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Clinical Gerontologist

Victor Molinari
No abstract text is available yet for this article.
April 16, 2019: Clinical Gerontologist
Hillary J Rouse, Brent J Small, Mark E Faust
OBJECTIVES: To evaluate the cognitive, neuropsychiatric, and quality of life outcomes of computer-based cognitive training and social interaction on people with mild to moderate dementia. METHODS: Ten individuals with dementia were recruited to complete a cognitive training regimen. They were randomly assigned to a high social interaction (HSI) group (n = 5) and low social interaction (LSI) group (n = 5). Eight of the original 10 participants completed the cognitive training and were evaluated on cognitive abilities, neuropsychiatric symptoms (NPS), and quality of life (QoL)...
March 21, 2019: Clinical Gerontologist
Cameron J Camp
In far too many instances treatment of persons with dementia has reflected a fundamental denial of basic human rights. At times, these individuals are treated worse than the treatment of animals when the five basic freedoms of animals, described by Pachana in her editorial, are implemented. A number of such examples of dehumanizing (and "de-animalizing") persons with dementia are presented. A case is made for the position that this is the direct result of the "medicalization" of dementia and "Alzheimer Disease...
March 20, 2019: Clinical Gerontologist
Nancy A Pachana
The physical, psychological and social aspects of care for older adults in nursing homes has been the subject of research internationally for more than 50 years. Numerous guidelines, models and principles of care have been published, yet in many facilities the lack of care which is "person-focused" remains concerning. Potentially, a return to a basic set of simple principles guiding care, ones which are intrinsically focused on the person, would be of use. Despite the plethora of models within the human care literature, looking outside of this frame might be useful not only for those in aged care at the end of life, but for older individuals more broadly...
March 5, 2019: Clinical Gerontologist
Sylvia Y Wang, Giyeon Kim
OBJECTIVES: The present study examined the relationship between types and severity of physical-mental comorbidity and subjective well-being (SWB) among older adults. METHODS: The sample was drawn from the National Health and Aging Trends Study (NHATS) collected in 2011. A total of 6,945 older adults aged 65 to 105 were categorized into four groups using 16 common physical health conditions and two mental health problems: no chronic health condition (n = 562, referent), physical health condition (n = 4,946), mental health problem (n = 56), and physical-mental comorbidity (n = 1,380)...
March 4, 2019: Clinical Gerontologist
Viviana M Wuthrich, Ronald M Rapee
OBJECTIVES: To determine the feasibility, acceptability and initial efficacy of telephone-delivered cognitive behavioral therapy (CBT) for the treatment of anxiety and depressive symptoms in people with Parkinson's disease. METHODS: A small randomized controlled trial compared telephone-based CBT to waitlist control. Eleven participants aged >50 years with Parkinson's disease and anxiety and/or depressive symptoms above recommended clinical cut-offs, were randomized to one of two conditions...
March 1, 2019: Clinical Gerontologist
E M Friedman, C Ruini, C R Foy, L Jaros, G Love, C D Ryff
OBJECTIVES: Eudaimonic well-being (EWB), increasingly recognized as a critical component of health, typically declines in later life, and there are no existing programs to sustain or increase EWB in older adults. Lighten UP! is an 8-week program to promote EWB through facilitated group sessions in community settings and at-home practice. Building on earlier pilot research, the current study assessed the effect of the Lighten UP! Program using a longitudinal, multi-site design. METHODS: Men and women (N = 169) aged 60 and over were recruited from three Wisconsin communities...
February 15, 2019: Clinical Gerontologist
Blaise Morrison, Brian N Phillips, Jana E Jones, Robert Przybelski, Garrett Huck
OBJECTIVES: The present study investigates the effect of caregiver and care recipient risk and resistance factors on caregiver quality of life (QOL). Risk factors are those characteristics that contribute to psychosocial maladjustment of the caregiver and reduce QOL, while resistance factors promote caregiver adjustment and improve QOL. METHODS: One-hundred and three caregiver/care recipient dyads were recruited from a memory assessment clinic in Midwestern United States...
February 8, 2019: Clinical Gerontologist
Caitlin J Tyrrell, Jane B Shofer, Emily H Trittschuh
OBJECTIVES: Mental health factors, such as PTSD, can exacerbate typical age-related cognitive changes and lead individuals to have subjective concerns for which few interventions presently exist. This study evaluates self-reported mental health outcomes following a psychoeducational memory skills program designed for veterans over 50 with subjective memory concerns in the context of PTSD. It was hypothesized that outcomes would improve following program participation and that baseline cognitive self-efficacy would moderate improvements in self-reported depression and life satisfaction...
February 7, 2019: Clinical Gerontologist
Jan Mohlman, Sean Lauderdale, Viviana Wuthrich
OBJECTIVES: One major obstacle to the diagnosis and treatment of specific phobias in later life is the lack of assessment tools that are relevant to the fears of older adults. This study investigated the utility of five reliable subscales (Blood/Injury, Agoraphobia, Aggression, Animal/Insect, Social Fears) derived from the Fear Survey Schedule-III, a popular measure of phobic fear, in discriminating older from younger participants. METHOD: The sample was comprised of 81 younger and 61 older adults who completed self-report measures of anxiety and depression and neuropsychological tests...
