A Comparison of Rural and Urban Older Adults in Iowa on Specific Markers of Successful Aging

This study examines the differences between rural and urban older adults on level of life satisfaction and depressive symptoms, focusing on the effect of social support. Data were collected through structured interviews at senior centers and senior meal sites in eastern and southeastern Iowa. The Duke Social Support Index (DSSI), the Life Satisfaction Index-Z (LSI-Z), and the Geriatric Depression Scale 15 (GDS15) were used. Correlations (Pearson's r), independent sample t-tests, and multiple regression were computed. Findings indicated that urban residents reported more depressive symptoms, as compared to rural residents. Subjective level of social support was a stronger predictor of life satisfaction and was more negatively related to depressive symptoms among rural than among urban older adults. Results suggest that social workers who work with aging people need to be aware of rural–urban differences in mental health. Furthermore, social workers need to have knowledge of older adults' social networks and work to ensure greater opportunity for social interaction.     

Social participation,health‐related behavior,and depression of older adults living alone in Korea

This study aims to identify the effects of social participation on depression among adults over 60 years old living alone in Korea, focusing on the mediating effect of health‐related behavior on the social participation–depression relationship. The study relies on secondary data analysis using the 6th wave of the Korea Longitudinal Study of Ageing, and structural equation modeling method was employed for analyses. The findings indicate that older adults' participation in religious and social gatherings decreases depressive symptoms. The study also finds that regular eating behavior, drinking, and exercise also act as significant mediators, as older adults' participation in social gatherings is associated with those health‐related behaviors and that they also reduce depression. The results suggest that social participation by older adults who live alone is crucial not only for providing them with support but also for encouraging health‐related activities that can have direct effects on their mental health. Implications for social work practice are also discussed.     

COVID-19 pandemic and the determinants of depressive symptoms among senior citizens of India: An empirical investigation

The COVID-19 pandemic inflicted multiple threats to individuals' physical, mental, and financial health conditions. The pandemic-related restrictive behaviors pose serious consequences for public health and increase the risk of mental illness among individuals, particularly among older citizens. The combination of their pre-existing illnesses, social isolation, COVID fear, and financial adversity frequently aggravates their condition and leads to depression and mental illness. Thus, the present study investigates the mental health status and the determinants of depressive symptoms among older adults of Bhubaneswar during the COVID pandemic context. The study used the Geriatric Depression Scale (GDS-15) to measure their depressive symptoms. The social isolation parameter is measured with the De Jong Gierveld Loneliness Scale. Financial self-efficacy, COVID-19-related psychological fear, and comorbidity health status are other determinants considered. A chi-square test and multinomial logistic regression (MLR) models are adopted to find the probable risk factors that may influence depressive symptoms among older people. The results indicate that comorbidity health conditions, a social isolation mindset, and financial efficacy issues are the significant determinants that drive an older person towards different depression categories. The improvement of these influential factors can lead senior citizens to avoid any health emergency like COVID pandemic. In the event of a public health emergency, such as COVID pandemic, the government could use the study's findings to devise methods for assisting the elderly. Society as a whole should be aware of these findings, which can lead to depressive symptoms, and offer support to the elderly. Future research may concentrate on identifying the causes of depressive symptoms in different age groups or in the presence of specific comorbidity health conditions. Future research may also investigate the factors influencing depressive symptoms in a specific occupation.     

Self-Neglect and Neglect of Vulnerable Older Adults: Reexamination of Etiology

Using assessment and investigation data from the reported APS cases in Texas, this study examines the types of elder self-neglect and neglect, including medical neglect. It then examines the association between self-neglect and neglect and individual economic resources as well as health care and social service programs for the poor. The findings show that elder self-neglect/neglect is, in large part, attributable to frail older adults' and their families' lack of resources to pay for essential goods and services and the inadequate healthcare and other formal support programs for the older adults and their caregivers. This inadequate public policy coverage, rather than individual and intrafamily risk factors per se, needs to be considered as a significant cause of elder self-neglect/neglect.     

Risk and Protective Factors for Depressive Symptoms Among Indigenous Older Adults: Intimate Partner Violence (IPV) and Social Support

Research on depression and intimate partner violence (IPV) experienced by Indigenous older adults is virtually nonexistent. Given the associations between IPV and depression and their disproportionately high rates among Indigenous peoples in a context of historical oppression, the purpose of this inquiry is to examine how IPV and social support are associated with depressive symptoms for Indigenous older adults. We expand the knowledge base on IPV in later life, which primarily focuses on female samples, by including older men. We predicted: (a) IPV will be positively associated with depressive symptoms and (b) levels of social support will be negatively associated with depressive symptoms. Hierarchical regression analyses of data from a sample of Indigenous older adults (N = 233) in the Upper Midwest indicated that physical aggression (but not psychological aggression, sexual coercion, injury, or negotiation) was positively associated with depressive symptoms, whereas social support was negatively associated with depressive symptoms.     

