Suicide Bereavement and Complicated Grief: Experiential Avoidance as a Mediating Mechanism

In the wake of increased interest in the specific features of suicide bereavement, the current study examines (a) the association between suicide bereavement and complicated grief and (b) the mediating effect of experiential avoidance on the association between suicide bereavement and complicated grief. The tests revealed a significant indirect effect of suicide bereavement on complicated grief through experiential avoidance. This finding suggests that traumatic characteristics of suicide bereavement may inhibit the grieving process by increasing experiential avoidance and emphasizing a cognitive approach for complicated grief of people who have lost their loved one to death by suicide.     

老年人的智慧

智慧是个体在其人生经历中习得的一种德才一体的综合心理素质, 是成功老龄化的重要标志和毕生发展的理想终点。研究发现, 三维智慧量表、自我评估智慧量表、成人自我超越问卷等自陈式测量和柏林智慧范式、智慧推理等表现式测量对老年人智慧评估具有良好性能; 老年人智慧发展受到开放性、自我反思、情绪调节、人格成长等内在因素以及受教育程度、关键生活经历、社会环境等外在因素的交互影响; 毕生发展的智慧为老年人带来更高主观幸福感、生活满意度以及更少社会疏离感、孤独感和抑郁。未来应该开发多测度、整合的老年人智慧测评工具; 深入揭示老年人智慧的预测因素、影响后效及其内部作用机制; 进一步探索社区养老服务中老年人智慧的干预与培育策略。     

Effects of daily maladaptive coping on nightly sleep in mothers

Objective: We examined effects of daily rumination and suppression in response to stressors on objective and subjective sleep among mothers.

Design: Participants were 183 mothers, including chronically stressed mothers of children with an autism spectrum disorder (M-ASD; n = 92) and age-matched mothers of neurotypical children (M-NT; n = 91). In an intensive longitudinal design, participants provided reports of daily rumination and suppression, nightly objective actigraphy-defined sleep and nightly subjective sleep quality for seven consecutive days at baseline, 9 months and 18 months.

Main Outcome Measures: Total sleep time, sleep fragmentation, sleep onset latency, and subjective sleep quality.

Results: Among M-NT with above average depressive symptoms, higher daily rumination was associated with shorter total sleep time. Rumination was associated with more sleep fragmentation among M-NT at the trend level. Rumination was not associated with sleep onset latency among M-NT, or with any sleep outcomes among M-ASD. Suppression was not associated with any sleep outcomes.

Conclusion: We provide novel evidence of the effect of rumination on objectively measured sleep duration among M-NT. Coping was not related to sleep among M-ASD. Given the prevalence of poor sleep among mothers, future work should examine modifiable factors perpetuating sleep disturbance.     

Reduced specificity and enhanced subjective experience of future thinking in ageing: the influence of avoidance and emotion-regulation strategies

Future thinking in older adults is characterised by a lack of specificity of imagined events and by an equal or even higher subjective experience, compared to younger adults. We considered whether this lack of specificity stemmed partly from the avoidance of a somewhat disturbing future and then examined the extent to which certain types of emotion-regulation strategies, namely positive reappraisal and positive refocusing, contributed to the subjective experience of future thinking. Middle-aged and older adults completed an adapted version of the AMT, in which temporal distance and cue word valence were manipulated, thus resulting in future conditions assumed to represent varying degrees of discomfort. Results indicate that distant future and negative cues restricted both the specificity and the subjective experience of future thinking. In addition, the use of avoidance strategies predicted the nature of future thoughts in the context of a supposed uncomfortable future (i.e., a distant future induced by negative cues), although it followed quite different age-related patterns. Together with the findings that positive reappraisal and positive refocusing (to a lesser extent) contributed to the subjective experience of future thinking, this study indicates that how individuals imagine their personal future also relies on affect- and emotion-regulation strategies.     

Delivered as Described: A Successful Case of Cognitive Processing Therapy With an Older Woman Veteran With PTSD

Cognitive processing therapy (CPT) is a first-line, evidence-based treatment for posttraumatic stress disorder (PTSD). Little is known, however, about the use of CPT for older adults. As the United States population continues to grow and age, an understanding of the utility of CPT for older adults is vital. We present a case study describing the assessment and cognitive treatment of a 74-year-old woman veteran with PTSD secondary to military sexual trauma. CPT was associated with decreased PTSD symptoms as measured before and after treatment. Factors contributing to the veteran’s response, as well as contextual and environmental factors, are discussed. The case demonstrates that CPT may be effective for older adults without major modification.     

