1
|
Angevaare MJ, van Hout HPJ, Smalbrugge M, Blankenstein AH, Hertogh CMPM, Twisk JWR, Joling KJ. The Association Between Possible Stressors and Mood Outcomes in Older Residents of Long-Term Care Facilities. Front Psychiatry 2022; 13:811252. [PMID: 35444575 PMCID: PMC9015094 DOI: 10.3389/fpsyt.2022.811252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 02/08/2022] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Resilience incorporates the presence of a positive response to some type of stressor. To properly explore resilience, it is important to systematically identify relevant stressors. We aimed to identify (combinations of) stressors with the strongest relationship with observer-reported and self-reported mood outcomes in older residents of long-term care facilities (LTCFs) in The Netherlands. MATERIALS AND METHODS We included 4,499 older (≥60) residents of 40 LTCFs who participated in the Dutch InterRAI-LTCF cohort between 2005 and 2018. The association of possible stressors (single stressors, number of stressors, and combinations of two stressors) in this population with observer-reported (Depression Rating Scale) and self-reported mood outcomes was analyzed using multilevel tobit models and logistic regressions. RESULTS Major life stressor ["experiences that (threatened to) disrupt(ed) a person's daily routine and imposed some degree of readjustment"] and conflict with other care recipients and/or staff were most strongly associated with both mood outcomes. Furthermore, conflict was a particularly prevalent stressor (24%). Falls, fractures, and hospital visits were more weakly or not associated at all. Overall, the associations were similar for the mood outcomes based on observer-report and self-report, although there were some differences. Multiple stressors were more strongly associated with both mood outcomes than one stressor. CONCLUSION Major life stressor and conflict emerged as important stressors for resilience research within the psychological domain in LTCF residents. Further (longitudinal) research is necessary to determine the directionality and relevance of the strong association of conflict with mood for LTCF practice.
Collapse
Affiliation(s)
- Milou J Angevaare
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.,Amsterdam UMC, Vrije Universiteit Amsterdam, Department of General Practice, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Hein P J van Hout
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.,Amsterdam UMC, Vrije Universiteit Amsterdam, Department of General Practice, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Martin Smalbrugge
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Annette H Blankenstein
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of General Practice, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Cees M P M Hertogh
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Jos W R Twisk
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Karlijn J Joling
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| |
Collapse
|
2
|
Comparison of Psychological and Physiological Stress in NICU Nurses: Effects of Unit Design and Shift. Adv Neonatal Care 2021; 21:E93-E100. [PMID: 33427752 DOI: 10.1097/anc.0000000000000837] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND Effects of unit design and shift worked on stress in neonatal intensive care unit (NICU) nurses have not been fully studied. PURPOSE To compare stress in NICU nurses who work in single-family room (SFR) or open bay (OBY) units and on nonrotating day or night shift. METHODS Full-time registered nurses (RNs) (n = 72) from a 42-bed SFR and a 131-bed OBY NICU participated in this comparative cross-sectional study. The Nurse Stress Scale (NSS) and within-shift repeated salivary cortisol levels were used to measure stress. The relationship between NSS score and salivary cortisol level was examined using multiple linear regression. Salivary cortisol levels of day versus night shift were compared with mixed-effects linear models. RESULTS NSS scores were similar for SFR and OBY units (P = .672) and day versus night shift (P = .606). Changes in cortisol level over time (P = .764) and final cortisol level (P = .883) for SFR versus OBY were not significantly different after controlling for shift. Salivary cortisol level of day-shift nurses decreased significantly over time compared with night-shift nurses (P < .001). The final cortisol level was significantly higher for night-shift compared with day-shift nurses (P < .001). IMPLICATIONS FOR PRACTICE Psychological (NSS) and physiologic (salivary cortisol) stress of NICU nurses is similar in established SFR and OBY units. Cortisol levels are higher at the end of shift in nurses who work night shift and may reflect increased physiologic stress. IMPLICATIONS FOR RESEARCH Strategies are needed for reducing stress in NICU nurses who work night shift.