Unmet Home Care Service Needs of Rural Older Adults With Alzheimer's Disease: A Perspective of Informal Caregivers

This study assessed unmet service needs of rural older adults with Alzheimer's disease (AD) and identified factors that were related to these needs. Data were collected from 109 informal caregivers of AD patients. Over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. To better address patients' service needs, a comprehensive needs assessment should be conducted with both patients and their caregivers.     

Correlates of Depressive Symptoms among Homebound and Semi-Homebound Older Adults

ABSTRACT

This study aimed to provide a national profile of homebound and semi-homebound older adults with depressive symptoms and to compare risk factors of depressive symptoms by homebound status. A sample of 1,885 homebound and semi-homebound older adults was selected from Round 1 of the National Health and Aging Trends Study (NHATS). The prevalence of depressive symptoms was 43.9% in homebound older adults and 28.1% in semi-homebound older adults, representing over 830,000 and 1.4 million individuals in the population, respectively. Nearly two-thirds of homebound and over half of semi-homebound older adults with clinically significant depressive symptoms also had significant anxiety symptoms. Results from logistic regression showed that younger age, certain medical morbidities, severity of functional limitations, and pain were common risk factors for depressive symptoms among homebound and semi-homebound older adults. Some differences in the risk factor profile emerged between the homebound and the semi-homebound populations. Alleviating the burden of depression in the semi-homebound population may focus on early prevention that considers the diversity of this population. Home-based, integrated programs of health and mental health services that simultaneously address the medical, psychiatric, and neurologic comorbidities and disabilities of homebound older adults are needed to meet the complex needs of this population.     

Raising Self-esteem through Social Networking Intervention for Older Chinese Adults in Hong Kong

Sudden physical changes can take a toll on older adults' self-esteem. Broadening their social support networks is one approach to retaining their self-esteem. This quasi-experimental study aims to test the effectiveness of a social networking program to raise self-esteem. The results from split-group analyses demonstrate that those who maintained active participation exhibited higher self-esteem. The results provide significant implications for future practice, especially to the less-educated males.     

Postpartum depression and its correlates in middle‐class women in Hunan,China

Postpartum depression (PPD) has a negative impact on both infants and women. The middle‐class group is rapidly expanding with increased but unmet psychological needs. To determine the risk and its correlates of PPD in middle‐class women in Hunan, China. A sample of 306 middle‐class puerperae from obstetric wards of a large general hospital was enrolled in the study. Our results showed 55.6% middle‐class women were suspected PPD. Related risk factors included a history of complications, pregnancy stress, subjective support, and interaction effect between objective support and negative coping. The protective factors included objective support and an interaction effect between subjective support and negative coping. Early assessment and individualized guidance in terms of social support and coping to identify and prevent PPD in this population are required.     

Research into unaccompanied refugee minors in family foster care: Promoting adaptive functioning?

Unaccompanied Refugee Minors (URMs) are at high risk for trauma and maladaptive functioning. Although foster care is best suited to come forth to their needs, obtaining a better understanding of the strengths and flaws of foster care for URM can help to improve their development and psychological wellbeing. Twenty-seven URM cared for in family foster care filled in questionnaires measuring trauma, behavioural difficulties, resilience and contact with persons from the home and host country, whilst their foster care workers assessed the quality of the living environment. URMs had more trauma symptoms than other immigrants and Belgian adolescents. Furthermore, compared to Belgian counterparts, levels of resilience were low. However, URM did not have more behavioural problems. The quality of the living environment in kinship care was worse than the quality in non-kinship foster care, and social support and cultural sensitivity were protective factors. This study found evidence for developmental risks for URM in foster care. Integration, social support and a connection with the home culture were protective factors. Contrary to other studies, no evidence was found of kinship foster care being preferential.     

Perceived Autonomy Support From Parents and Best Friends: Longitudinal Associations with Adolescents' Depressive Symptoms

According to the self‐determination theory, experiencing autonomy support in close relationships is thought to promote adolescents' well‐being. Perceptions of autonomy support from parents and from best friends have been associated with lower levels of adolescents' depressive symptoms. This longitudinal study examines the relative contribution of perceived autonomy support from parents and best friends in relation to adolescents' depressive symptoms and changes in these associations from early to late adolescence. Age and gender differences were also investigated. Questionnaires about mother, father, and a best friend were filled out by 923 early adolescents and 390 middle adolescents during five consecutive years, thereby covering an age range from 12 to 20. Multi‐group cross‐lagged path analysis revealed concurrent and longitudinal negative associations between perceived parental autonomy support and adolescents' depressive symptoms. No concurrent and longitudinal associations were found between perceived best friends' autonomy support and adolescents' depressive symptoms. Results were similar for early and middle adolescent boys and girls. Prevention and treatment programs should focus on the bidirectional interplay during adolescence between perceptions of parental autonomy support and adolescents' depressive symptoms.     

