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Journal article

Prevalence of anxiety disorders among elderly people

Authors:
KIRMIZIOGLU Yalcin, et al
Journal article citation:
International Journal of Geriatric Psychiatry, 24(9), September 2009, pp.1026-1033.
Publisher:
Wiley-Blackwell

The objectives of this study are to determine current and lifetime prevalence of anxiety disorders and also to explore the relationship, if any, between possible risk factors and anxiety disorders, amongst elderly people living in the Sivas province of Turkey. The research sample consisted of 462 persons. A Socio-demographic Data Form was given to the participants and the Anxiety Module of SCID-I was applied. Chi-square and Fischer's exact tests were used to evaluate the data obtained. The current prevalence for all types of anxiety disorder was found to be 17.1% overall and the lifetime prevalence was found to be 18.6%. The current prevalence rates for particular disorders were found to be 0.4% for panic disorder, 3.2% for obsessive-compulsive disorder, 1.9% for post-traumatic stress disorder, 2.8% for social phobia, 11.5% for specific phobia, 6.9% for generalized anxiety disorder (GAD). Lifetime prevalence rates for these disorders (except GAD) were 1.1%, 3.2%, 3.0%, 2.85%, 11.5% respectively. Anxiety disorders are more common among elderly people than was previously thought. The lifetime prevalence of specific phobia amongst the elderly is higher than that of general population; the lifetime prevalence ratios of obsessive-compulsive disorder and social phobia are similar to that of the general population in Sivas. In order to improve the delivery of health services, it is recommended that further studies should be conducted among elderly people, both by applying standardized diagnostic tools, but also taking into account socio-economic factors and using convenient therapy methods developed specifically for this group.

Journal article

The effect of music therapy on depression and physiological parameters in elderly people living in a Turkish nursing home: a randomized-controlled trial

Authors:
UGUR Hacer Gok, et al
Journal article citation:
Aging and Mental Health, 21(12), 2017, pp.1280-1286.
Publisher:
Taylor and Francis

Objective: This study was carried out in an effort to determine the effect of music therapy on depression and physiological parameters in elderly people who were living in a nursing home. Method: The study was a randomized controlled trial. The study sample consisted of 64 elderly people who complied with the criteria of inclusion for the study. The data were collected using the ‘Elderly Information Form’ and ‘Geriatric Depression Scale’. The music group listened to music three days in a week during 8 weeks. The depression levels were assessed at baseline (week 0) and follow-up in the eight week. Results: It was found that the difference between post-test depression scores of the two groups was found to be statistically significant. The mean scores of post-test systolic blood pressure in the music group were found to be significantly lower than those of the control group. Conclusion: It was concluded that music therapy decreased the depression level and systolic blood pressure in elderly people. The study results implies that music therapy can be an effective practice for public health and home care nurses attempting to reduce depression and control physiological parameters of elderly people. (Edited publisher abstract)

Journal article

Elder abuse and neglect in a population offering care by a primary health care center in Izmir, Turkey

Authors:
KISSAL Aygul, BESER Ayse
Journal article citation:
Social Work in Health Care, 50(2), February 2011, pp.158-175.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

Globally, one of the most common forms of abuse is elder abuse. It is defined as a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress. This study investigated the prevalence of abuse and neglect of older people aged 65 years and older, and its contributing factors. Participants included 331 older people living with a relative in a primary health care centre area in Izmir, Turkey. The prevalence of elder abuse was found to be 4.2%, a figure comparable with western societies. The most frequent type of abuse was psychological abuse and the least frequent was sexual abuse. Significant contributing factors were being female, low education levels, living with spouses and children, and perception of familial relationships as average or below average. The authors concluded that nurses providing primary health care should identify and observe the older people most at risk of abuse, and conduct programmes aimed at preventing abuse.

Journal article

Life satisfaction and leisure activities during men's retirement: a Turkish sample

Authors:
SENER A., TERZIOGLU R. G., KARABULUT E.
Journal article citation:
Aging and Mental Health, 11(1), January 2007, pp.30-36.
Publisher:
Taylor and Francis

This study was planned and carried out as a pilot study to determine the life satisfaction of men from the Official Social Security Institutions in Turkey (n=231). The Life Satisfaction Index was used as the measure. Among this group of retired men, the most popular leisure activities were audio-visual and reading. The strongest predictor of life satisfaction was the frequency of participation in leisure activities, followed by the level of satisfaction with health, income, and planning of leisure activities.

Journal article

Quality of life and life satisfaction: perspective of institutionalised elderly women and men in Turkey

Authors:
GONEN Emine, OZMETE Emine
Journal article citation:
Indian Journal of Social Work, 66(3), July 2005, pp.262-279.
Publisher:
Tata Institute of Social Sciences

This article evaluates the quality of life, life satisfaction, and the relationship between the quality of life and life satisfaction of institutionalised elderly women and men. The study covered a total of 132 older people, consisting of 64 women and 68 men between the ages of 60-98 years, with sound mental health staying at three care and rehabilitation centres. Their quality of life and life satisfaction were assessed with scales. Life quality perception of men in terms of physical health is more positive compared to women. Life quality perception of women in terms of physical and social environment is more positive compared to men. In general, women have better life satisfaction them men. It is concluded that comprehension of life quality and life satisfaction will contribute to the development of applicable long-term service programmes required for the improvement of the life conditions of older women and men.

