Geropsychology Commons^™

Caregiver Burden: Support Needed For Those Who Support Others And The National Health Service, Michael Stephanou

Patient Experience Journal

This literature review focuses on the complexities and inequalities of informal caregiving in the UK and was inspired by the story of the following individual: EL is a 68-year-old Caucasian lady who attended Movement Disorder Clinic and was diagnosed with Parkinson's Disease Dementia following many years of symptoms. The diagnosis came as a big relief to EL and her daughter (SL) who were eager to get treatment started as soon as possible. EL lives alone with SL and solely relies on her for care and support. SL does not have children and devotes her daily routine to looking after her …

Impact Of Subjective Cognitive Complaints On Mci Diagnostic Criteria In Alzheimer’S Disease, Rhiannon Rivas

Electronic Theses, Projects, and Dissertations

Alzheimer’s disease (AD) is the most commonly occurring neurodegenerative disease characterized by deficits in patient cognition. Mild cognitive impairment (MCI) is defined as an intermediate stage between cognitively normal (CN) and dementia in which the individual experiences some impairment but can function independently. Gold standard MCI criteria requires a subjective cognitive complaint (SCC) in which a patient acknowledges a decline in cognitive ability, however past findings on its validity as a measure of objective impairment have been inconsistent. Biomarkers found in cerebrospinal fluid (CSF) and indicative of neurodegeneration are also used to examine AD progression. Our study investigates if inclusion …

Socio-Emotional Resilience Among Older Adults During The Covid-19 Pandemic, Cindy J. Lahar, Angela L. Nadeau, Jayne Violette, Summer Roberts, Diana Reindl

Journal of the South Carolina Academy of Science

The detrimental impact of social isolation on health and well-being has been reported in older adults (Prohaska, et al., 2020). Yet findings also demonstrate that older adults have a motivational shift to prioritize emotionally meaningful goals and experiences (Carstensen, 1993; Sakaki, et al., 2019), prioritize emotional meaning in situations, focus on positive emotions and stimuli over negative feelings and live in the present rather than focus on future preparedness. Socioemotional selectivity theory (SST) (Carstensen, 1993; Carstensen, Fung & Charles, 2003) suggests that older adults have a limited sense of time left in life and shift their focus to meaningful and …

Enhancing The Quality Of Life For Senior Citizens: A Facilitator’S Guidebook For Mindful Music And Movement, Shannon Sexton

Mindfulness Studies Theses

Music appreciation and enjoyment enhance well-being throughout the lifespan. The challenges and constraints that people experience as they age can lead to lack of access to music, decreased physical activity, and fewer avenues for creative expression. Group music and movement interventions created for older populations offer opportunities for social connection and improved quality of life. Mindful practices add further benefit when combined with these interventions. Current available programs are scarce and most often do not encompass mixed modalities. In addition, the benefits of these programs do not show long-term sustainability. The purpose of this thesis is to explore the effects …

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 …

The Association Of Burden And Social Engagement With Depression In Caregivers Of Adults By Age, Danielle Leigh Forbes

Master's Theses or Doctor of Nursing Practice

As life expectancy begins to increase, the need for familial caregivers is growing. The aging of care recipients often means that those providing care continue to get older as well. Previous studies focus little on the differences between older and younger caregivers and rather combine them all into one group. The purpose of this study is to understand whether the caregiving experience is related to the age of the caregiver. Depression, burden, and social engagement, based on the descriptors of leisure, work, and social relationships, were studied in conjunction with the age of the caregivers. This study consisted of 63 …

Integrating Feminist Approaches In Counseling Work With Adult Women, Kristen M. Toole

Adultspan Journal

The scope of ‘women’s issues’ in counseling is an ever-evolving landscape. Recent events such as the reversal of Roe v. Wade and the disproportionate impact of COVID-19 on women serve as powerful reminders of the necessity of this focus while underscoring a deep-rooted history of oppressive patriarchal structures. Therefore, counselors must remain informed of the unique considerations surrounding adult women in counseling and acquire proficiency in versatile techniques to meet this population’s nuanced needs. This article examines the complexity of contemporary womanhood and explores the fundamentals of Feminist Counseling Theory (FCT), a holistic, multiculturally conscious, social justice theory in counseling. …

