“Left Like Stones in the Middle of the Road”: Narratives of Aging Alone and Coping Strategies in Rural Albania and Bulgaria

2018 ◽  
Vol 74 (8) ◽  
pp. 1492-1500 ◽  
Author(s):  
Nina Conkova ◽  
Julie Vullnetari ◽  
Russell King ◽  
Tineke Fokkema

Abstract Objectives We explore and compare older adults’ lived experiences and coping strategies in two postcommunist countries—Albania and Bulgaria. Wholesale youth outmigration and economic and institutional regional decline have led to decaying rural areas where older adults become “abandoned.” Aging alone, as couples or widowed, they are socially marginalized and in constant search for coping mechanisms which enable them to survive. Methods We adopt a social-psychology theoretical framework which distinguishes between problem-focused and emotion-focused coping. Data include 28 in-depth interviews with older residents and participant observation in selected rural areas of the two countries. Results In both countries, rural social isolation is expressed as a lack of close family ties—mainly due to the removal through outmigration of children and grandchildren—and detachment from society at large. The most prevalent coping mechanism consists of practical and emotional support from non-kin ties, especially neighbors. Remittances help to resolve material needs, especially in Albania, where most rural young people migrate abroad. In both settings, a range of emotion-focused coping strategies were identified, including perceptions of decreased needs, lowered expectations about relationships, and satisfaction at the achievements of the younger generations. Discussion Similarities between research findings in Albania and Bulgaria reflect their shared political and institutional history. Although few, differences relate to a combination of contrasting migration and cultural patterns. In both settings problem- and emotion-focused adaptive strategies are overlapping, and successful aging efforts seem to be of a communal rather than an individualistic nature.

2021 ◽  
pp. 147332502199466
Author(s):  
Steffany Sloan ◽  
Jacquelyn J Benson

Transgender older adults have been subject to life-long stigma and marginalization, resulting in significant social and health consequences. Despite these challenges, this population commonly reports thriving in later life. In order to attend to nuanced experiences of older transgender adults, theoretical models of successful aging must reflect complexities presented by gender minority status. In order to address theoretical gaps, a systematic qualitative meta-synthesis was conducted to summarize findings across the body of qualitative transgender aging research. Findings indicated that transgender older adults conceptualize successful aging through the process of embracing gender identity. Themes were identified to conceptualize successful transgender aging such as gender expression, shedding internalized stigma, and championing a resilience mindset. Implications for social work practice are provided, suggesting a more comprehensive understanding of both challenges and resilience factors amongst the aging transgender population.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 580-580
Author(s):  
Dan Zhang ◽  
Zhiyong Lin ◽  
Shuzhuo Li

Abstract Despite increasing acknowledgement that social integration/isolation is an important determinant of health in later life, relevant evidence for older adults in less developed social contexts is still limited. Data derived from 2015 and 2018 waves of a longitudinal study of 976 older adults, aged 60 and older, living in rural areas of Anhui Province, China. We analyzed how the level of social integration/isolation (measured as family and friendship ties) impacted depressive symptoms of older adults. Our results showed that more than half of older adults in our sample were either isolated from family or friends. Further analysis demonstrated that older people who were isolated from friends were more depressed in comparison with those who were closely integrated into friendship ties, while no such association was found in relation to family ties. Assessments of social integration among older adults should account for both family and friendship ties.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dannii Y. Yeung ◽  
Edwin K. H. Chung ◽  
Alfred H. K. Lam ◽  
Alvin K. K. Ho

Abstract Background Middle-aged and older adults are more vulnerable to hospitalization and mortality if they are infected with the COVID-19 virus. The present study investigates the longitudinal effects of subjective successful aging on middle-aged and older adults’ emotional and coping responses to the COVID-19 pandemic, and explores an underlying mechanism through perceived time limitation during the pandemic. Methods A sample of 311 Hong Kong Chinese middle-aged and older adults (Mage = 64.58, SD = 10.14, Range = 45–90 years) were recruited from an Adult Development and Aging Project and participated in a questionnaire study via an online platform or phone interview. Their levels of subjective successful aging, perceived time limitation, and emotional and coping responses to the pandemic were measured. Results The respondents who perceived themselves as more successful in aging process reported more positive and fewer negative emotions compared with their counterparts with lower levels of subjective successful aging. The mediation analysis showed that perceived time limitation could partially account for the effects of subjective successful aging on emotional and coping responses. Conclusions Findings of this study unveil the beneficial effects of subjective views of successful aging on emotional and coping responses to the pandemic through alleviating their perception of time limitation.