Journal article

The CIDI as an instrument for diagnosing depression in older Turkish and Moroccan labour migrants: an exploratory study into equivalence

Authors:
SMITS Carolien H. M., et al
Journal article citation:
International Journal of Geriatric Psychiatry, 20(5), May 2005, pp.436-445.
Publisher:
Wiley-Blackwell

The number of elderly migrants from Turkey and Morocco in Western Europe will increase sharply in the coming decades. Many of these migrants seem to have mental health problems. As mental health care programs are based on DSM criteria, there is a need for diagnostic instruments with good psychometric properties. This exploratory study examines the presence of construct bias, method bias and item bias in the Composite International Diagnostic Interview (CIDI) Basis Life time version 2.1 in elderly Turkish and Moroccan men and women. From a community based health survey four groups of migrants aged 55-74 were selected for semi-structured interviews including the CIDI depression section. Data included interview transcriptions and observations of 11 respondents in each group (Turkish men, Turkish women, Moroccan men, and Moroccan women). The data were analysed using qualitative techniques. Construct bias, method bias and item bias of the CIDI was found in all groups. The poor match between the CIDI on the one hand and the taboo on mental health problems and the poor level of education of the respondents can partly explain this bias. The use of the CIDI in elderly migrants of Moroccan and Turkish descent is problematic, due to the presence of construct, method and item bias.

Journal article

The effects of group work with institutionalized elderly persons

Authors:
DUYAN Veli, et al
Journal article citation:
Research on Social Work Practice, 27(3), 2017, pp.366-374.
Publisher:
Sage

Objectives: This research article aims to measure the effects of group therapy on institutionalised elderly in terms of reducing depression and improving psychosocial functioning. Methods: Thirty elderly nursing home residents were recruited, and 16 of them elected to receive group treatment for depression and 14 declined treatment. The Multidimensional Observation Scale for Elderly Subjects and the Geriatric Depression Scale were given to both groups when group work began and again when it ended. Results: Clients who received group treatment experienced reductions in depression and their psychosocial functioning improved. Conclusion: Group work intervention was followed by reductions in the depression levels and improvements in their psychosocial functions among institutionalised elderly clients. (Edited publisher abstract)

Journal article

Detection of memory impairment in a community-based system: a collaborative study

Authors:
KIRAL Kahraman, et al
Journal article citation:
Health and Social Work, 38(2), 2013, pp.89-96.
Publisher:
Oxford University Press

The ability to distinguish between older people with cognitive impairment and those who age in a healthy manner is crucial because cognitive impairment may be a precursor to full-blown dementia. Therefore, an early diagnosis of cognitive impairment is important. However, patients are often admitted to a hospital only when they already have a serious cognitive impairment. Consequently, cooperative studies between clinics and community-based organizations may assist hospitals in detecting early cognitive impairment. This article examines how community-based organisations can contribute to the early diagnosis of dementia. A cooperation model between the Neurology Department of Mersin University Hospital and the Mersin branch of the Alzheimer's Association was developed. Trained professionals used a neuropsychological battery to evaluate 50 individuals at the Mersin branch of the Alzheimer's Association in Turkey. Individuals whose performance fell below the average (1 standard deviation or less) were subsequently referred to the hospital. On the basis of the neurological and neuropsychological assessments, 11 participants were placed in the mild cognitive impairment group and 39 were placed in the healthy group. The results suggest that the Standardized Mini-Mental State Examination and the Three Words–Three Shapes Test are useful tools for detecting early memory impairments in a community-based setting. (Publisher abstract)

Journal article

A pilot study on the abuse of elderly people with dementia in Turkey

Authors:
ASTI Nesrin, ERDEM Nese
Journal article citation:
Journal of Adult Protection, 8(4), December 2006, pp.13-19.
Publisher:
Emerald

This study aimed to evaluate the risk of abuse to elderly people with dementia, by examining the level of the elderly person's vulnerability and the stress placed on the caregiver. The sample consisted of 40 patients over the age of 60 who had dementia and who were admitted to an outpatient unit of geriatric medicine, and also 40 caregivers who were a member of the patients family. Data were obtained by questionnaire and the Scale of Risk of Elder Abuse in the Home (REAH). The REAH combines two assessments: the vulnerability assessment score of the older person (VASAP) and the stress assessment score of the caregiver (SASC). Results found that although the mean score of VASAP showed the risk of vulnerability in patients to be high, the mean score of SASC showed that the caregiver's stress was moderate, and the mean score of REAH showed a moderate risk of elder abuse in the home.

Journal article

Availability of mental health services for older adults: a cross-cultural comparison of the United States and Turkey

Authors:
SIVIS R., McCRAE C. S., DEMIR A.
Journal article citation:
Aging and Mental Health, 9(3), May 2005, pp.223-234.
Publisher:
Taylor and Francis

Researchers conducted a cross-cultural study using qualitative methods (based on a phenomenological approach) to explore the availability of mental health services (MHS) for older adults in the United States and Turkey. Using purposive sampling, semi-structured in-depth interviews were conducted with 24 administrators from a wide-range of sites (nursing homes, hospice, senior centers) in a rural area of North Central Florida, United States and Ankara, Turkey. Interview questions focused on types of staff employed; integration of MHS with other services provided; community promotion of services; coordination, cooperation and communication with other service providers; and administrators’ perceptions of barriers in the provision of MHS for older adults. Employing on-site mental health staff was a much more popular practice in Turkey compared to the United States. Administrators in both countries cited inadequate funding as the most common barrier to MHS provision. Potential solutions to MHS barriers in both countries are discussed.

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