Exploring the Role of Working Memory in Dynamic Social Cue Decoding Using Dual Task Methodology

Decoding nonverbal social cues involves skills such as understanding emotions and discerning kin relationships. Social cue decoding has been described as an automatic process which does not tax cognitive resources. However, clinical deficits in social decoding are often interpreted in terms of deficits in attention and working memory. Two experiments are described which used dual task methodology to investigate the role of working memory in dynamic social cue decoding tasks: the Interpersonal Perception Task (IPT, Experiment 1) and the Profile of Nonverbal Sensitivity (PONS, Experiment 2). Results revealed that decoding social cues from the IPT did not require working memory resources, while social perception in the PONS made heavy demands on working memory. Implications for theoretical interpretation of these tasks and their use in clinical populations are discussed.

Homelessness Among Older Adults with Severe Mental Illness

ABSTRACT

This article tackles a problem that is often overlooked in the literature-the plight of homeless elders with severe mental disabilities. Drawing on his personal experience working with sheltered homeless persons who were mentally ill, the author argues for a focus not on self-sufficiency but on closely supervised care for this vulnerable population.     

Social Relationships of African American and Hispanic Older Assisted Living Residents: Exploring the Role of Race and Ethnicity

African American and Hispanic older adults are underrepresented in assisted living communities, so little is known about how they experience social relationships in these settings. The purpose of the study was to explore resident-to-resident and resident-to-staff relationships experienced and perceived by African American and Hispanic older residents in assisted living settings. In-depth interviews with 15 African American and 15 Hispanic older adults were conducted in seven assisted living communities in Central Florida. Three salient themes emerged using a grounded theory approach: formation of relationships: emotional vs. instrumental support; language as a facilitator or barrier; and avoidance of inter-racial relationships. Implications for providing culturally competent services in assisted living communities with diverse populations are discussed.     

Evaluation of Computer Games' Impact upon Cognitively Impaired Frail Elderly

Summary

The authors of-this article discuss the value of computer-use among older adults. It Is suggested that older adults can benefit significantly from ongoing education and that computers can be a valuable tool in this process. The cognitive capacities of older adults are discussed, with particular attention paid to long- and short-term memory functioning. The use of computers for memory skills training is highlighted. A study was undertaken using the computer game “Memory of Goblins” at the Seattle Day Center for Adults. This article describes both the game and how the project was conducted. Limitations of the study are presented. Although the authors acknowledge that conclusions are difficult to draw from this particular study, there is evidence to suggest that the impact of computer use among the elderly population can be profound. Implications for future research are presented.     

Preventing Economic Hardship Among Chinese Elderly in Hong Kong

Abstract

Over the next 20 years, Hong Kong will face a rapidly aging population as the number of older adults aged 65 or above increases to approximately 1.4 million by 2021, that is, 17% of the total population. In 2001, there were 1.2 million adults aged 45-59. To assess the differences between these middle-aged adults and the current cohort of older adults, we identified the challenges that Hong Kong society will face in meeting the financial needs of older adults in the coming two decades. In this paper, we examine the retirement economic status of three groups of older adults: those who are financially independent, those who are financially supported by their adult children or children-in-law, and those who are receiving welfare assistance. We describe the current situations of these groups, prevailing social policy, future trends, and recommend policies for tackling problem areas.     

Development and implementation of online training modules on abuse,neglect, and exploitation

Online training for care managers to identify, report, and prevent abuse, neglect, and exploitation was developed for a demonstration involving the dually eligible Medicare and Medicaid population. It was composed of three modules covering background, screening, and reporting abuse. Of 453 enrollees, 273 completed at least one module and 212 completed all three. Pre- and post-training surveys for each module were used to examine changes in the proportion of correct answers for each question, using the related-samples Cochran’s Q statistic. Improvements in knowledge from pre- to post-training were evident in modules covering background on abuse and reporting abuse, but not in the module about communication principles and screening for abuse. Its content may have already been familiar to the trainees, who were primarily social workers and nurses. Lessons learned are being used to adapt the training for a wider audience to increase public awareness of abuse.     

