Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 65
Racial/ethnic differences in the association between symptoms of depression and self-rated mental health among older adults
- Authors:
- JANG Yuri, et al
- Journal article citation:
- Community Mental Health Journal, 50(3), 2014, pp.352-330.
- Publisher:
- Springer
The study examined racial/ethnic differences in the association between symptoms of depression and self-rated mental health among older adults. Data came from the first wave of the National Social Life, Health, and Aging Project, a population-based study of non-institutionalized older adults aged 57 to 85. The sample consisted of non-Hispanic Whites (n = 2,110), Blacks (n = 509), and Hispanics (n = 304). The association between symptoms of depression and self-rated mental health was weaker among minority groups than that among non-Hispanic Whites. Tests of interaction effects showed that the predictability of depressive symptoms to self-rated mental health was substantially weakened among Blacks of advanced ages and Hispanics with multiple chronic conditions. The study explored potential sources of racial/ethnic differences in subjective reports of mental health and called attention to older minorities with advanced ages and cormorbid conditions in mental health services and interventions. (Publisher abstract)
Correlates of depression among older Kurdish refugees
- Authors:
- CUMMINGS Sherry, et al
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 56(2), April 2011, pp.159-168.
- Publisher:
- Oxford University Press
The psychological status of older refugees who have immigrated from war-torn areas in the Middle East are poorly studied. This study investigated depression in 70 older Kurds living in the United States. They were recruited and questioned by trained Kurdish interviewers in their native language. Findings revealed that the majority were on low incomes, were poorly educated, and had little or no ability to speak or read the English language. Sixty seven per cent were shown to have high levels of depression, and 26% had severe levels of depression. Depression was associated with demographics, stress and coping variables. Health conditions exerted the greatest effect. Migratory grief and social support were also significant predictors of depression. In ending, the authors discuss implications for research and practice with older members of this refugee population.
Rural African American clergy: are they literate on late-life depression?
- Authors:
- STANSBURY Kim L., BROWN-HUGHES Travonia, HARLEY Debra A.
- Journal article citation:
- Aging and Mental Health, 13(1), January 2009, pp.9-16.
- Publisher:
- Taylor and Francis
This exploratory study examined rural African American clergy's knowledge of and experience in providing support to African American elders with late-life depression. Interviews were conducted with nine African American clergy who oversaw rural churches in central Kentucky. A conceptual framework was used to explore participants' knowledge of late-life depression. Although few clergy had direct experience with counselling a depressed older adult, all the clergy were considered literate regarding late-life depression and its treatment. These findings have implications for social workers building collaborative community treatment relationships.
Racial differences in the frequency of depressive symptoms among community dwelling elders: the role of socioeconomic factors
- Authors:
- SACHS-ERICSSON N., PLANT E. A., BLAZER D. G.
- Journal article citation:
- Aging and Mental Health, 9(3), May 2005, pp.201-209.
- Publisher:
- Taylor and Francis
In this American study a biracial sample of 4,162 community dwelling elders, African-Americans endorsed more items than Whites on a standardized depression scale. However, indices of socioeconomic status (e.g., education and problems meeting needs) were found to mediate the relationship between race and depression. When these socioeconomic variables were included in cross-sectional analyses, the association between depressive symptoms and race reversed such that Whites were significantly more likely to endorse depressive symptoms than African-Americans. Further, whereas in unadjusted, longitudinal analyses, race was unrelated to changes in depressive symptoms over time, with the inclusion of the socioeconomic variables Whites were found to endorse more depressive symptoms than African-Americans. The authors conclude that socioeconomic variables influence the size and direction of racial differences in the endorsement of depressive symptoms in community dwelling elders.
Prevalence of dementia and depression among elderly people in Black and ethnic minorities
- Authors:
- McCRACKEN C.F.M., et al
- Journal article citation:
- British Journal of Psychiatry, 171, September 1997, pp.269-273.
- Publisher:
- Cambridge University Press
This study was designed to identify all elderly people of ethnic minorities living in a defined geographical area in inner-city Liverpool and to identify psychiatric morbidity and barriers to use of services. This article reports the prevalence of dementia and depression. Concludes that a complete enumeration of the elderly in ethnic minority groups is best achieved by using several different methods. Diagnosis of dementia may be misleading among those who do not speak the dominant language.
Initial development of a new culture-specific screen for emotional distress in older Caribbean people
- Authors:
- ABAS Melanie, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(12), December 1996, pp.1097-1103.
- Publisher:
- Wiley
Previous research and the authors' own observations suggested that older Caribbean people might use terms for emotional distress that differed from those found in standard screening instruments. Using a combination of qualitative approaches derived from the 'new cross-cultural psychiatry', the authors have developed a new 13 item culture-specific screen containing items which both overlap and differ from those found in, for example, the Geriatric Depression Scale. Explains how the authors' emotional distress scale was drawn up, its uses and limitations.
