Gerontology Commons^™

The Role Of Workplace Supervisor Support In Cargivers' Marital Relationships, Kenona H. Southwell

Open Access Dissertations

Family caregivers make important contributions to care recipients and the economy. However, providing care for ill or disabled family members can be challenging, particularly when the role of caregiver is accompanied by additional roles such as employee, spouse, and parent ( Hammer & Neal, 2008). There is some evidence that the demands of caregiving may negatively influence the quality of caregivers’ marriages (Bookwala, 2009). Much of caregiving research, however, is focused on the influence of caregiving and multiple caregiving roles on caregivers’ health (see Pinquart & Sörensen, 2011), but less attention has been paid to other aspects of caregivers’ lives …

Fear Conditioning And Extinction In Youth With Obsessive-Compulsive Disorder, Joseph F. Mcguire, Scott P. Orr, Monica S. Wu, Adam B. Lewin, Brent J. Small, Vicky Phares, Tanya K. Murphy, Sabine Wilhelm, Daniel S. Pine, Daniel Geller, Eric A. Storch

Psychology Faculty Publications

BACKGROUND: Fear acquisition and extinction are central constructs in the cognitive-behavioral model of obsessive-compulsive disorder (OCD), which underlies exposure-based cognitive-behavioral therapy (CBT). Youth with OCD may have impairments in fear acquisition and extinction that carry treatment implications. We examined these processes using a differential conditioning procedure.

METHODS: Forty-one youth (19 OCD, 22 community comparisons) completed a battery of clinical interviews, rating scales, and a differential conditioning task that included habituation, acquisition, and extinction phases. Skin conductance response (SCR) served as the primary dependent measure.

RESULTS: During habituation, no difference between groups was observed. During acquisition, differential fear conditioning was observed …

Training For Research And Teaching In Geropsychology: Preparing The Next Generation Of Scholars And Educators, Brian D. Carpenter, Erin Sakai, Michele J. Karel, Victor A. Molinari

Aging Studies Faculty Publications

For geropsychology to flourish in the years ahead, we need scientists to advance knowledge and teachers to draw new professionals into the field. In this project the authors surveyed 100 geropsychologists who completed a doctoral degree in clinical or counseling psychology about their experience with training for research and teaching. The majority were currently conducting some degree of research (38%) and some form of teaching (45%). The majority of ratings for components of research training were in the “very good to excellent” range, whereas elements of teacher training were rated in the “poor to good” range, though there was variability …

Incremental Validity Of Useful Field Of View Subtests For The Prediction Of Instrumental Activities Of Daily Living, Frederik Aust, Jerri D. Edwards

Aging Studies Faculty Publications

Introduction: The Useful Field of View Test (UFOV®) is a cognitive measure that predicts older adults’ ability to perform a range of everyday activities. However, little is known about the individual contribution of each subtest to these predictions, and the underlying constructs of UFOV performance remain a topic of debate.

Method: We investigated the incremental validity of UFOV subtests for the prediction of Instrumental Activities of Daily Living (IADL) performance in two independent datasets, the SKILL (n = 828) and ACTIVE (n = 2426) studies. We then explored the cognitive and visual abilities assessed by UFOV …

Respiratory Sinus Arrhythmia Reactivity To A Sad Film Predicts Depression Symptom Improvement And Symptomatic Trajectory, Vanessa Panaite, Alexandra Cowden Hindash, Lauren M. Bylsma, Brent J. Small, Kristen Salomon, Johnathan Rottenberg

Psychology Faculty Publications

Respiratory sinus arrhythmia (RSA) reactivity, an index of cardiac vagal tone, has been linked to self-regulation and the severity and course of depression (Rottenberg, 2007). Although initial data supports the proposition that RSA withdrawal during a sad film is a specific predictor of depression course (Fraguas, 2007; Rottenberg, 2005), the robustness and specificity of this finding are unclear. To provide a stronger test, RSA reactivity to three emotion films (happy, sad, fear) and to a more robust stressor, a speech task, were examined in currently depressed individuals (n = 37), who were assessed for their degree of symptomatic improvement over …

Experiencing The Death Of A Formerly Abusive Parent, Heather Spence

Antioch University Dissertations & Theses

It is well documented that approximately 25–33% of children experience abuse, many of those at the hands of a primary caretaker. Within the literature on child maltreatment, there exists a paucity of research about the long-term effects of early maltreatment on adult attachments with the previous abuser, including the experiences of adults who experience the death of their previous caretakers. Additionally, most of the research on grief and bereavement assumes positive affect for the deceased by survivors. This dissertation is an in-depth examination of five adults, aged 50–70 years old, who experienced the recent death of a parent or stepparent …

