The Relationship Between Activities of Daily Living (ADL), Chronic Diseases,and Depression Among Older Korean Immigrants

It has been identified that performance of Activities of Daily living (ADL) and chronic disease are predictors of depression for older Asian immigrants. This study examined the independent and interactive effects of ADL performance and chronic disease on depressive symptoms among older Korean immigrants. Data from 210 older Korean immigrants in Los Angeles County were analyzed. Self-reported measures included sociodemographic characteristics, ADL performance, chronic disease, and depressive symptoms. A hierarchical regression model indicated that performance of activities of daily living were negatively associated with depressive symptoms. Also, older Korean immigrants with more chronic diseases were more likely to have depressive symptoms. The interaction between ADL performance and chronic diseases was significantly associated with lower levels of depressive symptoms (β = .46, p < .05). Findings suggest that it is critical to develop various strategies for enhancing immigrants’ ability to perform activities of daily living; this can lead to increased independence and reduced chronic illnesses, thus, improving overall quality of life.     

Training Outcomes of Field Instructors in the Evidence-Based Practice Process Model

ABSTRACT

This study evaluated a continuing education training program designed to increase field educators’ capacities to support students in their application of the evidence-based practice (EBP) process. A cohort of social work field instructors and task supervisors from agency-based settings (N = 186) attended a 1-day interactive skill-based training. Pre- and postsurveys assessed learning outcomes. Findings reveal a significant improvement from pre- to posttraining in the social work educators’ familiarity, t(179) = 22.8; attitude, t(180) = 12.73; and intentions, t(178) = 11.89, regarding EBP. Results indicate that skill-based training in the EBP process model via continuing education is feasible and acceptable.     

The Relationships Between Life Satisfaction,Gender, Social Security,and Depressive Symptoms Among Elderly in Turkey

The main aim of this study was to investigate the relationships between life satisfaction, gender, social security, and depressive symptoms of the Turkish elderly. This cross-sectional study included 216 (female = 127, male = 89) participants with ages ranging from 60 to 93 years (mean = 71.60 ± 7.39). Information Gathering Form and Life Satisfaction and Geriatric Depression Scales were used for data collection. It was determined that 42.1% of the elderly who participated in this study had high depressive symptoms scores. Life satisfaction (OR = 0.63, 95% CI = 0.53–0.71), lack of social security benefits (OR = 3.52, 95% CI = 1.25–9.89), and gender (OR = 2.53, 95% CI = 1.17–5.50) predicted the depressive symptoms significantly. The results of the study indicate that while depression risk increases, life satisfaction decreases. In addition, lack of social security benefits and being female also increase the risk of depression in the Turkish elderly.     

The desire to emulate parental emotional strategies and its relation to emotion dysregulation among emerging adults

Emotion regulation (ER) is an integral aspect of emerging adults’ mental health, yet little is known about interpersonal factors that influence ER in during this period. This investigation examines emerging adults’ desire to emulate parental ER skills in the relation between perceived parental ER and emerging adults’ emotion dysregulation.A sample of 79 emerging adults (M_age = 18.55 years, SD = .32; 88.6% female, 69.6% White) completed measures of perceived parental ER (Affective Style Questionnaire [ASQ]Hofmann and Kashdan 2010), emotion dysregulation (Difficulties in Emotion Regulation Scale [DERS]Gratz and Roemer 2004), and desire to emulate parental ER (Perception of Emotion Regulation Scale [PERS]).A desire to emulate parental ER skills moderated the relationship between perceived parental ER and emerging adults’ emotion dysregulation in general (B = -.10, SE = .048, t = ?2.07, p = .043), and low emotional awareness in particular (B = -.04 SE = .02, t = ?2.47, p = .02).Findings suggest that emerging adults with an increased desire to emulate parents with lower ER skills report greater emotion dysregulation. Implications for clinical practice, along with future directions for the field of ER, are discussed.     

Fear as a Predictor of Life Satisfaction in Retirement in Canada

In developed countries, healthy retirees can fulfill their life, but may fear growing old. Yet, there is little empirical data on the relationship between this fear and life satisfaction. This cross-sectional, correlational survey study tested whether a new, summated measure of Fears About Growing Old (FAGO)—derived from exemplifications of Laslett, who posited the theory of the Third Age—significantly predicted life satisfaction and retirement satisfaction after adjusting for significant social participation covariates. A total of 190 Canadian retirees at three senior centers in Ontario, Canada, completed surveys. A pilot study established the reliability and validity of the scales, including the FAGO, used to assess the independent variable. In a regression analysis, fear (R ² _change = .06) was found to be a statistically significant predictor of life satisfaction when controlling for five covariates (current activity, circumstance and pursuing own interest as two reasons for retirement, postretirement work, and perceived social support); overall R ² = .26. For retirement satisfaction, fear significantly explained variance in the outcome (R ² _change  = .04) while controlling for two significant covariates (current activity and perceived social support); overall R ² = .14. A work by gender interaction on satisfaction was not found. Other than fear about loss of mobility, men rated loss of partner very high; women rated mortal disease very high. The lowest fear was loss of retirement income for men and loss of earning-power for women. Canada's poverty preventive programs successfully supported senior postretirement life. The FAGO was useful to find senior needs.     

