Community reintegration: Therapeutic dining program for older adult following stroke

2009 ◽  
Vol 8 (3) ◽  
pp. 7-18
Author(s):  
Christina Harper
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Older Adult ◽  
Barthel Index ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Self Esteem ◽  
Depression Symptoms ◽  
Community Reintegration ◽  
Geriatric Depression

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.

Perceptions of self-stigma and its correlates among older adults with depression: a preliminary study

2009 ◽  
Vol 21 (6) ◽  
pp. 1180-1189 ◽  
Author(s):  
Perla Werner ◽  
Ifat Stein-Shvachman ◽  
Jeremia Heinik
Keyword(s):  
Older Adults ◽  
Older People ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Central Area ◽  
Depression Scale ◽  
Self Esteem ◽  
Geriatric Depression ◽  
Symptoms Of Depression ◽  
Body Of Knowledge

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.

scholarly journals Reliability and validity of Azeri Turkish version of geriatric depression scale

2020 ◽  
Vol 10 (1) ◽  
pp. 74-79
Author(s):  
Sepideh Herizchi ◽  
Habibeh Barzegar ◽  
Shahrokh Amiri ◽  
Ali Fakhari ◽  
Homayoun Sadeghi-Bazargani ◽  
...  
Keyword(s):  
Older Adults ◽  
Sensitivity And Specificity ◽  
Roc Curve ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Reliability And Validity ◽  
Depression Symptoms ◽  
Geriatric Depression ◽  
Operating Characteristics ◽  
Turkish Version

Background: In older adults, depression symptoms may be masked by physical complaints and be even attributed to the natural aging process, which may be resulted in improper diagnosis. Native-language scales can be highly effective in the detection of depressive disorders. In this study we attempted to assess the reliability and validity of the Azeri Turkish version of the geriatric depression scale (GDS). Methods: In this psychometric study, the GDS and the Structured Clinical Interview for DSM IV(SCID) questionnaires were administered to a sample of 387 older adults (60 years and older)from the member households of Tabriz health centers. The English version of GDS was translated into Azeri Turkish. Translation-back translation process was conducted. The receiver operating characteristics (ROC) curve, as well as sensitivity and specificity, were used to determine the validity of the questionnaire, and the test-retest method was used to calculate reliability. Results: The mean age of participants was 69.30. The area under the ROC curve for the scores higher than five was 0.832 and for the scores equal to ten and above was 0.871. The sensitivity and specificity for the scores higher than five were 90.9% and 73.4%, respectively. The reliability of this scale was confirmed based on intraclass coefficient (ICC) = 0.79. Conclusion: The Azeri Turkish version of GDS was found with appropriate levels of validity and reliability.

scholarly journals Relationship between Eating Alone and Poor Appetite Using the Simplified Nutritional Appetite Questionnaire

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 337
Author(s):  
Yurie Mikami ◽  
Keiko Motokawa ◽  
Maki Shirobe ◽  
Ayako Edahiro ◽  
Yuki Ohara ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Living Alone ◽  
Geriatric Depression ◽  
Poor Appetite ◽  
Self Rated Health ◽  
The Poor ◽  
Multivariable Logistic Regression

One prominent factor associated with malnutrition is poor appetite. In Japan, the number of older adults living alone has increased annually. Those living alone tended to eat alone, which may lead to poor appetite. This study aimed to investigate the association between eating alone and poor appetite using an index called the Simplified Nutritional Appetite Questionnaire (SNAQ). We surveyed 818 people aged 70 and over in Takashimadaira, Itabashi-ku, Tokyo, Japan, in 2016. Comparisons were made between two groups, a poor appetite group (n = 295) and a good appetite group (n = 523), and results indicate that the poor appetite group had a higher rate of eating alone than the good appetite group (38.0% vs. 20. 1%: p < 0.001). Multivariable logistic regression (OR; 95%CI) was performed and poor appetite was significantly associated with the Geriatric Depression Scale (GDS) score (1.707; 1.200–2.427), the number of medications (1.061; 1.007–1.118), JST score (0.894; 0.841–0.950), the indication of “very healthy” on a self-rated health scale (0.343; 0.152–0.774), and reports of eating alone (1.751; 1.130–2.712). Our results suggest that eating alone is associated with a poor appetite.

Do the GDS and the GDS-15 adequately capture the range of depressive symptoms among older residents in congregate housing?

2011 ◽  
Vol 23 (6) ◽  
pp. 950-960 ◽  
Author(s):  
Kathryn Betts Adams
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Oldest Old ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Diagnostic Interview ◽  
Geriatric Depression ◽  
Roc Curve Analysis ◽  
Cut Points ◽  
Hit Rates

ABSTRACTBackground: In light of inconsistencies in cut points for identifying non-major depression, this study examined the classification efficiency of the Geriatric Depression Scale (GDS and GDS-15) total scores and individual items, and four additional depressive symptoms for identification of subthreshold, minor, or criterion depression among 166 vulnerable residents of congregate housing.Methods: Depression (combined categories of major depressive episode, minor, or subthreshold depression) was determined by the Mini-International Neuropsychiatric Interview (MINI) diagnostic interview depression module administered by telephone to 166 older residents of congregate housing facilities who also completed the 30-item GDS and four other yes/no potential indicators of geriatric depression. Classification agreement and ROC curve analysis for the full and 15-item GDS scale scores were calculated. Individual item hit rates for MINI criterion were calculated for GDS items and four new items.Results: GDS and GDS-15 at standard cut points had 70–75% agreement with MINI. Best sensitivity and specificity were obtained at lower than standard cut points. Some GDS Withdrawal, Apathy, lack of Vigor (WAV) and cognitive items obtained very low hit rates. New items “I just don't feel like myself” and “I feel I am a burden to others” better discriminated MINI depression than most GDS items and had good item-to-total correlations with the GDS.Conclusions: Diagnostic criteria and GDS screen had partial agreement. Some GDS items did not adequately represent depression among functionally impaired or oldest old older adults. Feeling one is a burden and the sense of feeling “different” from usual may be useful indicators of depression among vulnerable older adults.