Race and ethnic group disparities in emotional distress among older adults during the COVID-19 pandemic
- Authors:
- BUI Cindy N., et al
- Journal article citation:
- Gerontologist, 61(2), 2021, pp.262-272.
- Publisher:
- Oxford University Press
Background and Objectives: Framed within Conservation of Resources theory, this study addressed race–ethnic differences in the relationships between emotional distress and current and expected coronavirus disease 2019 (COVID-19) pandemic stressors. Research Design and Methods: The study employed data from the Household Pulse Survey, a large national survey collecting weekly data to understand the experiences of Americans during the COVID-19 pandemic (age 55 and above; N = 94,550). Emotional distress included depression and anxiety symptoms. COVID-19 stressors included current and expected income, housing, health care, and food insecurities. Results: Older persons of color reported higher rates of stressors and emotional distress than their White counterparts. In relation to current stressors, older Black persons responded with less emotional distress and older Latino persons responded with more emotional distress than older White persons. In addition, older persons of color were more likely to expect future resource losses related to COVID-19, and the association between these expectations and emotional distress varied by race–ethnic group. Discussion and Implications: The findings reflected the disproportionate negative impact of COVID-19 stressors on emotional distress among older persons of color, providing a baseline for future studies to further examine the impacts of the pandemic among diverse older adult populations. (Edited publisher abstract)
Depression literacy among American Indian older adults
- Authors:
- ROH Soonhee, et al
- Journal article citation:
- Journal of Evidence-Informed Social Work, 12(6), 2015, pp.614-627.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Older American Indians experience high rates of depression and other psychological disorders, yet little research exist on the depression literacy of this group. Depression literacy is fundamental for individuals seeking help for depression in a timely and appropriate manner. In the present study the authors examine levels and predictors of knowledge of depression symptoms in a sample of rural older American Indians (N = 227) living in the Midwestern United States. Data from self-administered questionnaires indicate limited knowledge of depression and negative attitudes toward seeking help for mental health problems. Additional findings and implications for social work practice and policy are discussed. (Publisher abstract)
Vascular depression: overrepresented among African Americans?
- Authors:
- REINLIEB Michelle E., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 29(5), 2014, pp.470-477.
- Publisher:
- Wiley
Objective: Our primary aim was to compare the rate of vascular depression among a clinical sample of African American and Caucasian depressed older adults. Secondary aims included characterizing the clinical and neuropsychological profile of vascular depression and comparing antidepressant response rates between patients with vascular and nonvascular depression. Methods: This was a two-site, multi-ethnic, open 8-week trial of antidepressant medication in older adults with depression. Men and women 50 years or older meeting DSM-IV criteria for nonpsychotic unipolar depression participated in this trial. Each participant underwent a comprehensive psychiatric and neuropsychological evaluation and a brain MRI, which were performed at baseline. Results: Forty-six patients met inclusion and exclusion criteria. Forty-two of those patients received an MRI at baseline. Sixteen patients met criteria for vascular depression. Patients with vascular depression were significantly more likely to be African American and have a higher likelihood of being female, a higher rate of hypertension and psychomotor retardation, a lower rate of family history of affective illness, and frontal systems dysfunction on neuropsychological testing. The difference in response rates between patients with vascular and nonvascular depression did not reach statistical significance. Conclusions: This is the first study to document high rates of vascular depression in a clinical sample of African Americans and Caucasians. Our findings suggest that vascular depression may be overrepresented among African Americans, which is consistent with the high rates of cardiovascular disease, hypertension, and stroke in this population. (Publisher abstract)
Caregiving, residence, race, and depressive symptoms
- Authors:
- SIEGLER Ilene C., et al
- Journal article citation:
- Aging and Mental Health, 14(7), September 2010, pp.771-778.
- Publisher:
- Taylor and Francis
The literature on the impact of caregiving has found that black caregivers tend to report fewer depressive symptoms. The objective of this study was to evaluate the psychological responses to caregiving between black and white dementia caregivers with different residential arrangements, measured by self-reports of depressive symptoms evaluating the impact of sub-components of the Center for Epidemiologic Studies Depression Scale (CES-D). The method included 87 intergenerational family caregivers enrolled in the Duke Caregiver Study (50 white and 37 black). Three models were examined. The first model tested race, living arrangements, and their interaction. The second model adjusted for age, gender, education, income, health status, cultural justification for caregiving, crime concerns, systolic blood pressure, diastolic blood pressure, and glycosylated haemoglobin. A third model added adjustment for caregiver burden. The results showed that there was a significant race by residence interaction for CES-D, somatic symptoms and depressive affect such that when the dyads are living apart (with the care recipient in their own home or in an institutional setting) whites reported more depressive symptoms than blacks. When the dyads lived together, this was reversed, and blacks reported higher depressive symptoms than whites. To conclude, all the parameters such as race, living arrangements, and the components of depression need to be taken into account to understand the impact of caregiving on the emotional health of caregivers.