Digital Commons Network^™

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

Environmental & Global 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 …

The Physical And Mental Health Of Lesbian, Gay Male, And Bisexual (Lgb) Older Adults: The Role Of Key Health Indicators And Risk And Protective Factors, Anna M. Muraco, Karen I. Fredriksen-Goldsen, Charles A. Emlet, Hyun-Jun Kim, Elena A. Erosheva, Jayn Goldsen, Charles P. Hoy-Ellis

Sociology Faculty Works

Purpose: Based on resilience theory, this paper investigates the influence of key health indicators and risk and protective factors on health outcomes (including general health, disability, and depression) among lesbian, gay male, and bisexual (LGB) older adults.

Design and Methods: A cross-sectional survey was conducted with LGB older adults, aged 50 and older (N = 2,439). Logistic regressions were conducted to examine the contributions of key health indicators (access to health care and health behaviors), risk factors (lifetime victimization, internalized stigma, and sexual identity concealment), and protective factors (social support and social network size) to health outcomes, when controlling for …

Exploring Gerotranscendence And How It Relates To Depression And Attitudes About Death, Adam Duane Massmann

All Graduate Theses, Dissertations, and Other Capstone Projects

Tornstam's theory of gerotranscendence can be defined as a "shift in meta-perspective from a materialistic and rational view to a more cosmic and transcendent one, normally followed by an increase in life satisfaction" (Tornstam 1989:55). The theory of gerotranscendence, a relatively new theory about aging, is based on a number of previously existing theories all of which in Tornstam's opinion have failed to explain the changes associated with aging. The current research attempted to identify whether or not the signs of gerotranscendence were generalizable to a moderately sized Southern Minnesota city. The researcher was also interested in whether or not …

Anxiety, Depression, And Comorbid Anxiety And Depression: Risk Factors And Outcome Over Two Years, O P Almeida, B Draper, J Pirkis, J Snowdon, N T Lautenschlager, G Byrne, Moira Sim, N Stocks, N Kerse, L Flicker, J J Pfaff

Research outputs 2012

Background: This study aimed to determine: (1) the prevalence of depression, anxiety, and depression associated with anxiety (DA); (2) the risk factor profile of depression, anxiety, and DA; (3) the course of depression, anxiety, and DA over 24 months. Methods: Two-year longitudinal study of 20,036 adults aged 60+ years. We used the Patient Health Questionnaire and the Hospital Anxiety and Depression Scale anxiety subscale to establish the presence of depression and anxiety, and standard procedures to collect demographic, lifestyle, psychosocial, and clinical data. Results: The prevalence of anxiety, depression, and DA was 4.7%, 1.4%, and 1.8%. About 57% of depression …

The Trajectories And Correlation Between Physical Limitation And Depression In Elderly Residents Of Beijing, 1992-2009, Xia Li, Wei Wang, Qi Gao, Lijuan Wu, Yanxia Luo, Zhe Tang, Xiuhua Guo

Research outputs 2012

Background Physical limitation and psychological distress have been reported to be related, but studies describing the change of instrumental activities of daily living (IADLs) and depression syndrome over time or exploring the link pattern for their development are limited. The study was to assess distinctive patterns for the development of physical limitation and depression and to explore their correlation to form a proper prevention strategy. Methods Dual trajectory analysis was conducted using data from the Beijing Longitudinal Study of Aging (BLSA) 1992–2009 hosted by Xuanwu hospital for subjects with full information on depression and physical limitation for all available visits. …

Interpersonal Psychotherapy For Depressed Retirees: Developing And Testing A Clinical Treatment Manual, Sue G. Miller

Theses: Doctorates and Masters

Most workers adjust well to retirement, but some experience depression due to poor adjustment. No evidence-based treatments were identified that targeted the developmental needs of this complex transition. In phase 1, a treatment manual (IPT-RM) was developed. The manual comprised an adaptation of Interpersonal Psychotherapy. In phase 2, a pilot study was conducted to determine the treatment’s feasibility. A series of non-experimental AB singlecase studies was conducted with nine retirees. All research participants’ depressive symptoms receded into the non-depressed range by the end of the study. The IPT-RM treatment manual was developed to a Stage 1 level, which incorporated peer-reviewed …

Health Disparities And Depression In Rural And Urban Older Adults., Jennifer Ann Zimmerman