Collapse
|
3
|
Bianciardi E, Vito C, Betrò S, De Stefano A, Siracusano A, Niolu C. The anxious aspects of insecure attachment styles are associated with depression either in pregnancy or in the postpartum period. Ann Gen Psychiatry 2020; 19:51. [PMID: 32944057 PMCID: PMC7488240 DOI: 10.1186/s12991-020-00301-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Accepted: 08/27/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Perinatal depression (PND) is a major complication of pregnancy and many risk factors have been associated with its development both during pregnancy and postpartum. The transition to motherhood activates the attachment system. The aim of our study was to investigate the relationship between women's attachment style (AS) and PND in pregnancy, and 1 month after childbirth, in a large cohort of women. We hypothesized that different patterns of AS were associated with either antenatal or postnatal depression. We, further, explored the role of other possible risk factors such as life-stress events. METHODS A final sample of 572 women was enrolled. At the third trimester of pregnancy, clinical data sheet and self-report questionnaires (ASQ, PSS, LTE-Q, and EPDS) were administered. One month after delivery, EPDS was administered by telephone interview. RESULTS We found 10.1% of the women with depression during pregnancy and 11.1% in the postpartum period. The first logistic regression showed that ASQ-CONF subscale (OR = 0.876, p < 0.0001), ASQ-NFA subscale (OR = 1.097, p = 0.002), foreign nationality (OR = 2.29, p = 0.040), low education levels (OR = 0.185, p = 0.012), PSS total score (OR = 1.376, p = 0.010), and recent life adversities (OR = 3.250, p = 0.012) were related to EPDS ≥ 14 during pregnancy.The second logistic regression showed that ASQ-PRE subscale (OR = 1.077, p < 0.001) and foreign nationality (OR = 2.88, p = 0.010) were related to EPDS ≥ 12 in the postpartum period. CONCLUSIONS Different dimensions of anxious insecure AS were, respectively, associated with either antenatal or postnatal depression. These findings support the literature investigating subtypes of perinatal depression. The PND may be heterogeneous in nature, and the comprehension of psychopathological trajectories may improve screening, prevention, and treatment of a disorder which has a long-lasting disabling impact on the mental health of mother and child. We provided a rationale for targeting an attachment-based intervention in this group of women.
Collapse
Affiliation(s)
- Emanuela Bianciardi
- Psychiatric Chair, Department of Systems Medicine, University of Rome “Tor Vergata”, Via Cracovia, 50, 00133 Rome, Italy
| | - Cristina Vito
- Psychiatric Chair, Department of Systems Medicine, University of Rome “Tor Vergata”, Via Cracovia, 50, 00133 Rome, Italy
| | - Sophia Betrò
- Psychiatric Chair, Department of Systems Medicine, University of Rome “Tor Vergata”, Via Cracovia, 50, 00133 Rome, Italy
| | - Alberto De Stefano
- Volunteers Association of Fondazione Policlinico “Tor Vergata”, Rome, Italy
| | - Alberto Siracusano
- Psychiatric Chair, Department of Systems Medicine, University of Rome “Tor Vergata”, Via Cracovia, 50, 00133 Rome, Italy
| | - Cinzia Niolu
- Psychiatric Chair, Department of Systems Medicine, University of Rome “Tor Vergata”, Via Cracovia, 50, 00133 Rome, Italy
| |
Collapse
|
4
|
Díaz-Prieto C, García-Sánchez JN, Canedo-García A. Impact of Life Experiences and Use of Web 2.0 Tools in Adults and Older Adults. Front Psychol 2019; 10:2158. [PMID: 31611831 PMCID: PMC6776607 DOI: 10.3389/fpsyg.2019.02158] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 09/06/2019] [Indexed: 02/02/2023] Open
Abstract
The aim of this study was to explore the relationship between favorable and stressful life experiences and perceived quality of life, practices that promote quality of life, psychological profiles, and the daily use of web 2.0 tools in adults and older adults. An online questionnaire was designed, which was administered to 1,095 Spanish adults and older adults, and conducted descriptive and multivariate analyses using the general linear model. Our results showed that favorable and stressful life experiences alike were associated with differential patterns in psychological profiles, perceived quality of life and daily activities and practices that affect quality of life, including the use of web 2.0 tools. Favorable life experiences mainly affected psychological profiles and the use of web 2.0 tools, whereas stressful life experiences affected the other factors analyzed. Statistically significant differences were not found according to age and gender. These findings have important implications for promoting successful psychological and social interventions.
