scholarly journals Age Differences in Response to Framed Side Effects Information About Hypothetical Medications

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 502-502
Author(s):  
Alyssa Minton ◽  
Madeline Nievera ◽  
Nathaniel Young ◽  
Joseph Mikels

Abstract Framing equivalent information as a gain (e.g., 90% survival rate) or a loss (e.g., 10% mortality rate) can differentially impact judgments and decision making, such that people make more favorable judgements when information is presented as a positive gain versus a negative loss. The current study investigated how framing and age influences evaluative judgments of hypothetical medications used to treat common health issues when the equivalent probability of experiencing a particular side effect was presented as a gain (e.g., “86% of people who took this medication did not experience rash outbreaks”) or a loss (e.g., “14% of people who took this medication did experience rash outbreaks”). Younger and older adults were presented with health pamphlets for hypothetical medications with three unique side effects for each and indicated the medication’s perceived riskiness, how positively and negatively they felt about the medication, and their likelihood to take the medication. Numeracy, risk-taking behavior, and current affective state were also measured. When information was presented in a loss frame, people reported more negative feelings about the medication, leading to greater perceived riskiness, IE = -.785, SE = .13, p < .001. Age indirectly influenced likelihood via the positive feelings about the medication, IE = .349, SE = .14, p = .013. Younger adults felt more positively about the medications than older adults, leading to an increased willingness to take the medication. These findings provide insight into how framing and age can differentially influence evaluative judgments, perceived risk, and willingness to take medication.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 795-796
Author(s):  
Erik Blanco

Abstract This study examines whether parental support (the provision of social support by older parents to adult children) and filial support (older parents’ receipt of social support from adult children) influence two orthogonal dimensions of older adults’ psychological wellbeing: positive feelings and negative feelings. This study also highlights the importance of accounting for parental need as a mediator of social support. A longitudinal design is used to examine the effects of social support on the psychological wellbeing of older adults at Wave 6 (1998) and Wave 8 (2004) of the Longitudinal Study of Generations. Parental support significantly increases parents’ positive feelings, which suggests that, when it comes to positive feelings, it is better to give support than to receive it. Filial support findings indicate that older adults with greater level of disability demonstrate a decrease in negative feelings when they received filial support. However, this effect does not hold for older adults with lesser levels of disability, suggesting that, when it comes to older adults’ negative feelings, it is better to receive support (rather than to give it) when parents are in need. Although parental and filial support have the potential to buffer stressful life transitions in old age, most parents wish to remain independent, even in later life, making them reluctant to accept filial support. The parent-adult child relationship is crucial for psychological wellbeing, especially because of increased life expectancy.


Author(s):  
Krista K. Thomason

The conclusion summarizes the main aims of the book. Even though shame can be a painful and damaging emotion, we would still not be better off without it. A continued liability to shame shows that we accept that we are not always the people we think we are, but accepting this fact is a sign of moral maturity. Additionally, this conclusion raises questions about moral philosophy’s commitment to positive moral psychology. Although some philosophers have defended negative emotions, the field as a whole still treats positive feelings as better and more desirable than negative feelings. But it is reasonable to ask whether moral agents should try to be “emotional saints.”


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 594
Author(s):  
Teshome Sirak Bedaso ◽  
Buxin Han

This study aimed to examine attitude toward aging as a potential mediator of the relationship between personality factors and mental health in terms of depression and life satisfaction among older adults. A cross-sectional study was conducted with 438 Ethiopian elderly individuals aged 60 to 69. The results of the regression-based path analysis showed that after adjusting for demographic data, the relationship between agreeableness and depression in older adults was partially mediated by attitude toward aging. Likewise, attitude toward physical change due to aging and psychological growth subscales jointly mediated the correlation between neuroticism and depression. However, a significant direct path between neuroticism and depression persisted. On the contrary, openness had no significant direct association with depression apart from an indirect through psychosocial loss. The link between life satisfaction and agreeableness as well as openness to experience were partially mediated by psychosocial loss. Therefore, a person’s attitude toward aging and personality characteristics should be taken into consideration while designing interventions for managing mental health issues among older adults.