Electronic Theses and Dissertations

Depression is one of the most prevalent psychiatric conditions experienced by older adults and represents a major public health concern. Rural/urban residence may affect the prevalence of depression as rural older adults differ from their urban counterparts in many respects. One important difference found in the literature is that rural OAs are often faced with more health disparities (HDs) compared to their urban counterparts. The current study investigated the association between HDs and depression in a sample of rural and urban OAs, and examined whether HDs contribute to our understanding of how rurality impacts the prevalence and severity of depression. …

Efficacy Of A Referral And Physical Activity Program For Survivors Of Prostate Cancer [Engage]: Rationale And Design For A Cluster Randomised Controlled Trial., Patricia M. Livingston, Jo Salmon, Kerry S. Courneya, Cadeyrn J. Gaskin, Melinda Craike, Mari Botti, Suzanne Broadbent, Bridie Kent

School of Nursing and Midwifery

BACKGROUND: Despite evidence that physical activity improves the health and well-being of prostate cancer survivors, many men do not engage in sufficient levels of activity. The primary aim of this study (ENGAGE) is to determine the efficacy of a referral and physical activity program among survivors of prostate cancer, in terms of increasing participation in physical activity. Secondary aims are to determine the effects of the physical activity program on psychological well-being, quality of life and objective physical functioning. The influence of individual and environmental mediators on participation in physical activity will also be determined. METHODS/DESIGN: This study is a …

Successful Aging And The Epidemiology Of Hiv, David E. Vance, Teena Mcguinness, Karen Musgrove, Nancy Ann Orel, Pariya L. Fazeli

Gerontology Faculty Publications

By 2015, it is estimated that nearly half of those living with HIV in the US will be 50 years of age and older. This dramatic change in the demographics of this clinical population represents unique challenges for patients, health care providers, and society-at-large. Fortunately, because of highly active antiretroviral therapy (HAART) and healthy lifestyle choices, it is now possible for many infected with HIV to age successfully with this disease; however, this depends upon one’s definition of successful aging. It is proposed that successful aging is composed of eight factors: length of life, biological health, cognitive efficiency, mental health, …

Habits And Lifestyles Of Successfully Aging Women In A Rural Area, Julia L. Sheffler

Honors Theses

Older adults in rural areas have unique challenges to maintain well-being.  The goal of this project was to examine those unique factors related to successful aging in a sample of older women living in a rural area in the Midwest using both quantitative and qualitative methods.  Mental and physical health, personality traits, cognitive abilities (i.e., working memory, vocabulary and attention), and activity levels were assessed.  A semi-structured interview using a life narrative approach was also used to explore habits, family relationships and lifestyles over the past 20 years.  The women were administered the following measures: 1) Big Five Factor Personality …

The Link Between Gender And Depression In Young Adults Providing Care For Older Family Members, Mark C. Gillen, Catherine Roland

Journal of Counselor Preparation and Supervision

This study focused on the level of depression in young adult caregivers (age 18-40) relative to gender, employment, health and relationships. Previous research found significant relationship between gender and depression. In this study, gender was found to be a contributing factor in depression among young adult caregivers; however, not a significant factor. This information may lead to broader ways of thinking about caregiving by counselors and individuals working with older adults.

Patterns Of Social Activity Engagement Among Older Hispanics And Their Relationship To Sociodemographic And Health Variables, Marta B. Rodríguez-Galán, Luis M. Falcón

Sociology Faculty/Staff Publications

The purpose of this study was to examine patterns of social activity engagement in a sample of older Hispanics (Puerto Rican, Dominican, and other Hispanic) and determine whether these patterns differed significantly from the comparison non-Hispanic White group. This article also analyzes how ethnicity, sociodemographic, and health variables (health problems and depression) relate to each of the activity engagement patterns. The factor analysis of social activities from the Norbeck Social Support Questionnaire yielded three factors, which describe engagement in social activities as: children and relatives active, friends and activities active, and senior services active. The results from the regression analyses …

Managing Depression During The Menopausal Transition, Quinn M. Pearson

Adultspan Journal

No abstract provided.

