scholarly journals A controlled clinical effectiveness trial of multimodal cognitive rehabilitation on episodic memory functioning in older adults with traumatic brain injury (TBI)

Author(s):  
Eduardo Cisneros ◽  
Elaine de Guise ◽  
Sylvie Belleville ◽  
Michelle McKerral

AbstractObjectivesThis study aimed to evaluate the impact of a multimodal cognitive intervention, the Cognitive Enrichment Program (CEP), on episodic memory in traumatic brain injured (TBI) older adults, as compared to an active control group that received usual care in the form of holistic rehabilitation.MethodsThe CEP’s Memory module consisted in memory strategies to promote encoding. Effectiveness was evaluated by psychometric tests (Face-name association, Word list recall, Text memory), while generalization was measured through self-reported questionnaires about daily memory functioning (Self-Evaluation Memory Questionnaire) and psychological well-being (Psychological General Well-Being Index). Measures were obtained before and after intervention, and six months later.ResultsBoth groups showed improvement on most measures, but the experimental group showed greater statistically significant improvement. ANCOVA mixed model repeated measures analysis showed a strong group-by-time interaction for the Face-name association test, with a large effect size. A significant group-by-time interaction was obtained on three generalization self-report measures, including increased memorization of the content of Conversations, reduced Slips of attention, and increased memory of Political & social Events, with moderate to large effect sizes. Clinically significant improvements were found for Psychological well-being in the experimental group, where 50% of participants improved to the well-being category and remained stable six months later (9/17; 53%). Also, the number of experimental participants showing severe distress before CEP training (9) was reduced after intervention (5) and remained relatively stable at 6 months.ConclusionsThe CEP is a promising cognitive rehabilitation program that showed high satisfaction in participants and that can not only improve episodic memory in terms of psychometric scores, but also in daily life situations, as well as enhance psychological well-being in older individuals having sustained a TBI.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 480-481
Author(s):  
Eva Kahana ◽  
Tirth Bhatta ◽  
Boaz Kahana ◽  
Nirmala Lekhak

Abstract Existing scholarship in social gerontology has surprisingly paid little attention to broader loving emotions, such as compassionate and altruistic love, as potentially meaningful mechanisms for improving later life psychological well-being. This study examined the influence of feeling love toward other persons and experiencing love from others on later life psychological well-being. We conducted a 3-wave longitudinal study of a representative sample of 340 ethnically heterogeneous community dwelling older residents of Miami, Florida. The increase in feeling of being loved (β=-1.53, p<0.001) and love for others (β=-1.43, p<0.001) led to decline in odds of reporting greater level of depressive symptoms over time. The odds of reporting higher level of positive affect were significantly greater for older adults who reported feeling loved by others (β=1.16, p<0.001) and expressed love for other people (β=1.18, p<0.01). Older adults who felt loved had 0.92-point lower ordered log odds of reporting higher negative affect than those who reported lower level of love. The impact of compassionate love on depressive symptoms and negative affect remained statistically significant even after adjustment for altruistic attitudes and emotional support. The influence of loving emotions on positive affect was, however, explained by altruistic attitudes and emotional support. Our findings underscore the powerful influence of both receiving and giving love for the maintenance of later life psychological well-being. We offer support for the expectation that love is a significant force in the lives of older adults that transcends intimate relationships.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 727-728
Author(s):  
Sophia Perez ◽  
Alexandria Nuccio ◽  
Ashley Stripling

Abstract The Coronavirus (COVID-19) Pandemic continues to drastically impact older adults. Despite COVID-19 being linked to increased social isolation and loneliness, more research is needed on the psychological effects associated with older adults’ concerns of the pandemic. The current review explores associations between the COVID-19 Pandemic and older adults’ mental health to increase awareness and understanding. For this rapid review, empirical peer-reviewed source documents were identified through a computerized search using APA PsycInfo and Google Scholar bibliographical databases covering the years 2019 to 2021. The following keywords and combinations were used: “older adults,” “COVID-19,” and “mental health effects.” Relevant exclusion criteria were applied, and all related English-language journal articles were read. 47 articles met inclusion criteria. Eight associated COVID-19 stress with loneliness, anxiety, depression, sleep disturbances, and poor psychological well-being, with three additional articles reporting elevations in women. Three articles revealed mixed findings regarding the impact of age on psychological variables. 13 articles evaluated changes among those with psychological/psychiatric diagnoses, and six explored physical activity and depression. Of the remaining articles, two concentrated on nutrition; seven examined routines, behaviors, and societal or risk perceptions; two evaluated coping mechanisms; and three examined emotional distress changes. Understanding COVID-19’s psychological impact on older adults will take time. This rapid review revealed mixed findings regarding COVID-19 related concerns on older adults’ psychological well-being, with multiple demographic variables uniquely impacting these outcomes. It is imperative that future research explore older adults’ risks and develop interventions related to the psychological impact of COVID-19.


