Emotion regulation processes as mediators of the impact of past life events on older adults’ psychological distress

2020 ◽  
Vol 32 (2) ◽  
pp. 199-209
Author(s):  
Virginia Fernández-Fernández ◽  
Andrés Losada-Baltar ◽  
María Márquez-González ◽  
Teresa Paniagua-Granados ◽  
Carlos Vara-García ◽  
...  
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Psychological Distress ◽  
Life Events ◽  
Personal Growth ◽  
Experiential Avoidance ◽  
Well Being ◽  
The Elderly ◽  
Past Life ◽  
The Impact

ABSTRACTObjective:Although it is known that certain emotion regulation processes produce a buffering effect on the relationship between life events and well-being, this issue has been poorly studied in the elderly population. Thus, the aim of the present study is to test and confirm a comprehensive model of the impact that past life events have on older adults’ psychological distress, exploring the possible mediating roles of emotion regulation processes. These include rumination, experiential avoidance, and personal growth.Methods:In this cross-sectional study, 387 people over 60 years old residing in the community were assessed on life events, physical functioning, emotion regulation variables, psychological well-being, as well as symptoms of anxiety and depression.Results:The structural model tested achieved a satisfactory fit to the data, explaining 73% of the variance of older adults’ psychological distress. In addition, the main results suggest possible mediation effects of both the physical functioning and the emotional variables: rumination, experiential avoidance, and personal growth in the face of hardship.Conclusions:These findings confirm the importance of emotion regulation processes in the final stages of life. They reveal the various adaptive and maladaptive mechanisms that underlie the relationship between life events and psychological distress. The findings suggest – both in the explanatory models of psychological well-being and in psychotherapeutic interventions – the importance of emotion regulation in the elderly population’s health.

scholarly journals AGE, EXPERIENCE OF RACIAL MICROAGGRESSIONS, AND DISTRESS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S711-S712
Author(s):  
Shayla Thompson ◽  
Broderick Sawyer ◽  
Suzanne Meeks
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Well Being ◽  
Racial Microaggressions ◽  
Amazon Mechanical Turk ◽  
Cross Sectional ◽  
Younger Adults ◽  
Anger Rumination ◽  
The Impact ◽  
The Relationship

Abstract Racial microaggressions are a common form of racial discrimination consisting of subtle or interpersonal slights. Racial microaggressions are linked to various kinds of psychological distress in younger adults, but have not been studied across the lifespan. We examined the relationship of racial microaggressions with psychological distress and anger rumination among younger and older adults identified as racial or ethnic minorities. We hypothesized that age would moderate the relationship between racial microaggressions and psychological distress and anger rumination, that is, the relationship would be weaker for older than for younger adults. Participants were recruited from Amazon Mechanical Turk and were compensated $1 for their participation. Preliminary tests of the hypotheses (N=220), using multiple regression analyses to test for moderation, failed to support the hypothesis that age would mitigate the impact of microaggressions on symptom severity. Both age and microaggressions were related to psychological distress and anger rumination, but contrary to prediction, older adults showed more exacerbation of distress in the face of microaggressions than younger adults. The results also differed by gender and ethnic groups, suggesting the importance of examining intersectional experiences of race, gender, and age in response to discrimination. These cross-sectional findings lend support to the importance of considering both subtle and overt discriminatory experiences in understanding the mental health challenges for minority groups in the U.S., but more work is needed to examine the intersection of ethnicity with other demographic variables, and to understand how the lifelong experiences of discrimination may shape older adults’ vulnerability, well-being, and resilience.

scholarly journals The mediating role of rumination and personal growth on pandemic depression: a longitudinal study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 728-728
Author(s):  
Teresa Paniagua ◽  
Virginia Fernández-Fernández ◽  
MªÁngeles Molina Martínez
Keyword(s):  
Longitudinal Study ◽  
Regression Model ◽  
Coping Strategies ◽  
Life Events ◽  
Personal Growth ◽  
Emotional Regulation ◽  
The Elderly ◽  
Hierarchical Regression ◽  
Emotional Process ◽  
The Impact

