent with the intergroup contact literature, cross-political relationships (e.g., friendships or romantic relationships between different partisans) may help reduce inter-political group prejudice. Given that unfavorable attitudes based on the political group membership are particularly heightened at present in the United States, we explored whether having cross-political friendships (Study 1) or romantic relationships (Study 2) predict more positive interpersonal or intergroup attitudes among American Democrats and Republicans. In Study 1, using a social network measure (N = 301), where participants reported on their closest friends, cross-political (versus same-political) friendship was associated with less positive interpersonal attitudes when this relationship was unsatisfying. Having any (versus no) or more (versus less) cross-political group friendships was not associated with holding more positive intergroup attitudes. In Study 2, cross-political romantic relationships were examined (N = 392). Having a cross- (versus same-) political romantic relationship was associated with relatively less positive attitudes toward the political outgroup via lower empathy when relationship satisfaction was low. Study findings highlight the potential limitations of the beneficial effects of intergroup contact.     

Single- and Multiple-Group Penalized Factor Analysis: A Trust-Region Algorithm Approach with Integrated Automatic Multiple Tuning Parameter Selection

Psychometrika - Penalized factor analysis is an efficient technique that produces a factor loading matrix with many zero elements thanks to the introduction of sparsity-inducing penalties within...     

Genetic Counselors’ Perspectives and Practices Regarding Expanded Carrier Screening after Initial Clinical Availability

Expanded carrier screening (ECS), introduced in 2009, identifies carriers for dozens or hundreds of recessive diseases. At the time of its introduction into clinical use, perspectives of the genetic counseling community regarding ECS were unknown. We conducted a survey in early 2012 of GCs and report the results here. They represent a snapshot of opinions and usage at that time, providing a baseline for comparison as the technology continues to evolve and as usage increases. The survey assessed personal perspectives, opinions on clinical implementation and clinical utilization of ECS. The sample included 337 GCs of varying clinical fields, of whom 150 reported practicing in reproductive settings. Our findings demonstrate that, at the time, GCs indicated general agreement with ECS as a concept – for example, most GCs agreed that carrier screening should address diseases outside of current guidelines and also indicated personal interest in electing ECS. There were also disagreements or concerns expressed regarding appropriate pre- and post-test counseling (e.g., the content and delivery mode of adequate informed consent) and practical implementation (e.g., the amount of time available for follow-up care). This was the first quantitative study of a large number of GCs and it revealed initial overall support for ECS among the GC profession. The authors plan to re-administer a similar survey, which may reveal changes in opinions and/or utilization over time. A follow up survey would also allow further exploration of questions uncovered by these data.     

Disability and Life Satisfaction in Italy

During the last decades, the socio-economic policy agenda has devoted an increasing attention to the inclusion of disabled people into society. It follows that understanding the drivers of life outcomes and conditions of disabled people is essential to analyze the sources of disadvantaged positions.This paper brings evidence on the predictors of life satisfaction of disabled people in Italy, focusing on four specific dimensions (relations with relatives and friends, economic conditions, and leisure time) and analyzing information on people with functional limitations and health problems, as provided by the 2011 ISTAT survey.Estimation results show that household structure, health and disability status affect life satisfaction more significantly than personal and income variables. Education attainments significantly affect satisfaction with the economic conditions. In addition, support in daily activities may increase satisfaction with economic conditions and leisure time, suggesting that providing non-monetary support would be effective in increasing life satisfaction, especially in those domains requiring freedom of movement. Finally, we find that older disabled people are, on average, more satisfied than younger disabled people, while gender is relevant when interacted with the household type.     

Relations of child effortful control to personality,well-being and parenting

This study examined effortful control and its relations to personality, parenting and well-being in a community sample of Russian preschool children (N = 365, 46% girls) using parent-reported effortful control scale from the very short form of the children's behaviour questionnaire, the inventory of child individual differences–short version, the Alabama parenting questionnaire—preschool revision, the self-reporting questionnaire, and parent and teacher reports on the strengths and difficulties questionnaire. The findings confirmed the four-factor structure of effortful control, including inhibitory control, attentional control, low-intensity pleasure and perceptual sensitivity. Girls demonstrated higher scores than boys on effortful control, perceptual sensitivity, inhibitory control and low-intensity pleasure. Older children scored higher than younger on inhibitory control and perceptual sensitivity and lower on low-intensity pleasure. Gender and age accounted for less than 3% of the variance in effortful control. Effortful control was associated with personality traits of conscientiousness, agreeableness and openness, and with positive emotions and low-negative affect. Higher effortful control was associated with higher levels of prosocial behaviour and lower levels of externalising and internalising problems. Structural modelling showed that the effect of parenting on child prosocial and problem behaviours may be mediated by effortful control.     

Emotions at primary school: Negative achievement emotions and their relation with emotional competencies in ethnic minority and majority students

Scarce attention has been paid to ethnic minority students' emotions and related competencies at school. Nevertheless, theoretical frameworks such as the control–value theory underline the importance of achievement emotions for students' performance and well‐being. We involved minority (n = 63) and majority (n = 103) students attending the first, third, and fifth grade of primary school. We assessed negative achievement emotions (anxiety, anger, embarrassment, boredom, and hopelessness), emotion understanding, and emotion regulation. Factorial analyses supported the goodness of the structure of a questionnaire measuring the five achievement emotions in Italian and mathematics and its invariance across minority and majority students. Analyses of variance indicated that minority students felt more intense anger, embarrassment, and boredom for Italian and anxiety and embarrassment for mathematics. Path analyses revealed that emotion understanding and emotion regulation were significantly related to achievement emotions. Findings are discussed for their theoretical and applied relevance in promoting well‐being at school among minority and majority students.