February 1, 2019: Clinical Gerontologist
Peter A Lichtenberg, Latoya Hall, Evan Gross, Rebecca Campbell
BACKGROUND AND OBJECTIVE: Despite the growth of financial exploitation research in the past decade, almost none has focused on older urban adults, and especially urban African Americans. The Success After Financial Exploitation (SAFE) program provides individual financial coaching to older urban adults. METHODS: We use community education, delivered separately to older adults and to the professionals who serve them, to raise awareness about financial exploitation (FE) and to motivate referrals for financial coaching...
January 29, 2019: Clinical Gerontologist
Sherry A Beaudreau, Dolores Gallagher Thompson, Nancy A Pachana
No abstract text is available yet for this article.
March 2019: Clinical Gerontologist
Megan Johnson Shen, Ryann Freeman, Stephen Karpiak, Mark Brennan-Ing, Liz Seidel, Eugenia L Siegler
OBJECTIVES: The present study examined the intersectionality of stigma across varying groups of older persons living with HIV (PWH). METHODS: Four focus groups of older PWH (gay/bisexual men, heterosexual men, heterosexual and bisexualwomen, and Spanish-speaking) were audio-recorded and transcribed. Inductive thematic text analysis was used to identify qualitative themes. RESULTS: Five major themes emerged from the data: 1) disclosure of HIV status; 2) types of stigma experienced; 3) discrimination experienced; 4) other outcomes associated with experiencing stigma; and 5) influence of aging on social isolation experienced due to stigma...
March 2019: Clinical Gerontologist
Cydney Shindel, Jason M Holland, Dolores Gallagher-Thompson
OBJECTIVES: Dysregulated cortisol in older individuals is associated with neurodegeneration and executive dysfunction, among other negative health outcomes. Executive functioning deficits are believed to underlie declines in functioning among older adults. Despite these associations, there is limited research examining the relationship between cortisol and impaired functional status. METHODS: The present study examined the relationship between cortisol and functional status in a community sample of 51 older adults with depression...
January 18, 2019: Clinical Gerontologist
Jonathan D Bartholomaeus, Joseph E M Van Agteren, Matthew P Iasiello, Aaron Jarden, David Kelly
OBJECTIVES: To test the effect of a community wellbeing intervention, delivered by community partners, on the wellbeing, resilience, optimism, and social connection of older adults in the general population (Study 1) and older adult carers (Study 2), a population at risk for low wellbeing. METHODS: Participants self-selected to take part in an 8-week multi-component wellbeing and resilience program consisting of weekly training sessions, and optional mentoring/peer support...
January 18, 2019: Clinical Gerontologist
Jenny Murfield, Wendy Moyle, Cindy Jones, Analise O'Donovan
OBJECTIVES: This review sought to synthesize published evidence about the role of self-compassion on health outcomes for family carers of older adults, to describe the current state of knowledge. METHOD: Using an integrative review method that permitted any research design, eight databases were searched. Extensive searching of gray literature sources was also undertaken. Studies included in the review underwent processes of methodological quality assessment (Mixed Methods Appraisal Tool - Version 2011), data extraction, analysis, and syntheses...
January 7, 2019: Clinical Gerontologist
Jennifer Moye
No abstract text is available yet for this article.
January 2019: Clinical Gerontologist
G S Pushkarev, G D Zimet, V A Kuznetsov, E I Yaroslavskaya
OBJECTIVE: To assess factorial and construct validity along with reliability of the Russian version of the Multidimensional Scale of Perceived Social Support (MSPSS) in cardiac patients. METHODS: The study included 1018 patients with coronary artery disease. All patients were offered the opportunity to complete a questionnaire to detect psychosocial risk and protective factors, including the MSPSS. RESULTS: Internal consistency of the Russian version of the MSPSS was high: Cronbach's alpha coefficient in the group of patients with stable angina was ...
December 27, 2018: Clinical Gerontologist
Carlos Vara-García, Rosa Romero-Moreno, María Márquez-González, Brent T Mausbach, Roland von Känel, Laura Gallego-Alberto, Ricardo Olmos, Andrés Losada
OBJECTIVE: Dementia caregiving has been described as a chronically stressful situation with adverse cardiovascular effects. Psychological resources such as mindfulness may reduce the impact of stress on caregivers' cardiovascular health. The objective of this study was to analyze the moderating effect of trait mindfulness on the relationship between frequency of disruptive behaviors of the care recipient and blood pressure (BP) in dementia caregivers. METHOD: Participants were 110 dementia family caregivers...
December 18, 2018: Clinical Gerontologist
Katherine Kortes-Miller, Kimberley Wilson, Arne Stinchcombe
OBJECTIVES: Educational interventions have the potential to equip healthcare providers to support diverse aging populations. The purpose of this research was to identify educational gaps hindering the provision of person-centered care to older adults who identify as LGBT. METHODS: Three focus groups were conducted in urban centers in northern, southern, and eastern Ontario with healthcare professionals and frontline staff. Semi-structured focus group discussion guides were developed based on the literature identifying some of the knowledge gaps, attitudes, challenges, and barriers around providing care for older LGBT adults...
November 19, 2018: Clinical Gerontologist
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