Abstract Introduction The experience of recent months, caused by COVID-19 pandemic including strict home confinement, has required older people to implement coping strategies to combat the harmful effects of depression and associated loneliness. Method: longitudinal study, including functionally and cognitively independent people over 65, three temporal evaluation measures: WAVE1 (6 months pre-COVID-19, N=305; M=73.63; 58.9% women), WAVE2 (during home confinement; N=151; M=73.14; 59.6% women) and WAVE3 (8 months post-WAVE2; N = 85; M=72.62; 64.70% women). Bivariate correlations and a multiple hierarchical regression model are performed to explain the variance of depression in WAVE3 from rumination and growth on general life events (in WAVE1) and rumination and personal growth associated with COVID-19, both in WAVE2 and WAVE3. Results statistically significant correlations are obtained between all the variables. The regression model explains 65.7% of the variance of depression (all steps significant). Both rumination (B=0.45;p=0.00) and growth (B=-0.40;p=0.00) on general life events (WAVE1) explain 54.5% of the depression in WAVE3. Rumination on COVID (B=.310;p≤0.01) in WAVE2 and the growth over COVID (B=-0.24;p≤0.01) in WAVE3, allow a significant explanation of 6.8 and 4.4% of the proposed model, respectively. Conclusions it seems clear the impact that emotional regulation strategies have on life events over time. In addition, rumination is an emotional process of maladaptive coping also in the face of the pandemic. However, the growth capacity of the person is a useful tool to combat the damaging effects of negative life events. In the elderly, it seems necessary to influence and bet on positive coping strategies.

scholarly journals Impact of hearing impairment on psychological distress and subjective well-being in older adults

2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Yasmeen Niazi ◽  
Bisma Ejaz ◽  
Amina Muazzam
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Psychological Distress ◽  
Hearing Impairment ◽  
Well Being ◽  
Satisfaction With Life Scale ◽  
Subjective Well Being ◽  
Age Related ◽  
Distress Scale ◽  
The Impact

Objective: The main objective of this study was to explore the impact of hearing impairment on psychological distress and subjective well-being in older adults with hearing impairment. Methods: The study with cross sectional research design was conducted in three public sector hospitals of Lahore, from February 2017 to June 2017. Participants of the study were adults aged 50-90 years and with hearing impairment, selected through non-probability sampling technique. Demographic Information sheet, Kessler psychological distress scale by Kessler, Mroczek. in 1992 and Satisfaction with life scale by Diener, Emmons, Larsen, Griffin in 1985 were used for data collection. SPSS 21 was used to analyze the data. Results: There were 200 participants with age ranged from 53 to 89 years (M= 65.92, SD= 9.70). Of the total, 100 (50%) subjects were men and 100 (50%) were women. Significant gender differences were found in psychological distress, with men reflecting more symptoms of psychological distress (p<0.01), whereas non-significant gender differences were found in case of subjective well-being (p>0.05). Moreover, psychological distress was observed as a predictor of subjective well-being (p<0.01). One-way analysis of variance revealed insignificant differences of psychological distress and subjective well-being across three levels of hearing impairment. Conclusion: Early diagnosis and rehabilitation of age-related hearing loss improves the overall quality of life of older adults living with hearing impairment. doi: https://doi.org/10.12669/pjms.36.6.2457 How to cite this:Niazi Y, Ejaz B, Muazzam A. Impact of hearing impairment on psychological distress and subjective well-being in older adults. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.2457 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Positive Ageing: to What Extent can Current Models of Wellbeing Categorise the Life Events Perceived as Positive by Older Adults?

2020 ◽  
Vol 5 (3) ◽  
pp. 99-119 ◽  
Author(s):  
Alison Killen ◽  
Ann Macaskill
Keyword(s):  
Older Adults ◽  
Life Events ◽  
Personal Growth ◽  
Well Being ◽  
Community Dwelling ◽  
Hedonic Model ◽  
Negative Stereotypes ◽  
Positive Life Events ◽  
Positive Ageing ◽  
Older Populations

Abstract Life expectancy is increasing globally, which makes understanding what contributes to well-being in older adults crucial for social and economic reasons. This is the first study to categorize positive life events in community dwelling older adults, to explore their fit with psychological well-being models. Volunteers self-defined as well (N = 88), completed diaries identifying three positive events daily for 14 days. Diary entries combated negative stereotypes of ageing by describing older adults with active lives contributing to society. Of nine themes identified through thematic analysis of over 3500 events; seven supported existing well-being models, being activities delivering positive affect and life satisfaction (hedonic model) and demonstrating competence, autonomy, relatedness, self-acceptance, purpose in life, and personal growth (eudemonic models). However, two well-supported new dimensions were also identified within the themes ‘interaction with the physical environment’ and ‘personal well-being’. These new dimensions were labelled ‘life-affirmation and ‘mindfulness’. This suggests the existence of additional considerations related to well-being specifically for older populations, which may indicate a need to broaden the existing models.

