Geropsychology Commons^™

Therapeutic Use Of Music For Geriatric Dementia Patients, Katelynn E. Roscioli

Honors Program Projects

Dementia impacts millions of individuals and their families worldwide, yet many caregivers remain untrained, unpaid, and unable to maintain their own health while caring for their patients. Despite the need for support, limited resources exist to aid these caregivers in combatting this progressive, debilitating disease. One possibility lies in practices rooted in music therapy, which have been shown to restore memory retention, personhood, and quality of life in dementia patients. However, individuals outside of music therapists, especially those with limited musical backgrounds, may not consider implementing music therapy within their care plan. To make this approach more accessible, a website …

Increasing Nursing Aide Knowledge On Benefits Of Light For Sundowning Syndrome, Grace Hilfiker, Julie Masters

Honors Theses

In this study, the knowledge of nursing aides on the benefits of light for sundowning syndrome was investigated. While dementia and sundowning syndrome is discussed during nursing aide training in the state of Nebraska, there is no discourse focused on how light plays beneficial role in lessening the symptoms of sundowning syndrome for those who are afflicted with dementia. This study asked what the current knowledge base surrounding dementia and sundowning syndrome is of nursing aides in the state of Nebraska. The aim was to justify adding a focus on concrete methods to use when caring for patients with dementia …

Is Biological Death Final? Recomputing The Drake-S Equation For Postmortem Survival Of Consciousness, Adam J. Rock, James Houran, Patrizio E. Tressoldi, Brian Laythe

International Journal of Transpersonal Studies Advance Publication Archive

This participatory team science project extended Laythe and Houran’s (2022) prior application of a famous probabilistic argument known as the ‘Drake equation’ to the question of postmortem survival. Specifically, we evaluated effect sizes from peer-reviewed, empirical studies to determine the maximum average percentage effect that ostensibly supports (i.e., "anomalous effects") or refutes (i.e., "known confounds") the survival hypothesis. But unlike the earlier application, this research included a study-specific estimate of the hypothesized variable of ‘living agent psi’ via a new meta-analysis of empirical studies (N = 17) with exceptional subjects vs participants from the general population. Our updated analysis found …

Bouncing Back: Resilience And Its Limits In Late-Age Composing, Louise Wetherbee Phelps

English Faculty Publications

This essay is one of a series on my mother’s late-age composing, studying a writing project she started at age 70 and worked on for more than 25 years. Her intention was to integrate extensive reading, personal experience, and cultural observations to explain changes in parenting (and, by extension, education and enculturation of the next generation) from her childhood in the 1920s through the 2000s. When she died at 97, she left behind a 75-page draft, but was unable to complete her plans for revisions and an ending. I focus here on identifying the multiple factors in the ecology of …

Longitudinal Associations Between Personal Growth And Cognitive Functioning In Adulthood, Masahiro Toyama

Psychology Faculty Research

Objectives: While personal growth has been found to be associated with multiple aspects of health in adulthood, its associations with cognitive functioning have not been fully understood. The present study aimed to assess both directions of such longitudinal associations.

Method: Using data from the second wave (Time 1 [T1]) and third wave (Time 2 [T2]) of the Midlife in the United States (MIDUS) study (N = 4,206; mean age = 56.0 [standard deviation (SD) = 12.3]), a longitudinal measurement model containing latent variables of episodic memory and executive function was first constructed. Built on the measurement model, a …

Longitudinal Associations Of Perceived Mastery And Constraints With Coping And Their Implications For Functional Health For Aging Adults, Masahiro Toyama, Joel M. Hektner

Psychology Faculty Research

The present study examined longitudinal associations of distinct dimensions of perceived control (i.e., perceived mastery and constraints) with approach and avoidance coping relating to functional health for aging adults, which had not been well studied previously. Using data from two waves of Midlife in the United States (N = 4,963, whose mean age was 55.4 [SD = 12.5]), a longitudinal path model was analyzed for direct and indirect effects among perceived mastery and constraints, approach and avoidance coping, and functional limitations. Bidirectional associations were observed between perceived mastery and approach coping and between perceived constraints and avoidance coping. …

Obesogenic Environments And Cardiovascular Disease: A Path Analysis Using Us Nationally Representative Data, Fangqi Guo, Georgiana Bostean, Vincent Berardi, Alfredo J. Velasquez, Jennifer W. Robinette

Psychology Faculty Articles and Research

Introduction

People living in obesogenic environments, with limited access to healthful food outlets and exercise facilities, generally have poor health. Previous research suggests that behavioral risk factors and indicators of physiological functioning may mediate this link; however, no studies to date have had the requisite data to investigate multi-level behavioral and physiological risk factors simultaneously. The present study conducted serial and parallel mediation analyses to examine behavioral and physiological pathways explaining the association between environmental obesogenicity and cardiovascular disease (CVD).