The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey

Antioch University Dissertations & Theses

The age cohort of 65 years and older is a growing population. It is part of the group referred to as Baby Boomers, the generation born between the years 1946-1964. It will be the largest population to reach late adulthood to date. In the United States alone, the Baby Boomer cohort is expected to reach 70 million by 2030. In response to this growing elderly population much research has been conducted on Baby Boomer quality of life issues. Such research uncovered the phenomenon known as the well-being paradox. The well-being paradox refers to the findings that older adults' life satisfaction …

Memory Deficits In Older Adults: Evaluating Spaced Retrieval With Multiple Probe Techniques, Christopher Walmsley

Dissertations

Difficulties in recognizing and remembering the names of individuals are a common behavioral symptom of major neurocognitive disorder. A number of behavioral strategies have been proposed to improve memory deficits, including spaced retrieval, an intervention that emphasizes delayed recall of target information. Unfortunately, many of the studies that report beneficial effects of spaced retrieval use a very limited range of outcome measures, thus calling into question the magnitude and generality of any reported memory improvement. This study reports on the impact of spaced retrieval using four older adults with cognitive impairment living in an assisted living facility. All participants demonstrated …

A Phenomenological Study Of Anticipated Intimacy And Sexual Expression Needs Of Aging Male And Female Baby Boomers., Charles Shawn Oak

Electronic Theses and Dissertations

The purpose of this study was to understand the phenomenon of how heterosexual Baby Boomers define and understand intimacy, sexual expression, along expectations and desires relating to their respective expressions across the lifespan through their individual experiences and reflections. A set of guiding questions were used in a hermeneutic phenomenological qualitative research design. Data was gathered from thirteen subjects (n=13) using the Rappaport Time Line (RTL) that was used to develop individualized semi-structured interviews and follow-up interviews that were professionally transcribed. These were coded to identify emergent themes. Results of the study provided insight into the phenomenon of how heterosexual …

Helping Elders Living With Pain (Help), Suzanne Leveille, Tongjian You

Office of Community Partnerships Posters

The HELP study, which is a two-year study supported by a R21 grant from National Institute on Aging, is a direct extension of our previous work examining attentional demands of chronic pain in the older population. The HELP study is designed to compare two different exercise programs - simple body exercise and mind-body exercise, in their effects on pain symptoms, cognitive function, dual-task walking ability, and levels of pain-related biomarkers in community-dwelling older adults with multisite pain who are at risk of falling.

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) …

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 …

The Difference In Perception Of Gerotranscendence Between College Students And Healthy, Community-Dwelling Older Adults, Duc Viet Lai

All Graduate Theses, Dissertations, and Other Capstone Projects

Within the field of gerontology, some notable attempts to explain the aging process include activity theory, disengagement theory, Erikson's eight stages model, and socioemotional selectivity theory. The theory of gerotranscendence, recently developed by Lars Tornstam (1989), incorporates some aspects of these theories, and seeks to provide an overarching theme to the process of aging. The theory of gerotranscendence explains a shift in meta-perspective that a person experiences as they live, from a more materialistic and pragmatic view of the world to a more cosmic and transcendent one. Corresponding with this shift, the gerotranscendent individual exhibits certain behaviors, some of which …

The Effects Of Geriatric Sexual Orientation On Caregiver Reactions To Resident Sexual Behavior Within Long-Term Care Facilities, Andrew Jonathan Ahrendt

All Graduate Theses, Dissertations, and Other Capstone Projects

Within the paucity of literature regarding older adult sexuality, a larger dearth exists concerning biases of long-term care facility staff toward gay and lesbian older adult residents. Prior literature has documented that LGBT (lesbian, gay, bisexual, and transgender) individuals' perceive that they do not receive the same quality of care as that of heterosexual individuals within long-term care facilities. Thus researchers aimed to evaluate whether these biases truly exist within care facilities that can prevent holistic care from being comprehensively provided to everyone regardless of sexual orientation. 153 residential care facility staff members from two separate facilities read one of …

An Investigation Into The Psychological Impact Of Informal Aged Care: The Lived Experience Of Older Female Informal Aged Carers, Emma Stein

