Assessment in Geriatric Settings

Edelstein, Barry A.; Martin, R. Bruce; Gerolimatos, Lindsay A.

doi:10.1002/9781118133880.hop210017

Cited by 4 publications

(5 citation statements)

References 155 publications

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“…This study has numerous implications for the assessment of anxiety and our understanding of anxiety control among older adults. The need for the development of older adult assessment instruments using older adult participants is suggested by the present findings, a point that has previously been made with regard to a variety of clinical constructs (e.g., Edelstein, Martin, & Gerolimatos, in press; Gould, Edelstein, & Gerolimatos, in press). Our ultimate goal is to have a psychometrically and conceptually sound measure of anxiety control that is useful for anxiety research and practice with older adults.…”

Section: Discussionsupporting

confidence: 52%

Exploratory Factor Analysis of the Anxiety Control Questionnaire Among Older Adults

Gerolimatos

Gould

Edelstein

2012

Behavior Modification

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Among young adults and clinical populations, perceived inability to control internal and external events is associated with anxiety. At present, it is unclear what role perceived anxiety control plays in anxiety among older adults. The Anxiety Control Questionnaire (ACQ) was developed to assess one's perceived ability to cope with anxiety-related symptoms, reactions, and external threats but has limited psychometric support for use with older adults. Psychometric evaluations of other measures often reveal that factor structures differ among older adults compared with other age groups. The present study examined the factor structure of the ACQ in a sample of community-dwelling older adults in an attempt to understand the construct of perceived anxiety control in this population. A total of 135 adults aged 60 to 94 completed the ACQ and a demographics questionnaire. An exploratory factor analysis was accomplished using maximum likelihood extraction with equamax rotation. Parallel analysis indicated that a four-factor structure be retained. The four-factor solution explained 40.80% of variance and provided a good fit to the data. The four factors were Internal Control, External Lack of Control, Internal Lack of Control, and Effective Coping. Each factor contained an adequate number of items and had good internal consistency. The four-factor solution suggests that a previous recommendation to shorten the ACQ, based on factor analysis with young adults, may be imprudent for older adults. The authors also discuss implications for the understanding of perceived anxiety control among older adults and assessment of anxiety in older adults.

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Section: Discussionsupporting

confidence: 52%

Exploratory Factor Analysis of the Anxiety Control Questionnaire Among Older Adults

Gerolimatos

Gould

Edelstein

2012

Behavior Modification

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“…Working with older adults often involves their families and other supports—or sometimes their absence (APA, Presidential Task Force on Integrated Health Care for an Aging Population, 2008). Psychologists often appraise carefully older adults’ social supports (Edelstein, Martin, & Gerolimatos, 2012; Hinrichsen & Emery, 2005) and are mindful of the fact that the older adult’s difficulties may have an impact on the well-being of involved family members. With this information they may seek solutions to the older person’s concerns that strike a balance between respecting their dignity and autonomy and recognizing the views of others about their need for care (see Guideline 19).…”

Section: General Knowledge About Adult Development Aging and Older Ad...mentioning

confidence: 99%

“…At times the practitioner may face the challenge of adapting assessment procedures to accommodate the particular impairments or living contexts of older adults (Edelstein et al, 2012). For example, with older adults who have sensory or communication problems, elements of the evaluation process may include assessing the extent of these impediments, modifying other assessments to work around such problems, and taking these modifications into account when interpreting the test findings.…”

Section: Assessmentmentioning

confidence: 99%

Guidelines for Psychological Practice with Older Adults.

2014

American Psychologist

156

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The Guidelines Revision Working Group is thankful to the APA Committee on Aging for convening the group and to Division 20 (Adult Development and Aging) and Division 12 Section II (Society of Clinical Geropsychology) and the APA Council of Representatives for providing financial support for the revision. APA Office on Aging Director Deborah DiGilio and Administrative Coordinator Martha Randolph provided outstanding administrative support.The literature cited herein does not reflect a systematic meta-analysis or review of the literature but rather was selected by the working group to emphasize clinical best practices. Care was taken to avoid endorsing specific products, tools, or proprietary approaches.These guidelines are scheduled to expire as APA policy in February 2023. After this date, users are encouraged to contact the Office on Aging, APA Public Interest Directorate to determine whether this document remains in effect.

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“…These data provide a foundation for making an accurate diagnosis and subsequently a treatment plan. Given the increased prevalence of health and cognitive problems in older adults, it is important to devote more time to assessment of those issues than is often the case with younger adults (American Psychological Association [APA], 2014; Edelstein, Martin, & Gerolimatos, 2013). For Mr. Brooks, you would want to know his current medical problems and current medications.…”

Section: Assessment and Diagnosismentioning

confidence: 99%

F43.2 Adjustment disorders.

Hinrichsen

Romirowsky

2018

An ICD–10–CM Casebook and Workbook for Students: Psychological and Behavioral Conditions.

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A n adjustment disorder is a condition of subjective emotional distress, typically involving depression, anxiety, or both, that follows a significant life change or stressful life event that interferes with a person's ability to function effectively. Because many older adults contend with life issues to which they are challenged to adjust, this chapter on adjustment reaction disorder focuses on this age group.Each day about 10,000 members of the so-called baby boomer generation turn 65 years of age. By 2030, about 20% of the U.S. population will be 65 years of age or older (Karel, Gatz, & Smyer, 2012). Many European nations and Japan will also have historically high proportions of older adults. Surprisingly to many, the rates of almost all mental disorders, including depression, are lower in older adults than in younger adults. Furthermore, surveys show that older adults are happier than younger adults (Carstensen, Fung, & Charles, 2003). The one mental disorder that is more common in older versus younger adults is dementia, a progressive loss of mental abilities. The most common ICD-10-CM mental disorders related to cognitive decline in older adults are Alzheimer's disease (G30.0 and F02.8) and Vascular dementia (F01.5).Among older people seeking psychological services, depression and anxiety are frequently expressed concerns. Often depression or anxiety is preceded

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Assessment in Geriatric Settings

Cited by 4 publications

References 155 publications

Exploratory Factor Analysis of the Anxiety Control Questionnaire Among Older Adults

Exploratory Factor Analysis of the Anxiety Control Questionnaire Among Older Adults

Guidelines for Psychological Practice with Older Adults.

F43.2 Adjustment disorders.

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