消极刻板印象对老年人医疗决策的影响及归因偏差的作用

随着年龄的增长, 对老年人的消极刻板印象和医疗决策逐渐成为了与老年群体越来越相关的两个概念。在此背景下, 很有必要系统地探讨消极刻板印象对老年人医疗决策的效应及其机制。本研究以158名老年人为被试, 通过两个实验考察了消极刻板印象、归因偏差和老年人医疗决策质量间的关系。实验1结果发现, 消极刻板印象负向影响老年人的医疗决策质量, 同时, 归因偏差在刻板印象对老年人医疗决策质量的效应中起到中介作用。实验2结果表明, 减少归因偏差的干预控制可以有效降低刻板印象对医疗决策质量的消极效应。本研究对理解刻板印象效应机制、缓解刻板印象消极效应、以及改善老年人医疗决策质量具有一定的理论意义和实践价值。     

The Career Development of Adolescent Mothers: A Review of 25 Years of Professional Literature

Twenty‐one articles from peer‐reviewed journals published over 25 years (1983–2008) were selected for inclusion in a review of the professional literature on adolescent mothers' career development. Findings identified that the selected literature included a variety of research methods and theoretical approaches, identified areas of need for this population, and discussed impediments to the career development of adolescent mothers. The most frequent recommendations, aside from the need for further research, were to develop and implement comprehensive programs for adolescent mothers that are strength based and responsive to their needs, and to foster career development skills/knowledge and resiliency.     

Loneliness, depression, social support, and quality of life in older chronically ill Appalachians

This study's purpose was to describe loneliness and to examine the relationships between loneliness, depression, social support, and QOL in chronically ill, older Appalachians. In-person interviews were conducted with a convenience sample of 60 older, chronically ill, community-dwelling, and rural adults. Those with dementia or active grief were excluded. The UCLA Loneliness Scale (Russell, Peplau, & Cutrona, 1985), Geriatric Depression Scale (Shiekh & Yesavage, 1986), Katz ADL scale (Katz, Down, & Cash, 1970), MOS Social Support Scale (Sherbourne & Stewart, 1991), and a visual analog scale for Quality of Life (Spitzer et al., 1981) scale were used. Diagnoses were obtained through chart reviews. SPSS was used for data analyses. The majority of the 65% female sample (M age = 75 years) were married and impoverished. Participants' number of chronic illnesses averaged more than 3. Over 88% of participants reported at least 1 area of functional impairment. Loneliness was prevalent with UCLA loneliness scores indicating moderate to high loneliness, ranging from 39 to 62 (possible scores were 20-80). Higher loneliness scores correlated with depression, lower Qol, and lower social support, particularly lower emotional support. This study provides evidence that loneliness is a significant problem for older chronically ill Appalachian adults and that it may be related to low emotional support. Further, it provides evidence that this population may be significantly lonely and may not self-identify as lonely. Screening for loneliness and designing interventions that target the emotional aspects of loneliness could be important in this population.     

Crowding Effects of Density and Personal Space Requirements Among Older People: The Impact of Self-Control and Social Support

Abstract

The authors examined the effects of self-control and social support among a representative sample of 300 older people, 150 in high-density and 150 in low-density households in India. The Self-Control Schedule (M. Rosenbaum, 1980), the Comfortable Interpersonal Distance Test (M. Duke & S. Nowicki, 1972), the Social Support Questionnaire, and the Judgement of Environmental Quality Scale (I. G. Sarason, H. M. Levine, R. B. Basham, & B. R. Sarason, 1983) were the measures. A 2 × 2 × 2 (Density × Social Support × Self-Control) analysis of variance for perceptions of home environment and personal space requirements revealed that the Self-Control x Social Support interaction moderated the crowding effects of density: The participants in high-density households evaluated their home environments more positively and reduced their personal space requirements.     

Zulu Mothers' Beliefs About Their Own and Their Children's Intelligence

Abstract

Zulu women (N = 133) were given a structural interview concerning their own and their children's multiple intelligences. The best predictor of their own self-estimated overall intelligence rating was mathematical and spatial intelligence. Mothers showed few significant differences in their estimates of their sons and daughters' overall or multiple intelligences. However, they rated their daughters' interpersonal intelligence higher than those of their sons, and their sons' bodily-kinesthetic intelligence higher than those of their daughters. The mothers believed that overall their children were about 6 IQ points more intelligent than themselves. Although mothers estimated their own spatial, inter-, and intrapersonal intelligence to be higher than those of their children, they also believed that their children had higher mathematical intelligence.