Behavioral Activation Treatment for Depression in Older Adults Delivered via Videoconferencing: A Pilot Study

Depression affects up to 25% of older adults. Underdetection and subsequent undertreatment of depression in older adults has been attributed in part to difficulties in older adults being able to access treatment. This uncontrolled pilot study, N = 3, explored the acceptability and efficacy of a brief behavioral activation treatment delivered via videoconferencing to 3 participants, aged 64 to 73 years, diagnosed with major depressive disorder. The results indicate that a 5-session behavioral activation treatment delivered via videoconferencing produced clinically significant and reliable decreases in depression. The results also showed clinically significant and reliable decreases in negative affect and clinically significant and reliable increases in positive affect. Treatment gains were maintained at 1-month follow-up. Videoconferencing can be a valuable and effective tool in increasing accessibility to psychological treatment for older adults.     

Effectiveness of Cognitive-Behavioral Insomnia Treatment in a Community Sample of Older Individuals: More Questions than Conclusions

Effectiveness of two modified stimulus control insomnia interventions plus daily sleep self-monitoring for managing insomnia was investigated in a community sample of older adults. Significant post intervention improvement was observed in both interventions as well as in a self-monitoring only control condition. This unexpected finding led us to question the role of self-monitoring as a potential mediator of therapeutic change. Therefore, we compared long-term follow-up data from treated participants to data from similarly poor sleepers who only completed the questionnaire battery at Pre-test and long term follow-up, with no intervening treatment or self-monitoring. Both groups of poor sleepers reduced their reported amount of nocturnal wakefulness. However, only treated participants improved on their perceived frequency of insomnia episodes and insomnia-related distress. Our findings have implications both for the definition and the treatment of insomnia.     

Aging and Opportunity: Growing Older in Clara Reeve's School for Widows

The state of widowhood has traditionally been understood in terms of what is missing from a woman's life--a husband--rather than what she is, and this traditional practice of negative definition is reflected in the novels of eighteenth-century England. This essay will examine some of the stereotypes of the widow that were prevalent during the eighteenth century, and present Clara Reeve's novel The School for Widows (1791) as a strong and valid response to the pervasive negative perception of widowhood and of older women in general.     

My Grandmother's Personality: A Posthumous Evaluation

The author's grandmother's personality is investigated posthumously through the use of a significant-other form of the Coolidge Axis II Inventory (CATI) designed for the assessment of personality disorders. The CATI was given to the three surviving children (ages 80, 78, and 76). The oldest child had the highest mean correlation across 13 personality disorders with both of her sisters (r = .67) and the youngest child had the lowest (r = .47). The three highest mean T scores across all three raters were Sadistic (71), Self-defeating (68), and Borderline (67). The parameters of accuracy for significant-other ratings are discussed.     

When Respect Means to Obey: Immigrant Mexican Mothers' Values for Their Children

We describe Mexican immigrant mothers' values for their children and their understanding of how children acquire those values. Fifteen mothers were given a Q-Sort task of parental values and interviewed at length using a semi-structured format. Analysis of the mothers' transcribed narratives revealed salient features of a cultural model of child development that constrasts sharply with current professional models. The emergent portrait of children was one of inactive learners whose ability to understand dictated social behavior, developed very slowly over the years, and was dependent on parental direction and instruction.     

Assuming a Position: Women and Men as Moral Critics in Their Own War Zone

In their search for an authentic moral self, women and men may at some time in their lives assume a position of resistance. Men are most likely to assume this position in the sphere of war. It is not clear, however, where or when women would be expected to assume such a position or what the nature of that position might be, and how far it could be likened to that of the resisting man. This paper explores the idea that choosing to be a single mother can be a position by and from which women can voice their moral criticism. Such position is comparable to the (known and well-studied) position taken by men who show their moral criticism by refusing to participate in a specific battle during a morally controversial war. The paper begins with an examination of the philosophical and psychological concepts of separate and connected moral positions available to resisting men and women in the spheres of war and family. The conclusions are based on data from two samples of resisters in the spheres of war and the family: 36 soldiers (30 years old on average) who decided to take a stand as selective conscientious objectors (SCOs) during a morally controversial war and 50 (biologically) mature single women (over age 30) who chose to become pregnant and to remain unwed mothers. The conceptual and methodological questions regarding this comparison are discussed.     

The Challenge of Cultural Blindness: Implications for Family-Focused Service Delivery

When dealing with culturally diverse families, special education professionals need to be aware of the challenge of cultural blindness and acknowledge the cultural assumptions imbedded in the services they offer. Using data from qualitative interviews with Native American mothers and participant observations of a parent support group on their reservation, I analyze the implications of cultural blindness for the empowerment of minority families.     

The parental support networks of mothers and fathers: A multidimensional approach

This paper argues for a multidimensional approach to the study of the social support networks of mothers and fathers of young children. Network structure (e. g. size, density, member characteristics), support content (e. g. emotional, informational, economic and child care) and support quality (e. g. helpfulness, satisfaction with support, conflict associated with support and willingness to access support in future need) are distinguished. The goals of the study were: (1) to empirically test the multidimensionality of parental support networks; (2) to assess the relations among these three dimensions for mothers and for fathers; and (3) to examine how couples' support networks are interrelated. Individual at-home interviews were conducted with 100 parents to derive measures of parental support structure, content and quality. Fathers (N = 31) were compared to their spouses (N = 31) and to a comparison group of demographically similar married mothers (N = 38). For all three groups, the same three predicted dimensions emerged in the factor structure of their networks; in general, few gender differences were found. However, relations among structure, content and quality differed by gender, with network structure predicting support content and quality only for mothers. The network structure of couples was positively correlated, and overlap in network members was related to own and spouse's network helpfulness, satisfaction and child care support.     

Fear of missing out and depressive symptoms during the COVID-19 pandemic

During the early stages of the COVID-19 pandemic, governments issued public health safety measures (e.g., “stay-at-home” ordinances), leaving many people “missing out” on integral social aspects of their own lives. The fear of missing out, popularly shortened as, “FoMO,” is a felt sense of unease one experiences when they perceive they may be missing out on rewarding and/or enjoyable experiences. Among 76 participants (ages M = 69.36, SD = 5.34), who were at risk for hospitalization or death if infected with COVID-19, we found that FoMO was associated with depressive symptoms at Time 1, even when controlling for perceived stress, loneliness, and fear of COVID-19. However, FoMO did not predict future depressive symptoms, about 1 week later, when controlling for Time 1 depressive symptoms. These findings provide further evidence that FoMO is associated with depressive symptoms in a short period of time even when accounting for other powerful social factors such as loneliness. Future research should explore the potential causal relationships between FoMO and depression, especially those that may establish temporal precedence.     

Touch by Intrusive and Withdrawn Mothers with Depressive Symptoms

Interaction behaviours of 88 adolescent mothers with depressive symptoms and their 3-month-old infants were videotaped and coded for different types of touch. The ‘depressed’ mothers were classified as intrusive, withdrawm or good by one observer and another observer coded rough tickling, poking, tugging and pulling as negative touch behaviours and gentle stroking and rubbing as positive touch behaviours. The mothers with depressive symptoms were more likely to touch their infants in a negative way and more likely to be classified as intrusive.