Collapse
Affiliation(s)
- Cristina Díaz-Prieto
- Personality, Evaluation and Psychological Treatment, Department of Psychology, Sociology and Philosophy, Universidad de León, León, Spain
| | - Jesús-Nicasio García-Sánchez
- Developmental and Educational Psychology, Department of Psychology, Sociology and Philosophy, Universidad de León, León, Spain.,Educational Psychology, Department of Humanities, Universidad de la Costa, Barranquilla, Colombia
| | - Alejandro Canedo-García
- Developmental and Educational Psychology, Department of Psychology, Sociology and Philosophy, Universidad de León, León, Spain.,Educational Psychology, Department of Humanities, Universidad de la Costa, Barranquilla, Colombia
| |
Collapse
|
5
|
Burroughs H, Bartlam B, Bullock P, Lovell K, Ogollah R, Ray M, Bower P, Waheed W, Gilbody S, Kingstone T, Nicholls E, Chew-Graham CA. Non-traditional support workers delivering a brief psychosocial intervention for older people with anxiety and depression: the NOTEPAD feasibility study. HEALTH SERVICES AND DELIVERY RESEARCH 2019. [DOI: 10.3310/hsdr07250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BackgroundAnxiety and depression often coexist in older people. These disorders are often underdiagnosed and undertreated, and are associated with increased use of health and social care services, and raised mortality. Barriers to diagnosis include the reluctance of older people to present to their general practitioner (GP) with mood symptoms because of the stigma they perceive about mental health problems, and because the treatments offered are not acceptable to them.ObjectivesTo refine a community-based psychosocial intervention for older people with anxiety and/or depression so that it can be delivered by non-traditional providers such, as support workers (SWs), in the third sector. To determine whether or not SWs can be trained to deliver this intervention to older people with anxiety and/or depression. To test procedures and determine if it is feasible to recruit and randomise patients, and to conduct a process evaluation to provide essential information to inform a randomised trial.DesignThree phases, all informed by a patient and public involvement and engagement group. Qualitative work with older people and third-sector providers, plus a consensus group to refine the intervention, training, SW manuals and patient participant materials (phase 1). Recruitment and training of SWs (phase 2). Feasibility study to test recruitment procedures and assess fidelity of delivery of the intervention; and interviews with study participants, SWs and GPs to assess acceptability of the intervention and impact on routine care (phase 3).SettingNorth Staffordshire, in collaboration with Age UK North Staffordshire.InterventionA psychosocial intervention, comprising one-to-one contact between older people with anxiety and/or depression and a SW employed by Age UK North Staffordshire, based on the principles of behavioural activation (BA), with encouragement to participate in a group activity.ResultsInitial qualitative work contributed to refinement of the psychosocial intervention. Recruitment (and retention) of the SWs was possible; the training, support materials and manual were acceptable to them, and they delivered the intervention as intended. Recruitment of practices from which to recruit patients was possible, but the recruitment target (100 patients) was not achieved, with 38 older adults randomised. Retention at 4 months was 86%. The study was not powered to demonstrate differences in outcomes. Older people in the intervention arm found the sessions with SWs acceptable, although signposting to, and attending, groups was not valued by all participants. GPs recognised the need for additional care for older people with anxiety and depression, which they could not provide. Participation in the study did not have an impact on routine care, other than responding to the calls from the study team about risk of self-harm. GPs were not aware of the work done by SWs with patients.LimitationsTarget recruitment was not achieved.ConclusionsSupport workers recruited from Age UK employees can be recruited and trained to deliver an intervention, based on the principles of BA, to older people with anxiety and/or depression. The training and supervision model used in the study was acceptable to SWs, and the intervention was acceptable to older people.Future workFurther development of recruitment strategies is needed before this intervention can be tested in a fully powered randomised controlled trial.Trial registrationCurrent Controlled Trials ISRCTN16318986.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 7, No. 25. See the NIHR Journals Library website for further project information.
