Digital Commons Network^™

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Religious Faith And Depression Among Child Welfare Involved Mothers With Young Children, Elissa E. Madden, Donna M. Aguiniga, Karen T. Zellmann

Journal of Family Strengths

Using secondary data from the Fragile Families and Child Wellbeing Survey of New Parents, this study explores the association between religion and depression in a nationwide sample of mothers with young children who were referred to Child Protective Services (N=344). The findings suggest that, when controlling for other contextual factors, mothers who viewed their religious faith as a guide for their daily lives were more than three times as likely to have experienced depression within the last year. Additionally, mothers who attended religious services a few times a month were significantly less likely to experience depression than mothers who reported …

Low Vision Depression Prevention Trial In Age-Related Macular Degeneration: A Randomized Clinical Trial., Barry W. Rovner, Robin J Casten, Mark T Hegel, Robert W Massof, Benjamin E Leiby, Allen C Ho, William S Tasman

Department of Psychiatry and Human Behavior Faculty Papers

PURPOSE: To compare the efficacy of behavior activation (BA) + low vision rehabilitation (LVR) with supportive therapy (ST) + LVR to prevent depressive disorders in patients with age-related macular degeneration (AMD).

DESIGN: Single-masked, attention-controlled, randomized, clinical trial with outcome assessment at 4 months.

PARTICIPANTS: Patients with AMD and subsyndromal depressive symptoms attending retina practices (n = 188).

INTERVENTIONS: Before randomization, all subjects had 2 outpatient LVR visits, and were then randomized to in-home BA+LVR or ST+LVR. Behavior activation is a structured behavioral treatment that aims to increase adaptive behaviors and achieve valued goals. Supportive therapy is a nondirective, psychological treatment …

Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll

Institute on Aging Publications

Background: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model’s applicability to the German primary care setting and its cost-effectiveness.

Methods/Design: The study will be conducted …

Does Retirement Make You Happy? A Simultaneous Equations Approach, Raquel Fonseca, Arie Kapteyn, Jinkook Lee, Gema Zamarro

Education Reform Faculty and Graduate Students Publications

Continued improvements in life expectancy and fiscal insolvency of public pensions have led to an increase in pension entitlement ages in several countries, but its consequences for subjective well-being are largely unknown. Financial consequences of retirement complicate the estimation of effects of retirement on subjective well-being as financial circumstances may influence subjective well-being, and therefore, the effects of retirement are likely to be confounded by the change in income. At the same time, unobservable determinants of income are probably related with unobservable determinants of subjective wellbeing, making income possibly endogenous if used as control in subjective wellbeing regressions. To address …

Factors Related To Depression In End-Stage Renal Disease Patients, Matthew Paul Mccurdy

Masters Theses and Doctoral Dissertations

High prevalence rates of depression have been well documented in patients with chronic kidney disease (Egede, 2007; U.S. Renal Data System, 2013). Furthermore, depression seems to play a major role in the mortality and morbidity rates of this population (Kellerman, Christensen, Baldwin, & Lawton, 2010; U.S. Renal Data System, 2013). Therefore this study aimed to discover factors that may influence depression in this population. Ten end-stage renal disease (ESRD) patients’ depression scores were examined in relation to various sociodemographic measures. High depression scores had a significantly negative relationship with social functioning, overall quality of life, and age. A combined model …

Religiosity, Spirituality, And Depressive Symptoms In Older Adults In An Active Living Community, Monica D'Adrianne Solomon

USF Tampa Graduate Theses and Dissertations

The population of older adults in the United States is steadily rising. The Centers for Disease Control and Prevention (CDC) recently released a call to reduce mental distress in older adults. Research shows that mental distress is associated with depressive symptoms, which are significantly related to many chronic medical conditions, functional impairment, suicide, and all-cause mortality. Depression is a major public health concern. There is an interest in gerontology research on the buffering role of engagement against depressive symptoms such as volunteering, social activities, and religion. Certain religious beliefs and behaviors contribute to maintaining or improving mental health and research …

The Effects Of Subjective And Objective Caregiver Burden On The Depressive Symptomology Of A Disabled Older Adult Care Recipient, Deborah Blessing Ejem

