Adjustment to Aging in Late Adulthood: A Systematic Review

Humboldt, Sofia von; Leal, Isabel

doi:10.1016/j.ijge.2014.03.003

Cited by 30 publications

(16 citation statements)

References 32 publications

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“…Living in a nursing home can affect adaptation to these problems, potentially causing distrust, scepticism, anxiety, reduced self-esteem, weakness and a sense of worthlessness. 1,5,6 With all these emotional changes, increasing age can cause death anxiety and depression.…”

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confidence: 99%

The Relation of Adaptation Difficulty to Death Anxiety and Depression Among Individuals Living in a Nursing Home

Pınar¹,

Demirel²

2020

Turkiye Klinikleri J Nurs Sci

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ging is an irreversible process, and it is anticipated that the elderly population will increase as part of the total population in the future. Indeed, while the elderly population constituted 6.9% of the total population in 2000, they are expected to constitute 19.3% by 2050. 1 In Turkey, the ORİJİNAL ARAŞTIRMA ABS TRACT Objective: This study aims to investigate the relation of adaptation difficulty to death anxiety and depression among individuals living in a nursing home. Material and Methods: The study was conducted with 62 individuals living in a nursing home. Data were collected using the Personal Information Form, the Assessment Scale of Adaptation Difficulty for the Elderly (There were four sub dimensions of interest: role and self-actualisation, interdependence, physiological status, and self-concept), the Death Anxiety Scale, and the Death Depression Scale. Results: The mean Assessment Scale of Adaptation Difficulty for the Elderly, the Death Anxiety Scale and the Death Depression Scale scores were 0.83±0.41, 8.61±2.97 and 9.45±4.25, respectively. There was a weak negative correlation between physiological states and the self-concept scores of the Death Anxiety Scale and the Assessment Scale of Adaptation Difficulty for the Elderly subscales. There were statistically significant differences between the Death Anxiety Scale total scores by gender and educational status, between the Death Anxiety Scale total scores by age, and between the Assessment Scale of Adaptation Difficulty for the Elderly total scores based on gender, educational status, perception of health condition, and ability to perform daily activities (p<0.05). Conclusion: Adaptation in terms of role and self-actualisation were generally negative, while death anxiety and depression were moderate. Death anxiety was most associated with physiological states and self-concepts. Specifically, death anxiety was therefore higher in males and people educated up to high-school and above levels, whereas death depression was higher in those aged from 58 to 70 years.

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confidence: 99%

The Relation of Adaptation Difficulty to Death Anxiety and Depression Among Individuals Living in a Nursing Home

Pınar¹,

Demirel²

2020

Turkiye Klinikleri J Nurs Sci

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“…The present study found that lack of social activities and exercises were signi cantly associated with BADL/IADL disabilities. According to the Activity Theory, human beings, as social individuals, have psychological sense of gain when playing their social roles and taking social engagement [53]. Previous evidence showed that a growing number of older people preferred to participate in social activities and became social integration and adaptation [54].…”

Section: Discussionmentioning

confidence: 99%

The Activity of Daily Living (ADL) subgroups and Health impairment among Chinese elderly:A Latent Profile Analysis

Zhang

Xiong

et al. 2020

Preprint

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Background Disability in aged people became one of the major challenges in China due to the acceleration of population aging, yet appropriate methods are limited to discriminate the degree of combined basic activity of daily living (BADL) and instrumental activity of daily living (IADL).The present study explored an empirical typology of the activity of daily living (ADL) and its association with health status among the elderly in China. Methods Data throughout the Chinese Longitudinal Healthy Longevity Survey (CLHLS) was retrieved and Latent profile analysis (LPA) was conducted to identify the subgroups of ADL for included elderly subjects. Multinomial regression was performed to detect the effect of identified characteristics with class subgroups, and restricted cubic spine was drawn to show the relationship between ADL disability with age and BMI. Results The overall participants (n = 8108) were divided into three ADL classes by LPA - ‘no BADL limitation- IADL impairment’ (Class one, n = 1526, 19%), ‘no BADL limitation-no IADL limitation’ (Class two, n = 6062, 75%) and ‘BADL impairment- IADL impairment’ (Class three, n = 520, 6%). Compared with the participants in Class two, the oldest-old, living without spouse, lacking exercise and social activity, having experience of falls, having comorbidity of diabetes, heart disease, stroke, decreased cognitive function, depression symptom were highly associated with BADL/IADL difficulties in Class one and Class three,. Additionally, malnutrition and asthma were associated with combined ADL/IADL impairment (Class three), and illiteracy only was associated with IADL impairment (Class one). Furthermore, a significant U-shape relation was detected between age and BMI with ADL disability. The elderly with IADL impairment was less likely to evolve combined BADL/IADL impairment aged at 80–90, and the elderly with underweight or obese may have higher risk of combined BADL/IADL impairment. Conclusion A novel ADL assessment was explored using LPA, by which elderly people could be defined as three distinct classes of combined ADL/IADL. The predictors identified in the ADL classes could enlighten targeted intervention to address the onset of functional disability and consequent problems with the elderly.

