scholarly journals Psychotherapy in Old Age: Older Adults’ Sexual Distress Concerning Their Sexual Well-Being

Author(s):  
Sofia von Humboldt ◽  
José Ribeiro-Gonçalves ◽  
Gail Low ◽  
Isabel Leal

Abstract Age and sexual difficulties show a relevant influence in older adults’ sexual well-being (SWB). The objective of this study was to assess sexual issues that affect SWB, revealed by older adults in person-centered therapy, using qualitative research. Interviews with 38 older participants, aged 65 to 82 years, living in the community were submitted to content analysis. Eight main themes emerged from the results of the content analysis: Partner unavailability, family issues, physical changes, worries about hygiene, sexual dysfunctions, fear of physical abuse, and sexual transmitted diseases. This study was relevant towards identifying the sexual issues older adults feel regarding their SWB, as shared in therapy. Older adults referred their greatest issues to be partner unavailability, sexual dysfunctions and physical changes due to aging.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 626-627
Author(s):  
Jeremy Hamm ◽  
Carsten Wrosch ◽  
Meaghan Barlow ◽  
Ute Kunzmann

Abstract Using two studies, we examined the late life prevalence and health consequences of discrete positive emotions posited to motivate rest and recovery (calmness) or pursuit of novelty and stimulation (excitement). Study 1 assessed the salience of these discrete emotions in older adults (n=73, Mage=73) relative to younger adults (n=73, Mage=23) over a one-week period. Multilevel models showed that older (vs. younger) adults reported higher calmness and lower excitement. Study 2 examined the longitudinal health consequences of calmness and excitement in old age (n=336, Mage=75), as moderated by perceived control. Multilevel growth models showed that calmness, but not excitement, buffered against 10-year declines in psychological well-being (perceived stress, depressive symptoms) and physical health (physical symptoms, chronic conditions) for older adults with low perceived control. Results suggest that positive emotions with disparate motivational functions become more (calmness) or less (excitement) salient and have diverging implications for health in old age.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S489-S489
Author(s):  
Laura Rath ◽  
Kylie Meyer ◽  
Elizabeth S Avent ◽  
Paul Nash ◽  
Donna Benton ◽  
...  

Abstract Qualitative research on positive coping approaches actually used by caregivers can inform interventions that can be feasibly implemented. Absent from previous qualitative research is how caregivers respond to strain in the relationship, specifically. Eight focus groups were conducted with a purposeful sample of racially and ethnically diverse family caregivers in Los Angeles (n=75). An additional 8 in-depth follow-up interviews were conducted. Content analysis was used to understand the mechanisms employed by caregivers to cope with strain and tension in the caregiving relationship. Preliminary results revealed twenty-two individual themes, which were subsequently grouped into four main superordinate themes: 1) Self-care; 2) Adaptation of behaviors and feelings; 3) Seeking and utilizing assistance and respite; and 4) Education and support groups. This work can help inform the design of programs to support caregivers and prevent potentially harmful behaviors, through understanding the experiences of caregivers in their own words.


2020 ◽  
pp. 1-15
Author(s):  
L. Jayne Beselt ◽  
Michelle C. Patterson ◽  
Meghan H. McDonough ◽  
Jennifer Hewson ◽  
Scott MacKay

Physical activity (PA) and social support have known benefits for the well-being and health of older adults, and social support is associated with PA behavior and positive affective experiences in PA contexts. The aim of this study was to synthesize qualitative research conducted on the experiences of social support related to PA among older adults (age ≥55 years). Following meta-study methodology, the authors searched nine databases and extracted information from 31 studies. Results were synthesized in terms of common themes and in light of theoretical and methodological perspectives used. The qualitative literature identifies supportive behaviors and social network outcomes which may be useful for informing how best to support older adults to be physically active. This literature rarely reflected the experiences of vulnerable populations, and future research should aim to further understand supportive behaviors which enable older adults to overcome barriers and challenges to being physically active.