Predicting Levels Of Latino Depression: Acculturation, Acculturative Stress, And Coping, Lucas Torres

Psychology Faculty Research and Publications

Past research has noted that aspects of living in the United States place Latinos at risk for experiencing psychological problems. However, the specific features of the adaptation process that contribute to depression remain unclear. The purpose of the present study was to investigate the ability of acculturation, acculturative stress, and coping to predict membership into low, medium, and high groups of depression among Latinos. Within a group of 148 Latino adults from the community, a multinomial logistic regression revealed that an Anglo orientation, English competency pressures, and active coping differentiated high from low depression and that a Latino orientation and, …

Quality Of Life, Religious/Spiritual Coping, Demoralization And Depression In Heart Failure Patients, Terry Larsen Phd, Rn, Cns

Dissertations

Background: Research suggests that the heart failure (HF) population is particularly vulnerable to depression. Other factors may also affect quality of life such as religious/spiritual coping, and demoralization. Purpose: The purpose of this descriptive correlational study was to examine factors that predict health-related quality of life (HRQoL) in adults with heart failure. Specific Aims: (1) to examine level of religious/spiritual coping, spiritual distress, demoralization, depression and HRQoL among adults with heart failure; (2) to examine the relationships of religious/spiritual coping, spiritual distress demoralization, depression and selected demographic variables (age, gender, race/ethnicity and length of living with HF) with HRQoL. Methods: …

The Role Of Employment Status, Work Disruption, Leisure, And Resources In The Mental Health Of Demenita Caregiving Daughters, Lisa Jones Ficker

Wayne State University Dissertations

Employment has been consistently identified as a role strain among dementia caregivers. This study sought to examine the patterns and context of employment and work disruption among dementia caregiving daughters and learn the extent to which work disruption influences mental health through hypothesized reductions in financial resources and leisure activities. This study was a cross-sectional design that extracted data of 486 daughter caregivers from a dataset that gathered information from Caucasian, African American, and Latina dementia caregivers at six research sites across the nation.

Results indicated that caregiving daughters who were employed reported the lowest number of depressive symptoms and …

Caregiving Strategies For Older Adults With Delirium, Dementia And Depression, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This guideline has been developed to address the question of how best to care for older adults (65 years or older) with delirium, dementia and/or depression. It is the intent of this document to recommend care strategies to assist Registered Nurses (RNs) and Registered Practical Nurses (RPNs) who are working in diverse settings in acute, long-term, and community care.

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 …

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 …

Screening For Delirium, Dementia And Depression In Older Adults, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This guideline has been developed to improve the screening assessment of older adult clients for delirium, dementia and depression. This guideline does not include recommendations for the management of these conditions in day-to-day nursing practice.

Best practice guidelines are systematically developed statements to assist nurses and clients in decision making about appropriate healthcare (Field & Lohr, 1990). This guideline focuses on: (1) Practice recommendations: directed at the nurse to guide practice regarding assessment and screening for delirium, dementia and depression in older adults; (2) Education recommendations: directed at educational institutions and organizations in which nurses work to support its implementation; …

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.

Major Depressive Disorder Among Individuals Who Are Deaf: Implications For Rehabilitation Professionals, Sandra Hansmann, Shawn P. Saladin, Diana M. Fraser-Mendez

School of Rehabilitation Services & Counseling Faculty Publications

Major Depressive Disorder (MDD) is a potentially disabling condition which adversely affects psychosocial functioning in the lives of many people. Individuals who are prelingually and/or profoundly Deaf are especially at risk of misdiagnoses, which in turn may prevent them from receiving the treatment needed to reach their full potential in independent living or vocational rehabilitation. This article reviews general depressive symptomology, followed by a discussion of challenges associated with diagnosing MDD in individuals who are Deaf. Suggestions for therapeutic interventions are also included. The article concludes with a summary of the implications of Deafness and MDD for independent living and …

Physical Activity Effects On Depressive Symptoms In Black Adults, Jessica D. Richardson, Sarah Grace Dalton, Elisa R. Torres, Carolyn M. Sampselle, Kimberlee A. Gretebeck, David L. Ronis, Harold W. Neighbors

College of Nursing Faculty Research and Publications

Objectives

Randomized trials found physical activity (PA) effective in decreasing depressive symptoms. Few studies included Black participants. The purpose of this systematic literature review was to determine the effects of PA on depressive symptoms in Black adults.

Methods

Articles were abstracted by conducting a computer and hand search of eligible studies.

Results

Eight of 13 studies found a significant inverse relationship between PA and depressive symptoms in Black adults. Sources for the heterogeneity were explored.