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

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 …

Scrolling Through The Years: Social Media's Effects Of Self-Esteem In Younger And Older Adults, Ryan Brown

Williams Honors College, Honors Research Projects

The detrimental impact social media has had on self-esteem in younger adults is well documented. However, this same approach to studying social media’s impact has not been applied to older generations, who were already well into adulthood as social media as we know it today began to emerge. Due to this, my project proposes to examine an interaction between the variables of three different social media categories (interactive, image/video, and informational) across younger and older adults. The results of this study could provide further insight into the effects social media has on self-esteem, specifically, the effect of different types of …

What Is Your Why? A Qualitative Study About Motivational Differences Of Latinos/Hispanics And African American/Black In A Computerized Cognitive Training Program To Prevent Alzheimer’S Disease, Lizbeth C. Vera Murillo

UNF Graduate Theses and Dissertations

Recruitment of diverse populations is a major barrier in advancing clinical research (Areán & Gallagher-Thompson, 1993; Areán & Alvidrez, 2003). The need to increase racial diversity is imperative due to the substantial growth of historically marginalized racial communities in the United States (Weinstein et al., 2017). Despite researchers’ efforts to increase racial/ethnic representation in clinical trials, there is still a lack of understanding of the best practices to recruit racial/ethnic minorities in clinical trials. The current study explores the qualitative motivations of why research participants (aged 65+ years old) volunteered for an Alzheimer’s Disease (AD) prevention clinical trial. Racial/ethnic differences …

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

Graduate Theses, Dissertations, and Problem Reports (ETD)

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 …

Noted With Honor: Intersections Between Theology, Music Therapy, Psychotherapy, And Original Music Compositions For Hospice Patients, Stanton Nelson

Doctor of Pastoral Music Projects and Theses

This thesis investigates the intersections between theology, music therapy, and psychotherapy when creating a music composition that honors a hospice patient’s walk of faith. A pioneer organization inspiring this thesis is Swan Songs in Austin, Texas, where musical moments are created for the patient and family. However, its model is primarily based on collating previously composed pieces for recitals without a personalized honoring of the patient’s witness of faith. Noted with Honor is an emerging non-profit organization that creates an original work that reflects upon the testimony of the patient and forms a new narrative towards the end of one’s …

The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty

Electronic Theses and Dissertations

Background: Diagnostic labels such as cognitive impairment, dementia or MCI often carry associated stigmatization. Stigma can lead to social isolation and rejection; increasing the likelihood of loneliness, depression, and anxiety. Depression and anxiety can be predictive of cognitive function; depression and anxiety are linked to stigma. Subjective cognitive decline (SCD) can be indicative of actual cognitive impairment. Subjective impairment and stigma can significantly predict quality of life. The aim of the proposed dissertation study was to explore whether higher SCD scores associate with more internalized stigma, and if this stigma mediates the relationship between SCD and depression, SCD and …

Age-Related Differences In The Relationship Between Activity Familiarity And Well-Being., S. Kelly Shryock

Electronic Theses and Dissertations

Background and Objectives: This study explored age-related differences in the relationship between activity novelty/familiarity and well-being, conceptualized within theories including Selection, Optimization, and Compensation (SOC), Self-Determination Theory (SDT), and Socioemotional Selectivity Theory (SST). For all ages, participation in activities has been shown to enhance well-being. Known mediators of this relationship include psychological, physical, and psychosocial benefits. It is less clear what types of experiences are optimal across the lifespan. Research Design and Methods: A online cross-sectional, correlational study (N= 200) was conducted. Measures included demographic data, ratings of three self-identified recent activities, three activity choices of familiar or …

Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick

Electronic Theses and Dissertations

Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …

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 …

The Role Of Familiarity And The Age-Based Double Standard In Evaluating Memory And Iadl Errors, Kristopher J. Kimbler, Ashley M. Escalon

Adultspan Journal

Research suggests that errors committed by older adults are viewed as more problematic than identical errors committed by younger adults. This study is the first to examine whether these age-based biases are found when evaluating social partners. The current study (N = 162) used a 2 X 2 (target age: young vs. old; familiarity: hypothetical vs. social partner) between-subjects design to assess the extent that familiarity influences the evaluations of errors committed by others. Findings suggest that age-based biases do not differ when evaluating social partners compared to hypothetical targets. Implications for counselors and other healthcare professionals are included.

Views On Happiness And Mental Health: A Comparison Between Residents And Staff At A Senior Care Facility, Alexis C. Schafer, Aubrey K. Deveau, Susan E. Mason

Patient Experience Journal

Residents and staff members at a senior care facility were questioned about their views on topics related to mental health. The two groups scored similarly on a happiness questionnaire. Differences as well as similarities between residents and staff were revealed through a questionnaire addressing views on mental health, counseling, and medications. The results are discussed in terms of the relationship that develops between older adults and their care givers. We argue that the health and well-being of the residents of a senior care facility may be linked to the health and well-being of the staff. The extent to which the …

Quality Of Life And End-Of-Life Plans: The Inclusion Of Sexual Health., Jacinta Dickens

Electronic Theses and Dissertations

Sex and intimacy are important components of quality of life (Syme, 2014). Previous research found a positive relation between quality of life and sexual satisfaction (Chao et al., 2011), but how this relation may or may not impact end-of-life plans was unexplored. This study explored if the relation between quality of life and sexual satisfaction determined if community-dwelling middle-aged or older adults in the US have or was willing to incorporate sexual health within their formal or informal end-oflife plan. Correlation analyses examined cross-sectional survey data. Findings revealed a statistically significant correlation between quality of life and sexual satisfaction, no …

Attachment And Older Adults In Psychotherapy: A Latent Profile Analysis Of Psychological Distress Across Treatment, Brian Michael Stran

Dissertations

Older adults have been largely underrepresented within the psychotherapy literature. Given the unique social and emotional changes associated with older age (Carstensen et al., 1999) and the perceived gap in training that trainees report in working with older adults (Woodhead et al., 2015), there is a pressing need for research that can aid mental health practitioners in the conceptualization, treatment planning, and treatment of their older adult clients.

In the first part of this manuscript, an integrated theoretical model, consisting of socioemotional selectivity theory (SEST; Carstensen et al., 1999) and attachment theory (Bowlby 1969), was developed to provide psychotherapists with …

Let's Get Physical: Exploring The Socioemotional Motivators Of Group Exercise For Older Adults, Tessneem S. Hasan, Alyssa R. Minton, Jason Snyder, Joseph A. Mikels

DePaul Discoveries

Approximately 75% of active adults in the U.S. do not meet the recommended levels of overall physical activity (CDC, 2021a). Given the beneficial impact of physical activity on health, an 8-week long, evidence-based group exercise program—Fit & Strong! (F&S!)—was created to improve the health of older adults (Hughes et al., 2004, 2006, 2010). Despite the clear physical benefits of F&S!, it remains unknown what motivates F&S! participants to initially participate in the program and also throughout the program. Drawing from core notions of socioemotional selectivity theory (SST; Carstensen, 2006), research has found that older adults are highly motivated to exercise …

Masturbatory Behaviors Among Older Adult Populations: A Literature Review, Brandon Tischer