Methods

This cross-sectional observational study used data from the 2012–2016 Health and Retirement Study, a representative survey of US older …

Longitudinal Implications Of Social Integration For Age And Gender Differences In Late-Life Physical Functioning, Masahiro Toyama, Heather R. Fuller, Jonix Owino

Psychology Faculty Research

Social integration has documented benefits for late-life health; yet, little is known about its impacts on trajectories of physical functioning. This study examines age and gender differences in the longitudinal associations between social integration and activities of daily living (ADLs) using a hierarchical linear model with three waves of survey data collected over 4 years from the Social Integration and Aging Study (N = 400; baseline mean age = 80.3). Findings indicated some interaction effects of age, gender, and/or social integration on ADL trajectories. Among those of more advanced age, women showed greater increases in ADL limitations than men, …

Longitudinal And Age-Related Implications Of Primary And Secondary Control For Hedonic And Eudaimonic Well-Being, Masahiro Toyama

Psychology Faculty Research

The longitudinal associations of primary and secondary control with two distinct aspects of happiness including hedonic/subjective and eudaimonic/psychological well-being had not been fully studied. The present study aimed to contribute to the literature by examining these associations and their age differences. Using data from the second and third waves of the Midlife in the United States (MIDUS; N = 4963, aged 28 to 84 at baseline), the present study conducted structural equation modeling analyses to examine whether one primary control strategy (persistence in goal striving) and two secondary control strategies (positive reappraisals and lowering aspirations) predicted residualized changes in the …

Longitudinal Associations Of Conscientiousness And Neuroticism With Perceived Mastery And Constraints For Aging Adults, Masahiro Toyama, Heather R. Fuller, Joel M. Hektner

Psychology Faculty Research

It has not been well understood how conscientiousness and neuroticism are associated with two related but distinct dimensions of perceived control (i.e., perceived mastery and constraints) among aging adults. The present study examined these associations and their change over time, while addressing whether they differ by age or gender. For respondents aged 50+ at baseline (N = 2,768) in the Midlife in the United States (MIDUS) study, multilevel modeling analyses were conducted to assess how conscientiousness and neuroticism predicted perceived mastery and constraints over 2 decades. As expected, higher conscientiousness and lower neuroticism (for both between- and within-person variability) predicted …

Awareness And Knowledge Of Aging And Hiv-Associated Neurocognitive Disorder: Service User And Provider Perspectives And Experiences In Southern Nevada, Renato M. Liboro, Brandon Ranuschio, Sherry Bell, Jenna Despres, Trinity Puno, Aruna Sedere, Nadia Sheik Yosef, Esmeralda Villalobos, Janelle Wackens, Lianne Barnes

Psychology Faculty Research

This community report presents the findings and analysis of a survey that was part of the quantitative stage of a mixed-method Community-Based Participatory Research (CBPR) project dedicated to examine the awareness and knowledge of racially and ethnically diverse, middle-aged and older people living with HIV/AIDS, and their healthcare and service providers from Southern Nevada, on aging, brain health, HIV/AIDS, and the condition known as HIV-Associated Neurocognitive Disorder. The CBPR project was conducted in collaboration with community partners such as the LGBTQIA+ Community Center of Southern Nevada, Southern Nevada Health District’s Ryan White Program, Community Counseling Center of Southern Nevada, and …

Artificial Intelligence: An Interprofessional Perspective On Implications For Geriatric Mental Health Research And Care, Brenna N. Renn, Matthew Schurr, Oleg Zaslavsky, Abhishek Pratap

Psychology Faculty Research

Artificial intelligence (AI) in healthcare aims to learn patterns in large multimodal datasets within and across individuals. These patterns may either improve understanding of current clinical status or predict a future outcome. AI holds the potential to revolutionize geriatric mental health care and research by supporting diagnosis, treatment, and clinical decision-making. However, much of this momentum is driven by data and computer scientists and engineers and runs the risk of being disconnected from pragmatic issues in clinical practice. This interprofessional perspective bridges the experiences of clinical scientists and data science. We provide a brief overview of AI with the main …

Assessing Preference And Stability Of Preference For Individuals With Neurocognitive Disorder, Megan N. Ford, Makenzie W. Bayles, Jennifer L. Bruzek