Theses : Honours

It has been estimated that 196,000 (38%) informal carers in Australia are aged over 65 years, with the majority of these carers providing care to someone in their own age group. In particular, it is women who have been providing most informal care. Recognition of this has highlighted women’s needs for psychological support in their caregiving roles. However, research into women’s experiences of this phenomenon is scarce. The present study aimed to explore the lived experiences of women in this context, asking the question “what are the perceived psychological impacts of aged care on older women who are informal carers?” …

Making Space For Dying: Portraits Of Living With Dying, Elise Lark

Antioch University Dissertations & Theses

In Making Space for Dying: Portraits of Living with Dying, I describe the everyday lived experience of dying and the care culture within freestanding, community-based, end-of-life residences (CBEOLR) utilizing portraiture and arts-based research. I craft four case studies into “portraits,” based on interviews, on-site visits, up-close observation, and field notes. In the person-centered portraits, I reveal the inner landscape of two terminally ill women, with data represented in poetry. In the place-centered portraits, I “map” the social topography of two CBEOLRs to illustrate how lives and care of the dying are emplaced, from the perspectives of community leaders, …

Usability Of Unproctored Internet Testing: Needs Of Older Applicants, Leslie Ann Hagen

Theses Digitization Project

The purpose of this study was to contribute to bridging the gap between research and practice by investigating the particular usability and design issues that impact applicant perceptions when using unproctored testing, particularly the potentially unique reactions of older applicants. Age was also used as a variable to determine if it moderates applicant perceptions of procedural justice, organizational attraction and intentions toward the organization when taking an unproctored test.

Memory Priming In Elderly Individuals Diagnosed With Dementia, Jessica Lee Deselms

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to examine the efficacy of a novel memory enhancement procedure for individuals with dementia named "memory priming." Three elderly individuals with a diagnosis of dementia participated in the study. Baseline procedures involved identifying low-probability items that served as targets for the intervention and moderate-probability questions that served as control items. A variation of a reversal design was implemented to compare three different conditions: the memory priming intervention and two control conditions that involved reading aloud and a watching a video. The results of the study indicated that individuals with moderate-to-severe memory impairment do …

Fear As A Predictor Of Life Satisfaction For Older Adults In Retirement In Canada, Satoko Nguyen

Walden Dissertations and Doctoral Studies

In developed countries, most healthy retirees still have fears about growing old; however, there is little empirical data on the relationship between this fear and quality of life. This cross-sectional, correlational, survey study tested whether a summated measure of fears of growing old (fear) based on Laslett’s theory of retirement (the third age) significantly predicted life satisfaction and retirement satisfaction after adjusting for significant activity theory covariates. 190 Canadian volunteer retirees at 3 community retirement centers completed surveys. A pilot study established the reliability and valdity of the scales, including an instrument Fears about Growing Old derived from Laslett’s exemplifications, …

Determining Musical Preferences In Persons With Dementia: Comparing Caregiver Options To Stimulus Preference Assessment, Eva Christine Igler

All Graduate Theses, Dissertations, and Other Capstone Projects

The music therapy literature supports the use of individualized music in order to reduce problem behaviors among individuals with moderate to severe dementia; however, these interventions frequently rely on family members and/or staff to choose preferred music. Family members and caregivers are often inaccurate when choosing preferred stimuli for cognitively impaired individuals. The purpose of this study was to determine if family members and caregivers could accurately identify the preferred music of individuals with dementia. A single stimulus preference assessment was used to empirically determine preferred music and then these results were compared to family member and caregiver rankings. The …

Computer-Based Cognitive Training For Age-Related Cognitive Decline And Mild Cognitive Impairment, James Fortman

Antioch University Dissertations & Theses

Cognitive Training has been shown to be an effective tool in enhancing cognitive functioning. Research has also shown video game playing can improve certain aspects of visual attention and cognitive processing speed. The purpose of this study was to evaluate the effectiveness of both a specific computer-based cognitive training program and non-specific video game playing in improving cognitive functioning for individuals with age-related cognitive decline and mild cognitive impairment. Twenty-nine older adults were recruited into the study and randomly assigned to either the cognitive training group or video-game playing group. Nineteen participants completed the study, engaging in either cognitive training …

The Origin Of A Sense Of Self In Women, Kimberly Dewing Robbins

Antioch University Dissertations & Theses

This phenomenological study focuses on how a strong sense of self in women changes social precepts and gender stereotypes empowering women to define themselves instead of being defined by society. A sense of self may be defined as the ability to distinguish one’s own values from those of any outside persuasions, and to do so well enough to be able to protect those ideals from unwanted external influence. Is a sense of self, realized at a young age, an innate feeling or developed over time through adversity and the maturation process? This study will specifically look at what influences can …