Collapse
Affiliation(s)
- Heather Burroughs
- Research Institute, Primary Care and Health Sciences, Keele University, Keele, UK
| | - Bernadette Bartlam
- Research Institute, Primary Care and Health Sciences, Keele University, Keele, UK
| | | | - Karina Lovell
- Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
| | - Reuben Ogollah
- Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK
| | - Mo Ray
- School of Health and Social Care, University of Lincoln, Lincoln, UK
| | - Peter Bower
- NIHR School for Primary Care Research, Centre for Primary Care, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Waquas Waheed
- NIHR School for Primary Care Research, Centre for Primary Care, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Simon Gilbody
- Mental Health and Addictions Research Group, University of York, York, UK
- Centre for Health and Population Sciences, Hull York Medical School, York, UK
| | - Tom Kingstone
- Research Institute, Primary Care and Health Sciences, Keele University, Keele, UK
- Midlands Partnership NHS Foundation Trust, Stafford, UK
| | - Elaine Nicholls
- Research Institute, Primary Care and Health Sciences, Keele University, Keele, UK
| | - Carolyn A Chew-Graham
- Research Institute, Primary Care and Health Sciences, Keele University, Keele, UK
- Midlands Partnership NHS Foundation Trust, Stafford, UK
- Collaboration for Leadership in Applied Health Research and Care West Midlands, Warwick, UK
| |
Collapse
|
6
|
Bifulco A, Kagan L, Spence R, Nunn S, Bailey‐Rodriguez D, Hosang G, Taylor M, Fisher HL. Characteristics of severe life events, attachment style, and depression – Using a new online approach. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2019; 58:427-439. [DOI: 10.1111/bjc.12221] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Revised: 03/28/2019] [Indexed: 11/29/2022]
Affiliation(s)
| | - Lisa Kagan
- Department of Psychology Middlesex University London UK
| | - Ruth Spence
- Department of Psychology Middlesex University London UK
| | - Stephen Nunn
- Department of Psychology Middlesex University London UK
| | | | - Georgina Hosang
- Centre for Psychiatry Wolfson Institute of Preventive Medicine Barts & London School of Medicine & Dentistry Queen Mary University of London UK
| | | | - Helen L. Fisher
- Social Genetic & Developmental Psychiatry Centre Institute of Psychiatry, Psychology & Neuroscience King's College London UK
| |
Collapse
|
7
|
Kingstone T, Bartlam B, Burroughs H, Bullock P, Lovell K, Ray M, Bower P, Waheed W, Gilbody S, Nicholls E, Chew-Graham CA. Can support workers from AgeUK deliver an intervention to support older people with anxiety and depression? A qualitative evaluation. BMC FAMILY PRACTICE 2019; 20:16. [PMID: 30660195 PMCID: PMC6339431 DOI: 10.1186/s12875-019-0903-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Accepted: 01/07/2019] [Indexed: 11/10/2022]
Abstract
BACKGROUND Anxiety and depression often co-exist. These disorders are under-diagnosed and under-treated, specifically among older people, and lead to increased use of health and social care services and raised mortality. Older people report a reluctance to present to their GP with depression or anxiety symptoms due to perceived stigma about mental health problems, lack of acceptable treatments and the prioritising of physical health problems. Third sector organisations, who work closely with older people in the community, are well-placed to provide additional support. We developed a brief intervention based on principles of Behavioural Activation, with encouragement to participate in a group activity, for delivery by Support Workers from AgeUK. The aim of the study was to examine whether this brief intervention could be delivered to older people with anxiety and/or depression, with sufficient fidelity, and whether this approach was acceptable to patients, GPs and AgeUK Support Workers. METHODS Semi-structured interviews with older people with self-reported anxiety and/or depression (who