Geropsychology Commons^™

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 …

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 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 …

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 …

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 …

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 …

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 …

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 …

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 …

Validity Evidence For The Male Depression Risk Scale-22 (Mdrs-22) In Younger And Older Adult Males, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports

Men are two times less likely to be diagnosed with major depressive disorder than women. However, suicide rates are nearly four times higher in men than women, increasing to six times when comparing older men to older women. Given that affective disorders are present in most individuals who die by suicide, investigators have begun researching the possibility that depression presents differently in individuals who adhere to traditional masculine norms, leading to the conceptualization of masculine depression. Presently, one assessment for masculine depression shows strong reliability and validity evidence: the Male Depression Risk Scale-22 (MDRS-22). Despite burgeoning validity evidence for the …