Search results for ‘Subject term:"older people"’ Sort:
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Late life depression: a historical perspective upon a maturing field of inquiry
- Author:
- BLAZER Dan G.
- Journal article citation:
- Aging and Mental Health, 18(5), 2014, pp.538-539.
- Publisher:
- Taylor and Francis
In this editorial, the author reviews the findings of seven studies on the topic of late life depression and compares these studies with the state of the field in terms of empirical research when he wrote his 1982 book. (Original abstract)
A family approach to delirium: a review of the literature
- Author:
- HALLOWAY Shannon
- Journal article citation:
- Aging and Mental Health, 18(2), 2014, pp.129-139.
- Publisher:
- Taylor and Francis
This literature review had the following objectives: (1) evaluate the current state of research into delirium management (prevention, identification, or treatment of delirium) with family approaches or involvement, (2) identify gaps and areas that require investigation, and (3) determine a future course of research. A comprehensive search of original research was conducted in six major databases using seven keywords in 2012. The literature search yielded a total of 2160 articles. Criteria for eligibility were met by a total of 11 articles. The articles were evaluated in regards to purpose, sample, research design, level of evidence, variables, and results. The literature review revealed that this topic is emergent and requires substantial additional research. The aspects of delirium care that researchers investigated were diverse and included bedside interventions (n = 3), screening strategies (n = 4), family education (n = 2), and care that employed multiple components (n = 2). Delirium outcomes improved significantly in two high-quality studies: one multi-component intervention and one bedside intervention program. Other noteworthy findings of lower quality studies warrant further examination. The review of the articles did not determine if the involvement of families in delirium management improves patient outcomes; however, the review revealed potential for program development and future courses of research.
Fit for life: a community exercise group for older people with a mental health condition
- Author:
- JOINT IMPROVEMENT TEAM
- Publisher:
- Joint Improvement Team
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- Edinburgh
An outline of the Fit for Life programme, designed to help bridge the gap between NHS mental health services and main-stream community exercise groups with the aim of: increasing physical activity levels, reducing risk of falls and maintaining/improving mental health and well-being for older people with mental health conditions. The programme has evolved in the last four years to encompass the principles of recovery orientated practice whereby individuals are able to actively build a meaningful life while continuing to experience mental health problems or following a period of poor mental health. It consists of a 12 week community-based group, run three times a year. The format includes strengthening/balance exercises and Tai Chi. Case studies are included to illustrate impact and outcomes of the programme. (Edited publisher abstract)
Spiritual struggle and affective symptoms among geriatric mood disordered patients
- Authors:
- ROSMARIN David H., MALLOY Mary C., FORESTER Brent P.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 29(6), 2014, pp.653-660.
- Publisher:
- Wiley
Objectives: The authors explored relationships between general religiousness, positive religious coping, negative religious coping (spiritual struggle), and affective symptoms among geriatric mood disordered outpatients, in the northeastern USA. Methods: The authors assessed for general religiousness (religious affiliation, belief in God, and private and public religious activity) and positive/negative religious coping, alongside interview and self-report measures of affective functioning in a diagnostically heterogeneous sample of n = 34 geriatric mood disordered outpatients (n = 16 bipolar and n = 18 major depressive) at a psychiatric hospital in eastern Massachusetts. Results: Except for a modest correlation between private prayer and lower Geriatric Depression Scale scores, general religious factors (belief in God, public religious activity, and religious affiliation) as well as positive religious coping were unrelated to affective symptoms after correcting for multiple comparisons and controlling for significant covariates. However, a large effect of spiritual struggle was observed on greater symptom levels (up to 19.4% shared variance). Further, mean levels of spiritual struggle and its observed effects on symptoms were equivalent irrespective of religious affiliation, belief, and private and public religious activity. Conclusions: Previously observed effects of general religiousness on (less) depression among geriatric mood disordered patients may be less pronounced in less religious areas of the USA. However, spiritual struggle appears to be a common and important risk factor for depressive symptoms, regardless of patients' general level of religiousness. Further research on spiritual struggle is warranted among geriatric mood disordered patients. (Edited publisher abstract)
Late-life depression, social support, instrumental activities of daily living, and utilization of in-home and community-based services in older adults
- Authors:
- LAM Brian Trung, CERVANTES Anna R., LEE Wilfred K.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 24(4), 2014, pp.499-512.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the relationship between social support, depression, instrumental activities of daily living (IADLs), and utilisation of in-home and community-based services. The sample included 39 adults age 65 years old and older. The data were collected by distributing a self-administered questionnaire. Depression levels significantly decreased as levels of social support increased. IADLs functioning significantly decreased as depression levels increased. The number of in-home services used significantly increased as IADLs functioning decreased. The number of community-based services used significantly increased as depression levels decreased. The number of in-home and community-based services used significantly increased as levels of support decreased. (Edited publisher abstract)
Seasonality of depression referrals in older people
- Authors:
- HOLLOWAY Lucy Elizabeth, EVANS Sandra
- Journal article citation:
- Community Mental Health Journal, 50(3), 2014, pp.336-338.
