Digital Commons Network^™

Life Transitions, Social Support And Psychological Well-Being Among The Elderly In Taiwan : A Longitudinal Study, Shiau-Fang Chao

Legacy Theses & Dissertations (2009 - 2024)

This study examines the relationships between life transitions, social support and psychological well-being. A decline in health and financial strain were selected as two types of chronic stressors and loss of a spouse as an acute stressor. This study integrates previous literature and develops a unique predictive model involving seven components of social support -- social network size, social network composition, frequency of social contact, satisfaction with social support, types of support, helping others, and proximity of support. Depression and life satisfaction were the two measures of psychological well-being. 3,585 elders who were interviewed up to five times over a …

Decision-Making Processes Among Siblings Caring For Adults With Intellectual Or Developmental Disabilities, Anna L. Zendell

Legacy Theses & Dissertations (2009 - 2024)

Sibling caregivers comprise a population of increasing significance to intellectual/developmental disabilities (I/DD) policy and practice. As persons with I/DD and their caregiving parents age, more families are relying on adult siblings to provide care. Today, 70% of persons with I/DD live with family members; estimates indicate that up to 20% may reside with siblings. Sibling caregiving has potential to meet some of the growing social need for later life care of individuals with I/DD. However, the needs of siblings providing care are often not addressed by the service system. Inadequate knowledge about how siblings come to be caregivers and their …

Are Older Adults Less Or More Physiologically Reactive? A Meta-Analysis Of Age-Related Differences In Cardiovascular Reactivity To Laboratory Tasks, Wendy C. Birmingham, Bert N. Uchino, Cynthia A. Berg

Faculty Publications

In this meta-analytic review of 31 laboratory studies, we examined if relatively older adults showed lower or higher cardiovascular reactivity compared with relatively younger adults. Results revealed that age was associated with lower heart rate reactivity but higher systolic blood pressure (SBP) reactivity during emotionally evocative tasks. Consistent with the predictions of dynamic integration theory, the result for SBP was moderated by the degree of task activation. These data are discussed in light of existing self-regulatory models and important future research directions.

Social Relationships And Mortality Risk: A Meta-Analytic Review, Julianne Holt-Lunstad

Faculty Publications

Background

The quality and quantity of individuals' social relationships has been linked not only to mental health but also to both morbidity and mortality.

Objectives

This meta-analytic review was conducted to determine the extent to which social relationships influence risk for mortality, which aspects of social relationships are most highly predictive, and which factors may moderate the risk.

Data Extraction

Data were extracted on several participant characteristics, including cause of mortality, initial health status, and pre-existing health conditions, as well as on study characteristics, including length of follow-up and type of assessment of social relationships.

Results

Across 148 studies (308,849 …

Domestic Violence Or Elder Abuse? Why It Matters For Older Women, Teresa Kilbane, Marcia K. Spira

Social Work: School of Social Work Faculty Publications and Other Works

Law enforcement and legal services are 2 systems that respond to reports of abuse against women through programs such as adult protective services (APS) and domestic violence (DV). APS and DV systems operate independently and define the cause of the abuse differently. The designation of a woman as having suffered domestic violence or having been abused often depends on which system she enters. This designation can lead to different options for women to obtain services. Aging may further complicate access and usability of these systems to respond to the needs of abused elderly. Using vignettes, this article explores the definitions …

Review Of Factors Affecting The Lgbt Population When Choosing A Surrogate Decision-Maker, Christina Stewart Browning

HIM 1990-2015

Choosing a surrogate to make medical decisions for a patient is an emotionally challenging task. In hospital settings, it is estimated over 86% of life saving medical decisions have been made by a surrogate (Swigart, Lidz, Butterworth, & Arnold, 1996). For the marginalized populations of lesbian, gay men, bisexual, and transgender persons (LGBT), decisions are especially difficult, compounded by issues of discrimination, lack of legal support, level of relationship commitment,, and complicated disclosure to family and medical professionals (Riggle, Rostosky, Prather, & Hamrin, 2005). Limited research has been presented regarding environmental and social factors that impact the choice of a …

Long-Term Care Ombudsman Training, Texas Silver Haired Legislature Foundation, Texas Silver-Haired Legislature

Texas Silver-Haired Legislature

Training agendas, manuals, and other information on long-term care ombudsman training, 2010.

The Effects Of A Prayer Intervention On The Process Of Forgiveness , Sarah L. Vasiliauskas

Doctor of Psychology (PsyD)

No abstract provided.

Shades Of Optimism: The Future Of Professional Psychology As Seen By Clinical Trainers , Ryan D. Kuehlthau

Doctor of Psychology (PsyD)

No abstract provided.