2020 ◽  
pp. 088626052094370
Author(s):  
Sofia von Humboldt ◽  
José Alberto Ribeiro-Gonçalves ◽  
Isabel Leal

Significant demographic changes and a growing aging population increasingly emphasize the importance of assessing phenomena of violence against older adults, who constitute a vulnerable population. Therefore, bullying in old age is a poorly studied phenomena, but of growing importance. This study aims to analyze the perspectives of bullying in old age, using qualitative research at a cross-national level. We interviewed 173 older participants aged 65–91 years. Participants were Portuguese and English and lived in the community. Participants were subjected to semi-structured interviews. All the interviews went through a process of content analysis. Sample recruitment occurred through initial telephone contact, followed by a request to participate. Outcomes of content analysis produced seven themes, all of them associated with bullying experiences such as compromised learning capacity, loss of sense of agency and decision-making, asexuality, less attractive appearance, less social skills, gender discrimination, and less financial resources. Portuguese older adults felt mostly bullied for their loss of sense of agency and decision-making, less attractive appearance, less social skills, and less financial resources, while English participants mostly felt bullied for their compromised learning capacity, gender discrimination, and asexuality. The themes identified as being the most prominent in bullying are valuable guidelines for social policies and interventions toward bullying among older adults. Considering the scarcity of studies on bullying in older adults, this study is relevant for understanding the experience of older adults in relation to being bullied and for implementing psychosocial intervention programs including bullying situations that affect community-dwelling older adults.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
I. Engqvist ◽  
K. Nilsson

The aim of the study was to describe Swedish psychiatrists’ experiences of involving the family in the treatment of women with postpartum psychosis. A qualitative design was used, and semistructured qualitative research interviews were conducted with nine psychiatrists from the south of Sweden. Data were analysed using qualitative content analysis. Four categories were found:the family as a resource,the family as coworkers,preparing the family for the future, andthe family as a burden. The result showed that the psychiatrists considered the family to be a resource to which they devoted a great deal of care and effort. It was particularly important to involve the partner, informing about the course of the illness and the steps that need to be taken in the event of a relapse and reducing any guilt feelings. The psychiatrists instilled confidence and hope for a future of health and further child bearing. The family members’ limited understanding of the treatment may impede the involvement of the family. Conclusion of the study was that the goal for family involvement was to facilitate the women’s care and treatment. Further studies are needed to provide suggestions on how to develop family involvement in the care of women suffering from postpartum psychosis.


10.2196/15543 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e15543
Author(s):  
Janine Quittschalle ◽  
Janine Stein ◽  
Melanie Luppa ◽  
Alexander Pabst ◽  
Margrit Löbner ◽  
...  

Background The internet has the potential to foster healthy lifestyles and to support chronic disease management. Older adults could benefit from using the internet and other information and communication technology to access health-related information and interventions available online. Objective The aim of this study was to investigate factors influencing internet use in older and oldest age groups and to determine the frequency of internet use for health-related purposes. Methods Using data from a nationally representative telephone survey of older adults aged 75 years and over, a sample of 999 people was assessed using structured clinical interviews. Descriptive and binary logistic regression analyses were performed. Results Overall, 42.6% (418/999) of participants used the internet. Among those, 55.7% (233/417) searched the internet for health-related information. Regression analyses revealed that internet use was significantly associated with younger age (odds ratio [OR] 0.89, 95% CI 0.85-0.92; P<.001), male gender (OR 2.84, 95% CI 2.02-4.00; P<.001), higher education levels (OR 6.69, 95% CI 4.48-9.99; P<.001), a wider social network (OR 1.04, 95% CI 1.01-1.07; P=.01), higher health-related quality of life (OR 1.02, 95% CI 1.00-1.03; P=.006), lower levels of depressive symptoms (OR 0.89, 95% CI 0.80-0.99; P=.04), and higher rates of chronic illness (OR 1.12, 95% CI 1.04-1.21; P<.004). Conclusions This study provides population-representative data on internet use in old age in Germany. People in the older and oldest age groups participate in online activities. Understanding the factors that are associated with older adults internet use can contribute to developing tailored interventions and eHealth (electronic health) services to improve well-being in older adults.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S749-S749
Author(s):  
Helene H Fung

