The relationship between self-reported health and mental health problems among older adults in New Zealand: Experiential avoidance as a moderator

Andrew, David; Dulin, Patrick L.

doi:10.1080/13607860601086587

Cited by 66 publications

(49 citation statements)

References 33 publications

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“…The high presence of sadness, anger, and irritability may support the notion of an overlap between depression and anxiety symptoms in the literature [22]. Participants also asserted their ability to conceal their emotional experiences from others, which lends further support to previous New Zealand research with older adults [8] and would create barriers to accessing both formal and informal emotional support.…”

Section: Discussionsupporting

confidence: 48%

“…Older adults concealed their anxiety, distanced themselves from the negative associations of mental illness, and attributed others as experiencing stronger symptoms and limitations when compared to themselves. This is problematic as anxiety negatively impacts quality Open Journal of Nursing of life [3], and concealing emotional experiences intensifies negative emotions and create barriers to accessing support [8].…”

Section: Discussionmentioning

confidence: 99%

“…Stoicism was encouraged in pioneering New Zealand, and as such emotions were encouraged to be internalised rather than sharing with others [7]. Older Adult New Zealanders have been observed to employ an avoidant coping style when faced with negative emotions, including anxiety [8]. Andrew and Dulin [8] reported that experiential avoidance significantly predicted anxiety and depression, and suggested that avoidance could negatively impact help-seeking.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Roberts¹,

Merrick²,

Fletcher³

et al. 2017

OJN

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Objectives: Anxiety is commonly reported as being experienced by older adult patients. However most of the theories on anxiety in older adults are developed from clinical measures rather than open-ended questionnaires. Consequently, little is known about the day to day experiences of anxiety in the lives of older adults, and the functional impairment that may result. Method:Community dwelling older adults (n = 135) were administered an open-ended questionnaire eliciting their experiences of anxiety using a cognitive behavioural framework. Directed content analysis was applied to discover the shared experiences of anxiety in older adults. Results: Although 64% of older adults reported avoidance behaviour that appeared anxiety driven, they generally denied experiencing anxiety themselves. Thought content and processes were idiosyncratic however commonalities were thinking positively (34%), problem solving (31%), rumination (31%) and difficulty concentrating (19%). A broad range of physical symptoms including those that may relate to medical conditions and depression were reported as resulting from anxiety, most commonly headaches (26%) and gastrointestinal disturbances (26%). Conclusion: Anxiety driven behaviours were common and appeared to negatively impact their quality of life through avoidance behaviours. Older adults may benefit from education to destigmatise the experiences of anxiety and improve reporting of functional impairment due to anxiety.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Roberts¹,

Merrick²,

Fletcher³

et al. 2017

OJN

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“…Cognitive fusion involves rigid rules or expectations, self-limiting beliefs, criticisms and judgments, and reason-giving. This combined with EA and a lack of value-committed action constitute diminished PF, which plays a major role in the development and maintenance of a wide range of psychological problems, including depression, anxiety, substance abuse, obsessive compulsive disorder, panic disorder and suicide (Andrew, & Dulin, 2007;Hayes et al, 2006;Hayes et al, 2004;Hayes et al, 1996).…”

Section: Psychological Flexibility and Eating Disorder Spectrum Problemsmentioning

confidence: 99%

Psychological Flexibility and Eating Disorder Spectrum Problems

Wendell

2012

PsycEXTRA Dataset

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Problematic levels of eating disorder (ED) spectrum problems are becoming increasingly pervasive on college campuses, especially among female college students. Research suggests that ED cognitions and a lack of body image acceptance are linked to diminished psychological flexibility (PF), which is linked to ED and other negative health symptoms. Two hundred thirtysix undergraduates completed an online survey, and mediation analyses were conducted. PF fully mediated the relation between ED cognitions and non-specific psychiatric symptoms and partially mediated the link between ED cognitions and ED symptoms. PF also partially mediated the link between body image acceptance and non-specific psychiatric symptoms, but not the relation between body image acceptance and ED symptoms. Findings suggest that clinical symptoms and one's coping style are both important factors to take into consideration in case conceptualization and treatment, and suggest that therapies such as ACT that target PF may be beneficial in treating ED spectrum problems.

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“…Internacionalmente, foi utilizada em diversos estudos [4][5][6][7][8] , apresentando bons resultados.…”

Section: Introductionunclassified

Tradução e adaptação transcultural da versão brasileira do Inventário de Ansiedade Geriátrica (GAI)

Martiny¹,

Silva²,

Nardi³

et al. 2011

Rev. psiquiatr. clín.

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Introdução: É crescente a produção científica brasileira referente à adaptação de instrumentos utilizados internacionalmente para avaliação de ansiedade, porém a realização de estudos envolvendo ansiedade, especificamente na população geriátrica, ainda é menos frequente. Com isso, existe carência de instrumentos de medida criados com finalidade de atender essa população. A tradução e a adaptação transcultural são o primeiro passo para disponibilização de uma medida para investigação em diferentes contextos culturais, permitindo, desse modo, estudos comparativos. Objetivo: Elaborar a equivalência semântica da Geriatric Anxiety Inventory para o português brasileiro. Método: O processo foi realizado em quatro etapas: duas traduções; duas retrotraduções, ambas realizadas por tradutores cegos entre si e ao instrumento original; elaboração de uma versão sintética e pré-teste realizado com uma amostra da população-alvo. Resultados: Para cada item do instrumento, apresentam-se os resultados das quatro etapas. Ao longo do processo, eventuais problemas detectados puderam ser resolvidos, garantindo a qualidade do instrumento e sua adequação à população à qual se destina. Conclusão: A utilização do método em quatro etapas demonstrou ser eficaz e segura para o processo de equivalência semântica. Martiny C, et al. / Rev Psiq Clín. 2011;38(1):8-12Palavras-chave: Ansiedade, escala de mensuração, tradução. AbstractIntroduction: There has been a growing interest in the cross-cultural adaptation of instruments for assessment of anxiety, but studies involving anxiety specifically in the geriatric population is still unusual. Thus, there is a lack of instruments designed to comply with this population. Translation and cultural adaptation is the first step to providing comparisons between different cultural contexts. Objective: Elaborate the semantic equivalence of the Geriatric Anxiety Inventory to Brazilian Portuguese. Method: The cross-cultural adaptation process consisted in four steps: two translations, two back-translations, both made by independent translators, the development of a synthetic version, and a pretest applied in a population sample. Results: For each item of the instrument, we present the results of four steps. Throughout the process, any problems found could be solved by ensuring the quality of the instrument and its appropriateness to the population to which it is intended. Discussion: The use of four-step method proved effective and safe in the process of semantic equivalence.

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The relationship between self-reported health and mental health problems among older adults in New Zealand: Experiential avoidance as a moderator

Cited by 66 publications

References 33 publications

Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Psychological Flexibility and Eating Disorder Spectrum Problems

Tradução e adaptação transcultural da versão brasileira do Inventário de Ansiedade Geriátrica (GAI)

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