All ETDs from UAB

Depression is a leading mental health issue effecting the aging population. The current body of research contends that stress, social disconnectedness, and disability are possible causes of depression. Research, however, widely neglects the study of caregiver burden as other probable causes of depression in this group. This study investigates subjective and objective caregiver burden as possible causes of adverse mental health for a non-institutionalized older adult care recipient. Additionally, the conditional effects of race/ethnic background of the care recipient are evaluated using the most recent wave of the National Long Term Care Study (NLTCS) and using both the life stress …

Applying The Biopsychosocial Model: Factors Associated With Depression In Mexican-American Adults, Alison B. Ross

Scripps Senior Theses

Although professionals in psychiatry, psychology and medicine claim to endorse the biopsychosocial model as proposed by George L. Engel (1977), clinicians in all three fields still tend to underutilize it. Some academics have also criticized the model for its inadequate emphasis on cultural contextualization. To improve upon the model, I sought to empirically establish the relationship between culturally-specific social factors and psychological disorder, in this case depressive symptoms in Mexican-American adults. Eighty-six Mexican-American participants living on the US-Mexico border completed scales measuring depressive symptoms, bidirectional acculturation, living situation, diabetes, and health beliefs regarding the origins of diabetes. The results revealed …

The Validity Of Beck Depression Inventory –Short Version In Depressed Patients Diagnosed According To Icd10, Abdul-Rasoul Al-Yasiri, Yasir S. Abdkarkosh

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND : Beck Depression Inventory (often abbreviated asBDI) is an instrument to measure the severity and depth ofdepression symptoms. BDI was developed in a novel way for its time by collating patients' verbatim descriptions of their symptoms and using these to construct a scale which could reflect the intensity or severity of a givensymptom. OBJECTIVE: To measure the validity of Beck depression Inventory short version using ICD 10 criteria for major depression as a gold standard METHOD AND PATIENTS : The study was carried out in IbnRushd and Baghdad Teaching Hospitals. The sample was selected purposely among patients diagnosed …

Relationship Between The Experience Of Perceived And Physician Diagnosed Arthritis And The Presence Of Dsm-Iv Criteria-Based Major Depression (Mdd) Among Older, Ryan Neil Schmidt

Theses and Dissertations

BACKGROUND: The purpose of this study was to explore both positive screened MDD and the perception of being depressed (P) and the likelihood of either increasing if the patient suffered from arthritis (P/E), either perceived or evaluated by a physician. The study explored the univariate, bivariate, and multivariate relationships between MDD and depression (P) to better describe influencing characteristics and their prevalence, as related to MDD and depression (P).

METHODS: The study examined a cross section of patients 65 years and older (n=8,205) within the National Epidemiologic Survey on Alcohol Abuse and Alcoholism (NESARC) [2001-02] sponsored by the National Institute …

Suicide In Older Adults : Helping Case Managers Engage In Difficult Conversations : A Project Based Upon An Independent Investigation In Collaboration The Producer Of The Film "Talking With Dolores", Darlene O'Connor, Jennelle Liljestrand

Theses, Dissertations, and Projects

Suicide among older adults is an increasing mental health concern in the United States, and yet depression and other signs of suicide often go unnoticed. The film and discussion guide "Talking with Dolores" was funded by the Massachusetts Department of Public Health to increase awareness of warnings of depression and suicide in the elderly and demonstrate ways of conversing with them about suicide. Because of their unique contact with older individuals in their own homes, geriatric case managers are positioned as a gateway to necessary psychosocial support for elders, yet may not be receiving adequate training for the initial detection …

Testing An Attribution Model Of Caregiving In A Latino Sample: The Role Of Familismo And The Caregiver-Care Recipient Relationship, Bianca Teresa Villalobos

Graduate Theses and Dissertations

The Social and economic consequences of depression place a heavy burden on society. Many family members and friends often feel the need take on the role of informal caregivers when loved ones require assistance due to disabling conditions. However, caregiver burden can arise when providing support for a person with a chronic condition. Caregiver burnout is associated with numerous negative outcomes for both the caregiver and care recipient. As such, efforts to understand factors related to reducing caregiver burden are necessary. Research on help giving has been guided by an attribution model developed by Weiner (1988), which describes how attributions …

Associations Among Indicators Of Depression In Medicaid-Eligible Community-Dwelling Older Adults, Elizabeth A. Byma, Charles W. Given, Barbara A. Given

