Search results for ‘Subject term:"older people"’ Sort:
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Health-related social control among older men with depressive symptomatology
- Authors:
- MAVANDADI Shahrzad, et al
- Journal article citation:
- Aging and Mental Health, 19(11), 2015, pp.997-1004.
- Publisher:
- Taylor and Francis
Objectives: Social control attempts, or attempts by social network members to influence a person's behaviour, significantly predict men's health behaviours and psychological well-being. Despite the fact that depression is associated with compromised interpersonal functioning and poor health behaviours, the association between social control processes and depression has not been studied. Thus, this pilot study explored differential vulnerability to spouses’ social control attempts among older, male primary care patients with varying levels of depression symptom severity and the degree to which these attempts predicted patients’ behavioural and affective responses. Method: Participants included 88 older men referred by their primary care providers for a behavioural health assessment at a Veterans Affairs Medical Center. Data on sociodemographics, depressive symptomatology, health behaviours, spouses’ positive and negative social control attempts, and patients’ behavioural and affective responses to attempts were collected by telephone. Results: The sample was primarily Caucasian (mean age = 65.3 (SD = 8.1) years). Patients’ higher depressive symptoms were significantly associated with positive and negative affective responses to their spouses’ social control attempts. The frequency of control attempts and patients’ behavioural responses, however, were unrelated to patients’ depressive symptoms. Multiple regression models revealed that while spouses’ control attempts were unrelated to patients’ positive behavioural responses, more frequent negative attempts predicted greater negative behavioural responses (e.g., ignoring spouses’ attempts). Moreover, negative control attempts predicted greater negative affective responses (e.g., resentment, sadness). Conclusion: The findings highlight the value of identifying effective social control strategies that maximise positive behavioural change, emotional responses, and health outcomes among older men with depressive symptoms. (Publisher abstract)
A pilot study of the physiological and behavioural effects of Snoezelen in dementia
- Authors:
- DIEPEN Erik Van, et al
- Journal article citation:
- British Journal of Occupational Therapy, 65(2), February 2002, pp.61-66.
- Publisher:
- Sage
Recent interest in the use of Snoezelen as an intervention for agitated behaviour in patients with dementia remains supported by limited evidence of efficacy. This pilot study aimed to develop an approach for assessing the effects of Snoezelen on agitated behaviour in patients with dementia and its comparability with an existing control intervention. Ten patients with dementia were randomised to receive a 4-week course of either Snoezelen or reminiscence therapy. The therapeutic effects were assessed using the Agitation Behaviour Mapping Instrument (ABMI) and the Cohen-Mansfield Agitation Inventory (CMAI) and by heart rate recording.
Older self-neglecters: interpersonal problems and the maintenance of self-continuity
- Author:
- BOZINOVSKI Susanna D.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 12(1), 2000, pp.37-56.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This qualitative study using the grounded theory method explores the nature of self-neglect among older persons who have been involved with Adult Protective Services in the U.S.A. Two basic social psychological processes were identified which explain much of the self-neglecting behaviour exhibited by older persons. These include preserving and protecting self and maintaining customary control. These two processes comprise the overarching process of maintaining continuity. Interpersonal problems of these older self-neglecters are a main source of threat to identity and sense of personal control.
An overview of behaviour difficulties found in long-term elderly care settings
- Authors:
- JACKSON Graham Alan, TEMPLETON Gavin James, WHYTE Jennifer
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(6), June 1999, pp.426-430.
- Publisher:
- Wiley
Presents research which aims to provide an understanding of the nature and prevalence of behaviour difficulties in long-term care facilities, to compare care settings and comment on the appropriateness of the need for specialist care. Results found NHS and nursing home long-term care facilities show similar behaviour difficulties, with nursing home experiencing more behavioural manifestations. Concludes that more prospective research is required into the antecedents, effects and treatments of patients and behaviour difficulties in nursing homes.
Motivational interviewing with the older adult
- Authors:
- SERDAREVIC Mirsad, LEMKE Sonne
- Journal article citation:
- International Journal of Mental Health Promotion, 15(4), 2013, pp.240-249.