received the intervention), Support Workers and GPs to assess acceptability of the intervention and impact on routine care. A constant comparative approach was used to analyse the data. Intervention sessions between Support Workers and older people were digitally recorded and reviewed by the research team to assess fidelity. RESULTS The Support Workers delivered the intervention with fidelity; access to the training maual and ongoing supervision were important. Older people found the intervention acceptable and valued the one-to-one support they received; group activities suggested by Support Workers were not valued by all. GPs recognised the need for additional support for vulnerable older people, but acknowledged they could not provide this support. Participation in the study did not impact on GP routine care, other than responding to the calls from the study team about risk of self-harm. CONCLUSIONS Support Workers within AgeUK, can be recruited and trained to deliver an intervention, based on the principles of Behavioural Activation, to older people with anxiety and/or depression. The training and supervision model used in the study was acceptable to Support Workers, and the intervention was acceptable to older people and GPs. This model has the potential to contribute to improving the support and care of older people in primary care with anxiety and depression. Further testing is required in a full trial. TRIAL REGISTRATION Trial registration number ISRCTN16318986 . Registered 10/11/2016.
Collapse
Affiliation(s)
- Tom Kingstone
- Research Institute, Primary Care and Health Sciences, Keele University, Staffordshire, UK
- Midlands Partnership HS Foundation Trust, St George’s Hospital, Stafford, Staffordshire UK
| | - Bernadette Bartlam
- Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Heather Burroughs
- Research Institute, Primary Care and Health Sciences, Keele University, Staffordshire, UK
| | - Peter Bullock
- Chief Executive, North Staffordshire AgeUK, Staffordshire, UK
| | - Karina Lovell
- Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
| | - Mo Ray
- School of Health and Social Care, University of Lincoln, Lincoln, UK
| | - Peter Bower
- NIHR School for Primary Care Research, Centre for Primary Care, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Waquas Waheed
- NIHR School for Primary Care Research, Centre for Primary Care, Division of Population of Health, Health Services Research and Primary Care, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Simon Gilbody
- Mental Health and Addictions Research Group, University of York, and Centre for Health and Population Sciences, Hull/York Medical School, York, UK
| | - Elaine Nicholls
- Research Institute, Primary Care and Health Sciences, Keele University, Staffordshire, UK
| | - Carolyn A. Chew-Graham
- Research Institute, Primary Care and Health Sciences, Keele University, Staffordshire, UK
- Midlands Partnership HS Foundation Trust, St George’s Hospital, Stafford, Staffordshire UK
- Collaboration for Leadership in Applied Health Research and Care, West Midlands, UK
| |
Collapse
|
8
|
Bifulco A, Spence R, Nunn S, Kagan L, Bailey-Rodriguez D, Hosang GM, Taylor M, Fisher HL. Web-Based Measure of Life Events Using Computerized Life Events and Assessment Record (CLEAR): Preliminary Cross-Sectional Study of Reliability, Validity, and Association With Depression. JMIR Ment Health 2019; 6:e10675. [PMID: 30622088 PMCID: PMC6329417 DOI: 10.2196/10675] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 07/11/2018] [Accepted: 07/26/2018] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Given the criticisms of life event checklists and the costs associated with interviews, life event research requires a sophisticated but easy-to-use measure for research and clinical practice. Therefore, the Computerized Life Events and Assessment Record (CLEAR), based on the Life Events and Difficulties Schedule (LEDS), was developed. OBJECTIVE The objective of our study was