University Faculty Publications and Creative Works

Purpose: The purpose of this research was to examine associations among 2 separate Minimum Data Set-Home Care (MDS-HC) depression measures (the Depression Rating Scale [DRS] and medical diagnosis of depression) with billed antidepressant medications in Medicaid paid claim files. Design and Methods: The sample for this cross-sectional research included 3,041 Medicaid-eligible older adult participants in a Home and Community Based Waiver Program and used data from the MDS-HC, Version 1 and Medicaid Paid Claim Files. Sensitivity and specificity analyses, receiver operating characteristic (ROC) curve analysis, and t tests were utilized. Results: DRS scoring indicated that 15.4% of participants had behaviors …

Associations Among Indicators Of Depression In Medicaid-Eligible Community-Dwelling Older Adults, Elizabeth A. Byma, Charles W. Given, Barbara A. Given

University Faculty Publications and Creative Works

The purpose of this research was to examine associations among 2 separate Minimum Data Set-Home Care (MDS-HC) depression measures (the Depression Rating Scale [DRS] and medical diagnosis of depression) with billed antidepressant medications in Medicaid paid claim files. Design and Methods: The sample for this cross-sectional research included 3,041 Medicaid-eligible older adult participants in a Home and Community Based Waiver Program and used data from the MDS-HC, Version 1 and Medicaid Paid Claim Files. Sensitivity and specificity analyses, receiver operating characteristic (ROC) curve analysis, and t tests were utilized. Results: DRS scoring indicated that 15.4% of participants had behaviors indicative …

Volunteering Among Surviving Spouses: The Impact Of Volunteer Activity On The Health Of The Recently Widowed, Kimberly J. Johnson

Graduate Doctoral Dissertations

Numerous studies link volunteering to positive mental and physical health for older adults, and recent studies have suggested that volunteering may be particularly beneficial for those who are widowed. This research examines the potential of volunteering to buffer participants from stress-related health declines associated with the death of a spouse.

Using the Health and Retirement Study (HRS), this research investigates the moderating role of volunteering on the self-rated health and depressive symptoms of recently widowed older adults. Consecutive waves of the HRS are used to identify respondents who experience the death of a spouse or who remain married, and those …

Early Life Course Pathways Of Adult Depression And Chronic Pain, Bridget J. Goosby

Department of Sociology: Faculty Publications

Applying cumulative inequality theory, this study examines the extent to which childhood socioeconomic disadvantage and maternal depression increase the risk of major depression and chronic pain in U.S. working-aged adults. Further, I assess whether low socioeconomic status amplifies the risk of adult depression and/or pain. Using data from the 2003 National Comorbidity Survey Replication (N=4339), I find that socioeconomic disadvantage and maternal depression during youth increases the risk of adult depression and/or chronic pain. The probability of having chronic pain increases in magnitude over the life course for adults whose parents have lower educational attainment relative to those with more …

Control Group Design: Enhancing Rigor In Research Of Mind-Body Therapies For Depression, Patricia Anne Kinser, Jo Lynne W. Robins

School of Nursing Publications

Although a growing body of research suggests that mind-body therapies may be appropriate to integrate into the treatment of depression, studies consistently lack methodological sophistication particularly in the area of control groups. In order to better understand the relationship between control group selection and methodological rigor, we provide a brief review of the literature on control group design in yoga and tai chi studies for depression, and we discuss challenges we have faced in the design of control groups for our recent clinical trials of these mind-body complementary therapies for women with depression. To address the multiple challenges of research …

Vascular Depression: An Early Indicator Of Decline, Daniel Lee Paulson

Wayne State University Dissertations

Women over the age of 80 represent a rapidly growing demographic group. While older women live longer than men, they do so with more years of disability and frailty. The emergence of geriatric disorders such as vascular disease, depression, frailty and cognitive decline in the aging US population place additional strain and expense on the already over-burdened public health care system. Meanwhile, integrated models of care are associated with preserved functional independence, reduced medical costs, and greater satisfaction for both health care providers and patients. Implementation of integrated care demands process-models of disease that contextualize symptoms within broader patterns of …

Predictors Of Treatments Acceptable To Patients For Late-Life Depression, Gerald J. Jogerst, Shimin Zheng, Erik Vanderlip

ETSU Faculty Works

Objectives. Describe older patients’ perceptions about depression and characteristics associated with acceptance of treatments. Design. Cross-sectional study. Setting. Three primary care clinics in Iowa. Participants. Consecutive sample of 529 primary care patients. Measurements. Depression screening tool (a 9-item patient health questionnaire [PHQ-9]) and questionnaire including sociodemographic data, patient attitudes about depression, and acceptability of different treatments. Results. Mean age was 71.9 years (range 60–93 years), 314 (59%) female. Among the 529 participants, 93 (17.5%) had history of depression and 60 (11.3%) had PHQ-9 scores of 10 or greater. Participants believed depression is a disease for which they would use medication …