Motivation Behind Volunteerism, Emmeline Widjaja

CMC Senior Theses

Volunteer service accounts for a substantial percentage of America’s workforce and GDP. Numerous organizations such as Habitat for Humanity and the American Red Cross have come to rely heavily on volunteer service. Due to the recent economic downturn and resulting budgetary cuts in the government sector, non-profit organizations have had to assume greater responsibility for providing services such as health care and education. Considering the importance of volunteer service to society, this literature review seeks to identify the key functional motives for volunteers. With a particular focus on the functional motivation theory and the six most prominent motives – values, …

Positive Aging: Resilience And Reconstruction, Kenneth J. Gergen, M. Gergen

Psychology Faculty Works

From a social constructionist perspective, conceptions of aging emerge from participation in relationships. Thus, there is reason to counter the Western stereotype of aging as decline with a more robust and positive vision. In the same way, resilience in everyday life may be achieved by engaging creatively and collaboratively in coordinating the flow of circumstances and interpretations making up daily life. We illustrate the potentials of resilience in terms of collaborative attempts to generate positive reconstructions of what are often defined as debilitating circumstances: reduced income, diminished attractiveness in physical appearance, declining physical and mental abilities, physical handicaps, the “empty …

Manufactured Home Parks: Norcs Awaiting Discovery, Andrée Tremoulet

Urban Studies and Planning Faculty Publications and Presentations

This paper examines manufactured home parks as a type of naturally occurring retirement community and considers the potential for adding social service programs (NORC-SSP) to enable further aging in place. An analysis of six focus group interviews with 48 residents found that the physical and social environment promoted a sense of safety and community, and that this housing option was an intentional lifestyle choice. Risks included the possibility of bad management and park closure. Manufactured home parks were found to offer an attractive option for exploring a NORC-SSP model that builds on residents' assets and community capacity.

The Elder Economic Security Initiative™ Program: The Elder Economic Security Standard™ Index For West Virginia, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for West Virginia’s older adults using the WOW-GI national Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status, and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

The Elder Economic Security Initiative™ Program: The Elder Economic Security Standard™ Index For New Mexico, Gerontology Institute, University Of Massachusetts Boston, Wider Opportunities For Women

Gerontology Institute Publications

This report addresses income adequacy for New Mexico’s older adults using the WOW-GI National Elder Economic Security Standard Index (Elder Index) methodology. The Elder Index benchmarks basic costs of living for elder households and illustrates how costs of living vary geographically and are based on the characteristics of elder households, including household size, home ownership or renter status and health status. The costs are based on market costs for basic needs of elder households and do not assume any public or private supports.

Effect Of Individual Cognitive Behavioral Therapy On Depression And Anxiety In Older Adults With Chronic Obstructive Pulmonary Disease : A Feasibility Study, Eileen Lightner

PCOM Psychology Dissertations

The progression of chronic obstructive pulmonary disease (COPD) in older adults has been associated with a high prevalence of depression and anxiety (Kunik et al., 2005). The purpose of this study was to examine the effects of a COPD-specific individual cognitive behavioral therapy (CBT) intervention on depression and anxiety in older adults with COPD. Three older adult patients with moderate to severe COPD and comorbid depression and anxiety were recruited from a large hospital affiliated pulmonary practice to participate in this single subject multiple baseline feasibility study. Pre-test-post test assessments were conducted utilizing the Geriatric Depression Scale (GDS), the State …

Is Private Long-Term Care Insurance Affordable For Older Adults?, Nayoung Kim

Wayne State University Dissertations

Nationwide there are fewer than 7 million long-term care (LTC) insurance policies in force. Why do so few Americans buy private long-term care (LTC) insurance? Several theories have been offered as possible explanations, including the availability of Medicaid, misperceptions that Medicare or other policies cover LTC, beliefs that one's own risk of needing LTC services is small, or desires to simply rely on children and spouses for LTC. This study examines another possible explanation - that private LTC insurance is simply "unaffordable" for most older Americans, which may be why they don't buy it.

