Self-efficacy and psychological well-being of nursing home residents in China: the mediating role of social engagement

Abstract

The purpose of this study was to explore the role of self-efficacy and social engagement in psychological well-being of Chinese nursing home residents. A total of 307 residents completed the measurement of social engagement, self-efficacy and psychological well-being. The results showed that satisfaction with physical environment, social support, social activity engagement and self-efficacy were all positively correlated with psychological well-being. At the same time, social engagement partially mediated the effect of self-efficacy on psychological well-being. The results of this study should indicate additional actions for managers of nursing homes and social workers to improve the psychological well-being of older adults.     

Type of Volunteer Experience and Health Among Older Adult Volunteers

Abstract

The purpose of this investigation was to ascertain if the type of volunteer experience was related to the physical health or psychological well-being of older adult volunteers. A central pattern emerged from the data: the type of, as well as the number of, hours donated to a volunteer activity were associated with psychological well-being. Implications for social workers involved with volunteer programs and services are discussed in terms of volunteer recruitment and retention, and the need to develop more significant volunteer roles, especially for low-income older adults.     

The Impact of Religiousness,Spirituality, and Social Support on Psychological Well-Being Among Older Adults in Rural Areas

Summary

This paper presents the results of a study on the impact of spirituality, religiousness, and social support on the psychological well-being among rural elderly. With a rural community sample of 215 older adults, hierarchical regression analyses found significant associations between dimensions of spirituality/religiousness, social support, and psychological well-being, with spirituality/religiousness inversely related to depression and social support, positively related to life satisfaction. Findings of this study suggest that practitioners need to develop programs or services that are congruent with religious/spiritual beliefs and practices in order to better enhance the psychosocial well-being and improve the quality of life among older persons in rural areas.     

Considerations in Care for Individuals with Intellectual Disability with Advanced Dementia

Abstract

A number of physical, psychosocial, or ethical issues related to the care of the individual with advanced dementia are reviewed and related to individuals with intellectual disabilities. The sources used include the published literature and illustrations drawn from personal observations. The author notes that through anticipation and early planning, advanced directives and service planning (which looks to adaptation of services and other care management interventions), can effectively impact care at the end. Areas that need to be addressed include technical information, including a review of and, as appropriate, adaptation of general advanced dementia resources, relief, rest, support, reassurance, receipt of on-going information, participation in planning, a sense of humor, and appreciation. Also noted, are the differences experienced because of the presence of paid staff as carers and residence outside of the family home. It is concluded that, although the goals of quality care is the same for all people with advanced dementia, the process by which to reach these goals often needs further consideration and adaptation for people with intellectual disabilities.     

Home-Based Practice with Older Adults

Abstract

Social work with older adults frequently occurs in the client's home. Although practitioners and the professional literature acknowledge the existence of differences between agency-based and home-based practice, little attention has been given to the way the home environment impacts on the intervention process. This exploratory study examined practitioner-identified events that impact on the intervention process in home-based practice. The events elicited two general categories, the context and the process of interventions. Factors subsumed under intervention context are situational and geographic factors, such as practitioner and client comfort, and differences in urban and rural environments. Examples of intervention process categories include setting up home visits, assessment, boundaries, common distractions, and termination in home-based practice.     

Informal support and psychological well-being of older Chinese community residents

Social support is a critical factor in the well-being of older Chinese adults. Studies have found positive relationships between social support and psychological well-being. The findings, however, vary by kind of support. This article examines the relationships among objective and subjective social support from family members and close friends and three measures of psychological well-being, including loneliness, depression, and life satisfaction. The study sample consisted of 298 elderly Chinese community residents from Chongqing, China. The relationships between objective social support from family and friends and psychological well-being were, for the most part, not statistically significant. The relationships between subjective social support and well-being were fairly robust and statistically significant.     