Problem and Probable Pathological Gambling Among Older Adults Assessed by the SOGS-R

This study had three main objectives: to examine the prevalence of gambling and problem gambling among older adults, to examine the socio-demographic and gambling patterns of people with various South Oaks Gambling Screen Revised (SOGS-R) scores, and to examine endorsement of the SOGS-R items. The data were drawn from telephone interviews conducted with a sample of 1000 older adults, 60 years and older, throughout the province of Manitoba. Problem gambling was determined from scores on the SOGS-R (Lesieur, H., & Blume, S. (1987). American Journal of Psychiatry, 144, 1184–1188; Lesieur, H., & Blume, S. (1993). Journal of Gambling Studies, 9, 213–219). The results showed gambling to be a fairly common activity among older adults, with 74.7% of participants having gambled in the year prior to the study. Of the total sample, 1.6% were gambling at problem levels, and a further 1.2% were gambling at probable pathological levels in the past year. Inspection of gambling patterns by SOGS-R score failed to reveal a clear and consistent distinction between problem gambling and probable pathological gambling. Finally, examination of item distribution revealed consistent trends of both over and under endorsement of certain items. These results suggest the need for either refinement of the SOGS-R for use with older adults, or the development of a new measure specific to older adults.     

Late Life Gambling: The Attitudes and Behaviors of Older Adults

For a significant number of retired older adults (aged 65+), gambling has become a new form of recreation and entertainment. While prevalence studies have examined the incidence of problem gambling in other age groups, little research attention has been paid to the impact of gambling on older adults since the increase in availability and accessibility of legalized gambling within the last ten years. This study investigated the prevalence of problem gambling behaviors (SOGS-R), depression (GDS-15), levels of life satisfaction (SWLS), and motivations for gambling among older adults. A total of 315 older adults completed the study questionnaire and were grouped and analyzed according to those sampled from gambling venues and those from within the community. Results of the study found the most frequent accession and spending on several types of gambling occurred among older adults who were sampled at gambling venues. Older adults who were sampled at gambling venues were also found more likely to have higher levels of disordered gambling than older adults from the community, as measured by the SOGS-R. Relaxation, boredom, passing time, and getting away for the day were also the most likely reported motivations for the older adults who were gamblingpatrons. These findings provide an initial profile of older adults and their attitudes, motivations and gambling behaviors.     

Chapter 16. Community Caregiving Partnerships in Aging

SUMMARY

Although greater numbers of families are providing support to older adults, a lack of comprehensive programming in resource allocation continues to exist at the social policy level. This chapter explores how community caregiving partnerships may contribute to a solution.     

Measurement Issues of Service Use Among Elders

In spite of the frequency with which researchers study service use, there is no clear consensus about how to best measure service use. This article provides a critical analysis of how service use is defined and measured among elders. Specific questions focused on how services are defined and classified, how service use is operationalized, and how the data on service use are collected. Through a comprehensive search of several databases, 20 studies measuring service use among elders and published from 2001 to 2006 were analyzed. Results revealed that most research focused on the health service use among older adults. Services were distinguished and classified based on type of service provided in a majority of the studies. The majority of the studies quantified service use dichotomously in terms of use and nonuse, whereas more than one-third qualified service use in terms of frequency of some unit. Self-report and provider records are two sources of information about service utilization among elders. The suggestions of how to improve measurement of service use among elders are discussed.     

Incidence and Dynamics

No abstract available for this article.     

What the 2008 Stock Market Crash Means for Retirement Security

The 2008 stock market crash raises concerns about retirement security, especially since the increased prevalence of 401(k) and similar retirement saving plans means that more Americans are now stakeholders in the equity market than in the past. Using a dynamic microsimulation model, this paper explores the ability of alternate future stock market scenarios to restore retirement assets. The authors find that those near retirement could fare the worst because they have no time to recoup their losses. Mid-career workers could fare better because they have more time to rebuild their wealth. They may even gain income if they buy stocks at low prices and get above-average rates of return. High-income groups will be the most affected because they are most likely to have financial assets and to be invested in the stock market.     

Older Adults and the Digital Divide: Assessing Results of a Web-Based Survey

SUMMARY

This study used an on-line, web-based survey to assess the significance of computer and Internet technology in the lives of adults over age 60. A convenience sample of 110 individuals from the United States, Canada and other countries responded to a 20-question survey regarding individual use, opportunities for learning, family and social connectivity and preferences for and barriers to effectual use. Particular focus was made on the self-described perceptions of personal control and life satisfaction within the responding population.     

