scholarly journals Understanding the Occupational Adaptation Process and Well-Being of Older Adults in Magallanes (Chile): A Qualitative Study

Author(s):  
Palma ­Candia ◽  
Hueso­Montoro ◽  
Martí-García ◽  
Fernández-Alcántara ◽  
Campos-Calderón ◽  
...  

Background: Aging and longevity are important topics nowadays. Purpose: To describe how older adults perform the occupational adaptation process in the extreme region of Magallanes (Chile), and to identify the factors that might contribute to successful occupational adaptation and well-being. Method: Qualitative study, with a phenomenological interpretative approach. In-depth interviews were carried out with 16 older adults, with high or low levels of well-being, assessed with the Ryff Scale. An inductive content analysis according to Elo and Kyngäs was performed. Findings: Resilience, self-esteem and interdependence with significant others are key elements that promote well-being. Participants develop strategies to minimize the effects of environmental factors. The occupation’s function in terms of socialization, use of time, and social participation is revealed as a conditioning factor of occupational adaptation. Implications: Interventions with older people to achieve a successful occupational adaptation process must take into consideration the commitment to meaningful activities.

2015 ◽  
Vol 22 (6) ◽  
pp. 591-600 ◽  
Author(s):  
M. Michielsen ◽  
J. Th. C. M. de Kruif ◽  
H. C. Comijs ◽  
S. van Mierlo ◽  
E. J. Semeijn ◽  
...  

Objective: To explore how ADHD may have affected the lives of older adults who meet the diagnostic criteria of ADHD, but are unaware of their diagnosis. Our second aim was to examine whether the reported symptoms change over the life span. Method: A qualitative study was conducted. Seventeen Dutch older people (>65 years) diagnosed in this study with ADHD participated in in-depth interviews. Data were analyzed according to techniques of thematic approach. Results: Seven themes emerged from the analyses. Four themes correspond to ADHD symptoms: “being active,” “being impulsive,” “attention problems,” and “mental restlessness.” In addition, the themes “low self-esteem,” “overstepping boundaries,” and “feeling misunderstood” emerged. The impact of ADHD symptoms seems to have declined with age. Conclusion: ADHD has a negative impact on late life, and older adults with the disorder may benefit from treatment. Moreover, this study’s findings call for early detection and treatment of ADHD in children and adults.


2004 ◽  
Vol 20 (4) ◽  
pp. 262-274 ◽  
Author(s):  
Manuel de Gracia Blanco ◽  
Josep Garre Olmo ◽  
María Marcó Arbonès ◽  
Pilar Monreal Bosch

Summary: Self-concept is a construct consisting of a group of specific self-perceptions that are hierarchically organized. Age-associated changes of self-concept are related to the individual's perception of the changes occurring throughout the aging process. The authors examined external validity and internal consistency of an instrument that has been developed to assess self-concept in older adults and examined self-concept's characteristics in two different contexts. Results confirm the multidimensionality of the scale and show a satisfactory external validity, indicating good discriminatory capacity. Findings support the hypothesis that older people who live in a nursing home have a poor self-esteem, self-concept, and psychological well-being and have a greater presence of depressive symptoms than people who live in their own home.


2009 ◽  
Vol 23 (1) ◽  
pp. 19-32 ◽  
Author(s):  
Armand Chatard ◽  
Leila Selimbegović ◽  
Paul N'Dri Konan

Using recent data from the International Sexuality Description Project (ISDP), we examined whether national differences in self‐esteem across 55 nations are reflected in suicide rates. Results indicate that suicide is especially common in nations with relatively low levels of self‐esteem. This relation is consistent across sex lines, age of suicide and independent from several other relevant factors such as economic affluence, transition, individualism, subjective well‐being, and neuroticism. These findings provide support for the predictive validity of self‐esteem scores as assessed in the ISDP survey. They also contribute to a growing body of research documenting negative consequences associated with low self‐esteem. Possible implications for suicide prevention strategies are discussed. Copyright © 2008 John Wiley & Sons, Ltd.