Student support for reproductive health education in middle schools: findings from Lebanon

Reproductive health education (RHE) programmes in schools are a well-recognised means of helping young people make informed decisions relating to their sexual health and well-being. Very little research however has investigated attitudes towards such programmes among students in the Arab world. A national HIV education curriculum was developed in Lebanon in 2005. However, in the context of competing priorities and mixed levels of social resistance, curriculum implementation to date is far from universal. This study aimed to determine the prevalence of support for school-based RHE and the main factors associated with such support among young people aged 11–16 years in Lebanon. A secondary analysis of data from the 2011 Global school-based Student Health Survey (GSHS) was conducted. Students who supported RHE (58.1%) were more likely to be of higher grade level (adjusted OR [Odds Ratio]?=?1.78, p-value = 0.005), to have ever drunk alcohol (adjusted OR = 1.52, p-value = 0.012), to prefer mixed classes for RHE (adjusted OR = 3.19, p-value < 0.0001), to say RHE should start before or at puberty (adjusted OR = 3.57, p-value < 0.0001), and to be exposed to more health education topics in school (adjusted OR = 1.2, p-value < 0.0001). Identifying such sub-groups in the student body should inform the equitable implementation of RHE in culturally diverse settings like Lebanon.     

Leisure Experiences and Depressive Symptoms Among Chinese Older People: A National Survey in Taiwan

We aimed to explore older people's subjective leisure experiences and to further examine associations of such experiences with their depressive symptoms in Taiwan. Known correlates of depression, such as demographics, physical health, and social support, were taken into account. Face-to-face interviews were conducted to collect data using structured questionnaires from a national representative sample of community older people (N = 1308, aged 65 +). We found that (a) being female, older, single, less educated, and having lower family income were demographic risk factors of depression; (b) worse physical health, lack of independent functioning in Activities of Daily Living (ADL), and disability were related to more depressive symptoms; (c) greater social support was related to fewer depressive symptoms; (d) having controlled for effects of demographics, physical health, and social support, positive leisure experiences were independently related to fewer depressive symptoms. The benefits of meaningful leisure pursuits for successful aging are discussed.     

Effects of support on stress and burnout in school principals

Background: More than ever before, school principals are dealing with stress and burnout, resulting from increasing role demands and decreasing decision latitude and autonomy. Following the Demand–Support–Constraints model, reasons for stress and burnout can be found in the lack of social support in the environment.

Purpose: This longitudinal study investigates whether changes in social support from colleagues, supervisors and/or the broader community affect levels of principal stress and burnout.

Sample: Approximately 26% of Australia’s school principals took part (N = 3572): primary (n = 2660) and secondary (n = 912) spread across all Australian states and territories. Age ranged between 46 and 55 years, and mean leadership experience was 12 years.

Design and methods: Since stress and burnout are psychological phenomena that develop over time, a longitudinal approach was adopted. Data were collected across four waves, spread over four years, from 2011 to 2014.

Results: It was found that social support predicts decreased stress and in turn burnout in school principals, however differences were found according to the type of social support. The data provide strong evidence for a positive effect of stress on burnout (e.g. the more stress at time 2, the more burnout in principals at time 3) and partial support for indirect negative effects of social support on burnout (e.g. the more support from colleagues at time 2, the less burnout in principals at time 3). However, we also found two instances of positive effects of social support from the broader community on burnout. This suggests that the more support principals receive from the broader community, the more likely they are to show burnout symptoms. This might be explained as the ‘the downside of empathy’, where principals who are strongly supported by their community might also feel more connected to that community. When their community is struggling, they are probably struggling as well.

Conclusions: The findings highlight the positive impact the wider school community can play in providing supplementary professional support to the principal. Unbundling or repackaging the job responsibilities with an administrative team that shares the leadership of the school, could be part of the solution.     