Research, Publications & Creative Work

Poor engagement can lead to a reduced quality of life for individuals with neurocognitive disorder (NCD). Research on determining preference and increasing engagement with this population is limited. The purpose of this study was to compare the accuracy of four preference assessment formats in identifying preferred activities and predicting engagement for six females with NCD and to measure the stability of preference and engagement over time. We compared the predictability of single stimulus(SS) verbal and multimedia assessments, caregiver ranking (CR) assessments, and multiple-stimulus without-replacement (MSWO) assessments. Participants responded consistently on SS assessments, but we noted inconsistencies between the CR and …

Racial And Gender Discrimination Predict Mental Health Outcomes Among Healthcare Workers Beyond Pandemic-Related Stressors: Findings From A Cross-Sectional Survey, Rachel Hennein, Jessica Bonumwezi, Max Jordan Nguemeni Tiako, Petty Tineo, Sarah R. Lowe

Department of Psychology Faculty Scholarship and Creative Works

Racial and gender discrimination are risk factors for adverse mental health outcomes in the general population; however, the effects of discrimination on the mental health of healthcare workers needs to be further explored, especially in relation to competing stressors. Thus, we administered a survey to healthcare workers to investigate the associations between perceived racial and gender discrimination and symptoms of depression, anxiety, posttraumatic stress, and burnout during a period of substantial stressors related to the COVID-19 pandemic and a national racial reckoning. We used multivariable linear regression models, which controlled for demographics and pandemic-related stressors. Of the 997 participants (Mean …

Ageism And Perceptions Of Vulnerability: Framing Of Age During Covid-19 Pandemic, Jordan Broussard, Frauke Schnell, Jasmin Tahmaseb Mcconatha, Jacqueline Magnarelli

Psychology Student Work

Media representations of the Covid-19 pandemic and its devastating consequences have shaped people’s fears, anxiety, and perceptions of vulnerability. Social scientists have examined the consequences of how information is “framed.” Framing theory asserts that issues can be portrayed differently by emphasizing or de-emphasizing aspects and information. According to Lakoff (2004) the impact of a message is not based on what is said but how it is said. Theories of framing focus on how the media frames issues, which then structure and shape attitudes and policies. A news article serves as a frame for an intended message. This paper examines the …

A Person-Centered Care Model’S Effectiveness For Older Adults With Dementia: A Systematic Review And Meta-Analysis, Karen Goeschel

Honors Theses

I evaluated the effectiveness of person-centered care interventions for older adults with dementia. Quality of life and agitation levels were used as primary outcomes for the effectiveness of the intervention. Electronic databases were searched for studies which satisfied the inclusion principles and did not satisfy exclusion principles. Cluster-randomized trials and non-randomized control trials which compared person-centered care approaches to usual care were included. I performed two random-effects meta-analyses. Six studies with 1,384 patients were included. For older adults with dementia, person-centered care had no significant impact on quality-of-life improvement (SMD = -0.116, p = 0.206) or agitation reduction (SMD = …

Skills For Living With Loss, Emily Mcneil

Undergraduate Research Symposium

Grief is a normative but highly life changing experience. Bereavement may disrupt one’s life as well as alter the way in which one lives and takes care of oneself. By approaching an individual’s grief as unique, specific skills and goals can be created to assist them in the midst of their new life. Specific skills and goals include engaging in self-care, developing a routine, and staying connected to others. Through the development of specific skills, one can learn to live with the losses experienced as well as take care of their physical and mental well-being. This talk will focus on …

Outdoor Air Pollution Exposure And Inter-Relation Of Global Cognitive Performance And Emotional Distress In Older Women, Andrew J. Petkus, Xinhui Wang, Daniel P. Beavers, Helena C. Chui, Mark A. Espeland, Margaret Gatz, Tara Gruenewald, Joel D. Kaufman, Joann E. Manson, Susan M. Resnick, James D. Stewart, Gregory A. Wellenius, Eric A. Whitsel, Keith Widaman, Diana Younan, Jiu-Chiuan Chen

Psychology Faculty Articles and Research

The interrelationships among long-term ambient air pollution exposure, emotional distress and cognitive decline in older adulthood remain unclear. Long-term exposure may impact cognitive performance and subsequently impact emotional health. Conversely, exposure may initially be associated with emotional distress followed by declines in cognitive performance. Here we tested the inter-relationship between global cognitive ability, emotional distress, and exposure to PM2.5 (particulate matter with aerodynamic diameter 2 (nitrogen dioxide) in 6118 older women (aged 70.6 ± 3.8 years) from the Women’s Health Initiative Memory Study. Annual exposure to PM_2.5 (interquartile range [IQR] = 3.37 μg/m³) and NO₂ (IQR …

Longitudinal Stress-Buffering Effects Of Social Integration For Late-Life Functional Health, Masa Toyama, Heather R. Fuller