Journal of Undergraduate Research at Minnesota State University, Mankato

Sexual behaviors, such as masturbation, extend into older adulthood (50+ years in chronological age) and are present at all stages of the aging process. Different living situations and circumstances for older adults can affect masturbatory behavior, such as death of spouse, living in long-term care facilities, and cognitive decline. This literature review evaluates extant research on older adult masturbation, comprising 29 articles included in the final review, all published between 1991 and 2021. They consist of literature reviews, meta-studies, cross-sectional studies, semi-structured interviews, systematic reviews, and case studies. Current evidence suggests that masturbatory behaviors are an important part of older …

Baseline Differences In Driving Frequency As A Predictor Of Cognitive Decline, Luke R. Miller

LSU Master's Theses

Driving is a complex task heavily dependent on cognitive functions which can decline with age including executive functions and processing speed. Although driving cessation as a predictor of cognitive changes has been studied, driving frequency is understudied in the literature. Thus, the objective of the current study is to evaluate the predictive utility of driving frequency at baseline toward objective cognitive decline beyond other factors associated with cognitive decline (e.g., depression, general functional mobility). The sample included a subset of 1,426 older adults (M age = 77.6, SD = 7.1) from the Rush University Memory and Aging Project. Participants completed …

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. …

Neurocardiovascular Instability (Ncvi) Risk As A Predictor Of Cognitive Function In The Long Life Family Study, Rebecca Abraham

Dissertations, Theses, and Capstone Projects

In aging populations, the abnormal neural control of the cardiovascular system has been examined within the construct of neurocardiovascular instability (NCVI). The main research aim addressed whether baseline features of NCVI could predict cognitive function (i.e., decline) at follow-up within long-lived families. Across 941 subjects, baseline NCVI risk was indexed by two features: (1) self-reported syncopal or fall events and (2) average seated BP. The Low NCVI risk group included those who were normotensive (e.g., within normal BP range) and reported no NCVI features (n=379). The Moderate NCVI risk group included those who elicited pre-hypertensive (elevated BP) or hypertensive (high …

Using Expressive Arts Therapies To Aid The End-Of-Life Transition For Older Adults: A Literature Review, Rosemary Lape

Expressive Therapies Capstone Theses

This literature review presents the use of expressive arts therapies as they may be applied to end-of-life care for older adults. Death is inevitable and if given the chance to prepare, the expressive arts modalities provide a foundation to process the emotions associated with the ending of a life on earth. Expressive arts provide the opportunity to communicate in non-traditional ways which have the ability to locate subconscious themes. End-of-life care previously revolved around pain management. In more recent years it has evolved to caring for the whole person emotionally, socially, psychologically, and physically. Sources were found utilizing resources provided …

Development And Testing Of The Mueller Assessment Of Transition (Mat): A Tool For Measuring Older Adults' Wellbeing When Transitioning Into Assisted Living Facilities, Kaitlin Mueller

All Dissertations

Transitions into assisted living facilities (ALFs) may influence older adults’ wellbeing. Positive influences on older adults’ wellbeing are referred to as adjustment strategies, whereas negative influences are called constraints to wellbeing. Theoretical underpinnings for these influences are found in the Hierarchical Leisure Constraints Theory and the Transition Process Framework. Past research indicates a few influences on older adults’ wellbeing, such as family relationships, perceived physical health, and connections to the community. However, no assessment existed to quantify their wellbeing when relocating into an ALF. Therefore, this dissertation details the development and factor structure of the Mueller Assessment of Transition (MAT), …

The Use Of Non-Immersive Virtual Reality As A Functional Rehabilitation Tool For Older Adults With Cognitive Decline, Ross M. Divers

LSU Master's Theses

There is currently no cure for age-related cognitive decline or dementia and current pharmacologic interventions have had limited success at improving daily functioning. Consequently, older adults who experience cognitive decline require assistance with daily activities, which can be quite expensive and lead to caregiver burden. Repeated performance of everyday tasks has been shown to improve performance but requires supervision and direction by another person. The present study evaluated a low-cost computer training program that will use non-immersive virtual reality to enable participants with dementia or cognitive decline to independently practice meaningful everyday activities (e.g., meal preparation). Participants (N= 8) with …

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 …