Meaninglessness in the Second Half of Life: The Development of a Construct

1998 ◽  
Vol 47 (2) ◽  
pp. 81-104 ◽  
Author(s):  
Martine van Selm ◽  
Freya Dittmann-Kohli

A new construct of meaninglessness in the second half of life was presented. We found that four theoretically based components of the construct of meaninglessness were expressed in the self- and life-descriptions of 95 percent of 153 Dutch independently living aged adults (age between 58 to 90 years old). The self- and life-descriptions were assessed by a content analysis of participants' answers on a sentence completion questionnaire for personal meaning (SELE). With respect to the content of the components of meaninglessness, we found that a lack of goals and an impoverishment of meaning was responsible for most motivational meaninglessness. On the affective level, meaninglessness is far more characterized by dejection-related emotions, than by agitation-related emotions. Alienation from one's self, others, or society appeared to be characteristic for most of the cognitive component of meaninglessness. The self-evaluative component was mainly characterized by low self-esteem. A tentative explanation was presented for the differences in proportion of each of the components, pointing to the cumulative character of the construct itself. Meaninglessness correlates positively with the Geriatric Depression Scale (GDS) ( r = .37, p < .01) and negatively with the Sense of Coherence Questionnaire (SOCQ) ( r = −.31, p < .01), which contributes to the cross-validation of the construct.

2009 ◽  
Vol 8 (3) ◽  
pp. 7-18
Author(s):  
Christina Harper

Therapeutic dining programs are part of the community reintegration process for clients recovering from a stroke. It is a supervised program performed in social settings that consists of a combination of techniques to improve the eating situation. Therapeutic dining programs are a beneficial form of therapy for many rehabilitative groups. This specific program has been tailored to older adults who are recovering from a stroke. Its main goals, aside from improving the eating situation, are to prevent another stroke from happening and decrease depression symptoms and increase self-esteem by reintegrating clients back into the community. I looked into several different community reintegration program and nutrition and eating after stroke studies in which positive outcomes were found for post-stroke clients. All studies and research used has provided a strong support for the specific proposed intervention program for my client Kelly, who is an older adult female recovering from a stroke. Assessments selected: The Barthel Index, Nutritional Status, and Geriatric Depression Scale (GDS). Plan: Small group therapeutic dining program with other older adults in the afternoon. Intervention: Therapeutic Dining Program three times a week for eight weeks to improve eating situation, promote healthy eating, decrease symptoms of depression, and increase self esteem and social activity. Evaluation: The Barthel Index, Nutritional Status, Geriatric Depression Scale plus a Stroke Recovery Scorecard. Clients Goals: 1) Client will lower the risks of having another stroke. 2) Client will increase their eating situation experience and self-esteem while decreasing their depression symptoms. 3) Client will get involved in one support group or leisure activity outside of recreational therapy (RT) dining program for community reintegrated leisure pursuits.


2009 ◽  
Vol 21 (6) ◽  
pp. 1180-1189 ◽  
Author(s):  
Perla Werner ◽  
Ifat Stein-Shvachman ◽  
Jeremia Heinik

ABSTRACTBackground: Depression is common in old age and is often associated with stigma. However, to date, little is known about self-stigma (internalization of stigmatic beliefs) in depressed older people despite its importance and consequences. The aim of this study was to examine self-stigma and its correlates in depressed older people.Methods: Phone interviews were conducted with 54 persons diagnosed with major depression (78% female, average age = 74) from a psychogeriatric clinic in the central area of Israel. Self-stigma was assessed using an adapted version of the Internalized Stigma of Mental Health (ISMI) scale. Symptoms of depression were assessed using the short form of the Geriatric Depression Scale (GDS). Self-esteem was measured using Rosenberg's Self Esteem Scale. Information regarding sociodemographic and psychiatric health characteristics was also collected.Results: Self-stigma was relatively moderate with 10% to 20% of the participants reporting self-stigma. Those who reported higher levels of self-stigma were younger than those who did not report it. Income and education were lower in persons who reported high levels of stigmatization. Persons who reported stigmatization scored higher on the GDS and reported lower self-esteem than those without stigmatization.Conclusions: This study represents an effort to examine the correlates of self-stigma in depressed older people. Since self-stigma exists among older adults, further studies are required to extend this body of knowledge.


