Health Psychology Commons^™

Computational Thinking As A Novel Framework For Enhancing Cognitive Organization In Older Adults With Cognitive Frailty (Letter To The Editor), Daisuke Akiba

Publications and Research

As aging populations grow, especially in high-income nations, the burden of dementia-related care continues to escalate both economically and socially. In response, this article introduces Computational Thinking (CT) as a novel, non-pharmacological framework to support cognitive organization in older adults experiencing cognitive frailty. Though CT has gained traction in fields like PK-16 education, including special education, for enhancing executive function and problem-solving, it has not yet been applied to geriatric- or memory-care contexts. This perspective proposes that CT’s core components (i.e., decomposition, pattern recognition, abstraction, and algorithmic thinking) may align with residual cognitive strengths in mild-to-moderate dementia, offering a strengths-based, …

Beyond My Control: The Role Of Sense Of Control On Cognitive Functioning And Depressive Symptoms In Older Adults, Sabine Lohmar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depression and depressive symptoms commonly coincide with mild cognitive impairment (MCI) and dementia in older adults (Ismail et al., 2017; Panza et al., 2010), with its prevalence varying based on dementia severity, diagnostic criteria, and dementia subtype (Chi et al., 2015; Ismail et al., 2017; Leung et al., 2021; Lopez et al., 2003). This relationship is hypothesized to exist for a variety of reasons, including that depressive symptoms occur as an emotional response to cognitive functioning (Bennett & Thomas, 2014; Richard et al., 2013). Emotional responses may be explained by a decline in sense of control, or the belief in …

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) …

Evaluation Of Telehealth Training To Teach The Stimulus Identification Questionnaire And Multiple Stimulus Without Replacement, Andrea Perez

Dissertations

The field of behavioral gerontology has seen a paucity in literature within the past 15 years focused on updating training technology and teaching best practice skills to staff. Specifically, there is a need to expand the breadth of training research focus areas could more broadly the elderly population (e.g., increasing engagement), to ensure that trainings are designed to equip caregivers with the skills to be independent, and finally, given the frequent staffing challenges experienced by aging settings (Harrington et al., 2020), to explore effective and efficient training techniques that are alternatives to lengthy, in-person training modalities. Given the personnel challenges, …

To Examine The Effects Of Exercise & Instructional Based Interventions On Executive Functioning, Motor Learning & Emotional Intelligence Abilities Among Older Adults, Lavanya Rajesh Kumar

Dissertations, Master's Theses and Master's Reports

Motor skills are a vital part of our life, and there might be situations where we will be required to either learn a new skill or relearn a known one. We examined the effectiveness of two different interventions - eccentric exercise and motivation-based instructions on enhancing the ability of older adults to learn a novel motor skill. Exercise intervention studies have shown that as little as 12 weeks of exercise can lead to improvements in both physical fitness and cognitive function in older adults, particularly executive control. But it is still unclear whether those improvements translate to improvements in other …

Outdoor Air Pollution Exposure And Inter-Relation Of Global Cognitive Performance And Emotional Distress In Older Women, Andrew J. Petkus, Xinhui Wang, Daniel P. Beavers, Helena C. Chui, Mark A. Espeland, Margaret Gatz, Tara Gruenewald, Joel D. Kaufman, Joann E. Manson, Susan M. Resnick, James D. Stewart, Gregory A. Wellenius, Eric A. Whitsel, Keith Widaman, Diana Younan, Jiu-Chiuan Chen

Psychology Faculty Articles and Research

The interrelationships among long-term ambient air pollution exposure, emotional distress and cognitive decline in older adulthood remain unclear. Long-term exposure may impact cognitive performance and subsequently impact emotional health. Conversely, exposure may initially be associated with emotional distress followed by declines in cognitive performance. Here we tested the inter-relationship between global cognitive ability, emotional distress, and exposure to PM2.5 (particulate matter with aerodynamic diameter 2 (nitrogen dioxide) in 6118 older women (aged 70.6 ± 3.8 years) from the Women’s Health Initiative Memory Study. Annual exposure to PM_2.5 (interquartile range [IQR] = 3.37 μg/m³) and NO₂ (IQR …