2019 ◽  
Vol 10 (04) ◽  
pp. 63-70
Author(s):  
Janet Alexis A. De Los Santos ◽  
Arleth Faith Loreno ◽  
Maria Reza Talaboc

2021 ◽  
Author(s):  
Najmeh Khalili-Mahani ◽  
Shannon Hebblethwaite ◽  
Sasha Elbaz ◽  
Janis Timm-Bottos ◽  
Kim Sawchuk

BACKGROUND Older adults were amongst the first to experience the hazards of COVID-19 stress, from health to social isolation. This situation motivated research organizations and advocacy groups to promote Information and Communication Technologies (ICTs) to support seniors and to mitigate the risk of contagion. OBJECTIVE We used a multimethodological approach to examine how older adults appraised news articles about older adults' COVID-related stress and coping strategies, focusing on ICTs. METHODS This study involved targeted search of several international news media outlets for articles addressing older adults COVID-related stress, coping strategies, and ICTs. Articles that satisfied our selection criteria had more than 100 public comments on their website, Facebook and Reddit feeds. We scraped the comments and performed a quasi-automated social network analysis to identify and map the pattern of interrelations between the topics of age, stress, resources (for coping) and technology. RESULTS Having analyzed the themes emerging from 3390 valid comments in seven international news outlets, revealed that ICTs were not identified as the primary resource for coping with COVID-19 stress. Life experience and putting the discomfort of the pandemic for their age group in perspective (compared to its economic burdens for the younger members of the society) were more prevalent in comments addressing age-related COVID coping strategies. Socialization strategies and connections to people, especially friends and family, were also prominent. Although ICTs such as Zoom and social media platforms were identified as important for maintaining connections, they were not seen as a replacement for face-to-face or in-person experiences. The availability of technologically-mediated news, information and entertainment channels were linked to other activities that helped older adults cope, however these comments also revealed critical attitudes towards ICTs in general. An important finding from our study is that older adults passionately objected to uncritical and patronizing assumptions about the ability of older adults to deal with stress, and to the promotion of ICTs as the most important coping strategy. CONCLUSIONS Informed by media ecology and the appraisal theory of stress and coping, this interdisciplinary approach provides a nuanced understanding of what resources for coping are valued by a group of technologically-savvy older adults. Using social media as a data collection site, we showed that even amongst a digitally-connected group of older adults, ICTS were not positioned as the primary solution to COVID-related problems. As older commenters stated, in promoting ICT use it is necessary to acknowledge, their online and offline needs including their desire for face-to-face connections, their past experiences and perspectives on aging with ICTs, and the import of life experience as a key factor for mitigating stress. CLINICALTRIAL NA


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S162-S162
Author(s):  
Kyrsten Costlow ◽  
Patricia A Parmelee ◽  
Tina Harralson

Abstract The literature on health locus of control (HLC) suggests that individuals who believe that their health is internally determined are more likely to use active coping strategies than those who believe their health is determined by chance or powerful others (Brosschot, Gebhardt, & Godaert, 1994; Gibson & Helme, 2000). Coping strategies (Klapow et al., 1995) and HLC (Campbell, Hope, & Dunn, 2017) have been found to influence the relation between chronic pain and depression. We hypothesized that the relation between osteoarthritis pain and depression would be serially mediated by HLC and coping. Self-report measures of osteoarthritis pain (Meenan, Mason, Anderson, Guccione, & Kazis, 1992; Parmelee, Katz, & Lawton), HLC (Wallston, Wallston, & DeVellis, 1978), coping strategies (Felton & Revenson, 1984; Rosenstiel & Keefe, 1983), and depression (Radloff, 1977) were examined in 367 older adults with osteoarthritis of the knee. Hayes’ (2013) PROCESS macro was used to test the hypothesized serial multiple mediation for three subscales of HLC: internality (IHLC), chance (CHLC), and powerful others (PHLC). After controlling for age, the hypothesized serial mediation was statistically significant for IHLC and CHLC but not PHLC. More specifically, osteoarthritis pain significantly increased CHLC, which increased negative coping and depression in turn. Osteoarthritis pain significantly decreased IHLC, which was associated with both positive and negative coping strategies in a complex serial mediation. These findings suggest that interventions targeting HLC and/or coping strategies may be able to alter the pain-depression pathway for older adults with chronic osteoarthritis pain. (Supported by R01-MH51800, P. Parmelee, PI).