Author(s):  
Eva Kahana ◽  
Tirth R Bhatta ◽  
Boaz Kahana ◽  
Nirmala Lekhak

Abstract Objectives Existing scholarship in social gerontology has paid relatively little attention to broader loving emotions, such as compassionate and altruistic love, as potentially meaningful mechanisms for improving later-life psychological well-being outside a family framework. Method Drawing from a 3-wave longitudinal survey of community-dwelling older residents (n = 334) of Miami, Florida, we utilized generalized estimating equation models to examine the influence of changes in compassionate love (i.e., feeling love toward other persons and experiencing love from others) on depressive symptoms over time. We also explored cross-sectional relationship between compassionate love and positive and negative affects. Results An increase in the feeling of being loved (β = −0.77, p < .001) and feeling love for others (β = −0.78, p < .001) led to a decline in odds of reporting greater levels of depressive symptoms over time. The odds of reporting higher level of positive affect were significantly greater for older adults who reported feeling loved by others (β = .63, p < .001) and expressed love for other people (β = 0.43, p < .05). Older adults who felt loved and expressed love for other people, respectively, had 0.71 and 0.54-point lower ordered log odds of reporting higher negative affect than those who reported lower levels of love. The statistically significant impact of feeling loved on all well-being outcomes was maintained even after adjustment for altruistic attitudes and emotional support. Except for depressive symptoms, such adjustments explained the positive influence of love for others on well-being outcomes. Discussion Our findings underscore the powerful influence of both receiving and giving loving emotions for the maintenance of later-life psychological well-being.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 618-619
Author(s):  
Meghan Custis ◽  
Jeongeun Lee ◽  
Natasha Peterson

Abstract Adequate housing and safe environments are among older adults’ foundational needs. Prior research suggests minority older adults face significant barriers to accessing affordable and appropriate housing. However, the effects of this environmental press on their psychological well-being are rarely addressed. This project examined racial disparities between minority and white older adults’ housing and environment conditions and the differential impact on their psychological well-being. Using nationally representative data from the National Health & Aging Trends Study (NHATS), older adults' reported rating of the quality of housing conditions, financial security, neighborhood security, and the interviewer’s rating of the home environment were analyzed. A total of 4,048 community-dwelling older adults aged 65 and over were selected for analysis. The sample demographics are predominantly white (77.5%), female (61.4%), and residing in the community (82%). Results found minority older adults reported poorer housing conditions, fewer home modifications, and lower financial and neighborhood security, compared to white counterparts. The impact of housing quality was more detrimental to minority older adults’ psychological well-being, compared to white counterparts. These findings suggest a significant negative impact of home conditions on the psychological well-being of minority older adults. Home modifications are a viable option to increase or preserve functional status in the home, which could lessen the deleterious effects of environmental press on older adults’ psychological outcomes, especially minorities. This study’s findings provide information that bolsters our knowledge of housing and environment conditions, which are critical in efforts to reduce health disparities in late life.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 374-375
Author(s):  
Jacquelin Berman ◽  
Manoj Pardasani ◽  
Madison Gates ◽  
Mebane Powell

Abstract This session will present the findings of a randomized control trial evaluating the impact Age-Tastic has on behavioral change. Age-Tastic is an eight-week intervention that uses game play, group facilitated discussion, and at home activities to promote positive behavioral change. There are five behavioral change domains: emotional well-being, nutrition, financial exploitation, falls prevention, and health literacy. A randomized control trial was conducted in New York City senior centers and include a diverse group of older adults. There were 98 older adults assigned to an experimental or control group. Participants in both groups completed a baseline survey, which was repeated at the end of the intervention and at week sixteen. The experimental (n = 64) and control (n = 34) groups did not significantly differ at baseline in regard to behaviors; however, upon completion of the intervention, the experimental group had significantly changed health behaviors (p < .05) compared to the control group. The behavior change reported by the experimental group was maintained at week sixteen (p < .001) with a medium effect size (ε2 = .17). In addition the experimental group also reported significant improvements at weeks eight (p < .001) and sixteen (p < .001) with large effect sizes (r2 = .62 and .52, respectively). This study found that Age-Tastic is an effective intervention for engaging older adults holistically about their health and wellness and for promoting positive behavioral change among diverse racial and ethnic populations.


2015 ◽  
pp. gnv128 ◽  
Author(s):  
Kristen E. Porter ◽  
Mark Brennan-Ing ◽  
Jeffrey A. Burr ◽  
Elizabeth Dugan ◽  
Stephen E. Karpiak

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S530-S530
Author(s):  
Judith Robertson R Phillips ◽  
Edith Jimenez ◽  
Heather Nicholson

Abstract Social capital such as positive relationships and social support play an important role in older adults’ well-being. Typically, researchers have investigated family and friends as providers of interpersonal resources to older adults but there has been an increasing trend to explore companion pets as providers of social capital and to investigate the impact of pet companionship on older adults’ psychological well-being. Inconsistencies have appeared in the literature though as to whether there is a “pet effect,” the positive benefit of companion pets on older adults’ psychological health. The purpose of this study was to investigate whether having a companion pet would provide greater social connection and better psychological well-being among 83 community-residing older adults (meanage = 62.87 years; males = 38; females = 45) who owned a companion pet, a dog (n= 53) , cat, (n= 21) or both (n= 9), versus 42 community-residing older adults (meanage = 65.69 years; males = 25; females = 17) who didn’t own companion pets. Analyses revealed that no “pet effect” was found for any measure of psychological well-being: self-reported loneliness, happiness, life satisfaction, or mental health. This was especially true for cat owners in that the more one viewed a cat as a family member, the lower one’s life satisfaction and happiness. In addition, as the number of cats in the household increased, the perceived social support from a significant other, family, and friends lowered. Discussion will focus on the implications of these results for pets as providers of social capital.


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