This study begins by investigating the …

Spirituality And Ageing : A Qualitative Study Of Religiosity Of Chinese Older Persons In Hong Kong, Yuk Ha Wong

Lingnan Theses

The life expectancy of Chinese people in Hong Kong is increasing and is amongst the longest in the world. However, many people, especially older persons may experience chronic ill-health and, less detectable, many may also be experiencing alienation, loneliness, meaninglessness and fear of death. Spirituality and spiritual care, which focus on the healing of the soul and quest for meaning, are important to many people as they age and face the prospect of death, and therefore they may have existential anxieties. A holistic healthcare approach, which views humans as bio-psycho-social-spiritual beings, stresses the importance of spirituality to people’s health and …

Aging And Sexual Orientation: A 25-Year Review Of The Literature, Anna M. Muraco, Karen I. Fredriksen-Goldsen

Sociology Faculty Works

In a review of 58 articles published between 1984 and 2008, this article synthesizes the recent state of social research on older lesbian, gay male, and bisexual adults in order to summarize existing knowledge about these groups, to guide future research on aging, and to identify the substantive issues affecting their lives. Based on a life-course perspective, the primary research domains identified include the interplay of lives and historical times and linked and interdependent lives. After reviewing the literature in each of these areas, the article presents an examination of the strengths and limitations of the body of knowledge and …

Assessing Gaps In Services For Geriatric Patients With Mental Health Needs, Angela Nelson

All Graduate Theses, Dissertations, and Other Capstone Projects

Older adults in southwest Minnesota have limited options regarding mental health services. Sanford Tracy Medical Center and Sanford Westbrook Medical Center sought to identify the needs of this population so they can better serve their patients. The following research questions were asked: Do local service providers feel gaps in services exist for older adults experiencing mental health needs in the rural southwestern Minnesota communities of Tracy and Westbrook and the surrounding areas? Do area service providers feel that geriatric patients would benefit from a mental health intervention implemented within the primary healthcare setting? A survey of area geriatric service providers …

Psychological Care For Persons Of Diverse Religions: A Collaborative Continuum, Glen Milstein, Anne Marie Yali

Publications and Research

The purpose of this paper is to describe to psychologists and other clinicians a continuum of mental health care for persons of diverse religions. The continuum delineates boundaries between clinical care provided by mental health professionals and religious care provided by clergy, as well as describes pathways of collaboration across these boundaries. A prevention science based model of Clergy Outreach and Professional Engagement (COPE) is offered to guide this collaboration. The model describes a continuum that moves from the care already present in religious communities, through professional clinical care provided in response to dysfunction and returns persons to their own …

Rural Transit In Oregon: Current And Future Needs, Jennifer Dill, Margaret B. Neal

Urban Studies and Planning Faculty Publications and Presentations

The purpose of the research reported was to identify the current status and needs for general public transportation in Oregon’s rural areas, as well as opportunities and barriers (e.g., funding, governance issues, and leadership) to expanding services over a 20 year period. Oregon is a largely rural state. This lack of density poses problems for the provision of public transit, whether through fixed route or demand response service. People living in the rural areas and who lack cars and access to public transportation are at a strong disadvantage. With no access to these transit resources, they may be limited to …

Indigenous And Mestizo Mexican Migrant Farmworkers: A Comparative Mental Health Analysis, William Donlan, Junghee Lee

School of Social Work Faculty Publications and Presentations

Mexican-origin migrant farmworkers using: (a) lifetime prevalence of culture-bound syndromes, (b) self-rated emotional/mental health, (c) depression measured by PHQ-9, (d) stress level. Demographic and psychosocial variables were examined by ethnicity and gender using Chi square and independent t-tests. Logistic and linear regression models were constructed for mental health variables. Indigenous participants reported significantly higher stress compared to mestizos, and indigenous women reported significantly higher stress compared to all groups. Prevalence of culture-bound syndromes and mean PHQ-9 severity score was highest for indigenous females. Mean self-rated emotional/mental health was lowest among indigenous females. Controlling for main effects and other interactions, (a) …

Parental Timing And Depressive Symptoms In Early Adulthood, Christina D. Falci, Jeylan Mortimer, Harmonijoie Noel

Department of Sociology: Faculty Publications

Using data from a panel of 459 women, we find that early parents (birth) report higher levels of depressive symptoms in young adulthood (roughly age 29) compared to later parents (first birth in their 20s) or nonparents. Early parenting is also associated with more stressors and fewer resources in young adulthood. As young adults, early parents have lower educational attainment, less secure employment and a weaker sense of personal control; they also experience greater financial strain and more traumatic life events than later and nonparents. By the end of their 20s, early parents are also more likely to be single …

Traumatic Events, Perceived Stress, And Health In Women With Fibromyalgia And Healthy Controls, Bruce W. Smith, Erin M. Tooley

Arts & Sciences Faculty Publications

This study examined the relationship between trauma, stress and health in 41 women with fibromyalgia (FM) and 44 women who were healthy controls (HC). The participants were assessed for traumatic events, perceived stress and mental and physical health. Perceived stress was related to worse mental and physical health in both groups. Traumatic events were related to worse mental and physical health in the FM group but were unrelated to health in the HC group. Perceived stress partially mediated the effect of traumatic events on mental and physical health in the FM group. Finally, adult abuse partially mediated the effects of …

Csbs Statements, V12, Winter 2010, University Of Northern Iowa. College Of Social And Behavioral Sciences.