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Aijaz Ahmad ◽  
Mohd. Altaf ◽  
Kounsar Jan

India is gradually turning into graying nation. With increased life expectancy there is more number of citizens above 60-65 age range now. However the changes that come in later life – retirement, death of spouse, increased isolation – can lead to different psychological problems among which depression is quite common. At the same time, studies indicate that loneliness, self esteem are potent factors involved in such psychological problems. The present study was undertaken to find the relation of such factors on depression in elderly Kashmiris as well as their presence in different sections. The sample consisted of 100 old age retired persons taken from different districts of Kashmir. Geriatric Depression Scale, Rosenberg’s Self –Esteem Scale, and UCLA loneliness Scale were applied on the participants to collect the data. Spss 20 was used to analyse the data and results revealed significant positive as well as negative correlation among different variables. However no significant differences were found across gender and domicile of participants on any of the measure. Hence it is clear that there is relation of depression with lonliness and self-esteem, however the nature and the direction of effect is not fully established.


Author(s):  
Jerome A. Yesavage ◽  
T. L. Brink ◽  
Terence L. Rose ◽  
Owen Lum ◽  
Virginia Huang ◽  
...  

1999 ◽  
Author(s):  
M. Trinidad Hoyl ◽  
Cathy A. Alessi ◽  
Judith O. Harker ◽  
Karen R. Josephson ◽  
Fern M. Pietruszka ◽  
...  

2017 ◽  
Vol 6 (1) ◽  
pp. 01
Author(s):  
Emy Sutiyarsih ◽  
Sr. Felisitas A Sri S

Depression in eldery couldn’t be easily detected because physical complaint was more often than emotional complaint. In severe case, depression could cause suicidal behaviour (Irawan, 2013). Therefore, elderly need assistance to deal with depression, and Emotional Freedom Technique (EFT) is one of the solution. Research design is pre-experimental design, using pre-test and post-test design. Before intervention, Geriatric Depression Scale test were given to one group of elder people. EFT intervention were given two times for four weeks, and Geriatric Depression Scale test were tested after intervention. Population was elder people who fulfill inclusion criterias, and 30 elderly were obatained. The significancy result was 0,000 (α = 0,05), it could be inferred that EFT has a strong relationship to depression scale. EFT could significantly reduce depression scale in elderly, so it can bes used effectively.


2000 ◽  
Vol 12 (2) ◽  
pp. 163-172 ◽  
Author(s):  
Turan Ertan ◽  
Engin Eker

The purpose of this study was to examine the Geriatric Depression Scale (GDS) translated into Turkish for its reliability, discriminant validity, and factor structure in a sample of 276 community-dwelling elderly and 30 patients with major depression. One item (Item 5) was discovered to have conceptual difficulty for Turkish elderly and was transformed to negative form. Item 2 was transformed to positive form to keep the number of positive and negative items equal to that in the original GDS. A reasonable time stability with 1-week interval (r:.74) and a high level of internal consistency (α = .91) were observed. Student's t test resulted in a significant discriminant validity for the scale total score. Factor study with principal component analysis and varimax rotation gave rise to a structure with seven factors. Results of the same analysis with two factors were found to be easier to interpret. The first factor was composed of 19 items reflecting “depressive affect and thought content.” The other 11 items representing “decrease in motivation and cognitive functions” loaded in the second factor. In conclusion, the Turkish GDS was found to have reasonable time reliability, high internal consistency, and discriminant validity for Turkish elderly. Its two-factor structure can be used as an informative instrument for epidemiological studies, reflecting two main dimensions of depression in the elderly.


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