Abstract:
OBJECTIVES:Depression and anxiety are common in later life, particularly when people are frail. This leads to reduced quality of life, faster decline in physical health and increased health/social care use. Available treatments are commonly not tailored to people with frailty. We explored frail older peoples' experiences of depression and/or anxiety and how services could be adapted to their needs. METHODS:Semi-structured interviews with 28 older people in the UK purposively sampled for practice location and severity of frailty and anxiety/depression. We asked about symptoms, interactions with physical health, help-seeking, treatments and what might help in future. We audio-recorded and transcribed interviews, using thematic analysis to inductively derive themes. RESULTS:Frail older people had low expectations of their wellbeing at this point in life due to multiple physical health issues and so anxiety and mild depressive symptoms were normalised. There was a particular reluctance and uncertainty regarding help-seeking for anxiety. Treatments were considered appropriate where they aligned with coping skills developed over their lifetime, and facilitated independence and problem-solving skills. Most older people felt their knowledge of mental health was limited and relied upon information about and endorsement of therapies from an expert. This was usually their GP, but access was often problematic. Online methods of accessing information and therapies were not popular. CONCLUSION:Mental health support for frail older people needs to address late-life anxieties as well as depression, account for physical health issues, align with older people's need for independence and facilitate coping skills.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Frost R,Nair P,Aw S,Gould RL,Kharicha K,Buszewicz M,Walters Kdoi
10.1080/13607863.2019.1647132subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1977-1984issue
12eissn
1360-7863issn
1364-6915journal_volume
24pub_type
杂志文章abstract:OBJECTIVES:This study examines: (1) the effect of widowed persons' frequency of contact with friends and relatives on their depressive and grief symptoms six months following spousal loss and (2) the extent to which the effects of social contact are contingent upon the degree of emotional support received from these re...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.519325
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:Although sexuality is valued throughout the lifespan, older women's sexual expression can be influenced by physical, mental and social factors, including attitudes and stereotypes held by younger generations. By gaining an understanding of what influences negative attitudes toward sexuality and beliefs about...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802342243
更新日期:2009-03-01 00:00:00
abstract::The Dysfunctional Attitudes Scale Form A (DAS-A), a self-report measure of depression-related attitudes, has been used in numerous depression studies. The DAS-A has a two-factor structure that has been found consistently with college student samples and clinically depressed samples of middle-aged adults, but it has no...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001649572
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:The main objective is to examine the sense of coherence (SOC) of spouse caregivers. The aim was further investigate the association of SOC, health-related quality of life (HRQoL), depressive symptoms, distress and how severity of Alzheimer's disease (AD) affects SOC. METHOD:17O patient-spouse caregiver dyad...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860903046487
更新日期:2009-11-01 00:00:00
abstract::This paper reflects Alzheimer Europe's position on PPI (patient and public involvement) in the context of dementia research and highlights some of the challenges and potential risks and benefits associated with such meaningful involvement. The paper was drafted by Alzheimer Europe in collaboration with members of INTE...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1317334
更新日期:2018-06-01 00:00:00
abstract::Early intervention in Alzheimer's disease (AD) should focus on psychological and social needs as well as the provision of medication. One possible component of early intervention programmes for people with early-stage AD is cognitive rehabilitation aimed at fostering the development of strategies for coping with memor...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786021000045854
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:There have been few studies examining the relationship between chronic obstructive pulmonary disease (COPD) and psychiatric morbidity in Hong Kong. This study aimed to examine the prevalence of depressive disorders (major depression, dysthymia and adjustment disorder with depressed mood) in Chinese patients w...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.856862
更新日期:2014-07-01 00:00:00
abstract::Objectives: Previous studies pointed at positive associations between spirituality and Subjective Wellbeing (SWB) in later life, but were typically limited to one dimension of spirituality and/or one measure of SWB. Applying Fisher's (2010) multidimensional approach to spirituality and measuring both positive and nega...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1460743
更新日期:2019-08-01 00:00:00
abstract::Terminally ill cancer patients and their caregivers experience significant difficulties discussing illness and impending death (herein defined as mortality communication). The current study compares response levels as well as patterns of association between mortality communication and psychological distress among care...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802154473
更新日期:2009-01-01 00:00:00
abstract::This paper reviews the proposals from the Lord Chancellor's Department for new Mental Incapacity law for England and Wales as they may impact on older people with dementia. Various concerns and issues are raised, particularly from the perspective of health care professionals, and the focus is the interface between suc...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860120080279
更新日期:2001-11-01 00:00:00
abstract::Objectives: More positive attitudes to aging are associated with better health and wellbeing outcomes. This study examined whether chronological age moderated relationships between attitudes to aging and wellbeing outcomes, and whether these relationships differ according to the specific attitudinal construct measured...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1619167
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:This study aims to identify the relationship among social functioning, polypharmacy and depression among older patients in Hong Kong. METHOD:Three out of 18 elderly health centres were selected using the cluster sampling method. 457 elders were randomly selected from all the patients aged 65 and over attendi...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/13607863.2011.562174
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Few studies have measured the impact of dementia-related fear on daily functioning, despite its clinical relevance. Our aim was to determine the relationship between fear-avoidance of memory loss, perceived memory failures and self-reported quality of life in a community based sample of older adults using a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1856780