2000 ◽  
Vol 50 (4) ◽  
pp. 361-383 ◽  
Author(s):  
Prem S. Fry

Three hundred and thirty-one older adults participated in a study designed to examine their perceptions of what constitutes a reasonable quality of life. Participants responded to an open-ended questionnaire in which they were asked to state their priorities, preferences, aspirations, and concerns about their present and future quality of life. Responses were subjected to a principal components factor analysis which yielded four factors: 1) respondents' demands for specific guarantees; 2) respondents' aspirations and expectations for future quality of life; 3) fears and anxieties; and 4) external factors presenting a threat to quality of life. These factors accounted for 15 percent, 12 percent, 9.2 percent, and 7.1 percent, respectively, of the total variance. Additionally, data obtained from in-depth interviews with thirty-seven older adults were analyzed using a qualitative approach. Contrary to stereotypic notions that elderly persons are frail, vulnerable, and resigned to deteriorating conditions of well-being in late life, the results of both the qualitative and quantitative components of the study showed the majority of respondents as having clear demands for autonomy, control, and independence in making decisions, including the decision to terminate life. Implications are discussed in terms of future research on quality of life of older adults.


2019 ◽  
Vol 29 (3) ◽  
pp. 655-663 ◽  
Author(s):  
Rasheeda K. Hall ◽  
Michael P. Cary ◽  
Tiffany R. Washington ◽  
Cathleen S. Colón-Emeric

Abstract Purpose Patient priorities for quality of life change with age. We conducted a qualitative study to identify quality of life themes of importance to older adults receiving dialysis and the extent to which these are represented in existing quality of life instruments. Methods We conducted semi-structured interviews with 12 adults aged ≥ 75 years receiving hemodialysis to elicit participant perspectives on what matters most to them in life. We used framework analysis methodology to process interview transcripts (coding, charting, and mapping), identify major themes, and compare these themes by participant frailty status. We examined for representation of our study’s subthemes in the Kidney Disease Quality of Life (KDQOL-36) and the World Health Organization Quality of Life for Older Adults (WHOQOL-OLD) instruments. Results Among the 12 participants, average age was 81 (4.2) years, 7 African-American, 6 women, and 6 met frailty criteria. We identified two major quality of life themes: (1) having physical well-being (subthemes: being able to do things independently, having symptom control, maintaining physical health, and being alive) and (2) having social support (subthemes: having practical social support, emotional social support, and socialization). Perspectives on the subthemes often varied by frailty status. For example, being alive meant surviving from day-to-day for frail participants, but included a desire for new life experiences for non-frail participants. The majority of the subthemes did not correspond with domains in the KDQOL-36 and WHOQOL-OLD instruments. Conclusion Novel instruments are likely needed to elicit the dominant themes of having physical well-being and having social support identified by older adults receiving dialysis.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S179-S179
Author(s):  
Sofia von Humboldt ◽  
Ana Monteiro ◽  
Isabel Leal

Abstract Objectives: To analyze how older adults conceptualize these intergenerational relationships. Methods: In this qualitative study, in-depth interviews were carried out with 316 older adults, aged 65-102, from three different nationalities who lived at home. Verbatim transcripts were examined. Results: Data analysis generated six themes representing intergenerational relationships: affection and reward; interest and integration; grandparent-grandchild interaction quality; privacy and boundaries definition; provision of support; and obligation of providing childcare, on two dimensions of ambivalence concerning their intergenerational relationships (supportive and conflictual). Conclusions: The empirical findings from this research indicate how ambivalence in intergenerational relationships is experienced by older adults and stress the contradictory expectations of older adults with grandchildren. Keywords: Ambivalence; conflict; intergenerational relationships; older adults; support.


Assessment ◽  
2017 ◽  
Vol 25 (3) ◽  
pp. 302-309
Author(s):  
Ineke Demeyer ◽  
Nuria Romero ◽  
Rudi De Raedt

The interplay between actual and ideal self-esteem may be a key component in emotional disorders. Since automatic self-evaluations are not always consciously accessible, assessment through implicit measures is necessary. Given the lack of implicit self-esteem measures in late life, we aimed to identify a reliable measure and to clarify the role of actual and ideal self-esteem in mood and depressive symptoms in older adults. Forty-nine older adults completed two adapted Go/No go Association tasks measuring implicit actual and ideal self-esteem and measures of mood and depressive symptoms. The two Go/No go Association tasks showed satisfactory internal consistency. Moderation analyses revealed that lower actual self-esteem in older adults is related to higher levels of sad mood when ideal self-esteem is high. Moreover, lower actual self-esteem is related to more anxious mood. Given the role of self-esteem in emotional well-being, a reliable measure for older adults is crucial to improve age-appropriate diagnostics and treatment.