Exploring “Home” Through Residents’ Lenses: Assisted Living Facility Residents Identify Homelike Characteristics Using Photovoice

An increasing number of older adults are moving into assisted living facilities when living independently becomes difficult. These facilities afford older adults a home-like environment with opportunities for social activity and a minimal level of professional care, although relocation can negatively impact well-being. Because it is important to study home environments of aging adults, 10 residents of an assisted living facility were engaged in Photovoice to explore perceptions of the facility as home. Through photographic expression, residents identified environment enhancements for home at an assisted living facility. Findings of this study have implications for program planning at long-term care facilities.     

Microcredit Self-Help Groups for Widowed and Abandoned Women in South India: Do They Help?

ABSTRACT

Results are presented from a study on a microcredit program with self-help groups implemented for widowed and abandoned women in Tamil Nadu shortly after the Indian Ocean Tsunami. Data were collected from 109 participants measuring the women's investment patterns, loan amounts, demographics, and overall well-being (psychological, economic, communal, and familial). Results indicate that loan amounts and investment patterns were not significantly related to the women's well-being. Length of group participation and having children were negatively related to the women's well-being. These findings are discussed in relation to social and cultural contexts. Suggestions for programs for this population of vulnerable women and other marginalized groups are proposed.     

Self-Esteem,Self-Efficacy,and Social Connectedness as Mediators of the Relationship Between Volunteering and Well-Being

ABSTRACT

This study examines the potentially mediated relationship between volunteering and well-being. Using survey data from a random sample (N = 2,990) of the population of the state of Victoria, Australia, three hypotheses were tested: Volunteers will report higher well-being than nonvolunteers; volunteers will report higher self-esteem, self-efficacy, and social connectedness than nonvolunteers; self-esteem, self-efficacy, and social connectedness will mediate the relationship between volunteer status and well-being. Results supported the hypotheses and showed that self-esteem, self-efficacy, and social connectedness were all significant mediators of the volunteering–well-being relationship. Increased social connectedness associated with volunteering was found to be the strongest first step in these pathways. This points to the importance of social connection for well-being, but future research using longitudinal designs is required to further test these relationships and provide the capacity for evidence of causality.     

The Long-Term Effects of Parental Divorce in Childhood on Adult Adjustment

Relationships between experiencing a parental divorce or separation prior to age 16 and a variety of measures of adult adjustment and psychological functioning are examined using data from two national cross-sectional surveys conducted nearly 20 years apart. Although few differences between adults from parentally-divorced and intact family backgrounds persist when controls for contemporary life circumstances and other social background factors were included, two modest trends are still evident. First, although associations between psychological distress and early experience with parental divorce have weakened somewhat over the past two decades, coming from a non-intact family of origin still has some significance for adult psychological well-being. Second, men and women from non-intact families of origin display different patterns of adjustment to and valuation of the major life roles of spouse and parent. Nevertheless, because such relationships are not very powerful, it is concluded that contrary to much of the literature and popular thought, these early experiences have, at most, a modest effect on adult adjustment.     

Employment and Parenting Among Current and Former Welfare Recipients

Abstract

This two-wave longitudinal study investigated whether low-wage employment predicts improvements in depressive symptoms and parenting style in a sample of 178 current and former single-mother welfare recipients with a preschooler at Time 1 and an early-elementary school-age child at Time 2. Findings suggest that participation in employment is associated with improvements in single mothers' psychological well-being and parenting style over time. However, in this study, employment at Time 1 (baseline) was more beneficial with respect to psychological and parenting outcomes than was employment (and earning more) at Time 2, except for mothers who were not employed at Time 1 and who became employed by Time 2. For these mothers, employment at Time 2 predicted a decrease in depressive symptoms and, through the latter, less negative parenting style. Mothers with higher educational attainment were more likely to be employed at Time 1 (which predicted higher levels of employment and pay at Time 2) and, among those not employed at Time 1, more likely to become employed (and earn more) by Time 2. Implications of these findings for welfare reform are discussed.     

