Geropsychology Commons^™

Exploring Touch: Art Therapy With Older Adults, Katherine Gilpatrick

Expressive Therapies Capstone Theses

Touch is an incredible tool that allows humans to connect with one another. It is instrumental in art therapy as we work with different populations and materials. Touch can occur in many ways but must be clearly defined in the therapeutic space, especially regarding ethical codes. This paper explored touch within senior living communities across different levels of care, including dementia care. A variety of art materials were used including drawing materials, collage, clay, and digital art. Art experiences were documented and analyzed through journaling and reflective artmaking. Four patterns emerged when examining the results including connection to product, differences …

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …

Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith

Art Therapy | Master's Theses

Within the population of older adults, overall well-being corresponds with the ability to self-actualize and seek meaning, but age-related changes combined with ageism and isolation can negatively impact this capacity to maintain a sense of purpose, especially following retirement. It may be that retired musicians are especially vulnerable to this experience later in life due to a loss of the primary method of creative engagement and community that is facilitated by musical performance in a group setting. Integrating phenomenological and ethnographic approaches, this study utilized a qualitative design to understand how music-guided art-making incorporating the scribble technique could support a …

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …

Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford

Theses and Graduate Projects

Background: Traumatic Brain Injury (TBI) is one of the leading causes of physical and cognitive disability worldwide. TBI can negatively impact cognitive, physical, social, and psychological functioning.

Objective: This study investigated interactions between TBI severity, mental health symptom severity, and community engagement among older adults. Specific aims included investigating 1) the relationship between TBI severity at the time of injury and psychiatric symptom severity at one-year post-TBI; 2) the relationship between TBI severity and community engagement at one-year post-TBI; and 3) whether mental health symptom severity moderated the relationship between TBI and post-injury community engagement.

Methods: Archival data was analyzed …

Projecting, Persuading, & Protecting: A Mixed Methods Analysis Of Adult Children’S Predictions Of Parents’ Quality-Of-Life Valuations In Serious Illness States, Jessica Hahne

Arts & Sciences Electronic Theses and Dissertations

Older adults often face complex serious illness decisions and involve their adult children as shared or surrogate decision makers. However, previous research asking family members to predict older adults’ treatment preferences in serious illness situations typically shows poor concordance with older adults’ actual preferences. In the current mixed methods analysis, we surveyed older adults (n = 38) on their health state valuations in five serious illness scenarios. Two of their adult children (n = 76) predicted their parent’s preferences. Families also participated in a semi-structured conversation to discuss their preferences and predictions.

Quantitative analyses showed that parents’ average valuations were …

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …

Signings Of Graphs And Sign-Symmetric Signed Graphs, Ahmad Asiri

Theses and Dissertations

In this dissertation, we investigate various aspects of signed graphs, with a particular focus on signings and sign-symmetric signed graphs. We begin by examining the complete graph on six vertices with one edge deleted ($K_6$\textbackslash e) and explore the different ways of signing this graph up to switching isomorphism. We determine the frustration index (number) of these signings and investigate the existence of sign-symmetric signed graphs. We then extend our study to the $K_6$\textbackslash 2e graph and the McGee graph with exactly two negative edges. We investigate the distinct ways of signing these graphs up to switching isomorphism and demonstrate …

Impact Of Subjective Cognitive Complaints On Mci Diagnostic Criteria In Alzheimer’S Disease, Rhiannon Rivas

Electronic Theses, Projects, and Dissertations

Alzheimer’s disease (AD) is the most commonly occurring neurodegenerative disease characterized by deficits in patient cognition. Mild cognitive impairment (MCI) is defined as an intermediate stage between cognitively normal (CN) and dementia in which the individual experiences some impairment but can function independently. Gold standard MCI criteria requires a subjective cognitive complaint (SCC) in which a patient acknowledges a decline in cognitive ability, however past findings on its validity as a measure of objective impairment have been inconsistent. Biomarkers found in cerebrospinal fluid (CSF) and indicative of neurodegeneration are also used to examine AD progression. Our study investigates if inclusion …

Enhancing The Quality Of Life For Senior Citizens: A Facilitator’S Guidebook For Mindful Music And Movement, Shannon Sexton