Maladaptive Personality Traits And Health Behaviors, Health Perceptions, And Inflammatory Biomarkers In Older Adults, Joshua R. Oltmanns

Theses and Dissertations--Psychology

Traits from dimensional models of normal-range personality have been shown to predict physical health outcomes including health behaviors, health perceptions, disease, and mortality. Maladaptive traits of personality disorders may predict even more variance in physical health indicators. Dimensional models of maladaptive personality traits are replacing categorical models of personality disorder, and the five-factor model of personality disorder (FFMPD) has been shown to be a useful dimensional model of maladaptive traits. However, there has been little work investigating the criterion validity of the FFMPD for predicting physical health indicators. The present study examines FFMPD scales in the prediction of health behaviors, …

Help-Seeking For Cognitive Impairment By The Patient : The Role Of Self-Compassion., Allison J. Midden

Electronic Theses and Dissertations

Older adults represent one of the fastest growing population groups with estimates predicting global growth from 617 million in 2015 to 1.6 billion in 2050. As the aged population increases, incidence of Alzheimer’s disease (AD) and other dementias will also increase. Professionals agree that early intervention is essential for therapeutic and quality of life purposes. However, many older adults wait several months or years to seek medical help after first noticing signs of cognitive impairment. The present study seeks to identify the predictors of help-seeking for cognitive impairment by an individual for him/herself and the role that self-compassion may play …

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho

Scripps Senior Theses

Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …

From Sunrise To Sunset: A Lifespan Approach To Understanding The Mental Health Of A Subset Of American Farmers, Janna L. Imel

Theses and Dissertations

Prior research has indicated higher risk of suicide for farmers and identified depression and anxiety as mental health concerns, though the majority of research was conducted in the 1980s-1990s. In today’s economic, social, and political climate, farmers are exposed to situations and stressors reminiscent of the 1980s Farm Crisis. An added risk is the aging workforce of farmers, as age-related conditions can make farming even riskier. This study investigated the mental health of a subset of American farmers by exploring farm-related stressors, coping mechanisms, and mental health outcomes. Dispositional mindfulness was explored as a specific coping mechanism. Participants (N …

Advancing Research On Psychological Stress And Aging With The Health And Retirement Study: Looking Back To Launch The Field Forward, Alexandra D. Crosswell, Madhuvanthi Suresh, Eli Puterman, Tara Gruenewald, Jinkook Lee, Elissa S. Epel

Psychology Faculty Articles and Research

Objectives

The Health and Retirement Study (HRS) was designed as an interdisciplinary study with a strong focus on health, retirement, and socioeconomic environment, to study their dynamic relationships over time in a sample of mid-life adults. The study includes validated self-report measures and individual items that capture the experiences of stressful events (stressor exposures) and subjective assessments of stress (perceived stress) within specific life domains.

Methods

This paper reviews and catalogs the peer-reviewed publications that have used the HRS to examine associations between psychological stress measures and psychological, physical health, and economic outcomes.

Results

We describe the research to date …

Gene-Environment Interaction: Brain-Derived Neurotrophic Factor (Bdnf) As A Moderating Factor For The Effects Of Exercise And Diet On Cognitive And Mental Health: The Cache County Study On Memory In Aging, Chelsea L. Sanders

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The Cache County Study on Memory in Aging, funded by the National Institute on Aging, studied longitudinal changes in memory and aging over 12 years’ follow-up in a population-based sample of 5,092 older adults in semirural Cache County, UT. Among the extensive interview procedures, researchers collected information regarding the participants’ demographics, health, genetic factors, diet, physical activity, and cognitive abilities. This study has allowed researchers to investigate how genetic and modifiable lifestyle factors interact to predict health, cognitive function, and psychological wellbeing in older adults.

Diet and exercise are important lifestyle factors in maintaining cognitive health and psychological wellbeing throughout …

The Effect Of A Stage Of Change Tailored Intervention On Physical Activity And Psychological States Of Older Adults, Emilee Blosser

Senior Honors Projects, 2010-2019

Abstract

The Effect of a Stage of Change Tailored Intervention on Physical Activity and Psychological States of Older Adults

Introduction: As life expectancy increases in the United States, activity promotion programs aim to help older adults continue to remain happy, healthy, and productive. Programs that facilitate exercise and lifestyle changes can offset regular age-related declines and improve participation in regular fitness programs. Developing more active lifestyles can help the elderly maintain independence in their everyday activities.