Psychological Vulnerability and Gambling in Later Life

ABSTRACT

Objectives: Because behavioral problems often emerge from maladaptive coping methods, we investigated whether unmet basic psychological needs evolve toward a level of psychological vulnerability that puts older adults who gamble at risk for becoming problem gamblers. Methods: Data from a community sample of 379 adults ages 60 and above were analyzed using structural equation modeling. Participants responded to items regarding their demographics, gambling frequency, engagement in at-risk gambling behaviors, and the extent to which their basic psychological needs were met. Results: Satisfaction of basic psychological needs among older adults who gamble was negatively associated with their being at risk for developing a gambling problem. Satisfaction of basic psychological needs also mediated the negative effect of socioeconomic status on at-risk gambling behavior. Conclusion: Social workers should become mindful of how older adults, who are confronting psychological vulnerabilities in later life, might well turn to gambling as a maladaptive coping mechanism.As per journal style, abstract must not exceed100 words. Please amend accordingly.     

Savings for Survivors: An Individual Development Account Program for Survivors of Intimate-Partner Violence

ABSTRACT

Survivors of domestic violence often remain in abusive relationships due to limited economic resources, economic dependence on an abusive partner, and economic abuse. Viewing women who have experienced domestic violence as “survivors” suggests that when provided access to appropriate resources, they will seek help and utilize such resources allowing them to increase their stability and potentially escape an abusive partner. Assets have been shown to have a variety of positive associations with a wide range of economic, social, and psychological outcomes. Economic initiatives, such as financial education and individual development accounts (IDAs), aimed toward survivors of domestic violence are on the rise. However, to date, there are few studies. Data on IDA activity, including savings rates, withdrawals, and asset purchases, for 125 women who participated in an IDA matched-savings program for survivors of intimate-partner violence were examined. Approximately 2/3 of women reached their savings goal and 76% made at least 1 matched-savings withdrawal and asset purchase. Results suggest survivors can be successful savers and purchase assets that may contribute to their economic stability. Implications are discussed, including the need for long-term studies to examine how participation in a matched-savings program affects women's well-being, safety, and future experiences of intimate-partner violence.     

Pathways to Service for Older Persons

Abstract

As services for older persons continue to shift from hospital and nursing home care to greater reliance on support for care at home, the need to understand the ways older persons obtain services becomes more important. This study examines the use of home-delivered meals as a case study to gain insight into the process of service use from the recipients' point of view. It explores the research question: What are the pathways by which older persons acquire home delivered meals? Narrative analyses of structured and unstructured questions asked of thirty frail older persons suggested that the process of acquiring home delivered meals was accompanied by patterns of adjustment in shifting between independence and dependence in managing loss of physical function, and themes of isolation, loss, and abandonment. The results provide insights for social workers in providing the support needed for the role transition that service acceptance symbolizes for older adults.     

Social capital and subjective well-being of rural women in China

ABSTRACT

Rural women in China are facing a difficult life situation. They are suffering from both physical and psychological pains. This addresses attention to their mental health and subjective well-being. Based on the Social Capital Theory, this study aims to present the subjective well-being of rural women in China, and explore the related factors. Using the CGSS 2015 survey data, 2355 rural female samples were extracted. T-test, Explanatory Factor Analysis, and stepwise analysis based on the ordered logistic regression model were used. The results showed that the interpersonal interaction factor in social network dimension, the overall trust factor and bonding trust factor in social trust dimension were significantly associated with subjective well-being. The social norms dimension had a weak correlation with subjective well-being. Furthermore, the study also explored the role of the sociodemographic variables and other potential factors. The results echoed to ‘happiness-income paradox’.     

Sexuality in the Nursing Home

Abstract

Despite a growing body of literature that contradicts previous stereotypes, negative myths about late life sexuality have persisted. These attitudes had been more entrenched in nursing homes where residents' sexuality have been perceived primarily as behavioral. At one nursing home, a policy and video training program on sexual expression was developed, with staff training, environmental modifications, and work with families, based on sexual expression as a right of consenting adults. This policy can serve nursing homes which face challenges presented by new cohorts of older adults and their families.     