Conclusion

Future studies should include representative samples of Black adults, incorporate a theory which considers multiple levels of influence, account for genetic factors in the …

Depressive Symptoms And Marital Satisfaction In The Context Of Chronic Disease: A Longitudinal Dyadic Analysis, Rachel Pruchno, Maureen Wilson-Genderson, Francine P Cartwright

Rowan-Virtua School of Osteopathic Medicine Departmental Research

These analyses examined the longitudinal relationships between depressive symptoms and marital satisfaction over a 2-year period as experienced by 315 patients with end-stage renal disease and their spouses. Using multilevel modeling, the authors examined both individual and cross-partner effects of depressive symptoms and marital satisfaction on patients and spouses, testing bidirectional causality. Results indicate that mean and time-varying depressive symptoms of both patients and spouses were associated with their own marital satisfaction. Although mean marital satisfaction was associated with own depressive symptoms for both patients and spouses, time-varying marital satisfaction did not affect depressive symptoms for either patients or spouses. …

Elder Depression Among Nursing Home Residents, Alejandro Paul Holguin

Theses Digitization Project

The purpose of this was designed to confirm the hypothesis that depression is prevalent among nursing home residents. Elder depression is a huge problem in society, especially as the older population continues to grow at an alarming rate. This study investigated the correlations between demographic information and item responses.

Economic Insecurity And Depression Among Low Socioeconomic Status Adults, Laura Margaret Wills

Theses Digitization Project

The purpose of this research is to discover the effects of economic insecurity and low socioeconomic status on depression in adults. Mixed correlations were discovered, but the findings appear to support the need for increased mental health services for people with low socioeconomic status.

Comorbid Chronic Pain And Depression: Who Is At Risk?, L. R. Miller, Annmarie Cano

Psychology Faculty Research Publications

The purpose of this study was to investigate the prevalence and demographic risk factors of chronic pain and its comorbidity with depression. Computer-assisted telephone interviewing was utilized to obtain a representative community sample in the state of Michigan (N = 1,179). The prevalence of chronic pain due to any cause was 21.9%. Approximately 35% of participants with chronic pain also had comorbid depression (7.7% of the entire sample). Depression was not associated with pain types or sites. A multinomial regression analysis revealed several demographic correlates of chronic pain and depression. Participants with chronic pain or comorbid pain and depression were …

Exploring The Potential Of Aging Network Services To Improve Depression Care, Leslie Hasche

All Theses and Dissertations (ETDs)

Depression is a prevalent, debilitating yet treatable psychiatric disorder affecting older adults. Older adults underutilize specialty mental health care, persistently receive poor quality care in primary care settings, and have high rates of non-adherence to pharmacotherapy. Aging network services, such as adult day services, homecare services, senior centers, and supportive housing may be able to improve the quality of depression care. However, it is unknown how current models of empirically supported depression care are used within or could be adopted by aging network services. Thus, this study described the organizational factors, staff factors, and current agency practices regarding depression among …

Chronically Ill Midlife And Older Lesbians, Gay Men, And Bisexuals And Their Informal Caregivers: The Impact Of The Social Context, Karen Fredriksen-Goldsen, Hyun-Jun Kim, Anna M. Muraco, Shawn Mincer

Sociology Faculty Works

With the exception of HIV care, informal caregiving of chronically ill lesbian, gay, and bisexual (LGB) adults has received very limited attention in the extensive caregiving literature. This article reports on research that considered the social context of care and a dyadic caregiving approach for 36 chronically ill LGB adults ages 50 and older and their informal caregivers. In this study, both discrimination and relationship quality were associated with depression among chronically ill LGB adults and their caregivers. Furthermore, preliminary findings suggested that relationship quality moderates the impact of discrimination as a risk factor for depression in chronically ill LGB …

Correlates Of Attitudes Toward Behavioral Health Services Among Older Primary Care Patients, Nancy Bridger Lynn

USF Tampa Graduate Theses and Dissertations

Research suggests that more than ten percent of older adults experience behavioral health problems (including mental health problems and/or substance abuse). However, very few actually receive care from a behavioral health care provider or even a primary care provider. One major barrier to accessing and receiving care is the feeling of perceived stigma commonly associated with behavioral health problems. The present study examined the relationships among attitudinal variables, feelings of stigma, and behavioral health outcomes over time in an elderly population with the secondary analysis of data collected for a previously implemented research study, the Primary Care Research in Substance …