Psychology Faculty Research

Stress can negatively affect multiple aspects of health, including functional health, among older adults, who are likely to face unique, age-related stressful experiences. Previous research has addressed the protective effects of social relations (i.e., social ties, social participation, and social integration) for physical and mental health outcomes, yet few studies have examined functional health. This study aimed to investigate the longitudinal stress-buffering effects of social integration on late-life functional health. Using three-wave data from 399 older adults (aged older than 60 years), two-level hierarchical linear modeling analysis was conducted and the results indicated that in addition to its main effect …

Air Pollution And The Dynamic Association Between Depressive Symptoms And Memory In Oldest-Old Women, Andrew J. Petkus, Diana Younan, Xinhui Wang, Daniel P. Beavers, Mark A. Espeland, Margaret Gatz, Tara Gruenewald, Joel D. Kaufman, Helena C. Chui, Joann E. Manson, Susan M. Resnick, Gregory A. Wellenius, Eric A. Whitsel, Keith Widaman, Jiu-Chiuan Chen

Psychology Faculty Articles and Research

BACKGROUND/OBJECTIVES

Exposure to air pollution may contribute to both increasing depressive symptoms and decreasing episodic memory in older adulthood, but few studies have examined this hypothesis in a longitudinal context. Accordingly, we examined the association between air pollution and changes in depressive symptoms (DS) and episodic memory (EM) and their interrelationship in oldest-old (aged 80 and older) women.

DESIGN

Prospective cohort data from the Women's Health Initiative Memory Study-Epidemiology of Cognitive Health Outcomes.

SETTING

Geographically diverse community-dwelling population.

PARTICIPANTS

A total of 1,583 dementia-free women aged 80 and older.

MEASUREMENTS

Women completed up to six annual memory assessments (latent composite …

Neurocognitive Markers Of Passive Suicidal Ideation In Late-Life Depression, Joshua T. Jordan, Christina F. Chick, Camarin E. Rolle, Nathan Hantke, Christine E. Gould, Julie Lutz, Makoto Kawai, Isabelle Cotto, Rosy Karna, Sophia Pirog, Michelle Berk, Keith Sudheimer, Ruth O'Hara, Sherry A. Beaudreau

Psychology | Faculty Scholarship

Objectives: (1) To delineate whether cognitive flexibility and inhibitory ability are neurocognitive markers of passive suicidal ideation (PSI), an early stage of suicide risk in depression and (2) to determine whether PSI is associated with volumetric differences in regions of the prefrontal cortex (PFC) in middle-aged and older adults with depression.

Design: Cross-sectional study.

Setting: University medical school.

Participants: Forty community-dwelling middle-aged and older adults with depression from a larger study of depression and anxiety (NIMH R01 MH091342-05 PI: O'Hara).

Measurements: Psychiatric measures were assessed for the presence of a DSM-5 depressive disorder and PSI. A neurocognitive battery assessed cognitive …

Psychosocial Factors Promoting Personal Growth Throughout Adulthood, Masahiro Toyama, Heather R. Fuller, Joel M. Hektner

Psychology Faculty Research

Personal growth is essential in the lives of adults of any age and is associated with a variety of well-being outcomes. Building on previous research on psychosocial factors associated with personal growth, the present study aimed to investigate whether and how psychosocial factors (including working, generativity, positive interpersonal relationships, and spirituality) could affect aging adults’ personal growth longitudinally. Using three waves of Midlife in the United States data from adults with baseline ages of 20–75, two-level hierarchical linear modeling analyses were conducted to examine the effects of psychosocial factors as well as age and gender on levels and trajectories of …

Successfully Aging At Work Or Successfully Working While Aging? The Importance Of Older Workers' Psychological Well-Being, William P. Jimenez

Psychology Faculty Publications

Frank, 62, has been working at the same company for the past 32 years. His strong work ethic, subject-matter expertise, and continued excellent performance have saved him from several waves of layoffs and restructuring. Over the years Frank has become cynical. Gradually, many of Frank’s close colleagues were let go, and he has had difficulty connecting with newer employees. Although he is not particularly happy at his job, Frank is determined to continue working for his employer until at least 66, which is when he can start collecting Social Security benefits without penalty.

Chapter 12: Dementia: Detection, Assessment, And Intervention, Sally Pelon

Books and Contributions to Books

This chapter considers various forms of dementia as well as the assessment and diagnosis process from a uniquely social work perspective. It also explores various psychosocial and practical interventions that may utilized by social workers as they support and assist both those with a dementia diagnosis and their loved ones.

