scholarly journals HOW DO MENTAL HEALTH TRANSITIONS SHAPE THE ROLE OF ADULT CHILDREN IN OLDER ADULTS’ SOCIAL NETWORKS?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S58-S58
Author(s):  
Laura Upenieks
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Adult Children ◽  
Generalized Estimating Equations ◽  
The United States ◽  
Network System ◽  
Core Networks ◽  
The Core ◽  
Health Transitions

Abstract This study considers the role of adult children in the core networks of older adults undergoing mental health change. Taking a multidimensional perspective of the network system, I consider (a) presence of child(ren), (b) contact with children network members, and (c) embeddedness of children within the network using longitudinal data from the United States. Parameters were estimated with generalized estimating equations from the pooled panel data. There was no evidence that mental health transitions lead to systematic forms of child reshuffling or increased contact with child ties. Children that remained in networks, however, showed increased contact with other members of the network when the parent underwent depression onset, but became less embedded when their parents had chronically high levels of depression. These patterns may have far-reaching consequences for older people and their children, which could include increased feelings of loneliness and social isolation for parent and child alike.

Functional disability and the role of children in U.S. older adults’ core discussion networks

2021 ◽  
pp. 1-19
Author(s):  
Markus H. Schafer ◽  
Laura Upenieks
Keyword(s):  
Older Adults ◽  
Adult Children ◽  
Social Life ◽  
Functional Disability ◽  
Functional Health ◽  
Older Parents ◽  
Core Networks ◽  
Egocentric Network ◽  
Advanced Stages

Abstract This study considered the role of adult children in the core networks of U.S. older adults with varying levels of functional health. Taking a multidimensional perspective of the ego network system, we considered (a) presence of child(ren) in the network, (b) contact with children network members, and (c) embeddedness of children within the network. We observed older parents from three waves of the National Social Life, Health, and Aging Project (NSHAP). The common ‘important matters’ name generator was used to construct egocentric network variables, while self-reported difficulty with activities of daily life was used to measure disablement transitions. Parameters were estimated with Generalized Estimating Equations (GEE). Though child turnover was common in parents’ core networks, there was no evidence linking disablement transitions to systematic forms of child reshuffling. Children that remained in parents’ networks, however, showed increased contact with parents and with other members of the network when the parent underwent disability progression. Disability onset was not significantly linked to either outcome. There was limited evidence of gender variation in these patterns. Overall, results strengthen the view that children are distinctive members of older adults’ core networks. Further, the role of adult children shifts most noticeably at advanced stages of the disablement process.

Biopsychosocial Patterning of Multimorbidity and Its Consequences

2018 ◽  
pp. 220-236
Author(s):  
Elliot Friedman ◽  
Beth LeBreton ◽  
Lindsay Fuzzell ◽  
Elizabeth Wehrpsann
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Functional Outcomes ◽  
The United States ◽  
Chronic Medical Conditions ◽  
Quality Of Life Research ◽  
Increased Risk ◽  
Over Time

By many estimates the majority of adults over age 65 have two or more chronic medical conditions (multimorbidity) and are consequently at increased risk of adverse functional outcomes. Nonetheless, many older adults with multimorbidity are able to maintain high levels of function and retain good quality of life. Research presented here is designed to understand the influences that help ensure better functional outcomes in these older adults. This chapter presents findings that draw on data from the Midlife in the United States study. The independent and interactive contributions of diverse factors to multimorbidity and changes in multimorbidity over time are reviewed. The degree that multimorbidity increases risk of cognitive impairment and disability is examined. The role of inflammation as a mediator is considered. Multimorbidity is increasingly the norm for older adults, so better understanding of factors contributing to variability in multimorbidity-related outcomes can lead to improved quality of life.

scholarly journals COVID-19 as a Stressor: Pandemic Expectations, Perceived Stress, and Negative Affect in Older Adults

2020 ◽  
Author(s):  
Brenda R Whitehead
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Negative Affect ◽  
Perceived Stress ◽  
Online Survey ◽  
Well Being ◽  
The United States ◽  
Stress And Coping ◽  
Regression Analyses ◽  
And Coping

Abstract Objectives The extent to which the COVID-19 pandemic is appraised as a stressor influences perceived stress (PS) and psychological well-being during the event. Here, the association of older adults’ expectations concerning the pandemic’s duration and impact with PS and negative affect (NA) is investigated. Based on the stress and coping framework, PS is expected to mediate the association between COVID-19 expectations and NA. Methods Seven hundred fourteen residents of the United States and aged 60 and older completed an anonymous online survey in late March 2020 reporting PS, NA, and expectations regarding the pandemic. Results Regression analyses controlling for demographic factors revealed that more dire pandemic expectations significantly predicted PS and NA directly, and the effects on NA were significantly mediated by PS. Discussion Findings provide evidence that expectations about a pandemic influence the extent to which older adults experience stress and NA in the midst of a pandemic event. Implications for mental health are discussed.

scholarly journals The Role of Delay of Care in Depression among US Middle-Aged and Older Adults during the COVID-19 Pandemic:: A Secondary Data Analysis (Preprint)

2021 ◽  
Author(s):  
Yan Luo
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Dental Care ◽  
Age Groups ◽  
Binary Logistic Regression ◽  
Middle Aged ◽  
Delay Of Care ◽  
Middle Aged Adults ◽  
Univariate Analyses

