Geropsychology Commons^™

Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford

Theses and Graduate Projects

Background: Traumatic Brain Injury (TBI) is one of the leading causes of physical and cognitive disability worldwide. TBI can negatively impact cognitive, physical, social, and psychological functioning.

Objective: This study investigated interactions between TBI severity, mental health symptom severity, and community engagement among older adults. Specific aims included investigating 1) the relationship between TBI severity at the time of injury and psychiatric symptom severity at one-year post-TBI; 2) the relationship between TBI severity and community engagement at one-year post-TBI; and 3) whether mental health symptom severity moderated the relationship between TBI and post-injury community engagement.

Methods: Archival data was analyzed …

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …

You've Got A Friend: Social Factors And Depressive Symptoms In Older Adults, Erika A. Fenstermacher

Graduate Theses, Dissertations, and Problem Reports

Depression in late life has been associated with disability, lower quality of life, increased mortality, and increased risk of suicide (Fiske et al., 2009; Rodda et al., 2011). Research suggests that functional disability, which is often brought about by a medical condition, may precede depressive symptoms and may be a major factor for older adults developing depression (Ormel et al., 2002). Social support can be beneficial for both emotional and physical health (Fiori & Jager, 2021). Numerous studies found evidence that social networks, perceived and subjective social support, and satisfaction with support received moderated the relation between health problems and …

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

Graduate Theses, Dissertations, and Problem Reports

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

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 …

Resident Centered Behavioral Health: A Program Evaluation, Anna Olinger

All Graduate Theses, Dissertations, and Other Capstone Projects

Behavioral health concerns, such as depression and behavioral symptoms, impact older adults at significant rates. These concerns impact an individual’s quality of life, health status, and mortality. When behavioral health concerns cannot be effectively managed in the community by the individual or their caregivers, a skilled-nursing facility is often the next step. Unfortunately, those caring for older adults in these settings have not always had access to the training they need to care for individuals with depression or behavioral symptoms. The Resident Centered Behavioral Health program set out to change this. The program implemented an interactive, behavioral health training program …

Factors And Alleviation Of Learned Helplessness In The Elderly, Ashley Eckett

Capstone Showcase

Learned helplessness is a condition caused by maladaptive thinking related to a sense of powerlessness. It can result from lack of control in the face of life challenges leading to a loss of hope, motivation, and an inability to take action. Learned helplessness can have negative effects on an individual both mentally and physically. In regards to the elderly population, it can cause premature death. Gaining a better understanding of learned helplessness can play a lead role in preventing it and its negative effects in the geriatric population. The aim of the literature review was to answer how to recognize …

Longitudinal Associations Between Functional Disability, Depression, And Suicide In Middle-Aged And Older Adults, Julie Ann Lutz

Graduate Theses, Dissertations, and Problem Reports

Suicide is a significant public health problem among older adults in the United States and around the world. There has been little research to date on longitudinal change in functional disability and depressive symptoms, both of which have been posited to be associated with suicide risk among middle-aged and older adults, and their association with death by suicide. The aims of this study were to 1) characterize longitudinal change in functional disability and depressive symptoms separately; 2) characterize the directional associations between functional disability and depressive symptoms in bivariate models; and 3) determine how different patterns of change among these …

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 Faculty Scholarship

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. …