更新日期:2020-12-09 00:00:00
abstract:OBJECTIVES:This study examined determinants of discriminatory behavior towards a person with Alzheimer's disease (AD) using an attribution model. More specifically, the effects of residing in a nursing home compared with the community were examined. METHOD:A phone survey was conducted during the summer of 2007 with a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802380649
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:Limited health literacy has been shown to be associated with poor health status. However, research to date has not elucidated the factors that mediate the relationship between low literacy and poor health outcomes. The purpose of this study was to examine the mediating effect of self-efficacy on the relation...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607861003801011
更新日期:2010-09-01 00:00:00
abstract::This paper reports on the evaluation of the Enriched Opportunities Programme in improving well-being, diversity of activity, health, and staff practice in nursing home care for people with dementia. Participants were 127 residents with a diagnosis of dementia or enduring mental health problems in three specialist nurs...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600963679
更新日期:2007-07-01 00:00:00
abstract::Objective: The aim of this study is to identify and appraise existing instruments to evaluate mental well-being in old age.Method: Systematic literature searches in PubMed, PsycINFO, ProQuest Research Library, AgeLine and CINAHL databases were performed. The COnsensus-based Standards for the selection of health Measur...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1774742
更新日期:2020-06-04 00:00:00
abstract::Objectives: Hong Kong - Vigilance and Memory Test (HK-VMT) is developed to distinguish early cognitive impairment in the pre-symptomatic phase from normal cognitive ageing in older adults. The objectives were to validate HK-VMT to differentiate mild cognitive impairment (MCI) and healthy control (HC), and to explore t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1523878
更新日期:2020-01-01 00:00:00
abstract::This study examines how individual patient characteristics predict substance abuse treatment initiation among older adults, in an investigation based on the behavioral health service use model. Analyses tested the impact of demographic factors, substance abuse symptoms, depression and cognitive status on subsequent tr...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001709692
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:Prior integrative reminiscence interventions have had a limited focus on attachment themes. The attachment-focused integrative reminiscence (AFIR) intervention differs from these in its central emphasis on attachment themes. The wide range of health benefits resulting from integrative reminiscence may be due...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1023764
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Cognitive behavioral therapy (CBT) for depression and anxiety for older adults living in residential aged care facilities (RACFs) needs to accommodate the care needs of residents and the circumstances of RACFs. This systematic review examines the delivery and content characteristics of these interventions, i...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1686457
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:The primary objective of this work is to report the observed changes in psychological well-being in a sample of long-term medically hospitalized patients, after attending a cognitive stimulation program. The secondary aim is to determine if the observed changes were related to previous cognitive level. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1099033
更新日期:2017-01-01 00:00:00
abstract::During World War Two 1.9 million people were evacuated from British cities where the risk of bombing was perceived to be highest. 1.5 million of these were children who, often unaccompanied, were sent to live with strangers. Two hundred and forty-five people who were evacuated as children were compared with 96 of simi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600844473
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:Spousal dementia carers have unique support needs; they are likely to disengage from their existing social networks as they need to devote more time to caring as the disease progresses. Previously we showed that support resources can facilitate resilience in carers, but the relationship is complex and varies...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1209734
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Psychological well-being as one of the most important indicators of successful aging has received substantial attention in the gerontological literature. Prior studies show that sociodemographic factors influencing elderly's psychological well-being are multiple and differ across cultures. The ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.536141
更新日期:2011-05-01 00:00:00
abstract::Objectives: Explorations of relationships between loneliness and depression have focused on loneliness as a uni-dimensional construct. We hypothesised that reciprocal relationships may exist between depressive symptomatology and social and emotional subtypes of loneliness.Methods: Using data from 373 adults aged over ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1517728
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:To compare health-related quality of life (HRQOL) between younger and older patients with established rheumatic disorders and to assess the relative impact of a number of psychosocial parameters on HRQOL. METHODS:In a cross-sectional study of 320 patients (245 < 65 and 75 > or = 65 years old, response rate:...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607861003781809
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:Mild cognitive impairment (MCI) refers to an early but abnormal state of cognitive impairment with minimal functional impairment. The present study aimed to evaluate the validity of Fuld Object Memory Evaluation (FOME) as a measure of episodic memory function. METHOD:The study sample included 204 Chinese ol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1442414
更新日期:2019-06-01 00:00:00
abstract::Many publications on dementia start by outlining the current estimated number of people with dementia and how that figure is going to double (in Western societies) or even quadruple (in developing countries) in the coming decades as a result of increasing life expectancy (in itself a good development). Dementia is the...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1783514
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:Older people with dementia living in care homes often lack appropriate activities. Although homes are expected to offer a range of activities to meet residents' needs, little is known about what makes activities meaningful for people with dementia. This study explores concepts of meaningful activity, as defi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802343019
更新日期:2008-09-01 00:00:00