scholarly journals ELDER MISTREATMENT SUBTYPES AND ANXIETY: DO DEFINITIONS MATTER?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Jieyang Zheng ◽  
Stephanie Bergren ◽  
XinQi Dong

Abstract Elder mistreatment (EM) and the magnitude of its relationship to anxiety may vary depending on definitional criteria. We leveraged data from the PINE Study, a study of 3,157 Chinese older adults in Chicago. EM was measured by 56 items on psychological, physical and sexual mistreatment, caregiver neglect and financial exploitation subtypes. Least restrictive, moderately restrictive, and most restrictive definitions of EM were constructed. Symptoms of anxiety were measured by the Hospital Anxiety and Depression Scale. Least restrictive (OR, 1.94; 95%CI, 1.57-2.40), moderately restrictive (OR, 1.56; 95%CI, 1.22-1.99), and most restrictive (OR, 1.39; 95%CI, 1.07-1.79) definitions of EM were all significantly associated with the likelihood of experiencing any anxiety symptoms. The magnitude of associations between EM and anxiety symptoms vary based on strictness of the EM definition. Future research should explore the potential causal relationships between EM and anxiety through longitudinal data.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S271-S271
Author(s):  
Ying-Yu Chao ◽  
Yu-Ping Chang ◽  
XinQi Dong

Abstract Purpose: Elder mistreatment is a critical public health issue across all cultural backgrounds. However, we have limited understanding of the mental health outcomes of elder mistreatment among older Chinese Americans. This study aimed to examine the association between different types of elder mistreatment and anxiety symptoms among U.S. Chinese older adults. Methods: Data were from the Population Study of Chinese Elderly in Chicago (PINE), a community-based participatory research study of 3,157 Chinese older adults in the Greater Chicago area. Elder abuse was assessed with the overall abuse screening test and Modified Conflict Tactic Scale. Anxiety symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS-A). Multivariate logistic regression analyses were performed. Results: Participants had a mean age of 72.8 ± 8.3 years old (range 60-105). After controlling for potential covariates, participants with overall abuse (OR = 1.76, 95% CI: 1.57-1.98, p < .001), psychological abuse (OR = 1.76, 95% CI: 1.53-2.02, p < .001), physical abuse (OR = 1.56, 95% CI: 1.03-2.36, p < .05), and financial exploitation (OR = 1.24, 95% CI: 1.06 – 1.44, p < .001) were more likely to have anxiety symptoms. However, sexual abuse was not significantly associated with anxiety symptoms (p = 0.83). Conclusion & Implications: Our findings indicate that elder mistreatment may result in anxiety symptoms among Chinese older adults. Further studies can examine whether Chinese cultural traits (e.g., face, harmony) influence the relationships between elder mistreatment and anxiety symptoms.


2004 ◽  
Vol 8 (5) ◽  
pp. 397-399 ◽  
Author(s):  
W. K. Tang ◽  
G. S. Ungvari ◽  
H. F. K. Chiu ◽  
K. H. Sze ◽  
A. Chan Shiu Yu ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S761-S761
Author(s):  
Ying-Yu Chao ◽  
Yu-Ping Chang ◽  
XinQi Dong

Abstract This study aimed to examine the association between different types of elder mistreatment and depressive symptoms among U.S. Chinese older adults. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Participants were 3,157 Chinese older adults who were 60 years and over (mean age = 72.8). Logistic regression analyses were performed. The results showed that participants with overall mistreatment (OR, 2.11; 95% CI, 1.83-2.43), psychological mistreatment (OR, 2.12; 95% CI, 1.78-2.51), physical mistreatment (OR, 1.82; 95% CI, 1.10-2.99), and financial exploitation (OR, 1.33; 95% CI, 1.11 – 1.60) were more likely to report more depressive symptoms. There was no significant association between sexual mistreatment and depressive symptoms (p = 0.07). Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between elder mistreatment and depressive symptoms.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S165-S165
Author(s):  
Courtney J Bolstad ◽  
Carolyn E Adams-Price ◽  
Michael R Nadorff