BACKGROUND The depression level among US adults significantly increased during the Coronavirus Disease 2019 (COVID-19) pandemic and age disparity in depression during the pandemic were reported in recent studies. Delay or avoidance of medical care is one of the collateral damages caused by the COVID-19 pandemic and it can lead to increased morbidity and mortality. OBJECTIVE The present study aims to assess the prevalence of depression and delay of care among US middle-aged adults and older adults during the pandemic, as well as investigate the role of delay of care in depression among those two age groups. METHODS This cross-sectional study used the 2020 Health and Retirement Study (HRS) COVID-19 Project (Early, Version 1.0) data. Univariate analyses, bivariate analyses, and binary logistic regression were applied. US adults older than 46 years old were included. Depression was measured by Composite International Diagnostic Interview Short Form (CIDI-SF). Delay of care were measured by four items: delay of surgery, delay of seeing a doctor, delay of dental care, and delay of other care. Univariate analyses, bivariate analyses, and binary logistic regression were conducted. RESULTS More than half of participants were older than 65 years old (58.23%) and 274 participants (8.75%) had depression during the pandemic. Delay of dental care was positively associated with depression among both middle-aged adults (OR=2.05, 95%CI=1.04-4.03, P<0.05) and older adults (OR=3.08, 95%CI=1.07-8.87, P<0.05). Delay of surgery was positively associated with depression among older adults (OR=3.69, 95%CI=1.06-12.90, P<0.05). Self-reported pain was positively related to depression among both age groups. Middle-aged adults who reported higher education level (some college of above) or worse self-reported health had higher likelihood to have depression. While perceived more loneliness was positively associated with depression among older adults, financial difficulty was positively associated with depression among middle-aged adults. CONCLUSIONS This study found that depression among middle-aged and older adults during the pandemic was also prevalent. The study highlighted the collateral damage of the COVID-19 pandemic by identifying the effect of delay of surgery and dental care on depression during the pandemic. Although surgery and dental care cannot be delivered by telehealth, telehealth services can still be provided to address patients’ concern on delay of surgery and dental care. Moreover, the implementation of tele-mental health services is also needed to address mental health symptoms among US middle-aged and older adults during the pandemic. Future research that uses more comprehensive CLINICALTRIAL N/A

scholarly journals Older Adults in the United States and COVID-19: A Qualitative Study of Perceptions, Finances, Coping, and Emotions

2021 ◽  
Vol 9 ◽  
Author(s):  
R. Turner Goins ◽  
Elizabeth Anderson ◽  
Hannah Minick ◽  
Heather Daniels
Keyword(s):  
Mental Health ◽  
United States ◽  
Older Adults ◽  
News Media ◽  
Emotional Health ◽  
The United States ◽  
Stress Appraisal ◽  
Risk Of Death ◽  
Increased Risk ◽  
Precautionary Measures

Introduction: Older adults have the poorest coronavirus (COVID-19) prognosis with the highest risk of death due to complications, making their COVID-19 experiences particularly important. Guided by the stress-appraisal-coping theoretical model, we sought to understand COVID-related perceptions and behaviors of older adults residing in the United States.Materials and Methods: We used convenience sampling to recruit persons with the following inclusion criteria: Aged ≥ 65 years, English fluency, and U.S. residency. Semi structured in-depth interviews were conducted remotely and audio recorded between April 25, 2020 and May 7, 2020. Interviews were professionally transcribed with a final study sample of 43. A low-inference qualitative descriptive design was used to provide a situated understanding of participants' life experiences using their naturalistic expressions.Results: The mean age of participants was 72.4 ± 6.7. Slightly over half were female (55.8%), 90.6% were White, and 18.6% lived alone. The largest percentages of participants resided in a rural area (27.9%) or small city (25.6%). We identified four themes, including (1) risk perception, (2) financial impact, (3) coping, and (4) emotions. Most participants were aware of their greater risk for poor COVID-19 outcomes but many did not believe in their increased risk. Financial circumstances because of the pandemic varied with largely no financial impacts, while others reported negative impacts and a few reported positive impacts. Coping was problem- and emotion-focused. Problem-focused coping included precautionary efforts and emotion-focused coping included creating daily structure, pursuing new and/or creative activities, connecting with others in new ways, and minimizing news media exposure. Overall, emotional health was negatively affected by the pandemic although some participants reported positive emotional experiences.Conclusions: Perceiving themselves as high risk for COVID-19 complications, older adults used precautionary measures to protect themselves from contracting the virus. The precautionary measures included social isolation, which can negatively affect mental health. Older adults will need to be resourceful and draw on existing resources to cope, such as engaging in creative activities and new strategies to connect with others. Our findings underscore the importance of the preservation of mental health during extended periods of isolation by taking advantage of low-to-no-cost existing resources.

scholarly journals Psycho-economics: managed care in mental health in the new millennium

2002 ◽  
Vol 25 (2) ◽  
pp. 199
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Managed Care ◽  
United States Of America ◽  
Private Practice ◽  
The United States ◽  
New Millennium

Book Review - Psycho-economics: managed care in mental health in the new millennium Edited by Robert D WeitzThis book comprises ten separately authored chapters on the general theme of managed care, and the way that it has affected mental health care in the United States of America. The main focus is on the role of the psychologist in private practice.

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