Electroconvulsive Therapy (Ect): An Introduction For Elder Law Professionals, Deirdre Johnston, Doug Eitel, W. Vaughn Mccall

Marquette Elder's Advisor

Electroconvulsive therapy (ECT), colloquially called "shock therapy," is often denounced as barbaric by members of the lay population. However, it is actually a highly efficacious treatment for depression, which can be particularly common and severe in the elderly. This discussion illuminates the potential benefits and risks of this controversial treatment.

Insight Into The Parenthood Paradox: Mental Health Outcomes Of Intensive Mothering, Holly H. Schiffrin, Kathryn Rizzo, Miriam Liss

Psychological Science Articles

Though people often report wanting to have children because they think it will make them happier, much research suggests that parenting is associated with decreased well-being. Other studies have found that parenting is related to increased life satisfaction. The goal of this study was to provide insight into this paradox by investigating the relationship between a specific way of parenting, intensive parenting, and maternal mental health. An online survey was completed by 181 mothers with children ages 5 and under. Intensive mothering beliefs correlated with several negative mental health outcomes. Controlling for perceived family social support, the belief that women …

Mediating And Moderating Effects On The Association Between Vision Loss And Depression Among An Older Population, Terry L. Stone, Jonathan Bruce Santo, Walter Wittich

Psychology Faculty Publications

The purpose of this study was to gain a more holistic view of the association between depression and visual functioning by examining possible mediating and moderating factors. Previous research has established a linkage between low life satisfaction and coping skills and depressive symptoms. Results of this study contribute to this literature by indicating that life satisfaction partially mediates the relationship between visual functioning and depression. Furthermore, a significant coping by visual functioning interaction was discovered, revealing that among this sample, visual impairment is associated with higher levels of depression among individuals with low coping skills; however, little effect was found …

The Relationship Of Outdoor Recreation And Gardening With Depression Among Individuals With Disabilities, Justin Floyd Wilson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Activities involving natural environments have positive psychological impacts on participants. Both outdoor recreation and gardening have been shown to reduce feelings of depression. However, the effects of these activities on the depression levels of individuals with disabilities have not yet been studied. In order to better understand the relationship between these activities and depression among individuals with disabilities, two separate studies were conducted.

The first study seeks to better understand the relationship between outdoor recreation participation and depression among Montana residents with disabilities using publicly available Behavioral Risk Factor Surveillance System (BRFSS) data. It hypothesizes that depression would be negatively …

Under-Treatment Of Depression In Older Persons, Lisa C. Barry

UCHC Articles - Research

Abstract

Background

Due to the cross-sectional design of most existing studies, longitudinal characterization of treatment for depression in older persons is largely unknown.

Method

754 men and women (aged 70+ years) underwent monthly assessments of mental health professional use and 18-month assessments of antidepressant medication use and depressive symptoms over 9 years. Scores of ≥20 on the Center for Epidemiological Studies-Depression (CES-D) scale denoted depression. We evaluated trends in depression treatment over time in the entire sample and among the depressed participants. Using generalized linear models, we determined characteristics associated with receiving treatment for depression in these groups and among …

The Influence Of Social Support On Depression Among Seniors Over 65 Living In Their Homes, Marilene Reed

Theses Digitization Project

The purpose of this study is to examine the impact of social support on depression among seniors over 65 years of age living in their homes. As part of the aging process, most elderly will face many losses and stresses such as the loss of income, family and friends, and the decline of health and mental capacities.

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy Menzel, Sheniz Moonie, Melva V. Thompson-Robinson

Nursing Faculty Research

Objectives. The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose. Methods. We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed. Results. Most conditions did not demonstrate a statistical change between …

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva V. Thompson-Robinson

School of Public Health Faculty Research

Objectives. The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose. Methods.We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed. Results. Most conditions did not demonstrate a statistical change between 2005 and 2008. …

Perceived Need Of Mental Health Care Identified Residents, Administrators, And Direct Care Staff Of An Assisted Living Facility , Clarissa Nicole Gayer

Doctor of Psychology (PsyD)

No abstract provided.