scholarly journals 546 - Attachment, loneliness, and depression among residents in long-term care (LTC) homes

2021 ◽  
Vol 33 (S1) ◽  
pp. 88-89
Author(s):  
Suthikarn Arunrasameesopa ◽  
Tinakon Wongpakaran ◽  
Nahathai Wongpakaran
Keyword(s):  
Los Angeles ◽  
Attachment Style ◽  
Attachment Styles ◽  
Long Term Care ◽  
Depression Scale ◽  
Attachment Anxiety ◽  
Anxious Attachment ◽  
Term Care ◽  
The Mean

Background:Little is known regarding attachment styles among residents in long-term care homes and the relationship with depression and lonelinessResearch Objective:The study evaluated the distribution of attachment among residents in long-term care (LTC) homes and identified their association with depression and loneliness.Method:This study involved 132 residents in LTC homes in Thailand. All of them were cognitively intact based on Mini-Cog. The Thai version of the Experiences of Close Relationships-Revised questionnaire (ECR-R-18), the Relationships Questionnaire (RQ) were used to assess attachment. The Thai version of Geriatric Depression Scale (GDS-6) and the 6-item Revised version of The University of California Los Angeles Loneliness Scale (RULS-6) were completed.Preliminary results of the ongoing study:Participants included 85 females (64.4%) with mean age 74.89 (SD 7.89) years. The mean number of years of education was 6.81(SD 4.46) years. Most of the attachment styles were insecure (60.7%). The distribution of attachment style was 39.4% for secure, 15.2% for fearful, 16.7% for preoccupied, and 28.8% for dismissing. The mean score of attachment- anxiety was 3.58 and of attachment-avoidance was 3.61. Mean GDS score was 1.17 (SD 1.58), while depression based on the GDS cut-off was found in 31.1% of the residents. Mean RULS score was 2.36 (SD 0.75). Factors associated with Depression includes male (c2= 4.50, p <.05), anxious attachment (t = 3.51, p = 0.001) and loneliness (t = 4.90, p <0.001). Anxious attachment was associated with loneliness (p <0.001) and depression score (p <0.001), while avoidant attachment was not.Conclusion:The majority attachment style among residents in LTC homes is insecure attachment, with dismissing style the most prevalent. Attachment with high anxiety i.e., preoccupied, and fearful was associated with loneliness and depression.

scholarly journals Influence of Attachment Anxiety on the Relationship between Loneliness and Depression among Long-Term Care Residents

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1675
Author(s):  
Suthikarn Arunrasameesopa ◽  
Nahathai Wongpakaran ◽  
Tinakon Wongpakaran
Keyword(s):  
Depressive Symptoms ◽  
Los Angeles ◽  
Attachment Style ◽  
Attachment Styles ◽  
Long Term Care ◽  
Depression Scale ◽  
Attachment Anxiety ◽  
Term Care ◽  
Care Facilities

Background: Attachment styles influence an individual’s ability to maintain relationships throughout their lifespan. Insecure attachment has been associated with many aspects of mental health. The study aimed to explore the influence of attachment on loneliness and depression among old-age residents in long-term care facilities. Methods: A survey was conducted among residents from long term care facilities (LTC) in Thailand during the COVID-19 pandemic; 221 older people participated in the study. The mean aged was 73.60 ± 7.45 years old, and 57.5% female. All participants completed the Geriatric Depression Scale, the six-item revised version of the University of California Los Angeles Loneliness Scale, and the Revised Experience of Close Relationships questionnaire to measure depressive symptoms, loneliness, and attachment style. Hierarchical multiple regression analysis was performed to find the predictors for depressive symptoms. Results: In all, 40.7% of residents in LTC facilities experienced depression. Male sex, education, loneliness, and attachment anxiety predicted the increased level of depressive symptoms. Conclusion: Loneliness was confirmed to be significantly associated with depressive symptoms, and attachment anxiety was found to be a strong predicting factor of depressive symptoms. Intervention and research regarding reducing loneliness and attachment anxiety should be promoted in LTC settings.