Utilizing Conjoint Analysis to Explicate Nurse–Patient Interaction Among Geriatric Incarcerated Individuals

There has been no attempt to explicate elderly patients’ preferences during nurse-patient interaction in the context of a prison setting. A purposive sample of 347 was chosen from a national Philippine prison based on the following inclusion criteria: (a) 55 years old and above, (b) incarcerated, (c) no psychological impairment, and (d) can amply read and write. Via conjoint analysis (CA), 36 from 81 nurse–patient interaction cards were produced according to orthogonal plans, as specified by SPSS. The conjoint analysis model proved to be fit: Pearson R = .993, (p < .05) Kendall's tau = .944 (p < .05), Kendall's tau for holdouts = .799 (p < .05). The use of CA showed the top 3 attributes: language (21.26%), smile (18.49%), and eye contact (14.19%). Overall, the following levels are highly preferred by respondents: “vernacular” language (utility = 1.377, SE = .21.26), “with” smile (utility = 1.198, SE = .082), and “constant” eye-contact/gaze (utility = .919, SE = .082). Significant differences in nurse–patient interaction were noted in age brackets, current health condition, and years of incarceration, except in educational attainment. Overall, geriatric incarcerated individuals preferred nurses who verbally utilize close-ended, nonfrequent, and without follow-up questions, speak vernacular in a low and constant intonation, give encouragement, and praise. When touch is needed, the respondents preferred same gender nurses. Respondents find it more comfortable when nurses utilize ‘friendly’ space during the interaction, smile, and maintain constant eye contact. To achieve more consistent care, nursing actions must be in accordance with these preferences.     

Satisfaction with adult children’s achievements is associated with depression and loneliness in later-life: the mediating roles of children’s support and gratitude

We examined the mediating roles of gratitude and children support in the relationship between satisfaction with adult children’s achievements, and depression/loneliness in a sample of 465 community elders of Ekiti State, Nigeria. The sample includes 294 women and 171 men with mean age 74.18 (SD = 9.42) selected by means of multistage sampling method. Data were analyzed using structural equation modeling (SEM). Results suggested that satisfaction with adult children’s achievements was negatively associated with depression and loneliness. However, these relationships were found to be successively mediated by children’s support and gratitude. Specifically, gratitude fully mediated the relationship between satisfaction with adult children’s achievements and loneliness while children’s support was a partial mediator. Also, gratitude partially mediated the relationship between satisfaction with adult children’s achievements and depression while children’s support did not. The fit indices for the mediation model achieved the acceptable cuff-off for model fitness, CFI = .95, RMSEA = .042, 90% CI = (.033, .05, SRMR = .05, with 46% and 28% variance in depression and loneliness, respectively. In the management of geriatric depression and loneliness, mental health professionals may assess satisfaction with adult children’s achievements and utilize gratitude interventions for a happy and successful aging.     

What predicts the malnutrition among a select group of Filipino older persons in institutionalized setting? A partial least square study

The overall intent of this study is to examine the relationship among several factors that influence the malnutrition of a select group of Filipino elderly in institutionalized setting. A total of 102 residents were purposively recruited from three different institutionalized care settings at the national capital region of the Philippines. A multi-aspect questionnaire was used to characterize the demographic and nutrition profiles of the participants. Data were treated statistically using the partial least square design. Notably, the study showed that 48.0% of the elderly residents in institutions were at risk of malnutrition, 36.3% were malnourished, and 15.7% have normal nutritional status. Malnutrition was found to be prevalent among the female group, aged >70 years old, functional impairment (p = <0.01), poor eating habits (p = 0.01), lower dietary intake (p = 0.01), and eating difficulties (p = 0.04). However, statistically significant relationships between eating habits (p = 0.08) and dietary intake and comorbidities (p = 0.32) and malnutrition were not established. Impliedly, administrators of homecare institutions are invited to pay greater attention to the nutritional status of the elderly by institutionalizing nutrition assessment and evaluation practices and nutrition care planning that respond to the identified nutritional needs and concern of the elderly.     

Decreased Self-Reported Cognitive Failures after Memory Training

In recent years, attention has been focused on investigating the effectiveness of composite memory intervention programs with different age and diagnostics groups. The goal of this study was to measure changes in cognitive lapses by Cognitive Failure Questionnaire (CFQ) in a large trained, dementia free group (Mini-Mental State Examination [MMSE] > 26). The CFQ was administrated to older adults before training (Wave 1), after training (Wave 2), and in a six-month follow-up (Wave 3) to an experimental (N = 77; memory training) and control sample (N = 78, no intervention). Significant changes in subjective cognitive functioning in the experimental group and a plateau curve in the control group were observed. The results indicate support for the efficiency of a large memory-training group in promoting subjective cognitive functioning.     