Abstract Pets can provide older adults a means of social support, which can combat problems faced in later life including loneliness, anxiety, and depression. However, current research findings in this area are mixed. The current study explored the differences in anxiety and depression between pet owners and non-pet owners and how pet ownership was associated with these symptoms after accounting for other established correlates. We hypothesized pet owners would endorse fewer symptoms of anxiety and depression than non-pet owners and owning a pet would be associated with these symptoms even after accounting for other common correlates. Participants included 608 older adults aged 70 to 95 that were included in the University of Alabama at Birmingham Study of Aging. As hypothesized, results indicated that pet owners endorsed significantly fewer symptoms of anxiety and depression than non-pet owners. Hierarchical regressions indicated that owning a pet explained a significant amount of variance in anxiety symptoms even after controlling for depression, self-reported health, and demographics. However, owning a pet did not have a significant association with depressive symptoms after accounting for anxiety, self-reported health, and demographics. These results suggest that lower rates of anxiety and depression are related to owning a pet and that pet ownership is associated with fewer anxiety symptoms, but not depressive symptoms, independent of several established correlates of anxiety. Future research is needed to determine the specific mechanisms of pet ownership that comprise this relationship as well as whether pet ownership may longitudinally reduce or buffer against anxiety in late life.


2019 ◽  
Vol 121 ◽  
pp. 100-104 ◽  
Author(s):  
Selina Kikkenborg Berg ◽  
Margrethe Herning ◽  
Lau Caspar Thygesen ◽  
Pernille Fevejle Cromhout ◽  
Mette Kirstine Wagner ◽  
...  

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 428-428
Author(s):  
Dexia Kong ◽  
XinQi Dong ◽  
Ying-Yu Chao

Abstract Chinese culture places a high value on saving face and not bringing shame to the family. This study aimed to examine the associations between face-saving and help-seeking among U.S. Chinese older adults who experienced elder mistreatment (EM). Data were retrieved from the PINE study. Regression analyses were performed. Most EM victims sought help from informal sources only (48.21%), followed by no help (26.79%), informal plus formal help (19.64%), and formal help only (5.36%). For EM screening, face-saving was associated with informal help-seeking intentions (p < .05). For EM subtypes, face-saving was associated with overall help-seeking intentions for financial exploitation (p < .05), but not on physical mistreatment, psychological mistreatment, and caregiver neglect. Face-saving was not associated with help-seeking behaviors. Study findings underscore the significance of a unique cultural value in understanding EM help-seeking intentions among Chinese older adults. Cultural constructs should be considered in future EM research in diverse populations.


2016 ◽  
Vol 20 (12) ◽  
pp. 1039-1046 ◽  
Author(s):  
Katie Grogan ◽  
Jessica Bramham

Objective: Given that the diagnosis of adulthood ADHD depends on the retrospective self-report of childhood ADHD symptoms, this study aimed to establish whether current mood affects the accuracy of retrospective self-ratings of childhood ADHD. Method: Barkley’s Adult ADHD Rating Scale (BAARS) was used to assess the retrospective self- and parent-reports of childhood ADHD symptoms of 160 adults with ADHD and 92 adults without ADHD. Self-rated current mood was also measured using the Hospital Anxiety and Depression Scale (HADS). Results: Higher BAARS self-ratings correlated with higher HADS self-ratings. Strongest correlations were evident between hyperactive/impulsive symptoms and anxiety symptoms. There was no relationship between current mood and accuracy of self-report. Conclusion: Current mood does not affect the accuracy of retrospective self-ratings of ADHD. Future research should aim to provide new measures of anxiety in ADHD to avoid the double counting of hyperactive/impulsive and anxiety symptoms.


2009 ◽  
Vol 21 (4) ◽  
pp. 754-763 ◽  
Author(s):  
Christina Bryant ◽  
Henry Jackson ◽  
David Ames

ABSTRACTBackground: The objective of this study was to examine the prevalence and short-term course of depression and anxiety in a sample of hospitalized, medically unwell older adults, using both a symptom measure and a diagnostic instrument.Methods: One hundred participants were recruited from in-patients in a geriatric hospital in Melbourne, Australia. Anxiety and depression were assessed shortly after admission, and again two months later, using the Hospital Anxiety and Depression Scale (HADS) and the Geriatric Mental Status Schedule/ AGECAT diagnostic system.Results: At Time 1, 60% of the sample exhibited anxiety symptoms at a sub-case level, while 16% had anxiety symptoms at a syndrome case level, whereas 48% of the participants had depression at syndrome level. The HADS and AGECAT were concordant with respect to anxiety for 78% of participants, but agreement was lower for depression; AGECAT identified a further 36 syndrome cases of depression not deemed depressed by the HADS. There was a significant decrease in overall rates of both depression and anxiety symptoms and syndromes from Time 1 to Time 2.Conclusion: This study confirms the findings of previous research with respect to the high prevalence of depression in physically unwell older adults, and extends knowledge about anxiety in this group. Symptoms of anxiety are even more common than symptoms of depression in this group, especially around the time of admission to hospital. Over a relatively short time period, there is a marked reduction in symptoms, but levels of anxiety and depression remain high.


