scholarly journals The Implications of Aging Couples’ Linked Lives: Dyadic Associations in Health and Well-Being

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 297-297
Author(s):  
Stephanie Wilson ◽  
Christina Marini ◽  
Amy Rauer

Abstract Older adults age in the context of their intimate partnerships. Partners’ lives—their emotions, behaviors, and health—are intricately linked as they navigate the challenges associated with aging. This symposium presents research that illuminates ways partners influence one another later in life. The talks are diverse with regard to their timescale (e.g., years vs. hours) and context (e.g., dementia vs. pain). Dr. Martire will examine associations between declines in one spouse’s physical health over 5 years and the other’s mental health. This talk will further consider whether discussing health concerns exclusively with one’s spouse intensifies such associations. Ms. Nah will show how the pain of both partners (care providers and recipients) contributes to escalating marital conflict over 2 years. Dr. Wilson will demonstrate that emotional reactivity to spousal distress in the lab is associated with increased proinflammatory gene expression up to 80 minutes later, a risky pattern for health if repeated over time. Dr. Monin will examine actor and partner associations of affect and depressive symptoms among people with early-stage dementia and their spouses; the absence of partner associations suggests that emotional spillover may operate differently in early-stage dementia dyads. Dr. Novak will identify correlates of four latent profiles derived from couples’ physical, psychological, and relationship well-being: happy, healthy couples; unhappy, unhealthy couples; and two groups with blissful marriages despite individual problems. Dr. Amy Rauer, an internationally recognized scholar of relationships and health, will discuss ways in which this research advances our understanding of couples’ linked lives.

2011 ◽  
Vol 23 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Jane H. Lassetter ◽  
Lynn C. Callister ◽  
Shemnon Z. Miyamoto

Background and Purpose: Migration is often a challenging process. Native Hawaiians migrate from Hawaii to Las Vegas at an impressive rate, but no research has explored how migration affects their health and well-being. The purpose was to describe how Native Hawaiians in Las Vegas perceive their health and well-being and any changes therein since migrating. Design: Using a qualitative descriptive design, 27 participants took part in semistructured interviews. Findings/Results: Most participants perceived no changes in health and minor changes in well-being. Many maintained their well-being by adapting valued activities to their new circumstances. However, 5 participants were deeply burdened by life in Las Vegas or longing for Hawaii, and their well-being suffered. They tended to identify barriers to well-being rather than ways to foster it. Conclusion: Health care providers can help Native Hawaiian migrants by encouraging early access to the health care system in their new location and facilitating participation in helpful, adaptive behaviors.


2020 ◽  
Author(s):  
Murat Yıldırım ◽  
Gökmen Arslan

During the pandemic, people may experience various mental health problems. Psychological strengths may help them to cope with emerging challenges and foster mental health and well-being. This study examined the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. A total of 220 participants from general public participated this study completing a battery of measures (134 men [M age = 42.36 years, SD = 8.99, range = 18 to 60] and 86 women [M age = 36.73 years, SD = 7.44, range = 18 to 51]). This cross-section study indicated that resilience mediated the relationship between hope and psychological health and subjective well-being. Results also showed that hope, and resilience had significant direct effects on psychological health, and subjective well-being while preventive behaviours did not manifest a significant effect on these two variables except on resilience. Preventive behaviours mediated the relationship between hope and resilience. The results suggest that we should more pay attention to hope and resilience for the development and improvement of well-being and psychological health during the times of crisis.


2017 ◽  
Vol 48 (4) ◽  
pp. 453-464 ◽  
Author(s):  
Vinitha Jithoo

Emerging adults are an important group not only because their opinions and knowledge will determine future attitudes but also because of the emergence of mental health problems during young adulthood. In order to provide relevant support, academics, health care providers as well as policy makers need to be more cognisant of how emerging adults make meaning of their psycho-social developmental context. The objective of the study was to explore how a cohort of 150 university students made meaning of emotional well-being and mental illness, the causes of mental health problems, the negative connotations associated with mental ill health, help-seeking behaviours, and how culture was used as a lens through which mental well-being was understood. The main findings indicate that students struggle to fully understand these concepts mainly because it is shrouded in mystery and complexity and not engaged with freely because of stigma and stereotypical attitudes, and while culture provides a lens to understand the causes and interventions, emerging adults often adopt a level of scepticism and are beginning to vacillate between tradition and modernity. Emerging adults face many barriers to accessing health care services including limited knowledge and stigma related to services, lack of confidentiality, fear of mistreatment, location of facilities, and the high cost of services. Universities and government should actively engage with research evidence to inform policies and programmes to improve the health and well-being of emerging adults.