to test CLEAR's reliability, validity, and association with depression. METHODS CLEAR, the General Health Questionnaire, and the List of Threatening Experiences Questionnaire (LTE-Q) were completed by 328 participants (126 students; 202 matched midlife sample: 127 unaffected controls, 75 recurrent depression cases). Test-retest reliability over 3-4 weeks was examined and validity determined by comparing CLEAR with LEDS and LTE-Q. Both CLEAR and LTE-Q were examined in relation to depression. RESULTS CLEAR demonstrated good test-retest reliability for the overall number of life events (0.89) and severe life events (.60). Long-term problems showed similar findings. In terms of validity, CLEAR severe life events had moderate sensitivity (59.1%) and specificity (65.4%) when compared with LEDS. CLEAR demonstrated moderate sensitivity (43.1%) and specificity (78.6%) when compared with LTE-Q. CLEAR severe life events and long-term problems were significantly associated with depression (odds ratio, OR 3.50, 95% CI 2.10 to 5.85, P<.001; OR 3.38, 95% CI 2.02 to 5.67, P<.001, respectively), whereas LTE-Q events were not (OR 1.06, 95% CI 0.43 to 2.60, P=.90). CONCLUSIONS CLEAR has acceptable reliability and validity and predicts depression. It, therefore, has great potential for effective use in research and clinical practice identifying stress-related factors for the onset and maintenance of depression and related disorders.
Collapse
Affiliation(s)
- Antonia Bifulco
- Centre for Abuse and Trauma Studies, Department of Psychology, Middlesex University, London, United Kingdom
| | - Ruth Spence
- Centre for Abuse and Trauma Studies, Department of Psychology, Middlesex University, London, United Kingdom
| | - Stephen Nunn
- Centre for Abuse and Trauma Studies, Department of Psychology, Middlesex University, London, United Kingdom
| | - Lisa Kagan
- Centre for Abuse and Trauma Studies, Department of Psychology, Middlesex University, London, United Kingdom
| | - Deborah Bailey-Rodriguez
- Centre for Abuse and Trauma Studies, Department of Psychology, Middlesex University, London, United Kingdom
| | - Georgina M Hosang
- Wolfson Institute of Preventive Medicine, Centre for Psychiatry, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, United Kingdom
| | - Matthew Taylor
- Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| | - Helen L Fisher
- Social Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| |
Collapse
|
9
|
Yen HY, Lin LJ. Quality of life in older adults: Benefits from the productive engagement in physical activity. J Exerc Sci Fit 2018; 16:49-54. [PMID: 30662493 PMCID: PMC6323155 DOI: 10.1016/j.jesf.2018.06.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Revised: 05/14/2018] [Accepted: 06/04/2018] [Indexed: 11/21/2022] Open
Abstract
Background/objective Productive engagement can be a strategy to reduce stress and chaos. Physical activity, a basic type of productive activity, could benefit older adults. Therefore, the purpose of this study was to explore how productive engagement in physical activity may influence older adults in maintaining their health-related quality of life when they live in a long-term care facility. Methods We used purposive sampling to recruit 163 participants from 14 long-term care facilities in Taiwan. Data were collected through individual interviews with a structured questionnaire. Descriptive statistics and independent t-test were used. Results The result demonstrated that the preferred type of physical activities for the older adults was similar after the relocation. Older adults with increasing productive engagement in physical activity reported better scores of Mental Component Summary, social and emotional role functioning than those with decreasing productive engagement in physical activity. Conclusion Older adults can have a positive perceived health-related quality of life by consistently or increasingly engaging in productive physical activity, especially when encountering a life event.