2021 ◽  
pp. 096372142199204
Author(s):  
Barbara A. Mellers ◽  
Siyuan Yin ◽  
Jonathan Z. Berman

Is the pain of a loss greater in magnitude than the pleasure of a comparable gain? Studies that compare positive feelings about a gain with negative feelings about a comparable loss have found mixed answers to this question. The pain of a loss can be greater than, less than, or equal to the pleasure of a comparable gain. We offer a new approach to test hedonic loss aversion. This method uses emotional reactions to the reference point, a positive change, and a negative change. When we manipulated the reference point (i.e., pleasurable and painful), two distinct patterns emerged. Pain surpassed pleasure (loss aversion) when the reference point was positive, and pleasure exceeded pain (gain seeking) when the reference point was negative. A reference-dependent version of prospect theory accounts for the results. If the carriers of utility are changes from a reference point—not necessarily the status quo—both loss aversion and gain seeking are predicted. Loss aversion and gain seeking can be reconciled if you take the starting point into account.


Author(s):  
Erwin Stolz ◽  
Hannes Mayerl ◽  
Wolfgang Freidl

Abstract Background To halt the spread of COVID-19, Austria implemented a 7-week ’lockdown’ in March/April 2020. We assess whether the ensuing reduction in social contacts led to increased loneliness among older adults (60+). Methods Three analyses were conducted: (1) A comparison between pre-pandemic (SHARE: 2013-2017) and pandemic (May 2020) levels of loneliness (UCLA-3 scale), (2) an assessment of the cross-sectional correlation between being affected by COVID-19 restriction measures and loneliness (May 2020), and (3) a longitudinal analysis of weekly changes (March-June 2020) in loneliness (Corona panel). Results We found (1) increased loneliness in 2020 compared with previous years, (2) a moderate positive association between the number of restriction measures older adults were affected from and their loneliness, and (3) that loneliness was higher during ’lockdown’ compared to the subsequent re-opening phase, particularly among those who live alone. Conclusion We provide evidence that COVID-19 restriction measures in Austria have indeed resulted in increased levels of loneliness among older adults. However, these effects seem to be short-lived, and thus no strong negative consequences for older adults’ mental health are expected. Nonetheless, the effects on loneliness, and subsequent mental health issues, might be both more long-lasting and severe if future restriction measures are enacted repeatedly and/or over longer time periods.


2018 ◽  
Vol 52 (8) ◽  
pp. 799-829 ◽  
Author(s):  
Yolanda van Heezik ◽  
Claire Freeman ◽  
Yvette Buttery ◽  
Debra L. Waters

Nature interaction is seen as a potentially inexpensive intervention to address many health issues. Aging is associated with declining health and mobility. Older people are known to benefit from nature contact; however, less is known about how aging limits access to nature. We investigated older adults occupying family, downsized, and rest homes to determine factors driving changes in nature engagement, and the quality of available nature. Less time was spent in natural places as people aged, depending on the extent of nature connectedness, frailty status, home type, and whether they lived alone or not. Most reported reduced nature engagement and expressed feelings of sadness, frustration, and anger. Gardens assumed an important role in enabling nature contact to continue, in that time spent in gardens was unrelated to age or frailty. Garden variability meant the quality of the nature experience was likely lower for those living in downsized and rest homes.


2019 ◽  
Author(s):  
Aaron Price ◽  
Kimberly A Quinn ◽  
Jana Greenslit ◽  
Lauren Applebaum ◽  
Sheila Krogh-Jespersen ◽  
...  

Museums are located at the intersection of awe and learning: When guests arrive, they are expecting to be amazed, inspired, and educated. This is particularly true in science museums, and researchers have pointed to awe as an epistemic emotion that can promote science learning. We present two studies of awe in a science museum. The first study (n = 293) examined how awe—conceptualized as a multifaceted construct associated with positive feelings of liberation/connection, negative feelings of oppression/isolation, chills, and diminished-self perceptions—differed across museum locations and in relation to prior knowledge. The second study (n = 708) expanded the investigation to also examine the relationship between awe and critical thinking. Across both studies, we found that, relative to baseline spaces, vast, beautiful spaces elicited positive awe-related emotions (amazement, curiosity) and stronger awe correlates (chills, diminished-self perceptions); vast, threatening spaces also elicited stronger amazement, chills, and diminished-self perceptions—but also stronger oppression/isolation. In both studies, pre-visit knowledge was associated with awe experiences during the visit. In Study 2, we also found evidence for relationships between awe and skepticism and aesthetic thought, two aspects of critical thinking: Positive aspects of awe (liberation/connection, curiosity) were associated with more skepticism, and negative aspects of awe (oppression/isolation, disorientation) with less skepticism. In terms of aesthetic thinking, diminished-self perceptions were associated being able describe observed roles and actions, and chills were associated with being able to describe personal opinions. These results support the assertion that awe can be used to encourage engagement and learning in informal science settings.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S256-S256
Author(s):  
Nalin Hettiarachchi ◽  
Praveen Kumar ◽  
vikramraj balasundaram