Assessing Fit in Structural Equation Models: A Monte-Carlo Evaluation of RMSEA Versus SRMR Confidence Intervals and Tests of Close Fit

We compare the accuracy of confidence intervals (CIs) and tests of close fit based on the root mean square error of approximation (RMSEA) with those based on the standardized root mean square residual (SRMR). Investigations used normal and nonnormal data with models ranging from p = 10 to 60 observed variables. CIs and tests of close fit based on the SRMR are generally accurate across all conditions (even at p = 60 with nonnormal data). In contrast, CIs and tests of close fit based on the RMSEA are only accurate in small models. In larger models (p ≥ 30), they incorrectly suggest that models do not fit closely, particularly if sample size is less than 500.     

Young,Depressed, and Black: A Comparative Exploration of Depressive Symptomatology Among Black and White Collegiate Women

This comparative study explored the rates of depression and psychosocial correlates for 369 collegiate White and Black females. Women between the ages of 18 and 25 were recruited to participate in this anonymous online survey. Black females reported significantly greater amounts of depressive symptomatology (M = 24.61) in comparison to the White females (M = 15.68), (F (1,377) = 61.434, p < .001). A series of Chi-square analyses indicated that Black women (52.3%) were also significantly more likely to meet criteria for major depression than White women (21.7%). These findings highlight the racial disparities in psychosocial health among college students.     

Psychometric analysis of a scale for assessing specific competences in tutoring and educational guidance / Análisis psicométrico de una escala para evaluar las competencias específicas en tutoría y orientación educativa

The aim of this study is to validate an instrument for assessing self-perceived tutoring and educational guidance competences in students on the Master’s in Teaching. A historical review of secondary school teacher training shows the need to provide evidence of students’ competence levels. In view of this, a scale has been designed based on the specific competences they ought to acquire. A total of 336 students from the University of Salamanca and Oviedo participated in the study. An exploratory and confirmatory factor analysis of the results of the psychometric test show the good fit of the model globally (RMR = .075; GFI = .969) and incrementally (AGFI = .964; NFI = .960; RFI = .957), thus confirming the validity and reliability of the instrument. Finally, the study concludes by emphasizing the need to study real and self-perceived competence levels in specific areas, and to design suitable instruments to measure these levels.     

Measurement invariance in a measure of prosocial moral reasoning to use with adolescents from the USA and Brazil

Scholars have noted the need to examine the psychometric properties of measures that can be used in evaluating moral education programs. The present study was designed to examine the best‐fitting factor model of a commonly‐used measure of prosocial moral reasoning (PROM) across samples from Brazil and the USA, gender and adolescent age groups. The samples consisted of 619 college students (M age = 20.59 years, SD = 4.08; 41% men, 59% women) and 239 middle and high school students (M age = 14.02 years, SD = 3.04; 45% boys, 55% girls) from the USA. There were 114 college students (M age = 21.81, SD = 4.33; 35% men, 65% women) and 136 middle and high school students (M age = 14.93 years, SD = 1.55; 42% boys, 58% girls) from Brazil. A series of (multigroup) confirmatory factor analyses were conducted to test the best fitting factor structure of the PROM and the invariance of this factor structure across culture, gender and age groups. Evidence for measurement invariance was found such that a four‐factor model was a slightly better fitting model than the five‐factor model across all groups. Discussion focuses on theoretical and methodological implications of the findings.     

A Little Bit of the Blues: Low-Level Symptoms of Maternal Depression and Classroom Behavior Problems in Preschool Children

Research Findings: The purpose of this study was to examine the relationship between low-level depressive symptoms in mothers and teacher-reported child behavioral outcomes. Participants included 442 low-income mothers of preschool-age children who were screened for maternal depression by their child's preschool teacher. Teacher reports of child behavior problems were collected on a random sample of the children (n = 264). Of mothers screened for depression, 16.7% reported low-level depressive symptoms (below the cutoff on the screener indicating clinically elevated symptoms). Analyses revealed that children of mothers with low-level depressive symptoms had significantly greater problems with externalizing behavior compared to children of mothers with no depressive symptoms. Practice or Policy: Results suggest that children whose mothers experience even low-level depressive symptoms are at risk for problems with behavior, pointing to the need for screening and interventions to address maternal depression at all levels of severity. Early childhood education providers are in an excellent position to support families impacted by symptoms of maternal depression through screening and education, supportive daily interactions, and referrals for services if needed. Teachers can also provide direct support for high-risk children's social and emotional skill development through the provision of sensitive, nurturing care.