Collapse
Affiliation(s)
- Hsin-Yen Yen
- School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taiwan
| | - Li-Jung Lin
- Graduate Institute of Sport, Leisure, and Hospitality Management, National Taiwan Normal University, Taiwan
- Corresponding author. Graduate Institute of Sport, Leisure, and Hospitality Management, National Taiwan Normal University, 6F, No.129-1, Sec. 1, Heping E. Rd., Da'an Dist., Taipei City, 10644, Taiwan.
| |
Collapse
|
10
|
Behr Gomes Jardim G, Novelo M, Spanemberg L, von Gunten A, Engroff P, Nogueira EL, Cataldo Neto A. Influence of childhood abuse and neglect subtypes on late-life suicide risk beyond depression. CHILD ABUSE & NEGLECT 2018; 80:249-256. [PMID: 29631256 DOI: 10.1016/j.chiabu.2018.03.029] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 03/22/2018] [Accepted: 03/27/2018] [Indexed: 05/25/2023]
Abstract
The association of childhood maltreatment and suicide has been extensively examined within the population. Depression figures as a main cause for the elevated suicide rate in advanced ages and is often related to childhood maltreatment. The purpose of the present study was to examine the relationship between childhood maltreatment subtypes and suicide risk, testing geriatric depression as a moderator. This is a cross-sectional study looking at a sample of 449 individuals 60 year s old or older from the Multidimensional Study of the Elderly of Porto Alegre Family Health Strategy, Brazil (EMI-SUS/POA). Childhood maltreatment (Childhood Trauma Questionnaire), geriatric depressive symptoms (Geriatric Depression Scale), and suicide risk (Mini International Neuropsychiatric Interview) were assessed. The subtypes of childhood abuse and neglect were significantly associated with suicide risk. In the multivariate analysis, controlling for age, gender, income, marital status, ethnicity, smoking, and geriatric depression symptoms, all trauma subtypes remained associated with suicide risk with the exception of physical neglect (EA = 3.65; PA = 3.16; SA = 5.1; EN = 2.43; PN = 1.76). The present study showed that childhood maltreatment subtypes predicted suicide risk, and geriatric depression does not directly mediate this relation.
Collapse
Affiliation(s)
- Gabriel Behr Gomes Jardim
- Instituto de Geriatria e Gerontologia - IGG, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Brazil.
| | - Marta Novelo
- Instituto de Geriatria e Gerontologia - IGG, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Brazil.
| | - Lucas Spanemberg
- Nucleo Especifico de Formacao em Psiquiatria, Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil; Departamento de Psiquiatria, Universidade Federal do Rio Grande do Sul - UFRGS, Brazil.
| | - Armin von Gunten
- Service Universitaire de Psychiatrie de l'Age Avance - SUPAA, University of Lausanne - UNIL, Switzerland.
| | - Paula Engroff
- Instituto de Geriatria e Gerontologia - IGG, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Brazil.
| | - Eduardo Lopes Nogueira
- Instituto de Geriatria e Gerontologia - IGG, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Brazil; Nucleo Especifico de Formacao em Psiquiatria, Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
| | - Alfredo Cataldo Neto
- Instituto de Geriatria e Gerontologia - IGG, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Brazil; Nucleo Especifico de Formacao em Psiquiatria, Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
| |
Collapse
|
11
|
Abstract
In experimental contexts, affect-related word lists have been widely applied when examining how cognitive processes interact with emotional processes. These lists, however, present limitations when studying the relation between emotion and cognitive processes such as time and number processing because affective words do not inherently contain time or quantity information. Live events, in contrast, are experienced by an observer and therefore inherently carry affect information. Unfortunately, existing life-event lists and inventories have been largely applied within clinical contexts as diagnostic tools, and therefore are not suitable for many experimental contexts because they do not contain a balanced number of reliably positive, negative, and neutral life events. In Experiment 1, we create a standardized affect-related life-events list with 171 positive, negative, and neutral affect-related life events. In Experiment 2, we show that strength of affect and significance of the event are integral dimensions, suggesting that these two features are difficult to separate perceptually. The implications of these findings and some potential future applications of the created life-events list are discussed.
Collapse
|