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Older Chinese' attitudes toward aging and the relationship to mental health: an international comparison
- Author:
- LAI Daniel W. L.
- Journal article citation:
- Social Work in Health Care, 48(3), April 2009, pp.243-259.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the predictive effects of attitude toward ageing on mental health of ageing Chinese. Data were obtained from community surveys utilising mixed sampling methods of 4,240 elderly Chinese 55 years or older in China, Hong Kong, Taiwan, Canada, and the United States. Hierarchical multiple regression analysis was used, with sociodemographic variables entered first, followed by the health variables, and then attitude toward ageing. The effect of attitude toward ageing on mental health was stronger than most other predictive factors. Social workers should focus on creating social/community environments that build a positive attitude towards ageing.
Comparison of the prevalence and risk factors for depressive symptoms among elderly nursing home residents in Taiwan and Hong Kong
- Authors:
- TSAI Yung-Fang, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(4), April 2005, pp.315-321.
- Publisher:
- Wiley
Depression in the elderly has become a serious health care issue worldwide. However, no studies have compared the prevalence and risk factors for depressive symptoms among institutionalized Chinese elders living in different regions. The aim was to explore and compare the prevalence and risk factors for depressive symptoms among elderly residents of nursing homes in Taiwan and Hong Kong. Random sampling was used to recruit participants from eight nursing homes in each region. A total of 150 elders from Taiwan and 214 elders from Hong Kong participated. The prevalence of depressive symptoms was significantly higher in participants from Hong Kong (65.4%) than in Taiwan (43.3%). Logistic regression analysis indicated that gender, satisfaction with living situation, perceived health condition, and perceived income adequacy significantly predicted depressive symptoms in elderly nursing home residents in Taiwan. Significant predictors of depressive symptoms in the Hong Kong sample were satisfaction with living situation, cognitive status, and functional status. It is important to consider risk factors specific to a target population when developing depression intervention programmes.
Two-year effects of an interdisciplinary intervention on recovery following hip fracture in older Taiwanese with cognitive impairment
- Authors:
- SHYU Yea-Ing L., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(5), May 2012, pp.529-538.
- Publisher:
- Wiley
The authors examined the long-term effects of an interdisciplinary intervention program on cognitively impaired older persons after hip fracture in Taiwan. A total of 160 subjects were randomly assigned to control (n = 81) and intervention (n = 79) groups; 24 (29.6%) and 27 (34.2%) were cognitively impaired in the control and intervention groups, respectively. The mean ages of the groups ranged from 75 to 81 years. The intervention programme had three components, a geriatric consultation service, a rehabilitation programme and a discharge planning service. The participants were followed for two years from discharge. Among cognitively impaired subjects, more in the intervention group recovered their previous walking ability, activities of daily life performance, and more were readmitted to the hospital than those in the control group during the two year period Among subjects without cognitive impairment, more in the intervention group recovered their previous walking ability, had fewer falls, and made fewer emergency room visits during the first 2 years following discharge than those in the control group. The authors conclude that the cognitively impaired individuals benefited from this interdisciplinary intervention by improving their walking ability and physical function.
Child care and elder care arrangements in Taiwan
- Author:
- WANG Kate Yeong-Tsyr
- Journal article citation:
- Journal of Comparative Social Welfare, 27(2), June 2011, pp.165-174.
- Publisher:
- Taylor and Francis
Changing demographic trends have brought new demands for child care and elder care in Taiwan. This paper discusses the impact these changes have had on the provision of child care and elder care services. It begins with an analysis of Taiwanese attitudes towards traditional gender roles and filial piety. The effects of the feminist movement and of advocacy groups for the elderly on caregiving policies are then examined. Care arrangements for preschool children and the elderly in Taiwan are described, as well as the role of the government in these arrangements. The findings show that the family still plays the dominant role in care provision, but the government is taking an expanding role. There are similarities in child care and elder care trends, with many of the caregiving responsibilities of the family being taken up by the state, the market, and non-profit agencies. The marketplace has assumed an increasing share of child care provision for preschoolers. Care for seniors is often provided by migrant domestic workers who are hired by the family.
Effectiveness of group music intervention against agitated behavior in elderly persons with dementia
- Authors:
- LIN Yu, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(7), July 2011, pp.670-678.
- Publisher:
- Wiley
The majority of investigations of group music interventions have been conducted in Western countries and little is known about they might influence patients’ agitated behaviour in Eastern cultures. In the light of this scarcity of data, this study explored the use of group music in elderly persons with dementia recruited from nursing homes in Taiwan. Of the 100 subjects who completed the study, 49 had been randomised to the experimental group and 51 to the control group. The experimental group took part in twelve 30-min group music sessions, conducted twice a week for six consecutive weeks. The control group carried on their normal daily activities. Assessments were carried out before the intervention, at the 6th and 12th sessions, and at 1 month after intervention. The experimental group showed better performance at the 6th and 12th sessions, and at 1 month after cessation, based on reductions in agitated behaviour in general, physically non-aggressive behaviour, verbally non-aggressive behaviour, and physically aggressive behaviour. A reduction in verbally aggressive behaviour was shown only at the 6th session. The authors recommend that nursing facilities for demented elderly persons incorporate group music intervention in routine activities in order to enhance emotional relaxation, create inter-personal interactions, and reduce agitated behaviour.