A Prospective 12-Month Study of Prescriptions in Long-Term Care Nursing Facility Residents

2019 ◽  
Vol 34 (3) ◽  
pp. 206-214
Author(s):  
Edward L. Schneider ◽  
Jung Ki Kim ◽  
Diana Hyun ◽  
Anjali Lobana ◽  
Rick Smith ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Los Angeles ◽  
Long Term Care ◽  
Medical Center ◽  
Full Time ◽  
Nursing Facilities ◽  
Geriatric Population ◽  
Nursing Facility ◽  
Term Care

AIM: The most frequent use of medications in the geriatric population occurs in skilled nursing facilities. This quality assurance study prospectively examines the high number of prescriptions ordered for long-term nursing facility residents throughout their first year after admission. METHODS: The investigators prospectively followed 101 consecutive long-term-stay older adult residents at the Joyce Eisenberg Keefer Medical Center, a nursing facility of Los Angeles Jewish Home for the Aging (LAJH) over a 12-month period. Preadmission prescriptions were obtained for 91 residents, as well as prescriptions at 1 week, 1 month, 3 months, 6 months, and 1 year after admission. The number of prescriptions by staff physicians and outside physicians was examined. RESULTS: Over the 12 months following admission, the mean number of scheduled prescriptions increased significantly from 11.1 prior to admission to 13.0 by 6 months and to 13.3 by 12 months (P-value < 0.05). The residents who were hospitalized during the 12 months of observation received significantly more scheduled, as needed, and total prescriptions than those not hospitalized. Physicians employed full time by LAJH ordered significantly fewer additional prescriptions than physicians with outside practices. The patients of the staff physicians also had fewer hospitalizations than those of the outside physicians. CONCLUSION: This quality assurance study reveals a statistically significant increase in the number of prescriptions made in a long-term care setting over a 12-month prospective study. Patients of staff physicians received fewer prescriptions and were hospitalized less frequently than patients of physicians who practiced outside LAJH.

Willingness to Pay for Long-term Care Insurance System in a Municipality in Tokyo

1999 ◽  
Vol 11 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Tsutomu Kitajima
Keyword(s):  
Willingness To Pay ◽  
Long Term Care ◽  
High Expectation ◽  
Term Care ◽  
Financial Responsibility ◽  
Insurance System ◽  
Long Term Care Insurance ◽  
The Mean ◽  
Japanese Yen

This study attempted to estimate the valuation of Long-term care (LTC) insurance system among the residents in a municipality in Tokyo by applying the Willingness to Pay (WTP) approach. The mean WTP for Group one (those aged 65 and over) and Group two (those aged between 40 and 64) was estimated to be 13, 305 Japanese Yen and 8, 722 Japanese Yen, respectively. Both amounts exceed the contribution estimated by the Ministry of Health and Welfare (2, 500 Japanese Yen). The result reflects a high expectation for the system especially among those in Group one. It also suggests that those in Group one may be able to shoulder more financial responsibility for the system. Further research on WTP for LTC insurance system is deemed beneficial for its successful management.

Six-month trajectories of self-reported depressive symptoms in long-term care

2015 ◽  
Vol 28 (1) ◽  
pp. 71-81 ◽  
Author(s):  
Jane McCusker ◽  
Martin G. Cole ◽  
Philippe Voyer ◽  
Johanne Monette ◽  
Nathalie Champoux ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Long Term Care ◽  
Secondary Analysis ◽  
Depression Scale ◽  
Depression Symptom ◽  
Term Care ◽  
Symptom Trajectory ◽  
Over Time

ABSTRACTBackground:Depression is a common problem in long-term care (LTC) settings. We sought to characterize depression symptom trajectories over six months among older residents, and to identify resident characteristics at baseline that predict symptom trajectory.Methods:This study was a secondary analysis of data from a six-month prospective, observational, and multi-site study. Severity of depressive symptoms was assessed with the 15-item Geriatric Depression Scale (GDS) at baseline and with up to six monthly follow-up assessments. Participants were 130 residents with a Mini-Mental State Examination score of 15 or more at baseline and of at least two of the six monthly follow-up assessments. Individual resident GDS trajectories were grouped using hierarchical clustering. The baseline predictors of a more severe trajectory were identified using the Proportional Odds Model.Results:Three clusters of depression symptom trajectory were found that described “lower,” “intermediate,” and “higher” levels of depressive symptoms over time (mean GDS scores for three clusters at baseline were 2.2, 4.9, and 9.0 respectively). The GDS scores in all groups were generally stable over time. Baseline predictors of a more severe trajectory were as follows: Initial GDS score of 7 or more, female sex, LTC residence for less than 12 months, and corrected visual impairment.Conclusions:The six-month course of depressive symptoms in LTC is generally stable. Most residents who experience a more severe symptom trajectory can be identified at baseline.