- Publisher:
- Springer
Seasonal affective disorder is becoming more widely recognised as a prevalent mood disorder in the adult population. However, few studies have investigated the link between sunlight exposure and mood in the elderly. Referrals to the community Mental Health Care for Older People (MHCOP) in the Hackney and City area, were screened for the number of patients referred with depression in three separate years (2007, 2009 and 2011) in order to determine whether more referrals were made to the service during darker months of the year (October to March) than in the lighter months of the year (April to September). When data from the three years was combined, we found no significant increase in the number of referrals to the MHCOP in the darker months (Chi squared value 1.375, p value (2 tailed) 0.2409). Theauthors observed no statistically significant seasonal pattern of referrals, this suggests that depression in older people is not more prevalent in darker months of the year. (Edited publisher abstract)
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)
The relationship between mental wellbeing and financial management among older people: an analysis using the third wave of Understanding Society
- Authors:
- HAYES David, UNIVERSITY OF BRISTOL. Personal Finance Research Centre, INTERNATIONAL LONGEVITY CENTRE UK
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2014
- Pagination:
- 8
- Place of publication:
- London
This new analysis shows statistically significant relationships between age and both increased levels of mental wellbeing and people reporting they are managing their financial situation more comfortably. It corroborates previous research (C Fitch et al, in Mental Health Review Journal, 2011) suggesting that one in four people with mental health problems are in debt, while one in two people in debt have a mental health problem. This analysis also suggests that after controlling for a range of demographic and socio-economic characteristics, older people who are struggling to manage their finances have eight times the odds of having reduced levels of mental wellbeing. Fitch et al suggested that debt may be both a cause and consequence of mental health problems. This work supports the assertion that poor mental health is exacerbated by financial problems and, though questions of causality remain, indicates that mental wellbeing and financial management are inextricably intertwined. This working paper is published by the Personal Finance Research Centre (PFRC) at the University of Bristol and the International Longevity Centre UK (ILC-UK). The research has been produced as part of the ILC-UK and PFRC project on “financial wellbeing in older age” funded by the ESRC’s Secondary Data Analysis Initiative. It looks at the relationship between mental wellbeing and self-reported financial management among those aged 50 and over in the United Kingdom.1 These findings are drawn from the third wave (2011) of Understanding Society, a large social survey begun in 2009, which captures information on the social and economic circumstances, attitudes, and health, of the inhabitants of 40,000 households each year. This paper begins by examining how mental wellbeing among the over-50s varies with increasing age. It looks at self-reported financial management among the same age group, and explores the relationship between mental wellbeing and how well people feel they are managing their household’s financial situation. Finally, the researchers use regression analysis to assess the independent predictors of mental wellbeing; and the findings suggest a strong relationship between mental wellbeing and financial management. (Edited publisher abstract)
Early experiences in extending personal budgets in one local authority
- Authors:
- NORRIE Caroline, et al
- Journal article citation:
- Working with Older People, 18(4), 2014, pp.176-185.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report on the introduction of individual personal budgets for older people and people with mental health problems in one local authority (LA) in 2011. Design/methodology/approach: Jenny Weinstein is a Hon Senior Lecturer at Kingston University, Professor Ray Jones and Rick Hood are based at the Joint Faculty of Health and Social Care, St George's, University of London and Kingston University, London, UK.A qualitative study is described in which structured interviews were carried out with participants belonging to each service user group. The study aimed to explore the following issues: first, service users’ experiences of the assessment process, second, whether service users wanted full control of their budgets and third, if personal budgets make a difference to quality of life. Findings: xService users (n=7 older people and carers; n=7 people with mental health problems) found the personal budgets system and assessment process difficult to understand and its administration complex. Older people in particular were reluctant to assume full control and responsibility for managing their own personal budget in the form of a Direct Payment. Participants in both groups reported their continued reliance on traditional home care or day care services. These findings were reported back to the LA to help staff review the implementation of personal budgets for these two user groups. Research limitations/implications: Study participant numbers are low due to difficulties recruiting. Several potential participants were not interviewed due to their frailty. Originality/value: Studies of this type are important for constructing local knowledge about national policies such as the implementation of personal budgets in social care. (Publisher abstract)
Working together to support the mental wellbeing of older people in care homes: report of a roundtable discussion at the Royal Hospital Chelsea: putting into practice the NICE quality standard on mental wellbeing of older people in care homes (QS50)
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Pagination:
- 20
- Place of publication:
- Manchester
This report documents the proceedings of a roundtable organised by the NICE Collaborating Centre for Social Care (NCCSC) to discuss how the NICE quality standard can help to improve the lives of older people in care homes and to encourage collaborative working with care homes. It accompanies the NICE quality standard and complements the NICE guideline on mental wellbeing of older people in care homes. The report includes examples of what people are already doing to implement the quality standard and highlights areas for further action and improvement. The report provides a template for other, similar discussions. Throughout the report (and summarised at the end) are hints and tips about how to arranging a roundtable event using the quality standard as a framework to help improve local practice. (Edited publisher abstract)