- Publisher:
- Taylor and Francis
Motivational interviewing (MI) is an evidence-based psychotherapeutic approach to health behaviour change and has great potential to improve medical regimen adherence among the older population. This article provides a concise summary of MI as it can be applied to geriatric patient populations. The goal is to provide readers with an overview of MI, its clinical applications within psychological and medical settings and its adaptation for use with older individuals dealing with both mental health and general medical conditions. The article also discusses how varied systemic and therapeutic contexts (e.g., biomedical vs. psychological) may affect the meaning and implementation of MI. Although published randomised controlled studies on the effects of MI in the older population are limited, the majority of such studies indicates that MI is effective in influencing change in health behaviors. As a proven, cost-efficient treatment, MI should be considered for clinical use in geriatric and primary care clinics providing care to older adults. (Edited publisher abstract)
Dementia and suicidal behavior
- Authors:
- CIPRIANI Gabriele, et al
- Journal article citation:
- Aggression and Violent Behavior, 18(6), 2013, p.656–659.
- Publisher:
- Elsevier
Behavioural and psychological symptoms of dementia, including depression, might complicate the course of the disorder additionally. Dementia is more frequent in older people and suicide rates are higher in later life than in any other age group. To explore the phenomenology of suicidal behaviour in patients with dementia, the authors searched electronic databases and key journals for original research and review articles on suicide in demented patients using the search terms “suicide, suicidal behaviour, dementia, Alzheimer disease, and old age”. Although cognitive impairment could result in a diminishing ability to think flexibly and to solve problems or to cope with conflict, in the early stage of dementia such impairments are absent or mild, and suicidal behaviour might be expected, especially following diagnosis. In addition, personality changes based on declining cognitive capacity and the neurochemical imbalances described in late-life depression and in dementia may predispose patients to aggressive or impulsive acts, such as suicide attempt. The literature on suicidal behaviour and dementia highlights the need for further research in this area. (Publisher abstract)
Estimating the relationship between disease progression and cost of care in dementia
- Authors:
- WOSTENHOLME J., et al
- Journal article citation:
- British Journal of Psychiatry, 181, July 2002, pp.36-42.
- Publisher:
- Cambridge University Press
Little is known of the longitudinal costs of dementia. These costs depend on the setting in which care is given and the progression of dementia, including cognitive and behavioural problems. This study explores the factors affecting time to institutionalisation and to estimate the relationship between costs of care and disease progression, measured by cognitive function, behavioural scores and activities of daily living. Reports on a retrospective analysis of a longitudinal data-set for a cohort of 100 patients diagnosed with Alzheimer's disease or vascular dementia. Results found that changes in both Mini-Mental State Examination (MMSE) and Barthel scores have independent and significant effects on costs. Concludes that it may be inappropriate for economic models of disease progression in dementia to be based solely on measures of cognitive change. Highlights the Barthel index as being particularly important in predicting costs outside institutional care.
Rating scales in old age psychiatry
- Authors:
- BURNS Alistair, LAWLOR Brian, CRAIG Sarah
- Journal article citation:
- British Journal of Psychiatry, 180, February 2002, pp.161-167.
- Publisher:
- Cambridge University Press
There is a vast array of scales available to assess all aspects of mental and physical health in older people which may be of relevance to the work of old age psychiatrists. This article summarises some of the scales that may be commonly used in clinical and research practice and to give the reader guidelines as to where further information can be obtained.
Staff factors associated with perception of behaviour as 'challenging' in residential and nursing homes
- Authors:
- MONIZ-COOK E., WOODS R., GARDINER E.
- Journal article citation:
- Aging and Mental Health, 4(1), February 2000, pp.48-55.
- Publisher:
- Taylor and Francis
Three hundred and twenty-six, working in 14 residential and nursing homes across England, were asked to rate their 'ease of management' on 14 vignettes of challenging resident behaviour. Multiple regression was used to examine the correlates of staff appraisal of their management of challenging behaviour, using over 30 staff variables. These included demographics, experience, stress, burnout, job satisfaction, knowledge of dementia and management practices in the home. Only staff anxiety, supervisor support and the potential to relate to residents as individuals predicted 'perceived management difficulty'. In any given home, there was great variation in staff perception, and overall, qualified staff appear to have greater difficulty in managing challenging behaviour, as compared with care assistants. The clinical significance of these results for psychogeriatric interventions that focus on advising care staff on the management of resident behaviour is discussed.