Digital Commons Network^™

What Factors Determine Disclosure Of Suicide Ideation In Adults 60 And Older To A Treatment Provider?, Steven D. Vannoy

Steven D Vannoy

Correlates of patient disclosure of suicide ideation to a primary care or mental health provider were identified. Secondary analyses of IMPACT trial data were conducted. Of the 107 patients 60 years of age or older who endorsed thoughts of ending their life at least "a little bit" during the past month, 53 indicated they had disclosed these thoughts to a mental health or primary care provider during this period. Multiple logistic regression was used to identify predictors of disclosure to a provider. Significant predictors included poorer quality of life and prior mental health specialty treatment. Among participants endorsing thoughts of …

Information Communication Technologies In Families And The Clinical Encounter: A Cross-National Survey Seft/Etef, Gonzalo Bacigalupe, Maria Camara, Laura Buffardi

Gonzalo Bacigalupe, EdD, MPH

Information communication technologies (ICT) are an integral part of contemporary family life, though the existing research about its impact is scarce, less than definitive, and individually based, as well as failing to attend to cross-cultural and cross-national dimensions. This study investigates how family clinicians construe the impact of ICT in the clinical context. A survey directed at family clinicians (N = 258) in four countries (Canada, Mexico, Spain and the USA) was designed to gather data on their beliefs about the impact of the emerging ICT on families and on their own clinical practice. The study found differences in the …

The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara

Gonzalo Bacigalupe, EdD, MPH

Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …

Pain Characteristics Associated With The Onset Of Disability In Older Adults: The Maintenance Of Balance, Independent Living, Intellect, And Zest In The Elderly Boston Study, Suzanne G. Leveille, Laura H.P. Eggermont

Suzanne G. Leveille

OBJECTIVES: To determine the effects of chronic pain

on the development of disability and decline in physical

performance over time in older adults.

DESIGN: Longitudinal cohort study with 18 months of

follow-up.

SETTING: Urban and suburban communities.

PARTICIPANTS: Community-dwelling older adults aged

65 and older (N = 634).

MEASUREMENTS: Chronic pain assessment consisted of

musculoskeletal pain locations and pain severity and pain

interference according to the subscales of the Brief Pain

Inventory. Disability was self-reported as any difficulty in

mobility and basic and instrumental activities of daily living

(ADLs, IADLs). Mobility performance was measured using the Short Physical Performance Battery …