Purpose: The goal of this study was to determine the effectiveness of a physical activity intervention tailored to participants’ stage of change on attitudes …

Therapeutic Riding And Psychological Health In Older Adults, Alyssa Pattison, Craig Ashford

Thinking Matters Symposium Archive

This project explores the available quantitative and qualitative research to see if there is a link between therapeutic horseback riding and the reduction in symptoms of depression in older adults. Currently, there is a gap in evidence based research surrounding older populations with depression and therapeutic riding. However, research gathered on adolescents and adults suggest that therapeutic riding may alleviate depressive symptoms in persons over 65 years of age. Studies included in this project reveal groups of themes. The first is assessments, tools and evaluations. The second is animal assisted therapy, equine assisted therapy, therapeutic riding, and the barn environment. …

Discrimination, Mental Health, And Preparedness For Aging In Trans(Gender)/Gender-Nonconforming Adults, Richard S. Henry

Theses and Dissertations

This cross-sectional study examined relationships among discrimination, mental health (i.e., depression and anxiety), preparation for aging (i.e., familiarity and planning), social support, death attitudes, and aging anxiety among TGNC adults (N = 154). Neither discrimination nor mental health predicted preparation for aging familiarity or planning. Discrimination did, however, predict both anxiety and depression, although only the non-affirmation subscale was a unique predictor of both. As discrimination and mental health were not a significant predictor of preparedness for aging in the previous regressions, the hypothesized mediation model and subsequent moderated mediation models were not conducted. Additional exploratory multiple regressions were …

Beliefs About Savoring In Older Adulthood: Aging And Perceived Health Affect Temporal Components Of Perceived Savoring Ability, Paul Jefferson Geiger, Jennifer N. Morey, Suzanne C. Segerstrom

Psychology Faculty Publications

The ability to savor positive life events is associated with higher emotional well-being; however, few studies have examined savoring ability in older adults. The present study used a longitudinal design to examine changes in perceived savoring abilities and associations with perceived health in older adulthood. Older adults (N=131) reported on beliefs about savoring and perceived health at baseline and 2½ years later. Perceived anticipation (savoring the future) and reminiscing (savoring the past) abilities declined from baseline to follow-up. Better perceived health at baseline predicted greater perceived reminiscing and anticipation abilities at follow-up. Greater perceived ability to savor the …

Maintenance Of Positive Affect Following Pain In Younger And Older Adults, Ian Andres Boggero

Theses and Dissertations--Psychology

Socioemotional selectivity theory posits that as people age, they become motivated and successful at maximizing positive emotions and minimizing negative ones. Yet, 70% of older adults report physical pain, which is associated with negative affect. The strategies and resources that older adults use to maintain positive affect in the face of pain remain largely unknown. Specific positivity-enhancing strategies include recalling, recognizing, and responding to positive stimuli and prioritizing close over knowledgeable social partners. Executive functions (EF, i.e., task-switching, working memory, and inhibition) and heart rate variability (HRV) may be important resources for coping with pain. The current project used two …

Optimism And Pain Interference In Aging Women, Stephanie T. Judge

Theses and Dissertations--Psychology

Pain interferes with people's daily lives and often limits the extent to which they can pursue goals and engages in activities that promote well-being. The present study test how optimism affects and is affected by pain interference and activity among older women. Every three months for two years, middle- and older-age women (N = 199) complete daily diaries at home for a seven-day period, reporting their daily pain, pain interference, and activity. Optimism was measured at baseline and end-of-study. Multilevel models test the between- and within-person relationships among pain, optimism, pain interference and activity. Pain best predicted pain interference …

Dance And Well-Being In Older Adult Communities: Exploring Efficacy As A Mediator, Beth M. Mcgowan

Honors Thesis

As the population of older adults expands, it becomes increasingly important to develop effective interventions to ensure high levels of well-being. Previous research in a variety of populations has shown that dance produces broad benefits including improving physical mobility, social relationships, autonomy, and self-image. Given this, the present study attempted to clarify the mechanisms through which dance might lead to these improvements. Specifically, this research examined the role of self-efficacy, or beliefs that one can accomplish certain tasks, have in explaining the psychological benefits of dance. I hypothesized that when dance is a social activity it instills a sense of …