2021 ◽  
Vol 33 (S1) ◽  
pp. 8-9
Author(s):  
Jayashree Dasgupta ◽  
Meenakshi Chopra

Background:COVID pandemic in India, lockdowns and an unprepared health system has affected wellbeing of older adults. Low public awareness about mental health issues and stigma also contribute to low help seeking. Exploring impact of COVID on mental health of older adults and understanding support needs is essential.Research Objective:To examine mental wellbeing and coping strategies used by urban community residing older adults during the pandemic in India.Method:As part of an ongoing community engagement initiative with older adults and their families, an online survey was conducted during the first wave of the pandemic in April/May 2020. Sociodemographic details and information on coping strategies were gathered. The five-item General Health Questionnaire (GHQ) was used to screen for psychological distress and data were analyzed using descriptive statistics. Respondents were contacted again in May 2021 during the second COVID wave for a telephonic interview to understand current levels of distress and coping strategies. Consent was taken for audio recording and interviews were conducted using a semi-structured interview guide. Interviews were transcribed and analyzed using thematic analysis.Preliminary results of the ongoing study:Respondents (N=54) aged between 40-86 years (Mn = 60; SD = 18.9). Majority were male (61%), retired or homemakers (57%) and widowed/unmarried (52%). Of the sample 70% had one or more pre-existing medical conditions. A score of ≥ 2 on GHQ in 66% respondents indicates psychological distress. Stressors included health and well-being of family (62%), difficulty managing household work (42%) and increase in family conflicts (17%). Although 72% discussed their worries with family/friends, only 25% considered speaking with a mental health professional indicating low help seeking. Of respondents contacted again, 40% citied ill health or being busy as reasons for refusal to participate. Of those who agreed, 33% reported psychological distress. In-depth interviews, showed use of online mental wellness sessions and yoga/meditation to be beneficial coping strategies. Need for more online support groups was also highlighted.Conclusion:Psychological distress is present amongst community residing older adults in urban India. A change in attitude towards tele mental health must be leveraged to provide support for adults experiencing psychological distress.


2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Seki A. Balogun ◽  
Natalie B. May ◽  
Meagan Briley ◽  
Allison Bosch ◽  
Isabelle Duerr ◽  
...  

BackgroundLittle is known about the perceptions of older adults with end-stage kidney disease (ESKD) on chronic hemodialysis (HD) even though this could potentially influence how treatment is received. This study explores the perceptions of older adults with ESKD on HD, specifically their decision to initiate HD, preconceptions and expectations of HD, perceived difficulties with HD, and coping strategies.Design: Cross–sectionalSetting: Outpatient chronic dialysis units Participants: Older adults with ESKD on HD Intervention: Open-ended interviews were conducted with 15 participants. Inclusion criteria were age 60 years and older, HD duration of at least three months, and ability to consent and participate in the interview process.Results: We report on four identified domains: decision to initiate HD; preconceptions and expectations of HD; drawback of HD; and coping strategies. All participants were reluctant to initiate HD, but made the decision on advice from their physicians for varying reasons. Trust in physicians’ opinions also played a role for some. Some participants had positive preconceptions of HD, while a few had negative preconceptions or unrealistic expectations. Even though the majority of participants identified several difficulties with being on HD, they also had positive coping strategies, and the majority indicated that they would make the same decision to initiate HD.Conclusion: As clinicians are turning more to patient-centered medicine, understanding patients’ perceptions of HD is of crucial importance. Our study highlights the importance of improving pre-hemodialysis education to ensure that patients’ expectations are realistic, as well as identifying individualized coping strategies by patients. 


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