Remarriage,Unmarried Cohabitation,Living Apart Together: Partner Relationships Following Bereavement or Divorce

Substantial proportions of people enter into new partner relationships after bereavement or divorce. Nowadays in Europe, unmarried cohabitation and living‐apart‐together relationships are frequently opted for at repartnering. Drawing on the Netherlands’ Living Arrangements and Social Networks survey of men and women aged 55 to 89 years (N = 4,494), this article explicates the determinants that lead widowed or divorced people to enter into old and new types of partner relationships. Cox proportional hazard regression analyses revealed that age at most recent union dissolution, the number of partner dissolutions, working during and after the most recent union dissolution, and other demographic variables are important in weighing the pros and cons of different types of living arrangements.     

Presence and Visibility of Outdoor and Indoor Physical Activity Features and Participation in Physical Activity Among Older Adults in Retirement Communities

Abstract

In this paper we examine how the presence and visibility of outdoor and indoor physical activity resources (e.g., walking path/ trail, outdoor tennis courts, gardens, etc.) influences participation in physical activity among elderly residents in non-profit continuing care retirement communities and other senior housing communities. This paper reports findings from a survey of 800 such communities. A social ecological model was used to study the relationships between the environment and physical activity behavior. A fifty-two percent response rate (n = 398) was obtained. Campuses with more attractive outdoor and indoor physical activity facilities had more residents participating in different types of physical activity.     

Dance of the Dedicated Bottom

Abstract

LGBT caregiving for midlife and older adults facing chronic illness or disability as well as the development and evaluation of interventions targeting LGBT caregivers remains fundamentally unexplored. Caregivers regardless of their sexual orientation or gender identity often juggle multiple roles and responsibilities leading to increased stress and distress. However, largely due to discrimination and discriminatory policies, many LGBT caregivers face barriers at multiple levels of service provision that can exacerbate stress and negatively impact caregiver and care recipient quality of life. This article highlights many of these obstacles and provides examples of intervention strategies designed to assist LGBT caregivers ranging from interventions aimed at the individual and interpersonal levels of service provision to changes needed at the social policy level. As an example of an individual or interpersonal level of intervention designed to assist LGBT caregivers, the SURE 2 framework is presented and more thoroughly discussed. Given the diversity of the LGBT community, the article ends with ways to extend or adapt SURE 2 as well as suggesting that the time has come to develop and test a variety of interventions for LGBT caregivers.     

Deploying an Ecological Model to Stem the Rising Tide of Firearm Suicide in Older Age

A central objective of the Surgeon General’s National Strategy for Suicide Prevention is to focus on older adults. We review individual risk-factors for suicide in late life and then introduce an ecological model to expand conceptualization of elder suicide. We first look at the role of firearms, providing evidence that firearm availability increases the means of elder suicide and gun access policies can contribute to reducing risk. Next, we focus on primary care providers, documenting how older adults often come into contact with these professionals before ending their lives and how these providers could take a more active role in mediating individual-level risk factors. We then turn our attention to the intersection between gun access and primary care and consider how advancing standards of care concerning gun access and suicide risk might be an effective policy alternative for blocking the pathway to suicide among older adults.     

Bridging the Intergenerational Gap: Reflections for the Field

In this paper, the authors describe the first year of a project and the process undertaken to implement intergenerational (IG) programs in two sites: a continuing care retirement community and an early care and education center, which are located geographically close to one another in a small Midwestern town in the United States. The authors discuss the application and results based on the management framework for IG programming articulated by Jarrot and colleagues (2006) and its utility for planning and implementing IG programming in both sites. Reflections about the planning and implementation and outcomes of IG programs are also included.     

Development of a Spiritual Support Scale for Use with Older Adults

SUMMARY

This study reports the development and empirical test of a measure of spiritual supports used by older adults in managing life challenge. The Spiritual Strategies Scale (SSS) consists of 18 items. Cronbach's coefficient alpha reliability for the measure was .86. The sample, gathered from interviews at four sites, consisted of 79 older adults who were predominantly Jewish European American and African American. Concurrent validity analyses suggest that this measure warrants further testing. This scale also has potential for clinical use in social work practice by counselors for older adults.     

Chapter 10. Care Needs of Older Adults Following a Traumatic or Disastrous Event

SUMMARY

This chapter addresses biopsychosocial and spiritual needs of older adults following a traumatic or disastrous event. It assumes that most older adults have established a pattern of positive adaptation over the life course as they encountered acute stress or chronic adversities. The importance of social supports and mutual aid is also described.