AimsTo assess the level of understanding and difficulties encountered when obtaining sexual health details of their patients among mental health clinicians.BackgroundPeople with mental health problems, especially those treated with psychiatric medication experience greater rates of sexual difficulties than those in the general population. Mental health practitioners need to examine personal beliefs and attitudes about sexuality among people with mental health problems. Providing information about sexuality and sexual practice benefits and enhances the quality of life of people with mental health problems. Therefore taking a sexual history should be an integral part of psychiatric assessment.MethodAn online survey consisted of 17 questions to cover 3 areas of objectives mentioned above was created using Survey Monkey. A link to the survey was emailed to all the clinicians who perform psychiatric assessments. Response collection and data analysis was performed by the trust IT team.ResultTotal of 54 clinicians participated in the survey representing nurses, junior, middle grade doctors and consultants. Almost all stated that mental health patients have capacity to make appropriate decisions about their sexual behaviour patterns. 43% thought people with mental health problems don't have similar patterns of sexual behaviour compared to people without mental health problems. 11% stated that people with mental health problems do not experience greater rates of sexual difficulties than those in the general population. Nearly a third did not believe that telling patients about potential sexual side effects may lead to poor compliance. Nearly 70% stated taking a sexual history should be an integral part of psychiatric assessment. 44% reported lack of knowledge and skills when talking about sexual health and 33% avoided asking about sexual health due to lack of knowledge. Half of the clinicians avoided asking about sexual health due to the fear of embarrassing or causing distress to patients while 16% avoided asking about sexual health due to self-embarrassment. 65% talk about sexual health issues only if patients brought them up.During last 3 clinical encounters majority never asked about sexual difficulties, high risk behaviour and drug side-effects related to sexual difficulties. A significant proportion of clinicians never asked about contraception from their female clients.ConclusionSurvey revealed majority of mental health clinicians lack understanding and skills about sexual health issues highlighting the importance of raising awareness among clinicians about sexual health issues.


2021 ◽  
Author(s):  
Jean Schensul ◽  
Susan Reisine ◽  
Apoorva Salvi ◽  
Toan Ha ◽  
James Grady ◽  
...  

Abstract Objectives. This paper examines the relationship between theoretically-driven mediators and clinical outcomes of a group randomized trial to improve oral health and hygiene of older adults in subsidized housing were compared. Methods. Six low-income senior residences were paired and randomized into two groups. The first received a face to face counseling intervention (AMI) and the second, a peer-facilitated health campaign (three oral health fairs) both based on Fishbein’s Integrated Model. 331 participants were recruited at baseline and 306 completed the post-assessment one month after intervention. Clinical outcome s were Gingival Index (GI) and Plaque score (PS), collected by calibrated dental hygienists. Surveys obtained data on patient background characteristics, and ten oral health beliefs, attitudes, norms and behaviors. GLMM assessed the effects of time, intervention arm, moderators and mediators and intervention by time interactions. Results. Baseline moderators were similar. Both outcomes improved significantly. GI scores changed from baseline mean of 0.38 (sd=.032) to .26 (sd=.025) and PS scores changed from baseline mean of 71.4 (sd=18%) to 59.1% (sd=21%). Fears, intentionality, norms, worries, flossing and sugar consumption improved significantly in both interventions from baseline to post intervention. Self-efficacy, perceived risk of oral health problems, locus of control and brushing improved significantly only in the counseling intervention. Mechanisms predicting GI improvement were intentionality, locus of control, brushing and flossing in association with the counseling intervention. Mechanisms predicting PS improvement were worries about oral hygiene self-management and fear of oral diseases in association with the AMI intervention. In the trimmed final models, only locus of control (predicting GI) and fears of oral diseases (predicting PS) were significant. Conclusions. GI and PS improved more in response to the counseling intervention than the campaign. The counseling intervention had a greater impact on mechanisms of change than the campaign. Locus of control, a key concept in oral hygiene interventions including the IM was the main contributing mechanism for GI. Fear, an emotional response drove improvement in PS reinforcing the importance of cognitive/emotional mechanisms in oral hygiene interventions. Improvements in mediators across both interventions suggest a closer examination of the campaign intervention impact on outcomes over time. Trial Registration: Clinicaltrials.gov NCT02419144, first posted April 17, 2015


Sign in / Sign up

Export Citation Format

Share Document