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

Openness, Neuroticism, Conscientiousness, And Family Health And Aging Concerns Interact In The Prediction Of Health-Related Internet Searches In A Representative U.S. Sample, Tim Bogg, Phuong T. Vo

Psychology Faculty Research Publications

Recent estimates suggest 60 % of the U.S. adult population uses the Internet to find health-related information. The goal of the present study was to model health-related Internet searches as a function of an interdependent system of personality adaptation in the context of recent health and aging-related concerns. Assessments of background factors, Big Five personality traits, past-month health and aging-related concerns, and the frequency of past-month health-related Internet searches (via Google, Yahoo, AOL, Bing, or some other search engine) were obtained from a representative U.S. sample (N = 1,015). Controlling for background factors, regression analyses showed more frequent health-related …

Reducing Depression During The Menopausal Transition: Study Protocol For A Randomised Controlled Trial, Osvaldo P. Almeida, Kylie Marsh, Leon Flicker, Martha Hickey, Andrew Ford, Moira Sim

Research outputs 2014 to 2021

Background: The menopausal transition (MT) is a biological inevitability for all ageing women that can be associated with changes in mood, including depressive symptoms. There is tentative evidence that women who develop depression during the MT have greater risk of subsequent depressive episodes, as well as increased health morbidity and mortality. Thus, preventing depression during the MT could enhance both current and the future health and well-being of women. This study aims to test the efficacy of a client-centred health promotion intervention to decrease the 12-month incidence of clinically significant symptoms of depression among women undergoing the MT.Methods/Design: This randomised …

Independent Living Oldest-Old And Their Primary Health Provider: A Mixed Method Examination Of The Influence Of Patient Personality Characteristics, Lee Stadtlander, Martha Giles, Amy Sickel, Emma Brooks, Cherri L. Brown, Melissa Cormell, Lara Ewing, Delores Hart, Dawn Koons, Christie Olson, Pamela Parker, Veronica Semenova, Shawna Stoneking

Walden Faculty and Staff Publications

This convergent mixed methods study examined 35 healthy, independent living individuals' (over 85 years) perceptions of their relationship with their primary health provider (PHP) and health practices. The relationship between PHP relationship perceptions and locus of control (LOC), resilience, and self-efficacy was explored through surveys and interviews. The majority indicated they visited their PHP just for preventative care; the number of PHP visits per year was significantly lower than reported for individuals over 85 by the CDC, possible reasons for this finding are provided. A positive relationship between LOC, resiliency, and self-efficacy for the oldest-old was found. Few participants indicated …

Health Issues And Aging In American Indian Older Adults: Resilience Through Adversity, Ennis F. Vaile

Graduate Student Theses, Dissertations, & Professional Papers

The average life expectancy of American Indian (AI) older adults has paralleled mainstream aging trends and is set to continue growing as global increases in longevity continue to improve (Jervis, Boland, & Fickenscher, 2010). However, the disproportionately high levels of chronic health conditions (e.g., diabetes, hypertension, cerebrovascular diseases) observed in this group may outstrip the coping resources of some individuals, potentially leading to unsuccessful aging outcomes such as adverse mental health outcomes (specifically depression). As described in Goins and Pilkerton (2010, p. 346), comparatively higher rates of chronic health conditions have created an “expansion of morbidity,” where American Indians are …

Ethnicity And Lifetimes: Self Concepts And Situational Contexts Of Ethnic Identity In Late Life, Mark Luborsky, Robert L. Rubinstein

Anthropology Faculty Research Publications

This chapter reports on finding from a study of ethnic older men, aged 65 an older (Jewish, Irish, and Italian) who were widowed from 2 to 8 years after a long-term study. It focuses on life reorganization after the initial bereavement period. It identifies key issues in the process concerning continuity and change in identity reformulation, changes in health and activity patterns, ethnic identity and lingering attachment to the deceased spouse. Ethnicity as a dynamic life course process, shaped by contextual and historical dimensions, and personal meaning processes are highlighted. Supported by NIH# R01-AG005204