The Impact of Epidemic Outbreak

Crisis ◽  
2010 ◽  
Vol 31 (2) ◽  
pp. 86-92 ◽  
Author(s):  
Paul S.F. Yip ◽  
Y.T. Cheung ◽  
P.H. Chau ◽  
Y.W. Law
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Negative Impact ◽  
Well Being ◽  
The Elderly ◽  
Control Measures ◽  
High Rate ◽  
Completed Suicide ◽  
The Impact ◽  
The Relationship

Background: Previous studies revealed that there was a significant increase in suicide deaths among those aged 65 and over in 2003. The peak coincided with the majority of SARS cases being reported in April 2003. Aims: In this paper we examine the mechanism of how the SARS outbreak resulted in a higher completed suicide rate especially among older adults in Hong Kong. Methods: We used Qualitative data analysis to uncover the association between the occurrence of SARS and older adult suicide. Furthermore, we used a qualitative study based on the Coroner Court reports to provide empirical evidence about the relationship between SARS and the excessive number of suicide deaths among the elderly. Results: SARS-related older adult suicide victims were more likely to be afraid of contracting the disease and had fears of disconnection. The suicide motives among SARS-related suicide deaths were more closely associated with stress over fears of being a burden to their families during the negative impact of the epidemic. Social disengagement, mental stress, and anxiety at the time of the SARS epidemic among a certain group of older adults resulted in an exceptionally high rate of suicide deaths. Conclusions: We recommend that the mental and psychological well-being of the community, in particular older adults, be taken into careful account when developing epidemic control measures to combat the future outbreak of diseases in the community. In addition, it is important to alert family members to vulnerable individuals who are at potential risk because of their illnesses or anxieties.

Worry and cognitive control predict course trajectories of anxiety in older adults with late-life depression

2017 ◽  
Vol 44 ◽  
pp. 134-140 ◽  
Author(s):  
P. Spinhoven ◽  
D.C. van der Veen ◽  
R.C. Oude Voshaar ◽  
H.C. Comijs
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Anxiety Disorder ◽  
Cognitive Control ◽  
Life Events ◽  
Negative Life Events ◽  
Growth Mixture Modeling ◽  
Anxiety Symptoms ◽  
Persistent Symptoms ◽  
The Impact

AbstractBackground:Many older adults with depressive disorder manifest anxious distress. This longitudinal study examines the predictive value of worry as a maladaptive cognitive emotion regulation strategy, and resources necessary for successful emotion regulation (i.e., cognitive control and resting heart rate variability [HRV]) for the course of anxiety symptoms in depressed older adults. Moreover, it examines whether these emotion regulation variables moderate the impact of negative life events on severity of anxiety symptoms.Methods:Data of 378 depressed older adults (CIDI) between 60 and 93 years (of whom 144 [41%] had a comorbid anxiety disorder) from the Netherlands Study of Depression in Older Adults (NESDO) were used. Latent Growth Mixture Modeling was used to identify different course trajectories of six-months BAI scores. Univariable and multivariable longitudinal associations of worry, cognitive control and HRV with symptom course trajectories were assessed.Results:We identified a course trajectory with low and improving symptoms (57.9%), a course trajectory with moderate and persistent symptoms (33.5%), and a course trajectory with severe and persistent anxiety symptoms (8.6%). Higher levels of worry and lower levels of cognitive control predicted persistent and severe levels of anxiety symptoms independent of presence of anxiety disorder. However, worry, cognitive control and HRV did not moderate the impact of negative life events on anxiety severity.Conclusions:Worry may be an important and malleable risk factor for persistence of anxiety symptoms in depressed older adults. Given the high prevalence of anxious depression in older adults, modifying worry may constitute a viable venue for alleviating anxiety levels.

A REVIEW ON THE BENEFITS OF HORTICULTURAL THERAPY FOR RETIREMENT COMMUNITY IN MALAYSIA

2017 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Amirul Amin Ismail ◽  
Ismail Samsuddin ◽  
Azman Zainonabidin ◽  
Harlina Mohd Ali
Keyword(s):  
Well Being ◽  
The Elderly ◽  
Retirement Community ◽  
Analysis Method ◽  
Horticultural Therapy ◽  
Seamless Integration ◽  
Ageing Society ◽  
After Effects ◽  
Malaysian Population ◽  
The Impact

By the year 2030, Malaysian population will experience the after effects of the rapid growth of ageing society. This paper investigates the impact of seamless integration of horticultural activity in the new residential typology of retirement community. It is believed that horticultural therapy is not only beneficial for physical and psychological but also promotes socialisation opportunities among the elderly. Comparative analysis method on selected precedent studies has been carried out and analysed in accordance with Malaysian context. Initial findings indicate that a retirement community with horticultural activity gives therapy for healthier well-being. This therapeutic activity can be apositive change in elderly lifestyle and essential towards the establishment of retirement community in Malaysia. 