Mindfulness Studies Theses

Music appreciation and enjoyment enhance well-being throughout the lifespan. The challenges and constraints that people experience as they age can lead to lack of access to music, decreased physical activity, and fewer avenues for creative expression. Group music and movement interventions created for older populations offer opportunities for social connection and improved quality of life. Mindful practices add further benefit when combined with these interventions. Current available programs are scarce and most often do not encompass mixed modalities. In addition, the benefits of these programs do not show long-term sustainability. The purpose of this thesis is to explore the effects …

What Is Your Why? A Qualitative Study About Motivational Differences Of Latinos/Hispanics And African American/Black In A Computerized Cognitive Training Program To Prevent Alzheimer’S Disease, Lizbeth C. Vera Murillo

UNF Graduate Theses and Dissertations

Recruitment of diverse populations is a major barrier in advancing clinical research (Areán & Gallagher-Thompson, 1993; Areán & Alvidrez, 2003). The need to increase racial diversity is imperative due to the substantial growth of historically marginalized racial communities in the United States (Weinstein et al., 2017). Despite researchers’ efforts to increase racial/ethnic representation in clinical trials, there is still a lack of understanding of the best practices to recruit racial/ethnic minorities in clinical trials. The current study explores the qualitative motivations of why research participants (aged 65+ years old) volunteered for an Alzheimer’s Disease (AD) prevention clinical trial. Racial/ethnic differences …

You've Got A Friend: Social Factors And Depressive Symptoms In Older Adults, Erika A. Fenstermacher

Graduate Theses, Dissertations, and Problem Reports

Depression in late life has been associated with disability, lower quality of life, increased mortality, and increased risk of suicide (Fiske et al., 2009; Rodda et al., 2011). Research suggests that functional disability, which is often brought about by a medical condition, may precede depressive symptoms and may be a major factor for older adults developing depression (Ormel et al., 2002). Social support can be beneficial for both emotional and physical health (Fiori & Jager, 2021). Numerous studies found evidence that social networks, perceived and subjective social support, and satisfaction with support received moderated the relation between health problems and …

The Association Of Burden And Social Engagement With Depression In Caregivers Of Adults By Age, Danielle Leigh Forbes

Master's Theses

As life expectancy begins to increase, the need for familial caregivers is growing. The aging of care recipients often means that those providing care continue to get older as well. Previous studies focus little on the differences between older and younger caregivers and rather combine them all into one group. The purpose of this study is to understand whether the caregiving experience is related to the age of the caregiver. Depression, burden, and social engagement, based on the descriptors of leisure, work, and social relationships, were studied in conjunction with the age of the caregivers. This study consisted of 63 …

Scrolling Through The Years: Social Media's Effects Of Self-Esteem In Younger And Older Adults, Ryan Brown

Williams Honors College, Honors Research Projects

The detrimental impact social media has had on self-esteem in younger adults is well documented. However, this same approach to studying social media’s impact has not been applied to older generations, who were already well into adulthood as social media as we know it today began to emerge. Due to this, my project proposes to examine an interaction between the variables of three different social media categories (interactive, image/video, and informational) across younger and older adults. The results of this study could provide further insight into the effects social media has on self-esteem, specifically, the effect of different types of …

Noted With Honor: Intersections Between Theology, Music Therapy, Psychotherapy, And Original Music Compositions For Hospice Patients, Stanton Nelson

Doctor of Pastoral Music Projects and Theses

This thesis investigates the intersections between theology, music therapy, and psychotherapy when creating a music composition that honors a hospice patient’s walk of faith. A pioneer organization inspiring this thesis is Swan Songs in Austin, Texas, where musical moments are created for the patient and family. However, its model is primarily based on collating previously composed pieces for recitals without a personalized honoring of the patient’s witness of faith. Noted with Honor is an emerging non-profit organization that creates an original work that reflects upon the testimony of the patient and forms a new narrative towards the end of one’s …

The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty

Electronic Theses and Dissertations

Background: Diagnostic labels such as cognitive impairment, dementia or MCI often carry associated stigmatization. Stigma can lead to social isolation and rejection; increasing the likelihood of loneliness, depression, and anxiety. Depression and anxiety can be predictive of cognitive function; depression and anxiety are linked to stigma. Subjective cognitive decline (SCD) can be indicative of actual cognitive impairment. Subjective impairment and stigma can significantly predict quality of life. The aim of the proposed dissertation study was to explore whether higher SCD scores associate with more internalized stigma, and if this stigma mediates the relationship between SCD and depression, SCD and …

Age-Related Differences In The Relationship Between Activity Familiarity And Well-Being., S. Kelly Shryock