scholarly journals A Psychometric Properties Evaluation of the Italian Version of the Geriatric Depression Scale

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Giovanni Galeoto ◽  
Julita Sansoni ◽  
Michela Scuccimarri ◽  
Valentina Bruni ◽  
Rita De Santis ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Concurrent Validity ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Italian Population ◽  
Geriatric Depression ◽  
Italian Version ◽  
Retest Reliability ◽  
Test Retest Reliability

Objective. The Geriatric Depression Scale (GDS) is an evaluation tool to diagnose older adult’s depression. This questionnaire was defined by Yesavage and Brink in 1982; it was designed expressly for the older person and defines his/her degree of satisfaction, quality of life, and feelings. The objective of this study is to evaluate the psychometric properties of the Italian translation of the Geriatric Depression Scale (GDS-IT). Methods. The Italian version of the Geriatric Depression Scale was administered to 119 people (79 people with a depression diagnosis and 40 healthy ones). We examined the following psychometric characteristics: internal consistency reliability, test-retest reliability, concurrent validity, and construct validity (factor structure). Results. Cronbach’s Alpha for the GDS-IT administered to the depressed sample was 0.84. Test-retest reliability was 0.91 and the concurrent validity was 0.83. The factorial analysis showed a structure of 5 factors, and the scale cut-off is between 10 and 11. Conclusion. The GDS-IT proved to be a reliable and valid questionnaire for the evaluation of depression in an Italian population. In the present study, the GDS-IT showed good psychometric properties. Health professionals now have an assessment tool for the evaluation of depression symptoms in the Italian population.

scholarly journals The role of age in social cognition: Comparison of young, middleaged, and older adults in sarcasm understanding

2014 ◽  
Vol 7 ◽  
pp. 1
Author(s):  
Αντωνία Χατζηευφραιμίδου ◽  
Δέσποινα Μωραΐτου ◽  
Γεωργία Παπαντωνίου ◽  
Έλενα Ναζλίδου ◽  
Κρυσταλλία Πάντσιου
Keyword(s):  
Older Adults ◽  
Social Cognition ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression ◽  
Social Inference ◽  
State Examination

Η παρούσα έρευνα αποσκοπούσε να εξετάσει τη σχέση ηλικίας - κοινωνικής νόησης.<br />Το δείγμα αποτελούνταν από 72 άτομα, ηλικίας 20 ως 82 ετών, κατανεμημένα σε<br />τρεις ομάδες ηλικίας: τους «Νέους Ενήλικες» (Μ.Ο. = 25 έτη, Τ.Α. = 3.7 έτη), τους<br />«Μεσήλικες» (Μ.Ο. = 51.2 έτη, Τ.Α. = 7.5 έτη) και τους «Ηλικιωμένους» (Μ.Ο. =<br />72.1 έτη, Τ.Α. = 4.9 έτη). Οι τρεις ομάδες ήταν εξισωμένες ως προς το φύλο και το<br />μορφωτικό επίπεδο. Στους συμμετέχοντες χορηγήθηκε η Δοκιμασία Κοινωνικού<br />Συμπερασμού (Απλός) [ΔΚΣ(Α). Social Inference (Minimal) – SI(M): Part 2 of the<br />ΤΑSIT, McDonald, Flanagan,Rollins &amp; Kinch, 2003], η οποία εξετάζει εάν ο<br />συμμετέχοντας κατανοεί το σαρκασμό και μπορεί να τον διακρίνει από την<br />ειλικρίνεια. Στην ομάδα των ηλικιωμένων χορηγήθηκαν επιπλέον η Δοκιμασία<br />Σύντομης Γνωστικής Εκτίμησης (ΔΣΓΕ, Mini Mental State Examination, MMSE,<br />Folstein, Folstein, &amp; McHugh, 1975, προσαρμογή στον ελληνικό πληθυσμό:<br />Fountoulakis, Tsolaki, Chatzi &amp; Kazis, 2000) και η Γηριατρική Κλίμακα<br />Κατάθλιψης-15 (ΓΚΚ-15, Geriatric Depression Scale–15, GDS-15, Yesavage, et al.,<br />1982-1983, προσαρμογή στον ελληνικό πληθυσμό: Fountoulakis, Tsolaki, Iacovides,<br />et al., 1999). Τα αποτελέσματα για τους ηλικιωμένους έδειξαν ότι όσο πιο χαμηλή η<br />βαθμολογία στη ΔΣΓΕ και όσο πιο υψηλή στη ΓΚΚ-15, τόσο χαμηλότερη η επίδοση<br />στη ΔΚΣ(Α). Για το σύνολο του δείγματος, τα αποτελέσματα έδειξαν πως η ηλικία<br />2<br />συνδέεται αρνητικά με την ικανότητα κατανόησης του σαρκασμού και η αυτο-<br />αναφερόμενη υπερχοληστεριναιμία αποτελεί επιβαρυντικό παράγοντα στην<br />παραπάνω σχέση.

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