2020 ◽  
Vol 26 (1) ◽  
pp. 21-40
Author(s):  
Nadia Agha ◽  
Maliha Gull Tarar

Breast cancer poses a major health risk to Pakistani women causing 40,000 deaths annually in Pakistan (Pink Ribbon 2019). Based on 40 in-depth interviews with women who have been treated for breast cancer from rural Sindh, this study explores the extent to which families, living in rural and less developed areas with poor socio-economic conditions, provide support to the patients. The results show that women as well as their husbands’ level of education and awareness is correlated to delayed access to medical services. Our findings show that husband’s support and empathy has a therapeutic effect on cancer patients. Women’s well-being and self-esteem was strongly associated with how men saw and dealt with their disease. Based on the findings, we recommend introducing awareness raising programmes and a well-integrated social support system to help the patients and particularly men who control women’s lives.


2018 ◽  
Vol 2 (85) ◽  
Author(s):  
Ilona Tilindienė ◽  
Giedrė Judita Rastauskienė ◽  
Aida Gaižauskienė ◽  
Tomas Stupuris

Research  background  and  hypothesis.  Previous  research  has  proved  that  children  engaged  in  sports  easier integrate into the society and their psychological well-being is much higher,  sports activities can help them resist to the harmful influence of their peers and prevent them from engaging into delinquent behavior. However, there still is a lack of a studies providing evidence about factors that determine the expression of compulsion. Hypothesis: The level of self-esteem and self-confidence of adolescent athletes influences the occurrence of bullying and the initiation of it.  Research  aim  was  to  disclose  the  relationship  between  the  level  of  adolescent  athletes’  self-esteem,  self-confidence and the occurrence of bullying.Research methods. The study applied I. Shostrom’s modified self-esteem scale questionnaire and the adapted Bullying Scale for Schoolchildren. Research  results.  Results  showed  a  weak  correlation  between  bullying  and  self-esteem  levels  (γ =  0.24; p > 0.05). We found a weak adverse relationship between initiating bullying and self-assessment levels (γ = –0.16; p > 0.05), weak adverse correlation between experienced bullying and self-confidence levels (γ = –0.15; p > 0.05) and a weak linear relationship between initiating bullying and self-confidence (γ = 0.20; p > 0.05).Discussion and conclusions. Contrary to what we expected, we observed that athlete adolescents with the high levels of self-esteem suffered from bullying sometimes and often. Research findings suggest that adolescents who tend to initiate bullying demonstrated moderate and low levels of self-esteem. Most of athlete adolescents admitted that that did not initiate bullying or if they did, that was done only occasionally. It was found that adolescents with high and moderate self-confidence levels experienced bullying occasionally or not at all. Some athletes with low self-confidence levels professed that they suffered from bullying more often, and they also admitted that they often initiated bullying themselves. In our research we were unable failed to provide evidence which would prove that sports activities impacted or influenced adolescents’ bullying initiatives or experiences; therefore further research is needed to determine whether self-esteem and other internal personality qualities could affect the expression of bullying among non-athlete adolescents.Keywords: aggression, adolescents’ self- assessment, self-confidence.


HortScience ◽  
1996 ◽  
Vol 31 (4) ◽  
pp. 609a-609
Author(s):  
M.L. George ◽  
J.M. Zajicek

Persons ≥60 years of age comprise a significant and growing segment of the U.S. population. More than one half of the elderly are female, and as age increases, the ratio of women to men increases as well. Gardening has long been known to be beneficial to older adults physically and psychologically. Our quantitative objective was to investigate the relationship between gardening and life satisfaction, self-esteem, and locus of control of elderly women. Our qualitative objective was to investigate the motivations to garden and the personal, self-rated benefits of gardening experienced by older women. About 45 participants were chosen from 1) volunteers in a horticultural therapy program, 2) participants in a community gardening project for older adults, and 3) participants in a community health project. During the first of two interviews, the participants completed survey instruments measuring self-esteem, locus of control, and life satisfaction. They also provided brief information about their gardening history along with demographic variables of age, ethnicity, educational background, and income level. During the second interview, the participants expanded on their experiences as gardeners, relating information such as how they became gardeners, how they learned to garden, and what factors influenced them to continue gardening. They were specifically asked to relate how they have personally benefited from gardening. Results examine the relationship between gardening and the psychological well-being of the older women.


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