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“…Neste estudo, realizado com idosos da comunidade, os resultados da análise de clusters sugerem a existência de três grupos que refletem diferentes níveis de ajustamento psicossocial, o que vai ao encontro da literatura e investigação mais recente, que enfatiza a variabilidade neste grupo etário (Almeida & Apóstolo, 2014;Foguet-Boreu et al, 2015;von Humboldt & Leal, 2014). Um perfil denominado de pior ajustamento é aquele que se caracteriza pelos piores resultados em todos os indicadores avaliados (exceção para o afeto positivo) e reúne os idosos com uma média de idades intermédia.…”

Section: Discussionunclassified

“…Face ao aumento da longevidade que se tem verificado nos últimos anos e o facto do período da velhice se poder estender por 30 ou mais anos, impõe-se considerar a existência de diferentes fases ou etapas neste período do ciclo vital. Numa revisão sistemática sobre a adaptação ao envelhecimento foi proposto que se considerassem três períodos distintos: o dos idosos jovens, o dos idosos de meia-idade e o dos idosos mais idosos (von Humboldt & Leal, 2014). É por isso pertinente estudar mais aprofundadamente o processo de ajustamento psicossocial dos idosos e explorar a existência de mudanças ou transições que se reflitam na presença de grupos com diferentes caracterís-ticas ou perfis.…”

Section: Artigo De Investigação (Original) Research Paper (Original)unclassified

“…O envelhecimento saudável, para além de uma componente física, comporta também uma componente psicossocial, existindo já estudos que abordam o processo de ajustamento ao longo do avançar da idade (von Humboldt & Leal, 2014). O ajustamento psicossocial é frequentemente conceptualizado e avaliado como multidimensional, envolvendo variáveis que refletem em que medida o indivíduo é capaz de lidar eficazmente com as exigências do seu contexto de vida ou das mudanças impostas por acontecimentos de vida normativos ou não (Osswald et al, 2009).…”

Section: Enquadramentounclassified

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Psychosocial adjustment and health in older people: cluster analysis

Lima¹,

Santos²,

Almeida³

et al. 2018

Rev. Enf. Ref.

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ResumoEnquadramento: O envelhecimento saudável tem uma dimensão física e psicossocial, o que justifica a necessidade de melhor compreender o ajuste psicossocial das pessoas idosas. Objetivos: Estudar o processo de ajustamento psicossocial em idosos e explorar a sua associação com as variáveis sociodemográficas e clínicas. Metodologia: Estudo exploratório, quantitativo e transversal. Participaram 922 idosos residentes na comunidade, com idades entre os 64 e 99 anos. Foram estudadas as variáveis sociodemográficas e clínicas, perceção de saúde, afeto positivo e negativo, suporte social percebido e adesão aos medicamentos. Resultados: Identificou-se a existência de 3 perfis de ajustamento psicossocial. O perfil caracterizado pelos piores resultados em todos os indicadores, denominado de pior ajustamento, agrega os idosos com uma idade intermédia (M = 74,7; DP = 7,08) e que relatam mais sintomas e patologias. Conclusão: Este estudo sugere a existência de um grupo mais vulnerável de idosos, apontando para a necessidade de se desenvolverem intervenções de enfermagem focadas em recursos adaptativos promotores de uma melhor saúde e capacitação psicossocial.Palavras-chave: idoso; ajustamento social; saúde; análise por conglomerados Abstract Background: Healthy aging has both a physical and a psychosocial dimension, which justifies the need to better understand older people's psychosocial adjustment. Objectives: To study the psychosocial adjustment process in older people and explore its association with sociodemographic and clinical variables. Methodology: A quantitative, cross-sectional, and exploratory study was conducted with 922 community-dwelling older people aged 64 to 99 years. The following sociodemographic and clinical variables were analyzed: perceived health; positive and negative affect; perceived social support; and medication adherence. Results: Three psychosocial adjustment profiles were identified. The profile with the lowest scores in all indicators, called the worst adjustment, was composed of intermediate-age older people (M = 74.7; SD = 7.08), who also reported more symptoms and diseases. Conclusion: This study suggests the existence of a group of particularly vulnerable older people and highlights the need to develop nursing interventions focused on adaptive resources that can improve their health and psychosocial adjustment.

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Adjustment to Aging in Late Adulthood: A Systematic Review

Cited by 30 publications

References 32 publications

The Relation of Adaptation Difficulty to Death Anxiety and Depression Among Individuals Living in a Nursing Home

The Relation of Adaptation Difficulty to Death Anxiety and Depression Among Individuals Living in a Nursing Home

The Activity of Daily Living (ADL) subgroups and Health impairment among Chinese elderly:A Latent Profile Analysis

Psychosocial adjustment and health in older people: cluster analysis

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