scholarly journals Standard Error of the Mean and Minimal Detectable Change of Gait Speed in Older Adults Using Japanese Long-Term Care Insurance System

2021 ◽  
Vol 7 ◽  
pp. 233372142110489
Author(s):  
Yui Takada ◽  
Shigeharu Tanaka
Keyword(s):  
Older Adults ◽  
Standard Error ◽  
Gait Speed ◽  
Long Term Care ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Term Care ◽  
Long Term Care Insurance ◽  
The Mean

Evaluation of motor function, such as gait ability, can accurately predict the subsequent occurrence of disability in older adults. There are no reports of standard error of the mean (SEM) or minimal detectable change (MDC) with respect to gait in Japanese long-term care insurance-certified individuals. The purpose of this study was to investigate the values of preferred gait, fast gait, and the timed up and go (TUG) test. This study included 46 participants using the Japanese long-term care insurance system. (age 86.5 ± 6.6 years, 12 men, 34 women). The duration of three gait were measured twice using a stopwatch. The SEM was 0.07 for preferred gait, 0.09 for fast gait and 2.59 for TUG. The MDC was 0.19 for preferred gait, 0.26 for fast gait, and 7.17 for TUG. The SEM and MDC values of preferred gait, fast gait, and TUG in this study corroborated with those of previous studies, whereas others were different. Considering that gait speed differs with the country, it may be difficult to compare it among different population groups. We obtained the results of gait speed of Japanese long-term care insurance-certified individuals, which is a new finding

How Medicaid and Racial inequities Hinder Access to American Long-Term Care

2020 ◽  
Vol 35 (10) ◽  
pp. 408-412
Author(s):  
Madison Blagrove
Keyword(s):  
Long Term Care ◽  
Ethnic Disparities ◽  
Aged Care ◽  
White Americans ◽  
Term Care ◽  
Net Worth ◽  
Board Of Governors ◽  
The Mean ◽  
Racial Lines

As America works towards more inclusive practices in aged care, we are learning more about how racial and ethnic disparities affect this sector. Furthermore, research has allowed for a more complete understanding of how wealth disparities along racial lines re-enforce gaps in access to care. A 2017 report from the Board of Governors of the Federal Reserve System illustrates this clearly. It finds that the mean net worth of White Americans was $933,700, compared to the $138,200 mean net worth of Black Americans. These numbers include adults over age 65 and the families that may assist them in covering their health expenses. Thus, these wealth disparities have profound implications in access to long-term care.

How Medicaid and Racial inequities Hinder Access to American Long-Term Care

2020 ◽  
Vol 35 (10) ◽  
pp. 408-412
Author(s):  
Madison Blagrove
Keyword(s):  
Long Term Care ◽  
Ethnic Disparities ◽  
Aged Care ◽  
White Americans ◽  
Term Care ◽  
Net Worth ◽  
Board Of Governors ◽  
The Mean ◽  
Racial Lines

As America works towards more inclusive practices in aged care, we are learning more about how racial and ethnic disparities affect this sector. Furthermore, research has allowed for a more complete understanding of how wealth disparities along racial lines re-enforce gaps in access to care. A 2017 report from the Board of Governors of the Federal Reserve System illustrates this clearly. It finds that the mean net worth of White Americans was $933,700, compared to the $138,200 mean net worth of Black Americans. These numbers include adults over age 65 and the families that may assist them in covering their health expenses. Thus, these wealth disparities have profound implications in access to long-term care.