CSBS Statements

Contents:

-- From the desk of the Dean...
-- Building the Future: Sabin Hall renovation update
-- Being Green
-- Latin America Curricular Development
-- College and Department Briefs
-- Faculty Briefs
-- Student News
-- CSBS Loyalty Roster
-- The Northern Iowa Family Services Organization has formed a new campus group
-- UNI's chapter of Phi Upsilon Omicron recently placed second
-- Greetings from the College of Social and Behavioral Sciences!
-- Donor Spotlight: Sue Caley
-- Dean's Fund for Excellence
-- CSBS Alumni Updates
-- Alumni Spotlight: Ellen Habel
-- The College of Social and Behavioral Sciences hosted …

Health-Related Needs Assessment Of Older Residents In Subsidized Housing, Victoria Cotrell, Paula C. Carder

School of Social Work Faculty Publications and Presentations

When a nonprofit organization with nursing-home and assisted-living experience purchased a 30-year-old highrise apartment building in downtown Portland, Oregon, the new owners were faced with how to manage a building that provided housing to more than 200 older residents whom they knew very little about. As long-term care providers, they knew that older people were at risk for developing chronic illnesses, disabilities, and other factors that could result in moves to nursing homes, hospitalizations, and early death. They also knew that older adults in subsidized housing, such as this Section 8 building, have higher levels of disability than their age …

What’S Love Got To Do With It?: Social Connections, Perceived Health Stressors, And Daily Mood In Married Octogenarians, Robert J. Waldinger, Marc S. Schulz

Psychology Faculty Research and Scholarship

This study examined day-to-day links among time spent with others, health stressors, and mood in 47 elderly couples over an 8-day period. Hierarchical linear modeling revealed daily links between time spent with others and mood for men. For both men and women, being in a satisfying relationship was associated with stronger positive daily links between spending time with one’s partner and mood. Women reported lower mood on days when they experienced greater pain and physical limitation, and all participants reported lower mood on days when they experienced other health stressors. Marital satisfaction but not time spent with others buffered day-to-day …

Bringing Medicine To The Hamlet: Exploring The Experiences Of Older Women In Rural Bangladesh Who Seek Health Care, Md. Abul Hossen

Theses and Dissertations (Comprehensive)

The purpose of this study was to explore the experiences of older women in rural Bangladesh who seek health care. Qualitative methods were used to collect data from 17 older women in Bibirchar Union, Sherpur District, Bangladesh in June 2006. The study is intended to generate findings to help policy makers plan appropriate strategies to improve the health of this highly vulnerable population group.

The findings reveal that women’s culturally and socially determined roles greatly impair their health and play an important role in health-seeking behaviour through a complex web of social, economic, religious/cultural and behavioural interrelationships and synergies that …

The Latina/O Mental Health Paradox Or Racial/Ethnic Disparities? Depression Among New Immigrants To The U.S, Sandra Iveth Ramirez

Open Access Theses & Dissertations

The Latino/a Mental Health Paradox states that the foreign-born immigrants have better mental health outcomes when compared with native-born groups of various ethno-racial backgrounds, with the gap in mental stress minimizing overtime. The objective of this study is to examine whether Latina/os immigrants suffer an ethno-racial disparity in mental health or if they have favorable mental health outcomes as predicted by the Paradox. Expanding on the Latina/o Mental Health Paradox, rather than comparing Latina/o immigrants with native-born, this study will compare depression among recently legalized Latina/os with recent legalized European immigrants.

An Examination Of The Relationship Between Family And U.S. Latinos’ Physical Health, Georgiana Bostean

Sociology Faculty Articles and Research

Latinos, especially immigrant Latinos, have lower mortality rates and some better health outcomes than U.S.-born Latinos and whites, a situation called the Latino Paradox. One explanation for the advantage is that Latinos’ family orientation protects health. However, because few large-scale studies examine Latinos’ family relationships by nativity, the extent to which family factors contribute to Latinos’ health outcomes is unclear. Additionally, while a large literature focuses on family cohesion, fewer studies address both cohesion and conflict, which may be particularly important among immigrants, whose migration and adaptation experiences can strain family relations. This study examines the relationship between family context …