Abstract With population aging, many people can expect to spend 30 or more years in old age. The five papers included in this symposium aim at shedding light on whether and how to make plans for old age, using data from the “Aging as Future” Project. First, Park and Hess used data spanning across adulthood from Germany, Hong Kong and the USA to examine how changes experienced in domains of functioning and the importance attached to these domains influenced preparations for old age. Next, de Paula Couto and Rothermund, examining Germans aged 40-90 years, pointed out that prescriptive age stereotypes might be the main drive for why people make preparations for age-related changes. The remaining three papers use qualitative data to qualify the above quantitative findings. Adamson and Ekerdt interviewed older Midwest US residents. They observed that SES greatly impacted how older adults perceived and made plans for their future. The final two papers examined how rural vs. urban contexts might affect preparations for future. Liou interviewed older adults in rural Tainan and found that their ideal old age was one about no future preparation, at least not about making plans for themselves (called “tranquil life”). Ho and colleagues, in contrast, found that for older Chinese residing in urban Hong Kong, not preparing for the future (called “time freeze”) was negatively related to physical and psychological well-being. The symposium will end with an overall discussion on future research directions on whether and how to make plans for old age.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 310-310
Author(s):  
Sofia von Humboldt ◽  
Georgeta Niculescu ◽  
Gail Low ◽  
Isabel Leal

Abstract Objective: This study aims the perspectives of older adults on their sexual well-being. For this purpose, a qualitative research was carried out, which analyzes older adults’ perspectives on indicators of sexual well-being in Portugal and Romania. Methods: Forty seven older participants aged 65 to 91 years, were interviewed. Participants lived in the community. All the interviews went through content analysis. Results: Preliminary results of content analysis generated 5 themes for the Romanian sample: Supportive relationship (k = .92, p &lt; .01); positive financial situation (k = .91, p &lt; .01); good health (k = 94, p &lt; .01); education (k = .88, p &lt; .01); and family support (k = .89, p &lt; .01); and five themes for the Portuguese sample: Supportive relationship (k = .91, p &lt; .01); demonstration of love (k = .91, p &lt; .01); sharing joint activities (k = 92, p &lt; .01); positive attitude and good humor (k = .91, p &lt; .01); and open communication (k = .99, p &lt; .01); Conclusions: This study highlighted the perspectives of Portuguese and Romanian older adults concerning sexual well-being. For both samples, showing a supportive relationship with a partner was the more frequent theme. Keywords: Content analysis; cross-national; older adults; qualitative study; sexual well-being.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 313-313
Author(s):  
Sofia von Humboldt ◽  
José Alberto Ribeiro-Gonçalves ◽  
Andrea Costa

Abstract Objective: This study aims to analyze how older adults express themselves sexually. For this purpose, a qualitative research was carried out, which analyzes their perspectives at a cross-national level. Methods: Four hundred and ninety five older participants aged 65 to 98 years, were interviewed. Participants were of three different nationalities and lived in the community. All the interviews went through the process of verbatim transcription and subsequent content analysis. Results: Results of content analysis produced nine themes: Tender and care (k = .91, p &lt; .01); altruism and gratitude (k = .81, p &lt; .01); attractiveness (k = 94, p &lt; .01); positive communication (k = .89, p &lt; .01); sexual activity (k = .88, p &lt; .01); good health and physical condition (k = .96, p &lt; .01); supportive relationship (k = .84, p &lt; .01); eroticism (k = .94, p &lt; .01); and feeling active and alive (k = .92, p &lt; .01). Conclusions: This study stressed different ways on expressing sexuality in old age and underlined the importance of tender and care and eroticism for older adults who are sexually active. Keywords: Content analysis; older adults; qualitative study; sexual expression.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 792-792
Author(s):  
Sofia von Humboldt ◽  
Andrea Costa ◽  
Sara Silva ◽  
Isabel Leal

Abstract Objective This study aims to analyze the perspectives of intergenerational relationships between older adults and adult children. For this purpose, a qualitative research was carried out, which analyzes these relations at a cross-national level. Methods Four hundred and twenty four older participants aged 65-97 years, were interviewed. Participants were of three different nationalities and lived in the community. All the interviews went through the process of verbatim transcription and subsequent content analysis. Results Two dimensions of generational ambivalence were revealed from the study; support and the conflict dimensions. Findings of content analysis produced six themes, which represent intergenerational relations between older adults and adult children: older adults-adult children interaction quality; family integration; care and support; definition of limits; distance and alienation; and communication difficulties. Conclusions This study highlighted the diversity of experiences in old age, in relation to intergenerational relationships and underlined the conflicting expectations from older adults in relation to their adult children. Keywords: Adult children, ambivalence; conflict; intergenerational relationships; older adults; support.


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