Electronic Theses and Dissertations

Background and Objectives: This study explored age-related differences in the relationship between activity novelty/familiarity and well-being, conceptualized within theories including Selection, Optimization, and Compensation (SOC), Self-Determination Theory (SDT), and Socioemotional Selectivity Theory (SST). For all ages, participation in activities has been shown to enhance well-being. Known mediators of this relationship include psychological, physical, and psychosocial benefits. It is less clear what types of experiences are optimal across the lifespan. Research Design and Methods: A online cross-sectional, correlational study (N= 200) was conducted. Measures included demographic data, ratings of three self-identified recent activities, three activity choices of familiar or …

Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick

Electronic Theses and Dissertations

Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …

The Role Of Autobiographical Memory Recall In Reappraisal Efficacy And Effort Across Age, Irina Orlovsky

Masters Theses

Socioemotional theories posit that the experience of overcoming unique life challenges over a lifetime enhances self-efficacy and emotional resilience among older adults. Older adults demonstrate greater emotional well-being and motivation to regulate emotions than younger adults, but specific regulatory mechanisms supporting late-life emotional resilience remain unclear. Cognitive reappraisal is an effective but cognitively demanding emotion regulation strategy and shows mixed efficacy in later-life. While a growing repertoire of autobiographical memories may be a resource with age, the role of autobiographical recall in momentary reappraisal has never been tested empirically. In this online study, older and younger adults were trained to …

Attachment And Older Adults In Psychotherapy: A Latent Profile Analysis Of Psychological Distress Across Treatment, Brian Michael Stran

Dissertations

Older adults have been largely underrepresented within the psychotherapy literature. Given the unique social and emotional changes associated with older age (Carstensen et al., 1999) and the perceived gap in training that trainees report in working with older adults (Woodhead et al., 2015), there is a pressing need for research that can aid mental health practitioners in the conceptualization, treatment planning, and treatment of their older adult clients.

In the first part of this manuscript, an integrated theoretical model, consisting of socioemotional selectivity theory (SEST; Carstensen et al., 1999) and attachment theory (Bowlby 1969), was developed to provide psychotherapists with …

Quality Of Life And End-Of-Life Plans: The Inclusion Of Sexual Health., Jacinta Dickens

Electronic Theses and Dissertations

Sex and intimacy are important components of quality of life (Syme, 2014). Previous research found a positive relation between quality of life and sexual satisfaction (Chao et al., 2011), but how this relation may or may not impact end-of-life plans was unexplored. This study explored if the relation between quality of life and sexual satisfaction determined if community-dwelling middle-aged or older adults in the US have or was willing to incorporate sexual health within their formal or informal end-oflife plan. Correlation analyses examined cross-sectional survey data. Findings revealed a statistically significant correlation between quality of life and sexual satisfaction, no …

Baseline Differences In Driving Frequency As A Predictor Of Cognitive Decline, Luke R. Miller

LSU Master's Theses

Driving is a complex task heavily dependent on cognitive functions which can decline with age including executive functions and processing speed. Although driving cessation as a predictor of cognitive changes has been studied, driving frequency is understudied in the literature. Thus, the objective of the current study is to evaluate the predictive utility of driving frequency at baseline toward objective cognitive decline beyond other factors associated with cognitive decline (e.g., depression, general functional mobility). The sample included a subset of 1,426 older adults (M age = 77.6, SD = 7.1) from the Rush University Memory and Aging Project. Participants completed …

Neurocardiovascular Instability (Ncvi) Risk As A Predictor Of Cognitive Function In The Long Life Family Study, Rebecca Abraham

Dissertations, Theses, and Capstone Projects

In aging populations, the abnormal neural control of the cardiovascular system has been examined within the construct of neurocardiovascular instability (NCVI). The main research aim addressed whether baseline features of NCVI could predict cognitive function (i.e., decline) at follow-up within long-lived families. Across 941 subjects, baseline NCVI risk was indexed by two features: (1) self-reported syncopal or fall events and (2) average seated BP. The Low NCVI risk group included those who were normotensive (e.g., within normal BP range) and reported no NCVI features (n=379). The Moderate NCVI risk group included those who elicited pre-hypertensive (elevated BP) or hypertensive (high …

Using Expressive Arts Therapies To Aid The End-Of-Life Transition For Older Adults: A Literature Review, Rosemary Lape