2014 ◽  
pp. 230-234 ◽  
Author(s):  
Norma G. Cuellar

The importance of sleep is increasingly recognized as a contributor to health outcomes across the lifespan. Almost two thirds of the population report sleep problems at least twice per week, resulting in daytime sleepiness and dysfunction. Direct and indirect costs of sleep problems are in the billions of dollars and contribute to accidents and chronic conditions. All health care providers need to understand how to facilitate restful high quality sleep, a necessary component for health and well-being. An integrative approach considers all of the factors associated with poor sleep and individually structures interventions that mitigate impediments to sleep.


2021 ◽  
Vol 8 ◽  
pp. 237437352199862
Author(s):  
Kimberly N Hutchison ◽  
Jennifer Sweeney ◽  
Christine Bechtel ◽  
Brian Park

The US health care system has a long history of discouraging the creation and maintenance of meaningful relationships between patients and providers. Fee-for-service payment models, the 1-directional, paternalistic approach of care providers, electronic health records, anddocumentation requirements, all present barriers to the development of meaningful relationships in clinic visits. As patients and providers adopt and experiment with telemedicine and other systems changes to accommodate the impact of Coronavirus disease 2019, there is an opportunity to reimagine visits entirely—both office-based and virtual—and leverage technology to transform a unidirectional model into one that values relationships as critical facilitators of health and well-being for both patients and providers.


2020 ◽  
Vol 57 (11) ◽  
pp. 1266-1279
Author(s):  
Carrie L. Heike ◽  
Meredith Albert ◽  
Cassandra L. Aspinall ◽  
Suzel Bautista ◽  
Claudia Crilly Bellucci ◽  
...  

Objective: To develop an outcomes instrument that assesses observations that can be reliably reported by caregivers and can be used to assess health of infants with a cleft lip or cleft lip and cleft palate (CL±P) and impacts of treatments. Design: Cross-sectional, mixed methods study. Setting: Caregivers and health-care providers were recruited from 3 academic craniofacial centers and national advertisements. Most interviews were conducted by telephone, and surveys were completed online. Participants: Caregivers had a child less than 3 years of age with CL±P and spoke either English or Spanish. Health-care providers were members of a cleft team. Caregivers (n = 492) and health-care professionals (n = 75) participated in at least one component of this study. Main Outcome Measure(s): Caregivers and health-care providers participated in tasks related to instrument development: concept elicitation for items within relevant health domains, prioritization of items, and item review. Results: We identified 295 observations of infant well-being across 9 health areas. Research staff and specialists evaluated items for clarity, specificity to CL±P, and responsiveness to treatment. Caregivers and health-care providers rated the resulting list of 104 observations and developed the final instrument of 65 items. Conclusions: In this phase of development of the Infant with Clefts Observation Outcomes (iCOO) instrument, items were developed to collect caregiver observations about indicators of children’s health and well-being across multiple domains allowing for psychometric testing, sensitivity to changes associated with treatment, and documentation of the effects of treatment.


2014 ◽  
Vol 20 (4) ◽  
pp. 258-264
Author(s):  
Traci Sims

Pregnant African American women are at higher risk for multiple complex health issues, including depression, than their European American counterparts (Canady, Bullen, Holzman, Broman, & Tian, 2008; Martin et al, 2011; Mathews & MacDorman, 2007; Orr, Blazer, & James, 2006; Segre, Losch, & O’Hara, 2006). Various strategies must be used to address depression through preventive care and promotion of access to appropriate mental health services. Nurses and other health care providers need to examine the relationships between the multifactorial problems to improve the health and well-being of pregnant African American women and their unborn children. This article presents a case study demonstrating the use of complexity science theory to understand and prevent poor health outcomes for pregnant African American women with depression and their unborn children.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 297-297
Author(s):  
Steven Cole ◽  
M Shrout ◽  
Janice Kiecolt-Glaser ◽  
Stephanie Wilson

Abstract Marital quality shares ties to inflammation-related conditions like cardiovascular disease and diabetes. Lab-based studies implicate hostility during marital conflict as a mechanism via inflammatory reactivity. However, developmental theories suggest that conflict declines with age. Spousal distress is an important but overlooked context for aging couples as networks shrink and assistance needs increase. To examine the effects of spousal distress on changes in proinflammatory gene expression, 38 adults ages 40-81 witnessed their spouse relive an upsetting personal memory aloud, rated their mood before and after, and provided blood samples at baseline and twice post-task. Those whose negative mood increased more in response to spousal disclosure showed larger elevations in proinflammatory gene expression 40 (p=.022) and 80 minutes (p<.0001) after the task. Effects were robust to race, gender, age, alcohol, smoking, and body mass index. These novel findings identify spousal distress as a key marital context that may escalate inflammation-related health risks.


2018 ◽  
Vol 7 (12) ◽  
pp. 6064-6076 ◽  
Author(s):  
Sandra L. Teichman ◽  
Sharon Do ◽  
Sharon Lum ◽  
Theodore S. Teichman ◽  
William Preston ◽  
...  

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