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 …

An Exploration Of The Experience And Social Construction Of Ageing: Perspectives From Older Adults In A Healthy Ageing Program And Those From Western Australian And Welsh Communities, Sasha A. Stumpers

Theses: Doctorates and Masters

In recent years, a strong focus has emerged towards developing and implementing guidelines, policies, governmental strategies and research agendas that best support a growing ageing population (United Nations, 1983, 1990, 1991, 1999, 2001, 2002, 2012; United Nations Programme on Ageing/International Association of Gerontology and Geriatrics, 2007; United Nations/Department of Economic and Social Affairs, 2008; World Health Organization, 2002, 2004a). Locally in Western Australia (WA), nationally and internationally, this attention has culminated in a focus on promoting the notion of “healthy ageing” (Commonwealth of Australia, 1999; Commonwealth States and Territories, 2000; Office for Seniors Interests and Volunteering, 2006; U.S. Department of …

Baby Boomers At Work: Growing Older And Working More, Eve M. Brank

Nebraska College of Law: Faculty Publications

In the current chapter, I will first detail the legal framework for workplace age discrimination and court case examples that have largely mirrored race and gender discrimination law. Next, I will discuss the psychological research that details the consequences of age discrimination with a particular focus on the combined effects of stereotype assimilation and notions of deservingness of respect. Last, I will suggest that until we know the causes of age discrimination, we cannot legitimately address its consequences the same way we have addressed other forms of discrimination. Specifically, I will argue that legislating against age discrimination is inherently different …

A Functional Analysis Of Elderspeak Use By Certified Nursing Assistants In Caregiving Situations, Nathaniel Joseph Lombardi

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to assess the function of Elderspeak (i.e., a patronizing style of speech used with older adults) use by Certified Nursing Assistants (CNA's) in caregiving situations, with the intention of identifying factors or variables related to its use. This was done using a questionnaire intended to ascertain CNA's general evaluations of the likelihood and appropriateness of Elderspeak use in a variety of different contexts. The questionnaire included a total of 36 items that identified positive and negative factors pertaining to residents and caregivers. Consistent with existing models and previous research, it was hypothesized that …

First Elderly Client In Therapy: Factors That Influence Student Interest In Geropsychology, Cristina E. M. Filippelli

Antioch University Dissertations & Theses

In the coming decades, the elderly population in United States (U.S) is expected to grow significantly (U.S. Bureau of the Census, 1996). Consequently, the number of older individuals seeking mental health services will be greater than at any other time in the history of the U.S. The field of clinical psychology, however, is unable to meet the mental health needs of the current elderly population, and this gap is expected to widen in coming years. There is an ongoing discussion within the field of professional psychology as to how to train more clinicians to work with the elderly population (Gatz …

Effects Of Caregiver Burden And Satisfaction On Affect Of Older End-Stage Renal Disease Patients And Their Spouses, Maureen Wilson-Genderson, Rachel A Pruchno, Francine P Cartwright

Rowan-Virtua School of Osteopathic Medicine Departmental Research

We examined the extent to which a 2-factor model of affect explains how the burdens and satisfactions experienced by caregivers influence their own well-being and that of the spouses for whom they provide care. Using data from 315 older patients with end-stage renal disease and their spouses, we extended tests of Lawton et al.'s (1991) 2-factor model both longitudinally and dyadically. Multilevel modeling analyses partially support the 2-factor model. Consistent with the model, mean caregiver burden has a stronger effect on both caregiver and patient negative affect than does mean caregiver satisfaction. Contrary to the model, mean caregiver satisfaction has …

Knowledge, Attitudes, And Job Satisfaction In Long-Term Care: A Comparison Between Licensed Nurses And Nursing Assistants, Lynne Almand

Graduate Theses

Knowledge, attitudes, and job satisfaction of long-term care workers were examined to determine if a relationship existed between these factors and if differences existed between licensed nurses and nursing assistants. Participants included 36 nurses and 60 assistants from five nursing homes in the Midland/Odessa area. Results indicated that nurses had significantly more positive attitudes toward (t(94) = -5.72, p<.05) and increased knowledge of older adults (t(94) = 2.71, p<.05) than assistants. In addition, more positive attitudes were significantly associated with more knowledge of the elderly (r(96) = -0.36, p<.05) as well as increased levels of job satisfaction (r(96) = -0.53, p<.05).

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. …