Expressive Therapies Capstone Theses

This literature review presents the use of expressive arts therapies as they may be applied to end-of-life care for older adults. Death is inevitable and if given the chance to prepare, the expressive arts modalities provide a foundation to process the emotions associated with the ending of a life on earth. Expressive arts provide the opportunity to communicate in non-traditional ways which have the ability to locate subconscious themes. End-of-life care previously revolved around pain management. In more recent years it has evolved to caring for the whole person emotionally, socially, psychologically, and physically. Sources were found utilizing resources provided …

Development And Testing Of The Mueller Assessment Of Transition (Mat): A Tool For Measuring Older Adults' Wellbeing When Transitioning Into Assisted Living Facilities, Kaitlin Mueller

All Dissertations

Transitions into assisted living facilities (ALFs) may influence older adults’ wellbeing. Positive influences on older adults’ wellbeing are referred to as adjustment strategies, whereas negative influences are called constraints to wellbeing. Theoretical underpinnings for these influences are found in the Hierarchical Leisure Constraints Theory and the Transition Process Framework. Past research indicates a few influences on older adults’ wellbeing, such as family relationships, perceived physical health, and connections to the community. However, no assessment existed to quantify their wellbeing when relocating into an ALF. Therefore, this dissertation details the development and factor structure of the Mueller Assessment of Transition (MAT), …

The Use Of Non-Immersive Virtual Reality As A Functional Rehabilitation Tool For Older Adults With Cognitive Decline, Ross M. Divers

LSU Master's Theses

There is currently no cure for age-related cognitive decline or dementia and current pharmacologic interventions have had limited success at improving daily functioning. Consequently, older adults who experience cognitive decline require assistance with daily activities, which can be quite expensive and lead to caregiver burden. Repeated performance of everyday tasks has been shown to improve performance but requires supervision and direction by another person. The present study evaluated a low-cost computer training program that will use non-immersive virtual reality to enable participants with dementia or cognitive decline to independently practice meaningful everyday activities (e.g., meal preparation). Participants (N= 8) with …

Sociodemographic And Injury Severity Characteristics As Predictors Of Functional Independence In Older Adults With Tbi Up To 10 Years Post Injury, Carmen M. Tyler

Theses and Dissertations

Traumatic brain injury (TBI) incidence rates have been increasing in recent years, with the greatest number of TBIs and the highest morbidity and mortality rates in individuals aged 80 and over. As average life expectancy continues to increase, the older adult population is expected to comprise nearly one-quarter of the U.S. populace by 2060. With the increased risk to a larger proportion of the U.S. population posed by TBI, the aim of the current study was to examine the roles of sociodemographic and injury severity characteristics as predictors of functional independence trajectories across 1, 2, 5, and 10 years after …

Older Adults And Suicide As Examined Through The Lens Of Joiner's Interpersonal Theory Of Suicide, Pamela Holmes

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Older adults face the highest rates of suicide of all age groups. The older adult population is not a homogenous group, and each age range—young old, middle old, and oldest old—has specific risk factors. Although Joiner’s interpersonal theory of suicide (IPTS) has been deemed valid among these age groups, it has not been specifically researched in older adults in each older age range. Due to lack of research and low reporting rates, not enough is known to develop specific detection and prevention measures targeting this population. This paper addresses the application of Joiner’s IPTS to both genders in each of …

Age-Related Microaggressions: A Descriptive Study, Luke J. Gietzen

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this study was to expand the literature on ageism and microaggressions by defining a novel concept called an age-related microaggression. Participants (n = 51) were presented with explanations of gender and racially charged microaggressions and then were asked whether they had ever had an experience like that but related to their age. Participants described experiences of age-related microaggressions and were further guided through a series of questions via an online survey to determine the topography of the age-related microaggressions, emotional and behavioral reactions to being victimized, perpetrators and settings of the attacks, and perceived intent. A thematic …

Error Commission And Aging: Using Single-Trial Movement Kinematics To Decode The Time-Course Of Response Monitoring Processes During Complex Decisions In Older And Younger Adults, Emily Norton

Dissertations, Theses, and Masters Projects

We are constantly making decisions in everyday life that involve interactions with our environment: from simple behaviors like deciding to reach for your cup of coffee to complex behaviors like deciding which route to take to work. It is well known that these decisions require constant monitoring, such that decision-making is not a discrete event and requires initiation, monitoring, and evaluation for success. This process can be seen during error-corrections, in which an initial plan was implemented, an error was recognized, and a new plan was implemented to correct the initial response. While we have learned a great deal about …