Sex And Senesce: A Exploration Of Aging Women’S Sexual Selves, Cordray Mccann

Independent Study Project (ISP) Collection

The sexual lives of women over the age of 50 are often forgotten from just about every medium. This research hopes to uncover how aging women interpret their current sexual selves, sexual histories, and changing bodies. In thinking about this, four women were interviewed about their life stories surrounded love, passion, and sex. Each of these women told brave accounts of their lives and through their narratives, we were able to draw theoretical conclusions about bodily shame, age performativity, and prescribed stereotypical roles. These four stories, told individually as to support each woman's personal narrative are vastly different yet intersect …

Older Adults' Health Care Utilization A Year After Experiencing Fear Or Distress From Hurricane Sandy, Laura P Sands, Yimeng Xie, Rachel Pruchno, Allison Heid, Yili Hong

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

OBJECTIVE: To determine whether self-reports of disaster-related psychological distress predict older adults' health care utilization during the year after Hurricane Sandy, which hit New Jersey on October 29, 2012.

METHODS: Respondents were from the ORANJ BOWL Study, a random-digit dialed sample from New Jersey recruited from 2006 to 2008. Medicare hospital, emergency department (ED) and outpatient claims data from 2012 and 2013 were matched to 1607 people age 65 and older in 2012 who responded to follow-up surveys conducted from July 2013 to July 2015 to determine their hurricane-related experiences.

RESULTS: In total, 7% (107) of respondents reported they experienced …

Using Person-Centered Scheduling With Geriatric Patients To Reduce Anxiety With Telepsychiatry, Jody Long, Patricia A. Wilkerson, Evi Taylor, John Hall, Christopher Peters

Research, Publications & Creative Work

This study explored using person-centered scheduling with telepsychiatry for rural community geriatric patients. Quantitative research approaches were used to determine the level of satisfaction participants experienced with person-centered scheduling and geriatric telepsychiatry. Quantitative data were collected by using the Zung Self-Rating Anxiety Scale (SAS) before scheduling the first appointment and to assess the intervention’s effectiveness after the telepsychiatry session. Person-centered telepsychiatry scheduling decreased geriatric patients’ anxiety as evidenced by Zung SAS scores. Conclusion: Older adult patients saw telepsychiatry as a viable means of treatment. Future research with geriatrics from different regions is needed. Implications and future directions include exploring patient …

New Measures To Capture End Of Life Concerns In Huntington Disease: Meaning And Purpose And Concern With Death And Dying From Hdqlife (A Patient-Reported Outcomes Measurement System)., N E Carlozzi, N R Downing, M K Mccormack, S G Schilling, J S Perlmutter, E A Hahn, J S Lai, S Frank, K A Quaid, J S Paulsen, D Cella, S M Goodnight, J A Miner, M A Nance

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

PURPOSE: Huntington disease (HD) is an incurable terminal disease. Thus, end of life (EOL) concerns are common in these individuals. A quantitative measure of EOL concerns in HD would enable a better understanding of how these concerns impact health-related quality of life. Therefore, we developed new measures of EOL for use in HD.

METHODS: An EOL item pool of 45 items was field tested in 507 individuals with prodromal or manifest HD. Exploratory and confirmatory factor analyses (EFA and CFA, respectively) were conducted to establish unidimensional item pools. Item response theory (IRT) and differential item functioning analyses were applied to …

Potential For Self-Reporting Of Older Adult Maltreatment: An Empirical Examination, Eve M. Brank, Lindsey E. Wylie, Joseph A. Hamm

Nebraska College of Law: Faculty Publications

This Article examines state statutes providing for the mandatory reporting of older adult maltreatment. These statutes are important in protecting older adults from potential victimization at the hands of both formal and informal caregivers. Nevertheless, Professor Brank, Ms. Wylie, and Mr. Hamm argue that these statutes undermine older adults’ autonomy and individual decision making because the statutes are modeled off the parens patriae framework of child maltreatment statutes. The authors believe these statutes effectively disempower older adults because older adults, unlike children, should be considered competent decision makers unless adjudicated otherwise. The authors contend that this system is the product …

Baby Boomers At Work: Growing Older And Working More, Eve M. Brank

Nebraska College of Law: Faculty Publications

In the current chapter, I will first detail the legal framework for workplace age discrimination and court case examples that have largely mirrored race and gender discrimination law. Next, I will discuss the psychological research that details the consequences of age discrimination with a particular focus on the combined effects of stereotype assimilation and notions of deservingness of respect. Last, I will suggest that until we know the causes of age discrimination, we cannot legitimately address its consequences the same way we have addressed other forms of discrimination. Specifically, I will argue that legislating against age discrimination is inherently different …