The Action Project Method Applied in Nursing Home Settings

The action-project method (APM), developed in counselling psychology and used in various disciplines, has been shown to be useful for understanding major life transitions in different contexts. We argue that the APM is beneficial for studying the impact of nursing home (NH) home admission and daily life of residents and their families/friends. The APM enables researchers to explore how residents and their families/friends experience NH-life at individual and supraindividual levels of analysis. We applied the APM to solicit the views of residents and individuals close to them to understand their priorities for quality care. The APM data collection consisted of three stages. First, a resident and family member or other caregiver met with the interviewer who initiated a conversation about their experience in the NH. The interviewer then left the room but video-recorded the conversation. Second, the interviewer met with each participant to review the video with each participant offering reflection on the original conversation. These sessions were also recorded. Following transcription and analysis of the conversations, 3 lay-language narratives were created: 1 for each individual and 1 for the pair. Third, participants reviewed their own and the pair’s narrative for additional comments. The APM offers a means to give a voice to NH residents and allows for people to talk about their experiences without the presence of a researcher. By using the APM, researchers can break down individual actions of participants and how these actions come together to form the project of navigating care in NHs.

Associations of early adulthood life transitions with changes in fast food intake: a latent trajectory analysis

Background Early adulthood is a period of rapid personal development when individuals experience major life transitions (e.g. leaving the parental home, leaving education, beginning employment, cohabitation and parenthood). Changes in social and physical environments associated with these transitions may influence development of health-related behaviours. Consumption of fast food is one behaviour associated with poor diet and long-term health outcomes. In this study we assess how frequency of fast food consumption changes across early adulthood, and how major life transitions are associated with changes in fast food intake. Methods Data were collected across four waves of the Project EAT study, from mean age 14.9 (SD = 1.6) to mean age 31.1 (SD = 1.6) years. Participants reporting data at two or more waves were included (n = 2902). Participants reported past week frequency of eating food from a fast food restaurant and responded to questions on living arrangements, education and employment participation, and having children. To assess changes in fast food we developed a latent growth model incorporating an underlying trajectory of fast food intake, five life transitions, and time-invariant covariates. Results Mean fast food intake followed an underlying quadratic trajectory, increasing through adolescence to a maximum of 1.88 (SE 0.94) times/week and then decreasing again through early adulthood to 0.76 (SE 2.06) times/week at wave 4. Beginning full-time employment and becoming a parent both contributed to increases in fast food intake, each resulting in an average increase in weekly fast food intake of 0.16 (p < 0.01) times/week. Analysis of changes between pairs of waves revealed stronger associations for these two transitions between waves 1–2 (mean age 14.9–19.4 years) than seen in later waves. Leaving the parental home and beginning cohabitation were associated with decreases in fast food intake of − 0.17 (p = 0.004) and − 0.16 (p = 0.007) times/week respectively, while leaving full-time education was not associated with any change. Conclusions The transitions of beginning full-time employment and becoming a parent were associated with increases in fast food intake. Public health policy or interventions designed to reduce fast food intake in young adults may benefit from particular focus on populations experiencing these transitions, to ameliorate their impact.

Support Processes Predict Declines in Attachment Avoidance Across the Transition to Parenthood

Attachment orientations in adulthood can change over time, but the specific circumstances that directly affect change are not well understood. Bowlby proposed that those circumstances involve the assimilation of information that is incongruent with an individual’s existing attachment orientation and underlying working models. In this study, 137 couples transitioning to parenthood were followed across the first 2 years of their firstborn child’s life, with both partners providing data at five time-points. Only changes in attachment avoidance were examined in this study. Consistent with predictions, downward changes in avoidance were associated with relationship events that introduced information inconsistent with avoidant working models. For example, people who provided more support to their partners declined in avoidance across the transition period. We discuss these findings and new directions needed to better understand when and how attachment orientations change during major life transitions.

Support Processes Predict Declines in Attachment Avoidance Across the Transition to Parenthood

Attachment orientations in adulthood can change over time, but the specific circumstances that directly affect change are not well understood. Bowlby proposed that those circumstances involve the assimilation of information that is incongruent with an individual’s existing attachment orientation and underlying working models. In this study, 137 couples transitioning to parenthood were followed across the first 2 years of their firstborn child’s life, with both partners providing data at five time-points. Only changes in attachment avoidance were examined in this study. Consistent with predictions, downward changes in avoidance were associated with relationship events that introduced information inconsistent with avoidant working models. For example, people who provided more support to their partners declined in avoidance across the transition period. We discuss these findings and new directions needed to better understand when and how attachment orientations change during major life transitions.