Attendance of Religious Organizations as a Predictor of Neighborhood Satisfaction

Abstract

The current article explores the correlation between neighborhood satisfaction, resident demographics, and participation in religious organizations. The data used in this article came from the first wave of the Strong Communities household survey, collected from 229 households in the Strong Communities service area in Greenville, South Carolina. The comparison sample consisted of 238 households and the sample was limited to a parent or a caregiver of a child under the age of 10. The results showed that there were no significant relationships found between neighborhood satisfaction and attendance in neighborhood organizations. Studies, which linked residential and neighborhood satisfaction with religious associations showed that religious practice promotes the well-being of individuals, families, and the community. The aim of this article is to further investigate if religious organizations effect neighborhood satisfaction. More research is needed in the field of neighborhood satisfaction based on demographic variables as well as affiliations with religious organizations.     

A Study of Youth Services Networks from a Political-Economy Perspective

ABSTRACT

Volunteers play a vital role in modern societies by boosting the labor force within both the public and private sectors. While the factors that may lead people to volunteer have been investigated in a number of studies, the means by which volunteering contributes to the well-being of such volunteers is poorly understood. It has been suggested through studies that focus on the absence of depression in volunteers that self-esteem and sense of control may be major determinants of the increased well-being reported by volunteers. This is consistent with the homeostatic model of subjective well-being, which proposes that self-esteem, optimism, and perceived control act as buffers that mediate the relationship between environmental experience and subjective well-being (SWB). Using personal well-being as a more positive measure of well-being than absence of depression, this study further explored the possible mediating role of self-esteem, optimism, and perceived control in the relationship between volunteer status and well-being. Participants (N = 1,219) completed a 97-item survey as part of the Australian Unity Wellbeing project. Variables measured included personal well-being, self-esteem, optimism, and a number of personality and psychological adjustment factors. Analyses revealed that perceived control and optimism, but not self-esteem, mediated the relationship between volunteer status and personal well-being.     

Use of Group Counseling to Support Aging-Related Losses in Older Adults with Intellectual Disabilities

Abstract

With the noted increase in life expectancy of persons with intellectual disabilities (ID), there is a need to provide more physical and psychological preparation for aging and support for these individuals in their middle-age and aging periods of life. It is known that age-related losses result in major stressors and that these can produce changes in the way that older adults think, feel or act. Therefore, having methods and tools to help individuals with ID prepare for and adjust to their losses is important. To address this, the Neve Natoa Residential Center in Israel initiated a group intervention program to test whether a group counseling method could be used to help prepare adults for changes associated with aging. Nine adults (5 males and 4 females) between the ages of 39 and 56 (mean = 49) participated in the program pilot. After ten sessions, an evaluation indicated a positive change of attitudes, improvement of self-esteem, and less extreme behavioral reactions in the period after the intervention. Given the positive results, it is recommended that further studies involving group in tervention techniques with adults with ID be undertaken.     

Age Differences in Stressors,Coping Resources,and General Well-Being Among Korean Immigrants

ABSTRACT

 This study explored 346 Korean immigrants living in California to examine: a) differences in stressors, coping resources, and general well-being (anxiety, depression, positive well-being, self-control, vitality, and general health) between younger (18–64 years old) and older (65–96 years old) Korean immigrants; and b) differences in associations of stressors and coping resources with general well-being in the 2 groups. Results revealed that the older immigrants experienced higher levels of socioeconomic stressors and psychological/physical problems. In addition, English-language problems, low education, and financial difficulties were more consistently associated with lower levels of general well-being in the older immigrants than in the younger immigrants. Social support, religious practice, and spiritual coping were more likely to alleviate the detrimental consequences of stressors on general well-being in the older immigrants than in the younger immigrants. To improve the general well-being of older Korean immigrants, the results suggest: a) emphasis of social and health care services with bilingual capability; b) improved social support systems; and c) utilization of spiritual assessments and interventions. Future research should extend the current study with longitudinal data of a more generalizable sample of Korean immigrants.