The effects of attachment style and security priming on the perception of others’ pain

2016 ◽  
Vol 34 (2) ◽  
pp. 184-208 ◽  
Author(s):  
Yangu Pan ◽  
Dajun Zhang ◽  
Yanling Liu ◽  
Guangming Ran ◽  
Zhaojun Teng
Keyword(s):  
Pain Intensity ◽  
Attachment Style ◽  
Adult Attachment ◽  
Attachment Styles ◽  
Attachment Anxiety ◽  
Future Research ◽  
Anxious Attachment ◽  
Priming Paradigm ◽  
Perceived Pain ◽  
Preoccupied Attachment

Abundant evidence has demonstrated a relationship between adult attachment and the experience of one’s own pain. However, few studies have investigated the associations between adult attachment and perception of others’ pain. The current studies examined the effects of attachment style and security priming on the perception of others’ pain. In Study 1, we explored the influence of avoidant and anxious attachment styles on the perception of pain in pictures representing pain or no pain. The results indicated that individuals high on anxiety and low on avoidance (i.e., preoccupied attachment style) reported more pain intensity and unpleasantness for painful pictures; individuals high on both anxiety and avoidance (i.e., fearful attachment style) reported less pain intensity for painful pictures. In Study 2, we examined the effects of security priming and attachment style on the perception of pain in pictures representing pain or no pain by adopting a security priming paradigm. The results suggested that security priming attenuated perceived pain intensity for painful pictures for individuals with high attachment anxiety. In Study 3, we used another well-validated security priming paradigm; results indicated that security priming reduced perceived pain intensity for pain pictures among individuals high on anxiety and low on avoidance (i.e., preoccupied attachment style) but increased perceived pain intensity for painful pictures among individuals high on both anxiety and avoidance (i.e., fearful attachment style). Directions for future research, clinical implications, and limitations of the present studies are discussed.

scholarly journals Dignity and Predictors of Its Change Among Inpatients in Long-Term Care

2021 ◽  
pp. 105477382110369
Author(s):  
Helena Kisvetrová ◽  
Jitka Tomanová ◽  
Romana Hanáčková ◽  
Peta Jane Greaves ◽  
Alison Steven
Keyword(s):  
Daily Living ◽  
Long Term Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Term Care ◽  
Self Sufficiency ◽  
State Examination ◽  
Geriatric Inpatients

The purpose of this study was to identify any differences in the dignity evaluation of geriatric inpatients after 1 month of hospitalization in a long-term care wards (LTC) and predictors of this change. This follow-up study included 125 geriatric inpatients who filled the Patient Dignity Inventory (PDI-CZ), Geriatric Depression Scale, Barthel Index, and Mini-Mental State Examination. In the initial measurement, the patients rated of PDI-CZ item “Not able to perform tasks of daily living” the worst. One month after, the items “Not able to perform tasks of daily living,” “Not able to attend to bodily functions,” and “Not feeling worthwhile or valued” were improved. Patients with higher education, for whom self-sufficiency improved and depression decreased, rated their dignity more positively 1 month after the hospitalization in LTC. Our findings suggest that these factors are important for the maintenance of the dignity of older adults hospitalized in LTC.

A Study Evaluating Mindfulness and Naikan-Based Therapy: AEON-HO for Attachment Style, Self-Actualization, and Depression

2018 ◽  
Vol 123 (2) ◽  
pp. 239-251
Author(s):  
Chieko Fujisaki
Keyword(s):  
Attachment Style ◽  
Attachment Styles ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Attachment Anxiety ◽  
Depressive State ◽  
Attachment Avoidance ◽  
High Affinity ◽  
Before And After ◽  
Self Actualization

AEON-HO (Altering emotional organization-holistic operation) contains methods of Naikan therapy and mindfulness. Naikan and mindfulness are originally from Buddhism tradition, and they have a high affinity. AEON-HO was conceptualized to improve attachment issues and the growth of self-actualization, because Naikan and mindfulness are known to be effective for attachment issues but partially if they are used independently. Naikan can approach to attachment avoidance, while mindfulness can approach to attachment anxiety. The primary purpose of this study was to assess the effectiveness of AEON-HO on attachment styles, self-actualization, and depression by using “attachment style scale the Experiences in Close Relationships inventory–the generalized–other–version (ECR-GO),” “self-actualization scale” translated to Japanese, and “center for epidemiologic studies for depression scale.” Participants have taken these three psychological questionnaires before and after the eight-week program of AEON-HO, and the results of scales were compared. Participants were 36 adults with a mean age of 49 years ( SD = 3.9). Changes in two attachment styles, anxiety and avoidance and depressive state, were observed between pre- and posttest, while there were no significant changes in self-actualization. However, attachment anxiety and self-actualization were correlated negatively in pre- and posttest, while attachment avoidance and self-actualization were correlated negatively only in pretest.

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