The Impact of Stressful Life Events and Social Support on Drinking among Older Adults: A General Population Survey

1992 ◽  
Vol 35 (2) ◽  
pp. 99-123 ◽  
Author(s):  
Karen M. Jennison
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Life Events ◽  
Stressful Life Events ◽  
Prolonged Exposure ◽  
Drinking Behavior ◽  
National Sample ◽  
Stressful Life ◽  
Stress Buffering ◽  
The Impact

This article is an analysis of stressful life events, the buffering hypothesis, and alcohol use in a national sample of 1,418 respondents 60 years of age and over. The results indicate that older adults who experience stressful losses are significantly more likely to drink excessively than those who have not experienced such losses or who have experienced them to a lesser extent. Increased drinking among older adults may therefore be a reaction to life circumstances in which alcohol represents an attempt to cope with traumatic loss, personal as well as within the kinship network. Supportive resources of spouse, family, friends, and church appear to have a stress-buffering effects that reduces the excessive-drinking response to life crisis. Data suggest, however, that older persons are vulnerable to the magnitude of losses experienced as they grow older and lose more of their family, friends, and peers. These stressors appear to seriously impact their drinking behavior and are not effectively buffered. Respondents report that drinking may increase during periods of prolonged exposure to emotionally depleting life change and loss, when supportive needs may exceed the capacities of personal and social support resources.

scholarly journals The Geriatric Medication Game to Raise Community Pharmacists’ Awareness on Older Adults’ Day-to-Day Challenges

2021 ◽  
pp. 1-6
Author(s):  
Aisha F. Badr
Keyword(s):  
Older Adults ◽  
Saudi Arabia ◽  
Learning Process ◽  
Community Pharmacists ◽  
The Elderly ◽  
Learning Activity ◽  
Simulation Games ◽  
Self Reflection ◽  
Satisfaction Rate ◽  
The Impact

<b><i>Introduction:</i></b> In Saudi Arabia; it is estimated that the elderly (aged 60 and above) would reach up to (22.9%) by 2050, compared to (5.6%) in 2017. Simulation games have proven to be a useful and effective method of education in pharmacy schools, as it actively involves participants in the learning process. The objective of this study was to examine the impact of the modified geriatric medication game on community pharmacists’ awareness and attitudes toward older adults with common disabilities. <b><i>Methods:</i></b> A modified geriatric medication game was adopted to stimulate both physical and sensory disabilities in older adults. A total of 9 community pharmacists were gathered in 1 room and were asked to play 2 scenarios each. Self-reflection was assessed and ground theories were analyzed. <b><i>Results:</i></b> All pharmacists felt frustration and anger playing the game (100%), followed by becoming more aware of the extra time and guidance needed with older adults and realized how disabling chronic diseases could be, and felt they needed to improve common perceived attitude towards the elderly (88.89%). Pharmacists also felt empathy, sympathy, and compassion towards this population, needed improvement of common perceived attitude towards older adults, and felt the need to double check with older adults if they have any disabilities before counseling (77.78%). Finally, over half pharmacists (55.5%) wished they had more training on geriatrics during pharmacy school and the need for further review of Beer’s criteria. All pharmacists were satisfied with the game and recommended it to all community pharmacists. <b><i>Conclusion:</i></b> Simulation games are a great way to strengthen awareness and change practice accordingly. Pharmacists improved their awareness and attitude towards the elderly and reported a positive perceived value of this learning activity; with a 100% satisfaction rate. Adding a geriatric course with simulation component is recommended for better geriatric care.

scholarly journals The impact of COVID-19 on the well-being and cognition of older adults living in the United States and Latin America

2021 ◽  
Vol 35 ◽  
pp. 100848
Author(s):  
Ganesh M. Babulal ◽  
Valeria L. Torres ◽  
Daisy Acosta ◽  
Cinthya Agüero ◽  
Sara Aguilar-Navarro ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
Latin America ◽  
Well Being ◽  
The United States ◽  
The Impact
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