The role of meaning in life in community-dwelling older adults with depression and relationship to other risk factors

Volkert, Jana; Härter, Martin; Dehoust, Maria Christina; Ausín, Berta; Canuto, Alessandra; Ronch, Chiara Da; Suling, Anna; Grassi, Luigi; Muñoz, Manuel; Santos-Olmo, Ana Belén; Sehner, Susanne; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans‐Ulrich; Schulz, Holger; Andreas, Sylke

doi:10.1080/13607863.2017.1396576

Cited by 41 publications

(35 citation statements)

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“…Similarly, elderly women have been found to experience higher levels of depression than men 27 . Moreover, in a study that aimed to examine the relationship of meaning in life with sociodemographic and physical factors and its link to depression in elderly females, gender has been found to be highly associated with the risk of depression 28 . In contrast, a study conducted by İnel et al 29 .…”

Section: Discussionmentioning

confidence: 99%

Mental health symptoms, spiritual well‐being and meaning in life among older adults living in nursing homes and community dwellings

2020

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Background: Ageing is a process involving physical, social, psychological, spiritual and cultural changes. The elderly's personal characteristics may change, and the place where they live can lead to differences in their individual life expectations. Nursing home or community dwelling, where the elderly live can affect their psychological and spiritual well-being and their search for meaning in life. This study aimed to determine mental health symptoms, spiritual well-being and meaning in life among older adults living in nursing homes and community dwellings. Methods: This cross-sectional study was conducted in three provinces of Turkey with the highest population of elderly people aged 60 and above. A total of 144 elderly people (71 living in nursing homes and 73 in community dwellings) participated in the study. The Descriptive Information Form, Brief Symptom Inventory (BSI), Spiritual Well-Being Scale and Meaning in Life Questionnaire were used for data collection. For the statistical analysis, the Kruskal-Wallis test, Mann-Whitney U-test and Spearman correlation analysis were applied. Results: About 42.3% of the elderly living in nursing homes were aged 80 and above, while 61.6% of those living in community dwellings were in the age range of 60-69 years. The hostility score in the community-dwelling elders was statistically higher than that of elders living in nursing homes. However, the harmony with nature score was lower in the communitydwelling elders. Negative relationships were found between total spiritual well-being and depression, anxiety, negative self and somatisation. Meanwhile, existing meaning in life found positive relationships among transcendence and harmony with nature. Conclusions: The awareness of healthcare workers is very important in helping the elderly make sense of the changes they experience. Moreover these healthcare workers should undergo systematic training to help the elderly prepare for old age by making sense of preserving mental integrity and seeking meaning in their lives.

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Section: Discussionmentioning

confidence: 99%

Mental health symptoms, spiritual well‐being and meaning in life among older adults living in nursing homes and community dwellings

2020

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“…These aspects are even more marked if we consider the problem of cognitive impairment and neurocognitive disorders (mild to moderate dementia and dementia), since these conditions markedly increase vulnerability and dependency and decrease the individual's sense of self and dignity [7,8]. Therefore, intervention improving the areas of quality of life, [9] meaning in life [10] and dignity [11,12] should be considered extremely important when implementing good clinical practice services for the elderly population, particularly with mental disorders, including neurocognitive disorders.…”

Section: Introductionmentioning

confidence: 99%

Improving Dignity of Care in Community-Dwelling Elderly Patients with Cognitive Decline and Their Caregivers. The Role of Dignity Therapy

Ounalli

Mamo

Testoni

et al. 2020

Behavioral Sciences

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Demographic changes have placed age-related mental health disorders at the forefront of public health challenges over the next three decades worldwide. Within the context of cognitive impairment and neurocognitive disorders among elderly people, the fragmentation of the self is associated with existential suffering, loss of meaning and dignity for the patient, as well as with a significant burden for the caregiver. Psychosocial interventions are part of a person-centered approach to cognitive impairment (including early stage dementia and dementia). Dignity therapy (DT) is a therapeutic intervention that has been shown to be effective in reducing existential distress, mood, and anxiety symptoms and improving dignity in persons with cancer and other terminal conditions in palliative care settings. The aims of this paper were: (i) To briefly summarize key issues and challenges related to care in gerontology considering specifically frail elderly/elderly with cognitive decline and their caregivers; and (ii) to provide a narrative review of the recent knowledge and evidence on DT in the elderly population with cognitive impairment. We searched the electronic data base (CINAHL, SCOPUS, PSycInfo, and PubMed studies) for studies regarding the application of DT in the elderly. Additionally, given the caregiver’s role as a custodian of diachronic unity of the cared-for and the need to help caregivers to cope with their own existential distress and anticipatory grief, we also propose a DT-dyadic approach addressing the needs of the family as a whole.

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“…This elderly group was always difficult to approach, making it difficult to identify any illnesses at an early stage, especially an MDD, a common mental health disorder in later life and a major public health problem because of its devastating effect on the community. Gaining access to and the trust of this hidden depressive elderly population required specific planning [19]. The depression criteria among Thai older adults as judged by the Thai Geriatric Depression Scale (TGDS) are as follows: an average person (0-12 points), mild depression (13-18 points), moderate depression (19-24 points), and severe depression (25-30 points) [20].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Qigong program on sleep quality among community-dwelling older adults with mild to moderate depression

Phansuea

Tangwongchai

Rattananupong

et al. 2020

JHR

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PurposeThe purpose of this study was to determine the effectiveness of a Qigong program on older adults in the Thai community suffering from mild to moderate depression.Design/methodology/approachA randomized controlled trial study was conducted in a public health service (PHS) center setting. Sixty-six older adults aged 60–90 years with mild to moderate depressive symptoms measured by the Thai Geriatric Depression Scale (TGDS: scores 13–24) were recruited and randomly allocated into two groups. The subjective sleep quality was assessed using the Thai version of the Pittsburgh Sleep Quality Index (TPSQI). The Qigong program group was given 12 weeks of Qigong training including three sessions per week, while the control group followed normal PHS activities (singing and praying). The outcome measure was the change in the TGDS from baseline to 12 weeks.FindingsParticipants in the Qigong program group had a significantly improved TPSQI global score (p < 0.001), subjective sleep quality (p < 0.001), and sleep latency (p < 0.05) after 12 weeks of intervention, while those in the control group showed no significant difference in sleep quality. Compared with the control group, the Qigong program group reported significantly better sleep quality throughout the 12-week period. The prevalence of poor sleep quality in this population was 82 percent.Originality/valueThis study confirmed that the Qigong program could improve sleep quality in older adults with mild to moderate depressive symptoms as the Qigong program conferred more significant improvements than the usual program.

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The role of meaning in life in community-dwelling older adults with depression and relationship to other risk factors

Abstract: This study underlines the association of MiL and depression in old age. Integration of meaning-specific aspects in treatment for older adults with depression may be promising.

Cited by 41 publications

References 42 publications

Mental health symptoms, spiritual well‐being and meaning in life among older adults living in nursing homes and community dwellings

Mental health symptoms, spiritual well‐being and meaning in life among older adults living in nursing homes and community dwellings

Improving Dignity of Care in Community-Dwelling Elderly Patients with Cognitive Decline and Their Caregivers. The Role of Dignity Therapy

Effectiveness of a Qigong program on sleep quality among community-dwelling older adults with mild to moderate depression

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