Retos ◽  
2020 ◽  
pp. 1024-1028
Author(s):  
Miguel Ángel Araque-Martínez ◽  
Pedro Jesús Ruiz-Montero ◽  
Eva María Artés-Rodríguez

  El envejecimiento es un proceso natural asociado a un deterioro fisiológico y donde las emociones se ven también afectadas por el mismo. El ejercicio físico ha demostrado ser una herramienta útil en personas adultas mayores para ayudar a combatir los cambios asociados al proceso de envejecimiento. El presente trabajo analiza los efectos de un programa de ejercicio físico multicomponente sobre la condición física, autoestima, ansiedad y depresión de personas adultas mayores (n=70) de la provincia de Almería, y donde se han llevado a cabo tareas diseñadas basadas en la teoría de las Inteligencias Múltiples y en el manual Inteligencia XXI con el objetivo de desarrollar aspectos físicos, cognitivos y/o emocionales. Se trata de una investigación con un diseño cuantitativo en la que se comparan las medidas pre-test y post-test de un grupo experimental. La duración del programa de intervención fue de ocho meses. Los instrumentos empleados para la evaluación fueron el Senior Fitness Test (SFT) para la condición física, el test de Rosenberg para la autoestima y el Hospital Anxiety and Depression Scale (HAD) para la ansiedad y depresión. Los resultados reflejan mejoras significativas en la agilidad o equilibrio dinámico, autoestima, ansiedad y depresión (p<.05), así como en la capacidad cardiorrespiratoria (p<.01). En conclusión, este trabajo indica que un programa de ejercicio físico multicomponente mejora parámetros de la condición física, así como la autoestima, ansiedad y depresión de personas adultas mayores de la provincia de Almería.  Abstract. Ageing is a natural process associated to physiological deterioration. Moreover, the feelings are also affected by ageing process. Physical exercise has showed to be an useful tool to fight against changes of ageing process. Both Multiple Intelligence Theory and Intelligence XXI manual were used to develop physical, cognitive and emotional factors. The present study analyzes the effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and depression on older adults (n=70) from Almería province. This investigation follows a quantitative design where the measurements from an experimental group are compared before (pre-test) and after (post-test). The length of the intervention’ program was eight months. Physical fitness, self-esteem, anxiety and depression were evaluated by Senior Fitness Test (SFT), Rosenberg’s Self-Esteem Scale and The Hospital Anxiety and Depression Scale (HAD), respectively. Results reflect significant improvements on agility or dynamic balance, self-esteem, anxiety and depression (p<.05), as well as on cardiorespiratory capacity (p<.01). In conclusion, this study indicates that a multicomponent physical exercise program improves some fitness parameters, self-esteem, anxiety and depression in older adults from Almeria province.


2020 ◽  
pp. 1-17
Author(s):  
Xiang Gao ◽  
Fei Sun ◽  
Lucas Prieto ◽  
Vijeth Iyengar

Abstract In mainland China, as the population ages, Alzheimer's disease and related dementia (ADRD) is estimated to increase among Chinese older adults. Chinese older adults tend to hold stigmatising beliefs about ADRD that in turn affect their help-seeking behaviour and receipt of prevention and treatment. The Framework Integrating Normative Influences on Stigma provides a rationale for Chinese older adult's stigma about ADRD. Questionnaires were administered in person to 754 older adults (42% male, mean age = 69.54 years) from two urban communities in mainland China. We examined ADRD stigma and the associations with real-life exposure, knowledge of ADRD, health conditions and social networks. This study found that Chinese older adults who had good family quality, lower depression (as measured by the Center for Epidemiological Studies Depression Scale) and better cognitive health (as measured by the Montreal Cognitive Assessment) were more likely to have lower perceived stigma. Conversely, those individuals who experienced neglect and had more ADRD knowledge exhibited higher levels of perceived stigma. Social networks moderated the associations between cognitive scores and perceived stigma. This research suggested that the quality of one's social networks is essential to reduce perceived stigma among Chinese older adults. Future research should continue to explore ADRD stigma among Chinese older adults to help guide relevant interventions, services and supports for this population.


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