OLDER WOMEN'S EXPERIENCES OF AGING: THE PHYSICAL, THE PSYCHOLOGICAL, AND THE SOCIAL

According to the life course perspective (Settersten, 2003), major life transitions are embedded in contexts shaped by personal history and social circumstances “as natural as the changing seasons” (Miller, 2010, p.663). Aging itself is perhaps the epitome of all transitions: a relatively measured movement through a series of situations, conditions, and social roles (Hettich, 2010); a transition that particularly lends itself to a life course approach. In this qualitative interview study, 37 women (Mage = 72.27) responded to questions regarding their experiences of the physical, psychological and social aspects of aging. While themes of inevitability and physical health were evident, the highly-personalized nature of aging was also underscored through individual themes of invisibility, freedom from expectations, fear of cognitive decline, and the quality and maintenance of friendships. Similarities and differences in women’s experience of aging are compared; the need to contextualize aging within the life course is discussed.

Depression Following Major Life Transitions in Women: A Review and Theory

Depression can occur due to common major life transitions, such as giving birth, menopause, retirement, empty-nest transition, and midlife crisis. Although some of these transitions are perceived as positive (e.g., giving birth), they may still lead to depression. We conducted a systematic literature review of the factors underlying the occurrence of depression following major life transition in some individuals. This review shows that major common life transitions can cause depression if they are sudden, major, and lead to loss (or change) of life roles (e.g., no longer doing motherly or fatherly chores after children leave family home). Accordingly, we provide a theoretical framework that explains depression caused by transitions in women. One of the most potential therapeutic methods of ameliorating depression associated with life transitions is either helping individuals accept their new roles (e.g., accepting new role as a mother to ameliorate postpartum depression symptoms) or providing them with novel life roles (e.g., volunteering after retirement or children leave family home) may help them overcome their illness.

Interventions that support major life transitions in older adulthood: a systematic review

ABSTRACTBackground:Major life transitions can negatively impact the emotional well-being of older people. This study examined the effectiveness of interventions that target the three most common transitions in later life, namely bereavement, retirement, and relocation.Methods:A systematic search was performed via MEDLINE, EMBASE, CINAHL, Cochrane Library, PsycINFO, and reference lists of retrieved non-randomized and randomized controlled trials (RCTs) in English that studied the effectiveness of interventions addressing the three transitions in those >50 years of age. Two researchers independently selected the publications, piloted the data extraction form, and critically appraised studies specific to transition type and study design.Results:A total of 11 studies (bereavement: 7; retirement: 2; relocation: 2) of 8 unique interventions met the inclusion criteria of which nine were RCTs and two were of quasi-experimental designs were reviewed. Six studies were group-based interventions, three studies used individualized sessions, and one intervention used a combination of group and individualized programming. Group size varied (20–32 participants), as did qualifications of those administering the interventions. The methodological quality of included studies was weak. Findings suggest that group-based approaches provided by trained personnel can mitigate the negative health-related consequences associated with major transitions in later life.Conclusion:Evidence concerning interventions that address mental health challenges associated with these major transitions is limited. Future research should better characterize participants at study outset and use validated measures to capture effectiveness. Use of peer mentorship to navigate such transitions is promising, but given the small number of studies and their methodological weaknesses, further research on effectiveness is warranted.

Impact of personality traits and early life experience on timing of emigration and rise to alpha male status for wild male white-faced capuchin monkeys (Cebus capucinus) at Lomas Barbudal Biological Reserve, Costa Rica

It is rare in studies of long-lived animals to know enough about the personalities and early experiences of individuals to use this information to predict their behaviour during major life transitions in adolescence and adulthood. Here, we examine how personality traits and early experiences predict age of natal emigration and timing of first ascent to alpha status in 169 wild male white-faced capuchins studied at Lomas Barbudal, Costa Rica, 75 of whom emigrated and 23 of whom acquired alpha status. Males were more likely to delay natal emigration if they were more extraverted, more neurotic, if their fathers co-resided longer with them, and if there were fewer alpha male turnovers. More extraverted males attained alpha status sooner.