Unmet home care service needs of rural older adults with Alzheimer's disease: a perspective of informal caregivers

This study assessed unmet service needs of rural older adults with Alzheimer's disease (AD) and identified factors that were related to these needs. Data were collected from 109 informal caregivers of AD patients. Over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. To better address patients' service needs, a comprehensive needs assessment should be conducted with both patients and their caregivers.     

Patterns of family service needs and caregiver–child relationships among families at risk of child welfare involvement

Caregivers at risk of involvement in the child welfare system report high levels of need for multiple types of services, and their children have high levels of mental health need. Caregivers from families with more service needs, as well as unmet needs, are less likely to be engaged with child welfare services and may have diminished capacity to care for their child. This study takes a family‐centered approach by using latent class analysis to identify patterns of both caregiver and child service needs among families at risk of child welfare involvement. Using data from the LONGSCAN consortium (N = 957), we identified 4 classes of service needs among child welfare‐involved families. We then examined differences between the 4 classes based on demographics, maltreatment histories, unmet service needs, and caregiver–child relationship. The caregivers were split fairly evenly among the 4 classes: low needs, medical needs, poverty support, and high needs. There were significant differences between classes on assessed variables, with higher levels of needs associated with diminished caregiver–child relationships.     

Hidden champions: Exploring supportive family relationships of youth experiencing homelessness

The relationships that youth experiencing homelessness (YEH) have with supportive family members (i.e. those who provide them with social support) may be protective against risk behaviours and buffer adverse health outcomes. However, little is known about the nature of YEH's supportive family relationships and the type of social support that these family relationships offer them. Thus, we conducted in-depth interviews with 30 YEH to examine the type of social support received from family relationships and to explore the social dynamics of these relationships. We found that many YEH not only continued to maintain relationships with family members after becoming homeless but also received emotional and/or instrumental support from these family members. Beyond providing this type of social support, family members served as a source of motivation for these youth. Additionally, YEH contributed to their family relationships and gained a sense of connectedness in return. Lastly, we found that YEH's family support was influenced by their family circumstances and their need for autonomy. Collectively, our findings suggest there may be a need for interventions designed to strengthen relationships with supportive family members among YEH, who may derive multiple positive benefits from relating with the ‘hidden champions’ in their lives.     

Family and work-related risk factors in children's social–emotional well-being and parent–educator cooperation in flexibly scheduled early childhood education and care

Non-standard work schedules (NSWS) have become typical, but their associations with childcare arrangements and children's well-being are unknown. This study explores how risk factors are associated with the social–emotional well-being of girls and boys using flexibly scheduled early childhood education and care. Furthermore, the study investigates whether well-functioning cooperation between parents and educators buffers the negative effects of the risk factors. This study, which is a part of a larger survey carried out in three European countries, reports Finnish parents' (N = 146) perspectives. The results showed that high parental stress was associated with low child well-being. Strong parent–educator cooperation positively impacted both boys' and girls' social–emotional well-being. The risk factors of reconciling work and family life had negative associations with children's well-being and the fulfilment of their basic needs. The results illustrate the complex interrelations between children's well-being, risk factors relating to NSWS and the buffering effect of protective factors.     

Single Mothers,Nonresident Fathers,and Preschoolers’ Socioemotional Development: Social Support,Psychological Well-Being,and Parenting Quality

ABSTRACT

Using data from two waves of a short-term longitudinal study, the influences of mothers’ social support with respect to parenting from nonresident fathers and significant others on behavioral outcomes among poor and near-poor preschool-aged Black children were examined. The sample consisted of 99 single Black mothers—each with a preschool-aged child (ages 3 and 5 years old, respectively, at Time 1 and Time 2)—who were current and former welfare recipients. Results revealed protective effects of nonresident fathers’ presence in the context of mothers’ parenting stress and depressive symptoms at Time 1 that appeared to operate through decreases in the negative influences of these variables on the children's development of behavior problems 1.5 to 2 years later. Greater availability of instrumental support from significant others, including nonresident fathers, was associated with more adequate parenting at Time 1, and through the latter, with fewer child behavior problems at Time 2. Implications of these findings for program and policy interventions are discussed. Nonresident fathers are described in the Appendix.     

社区特征与中国农村老人的抑郁症状

农村老年人的抑郁水平显著高于城市老人,在极端情况下,甚至表现为自杀行为.通过中国健康与养老追踪调查 (CHARLS) 2011年基线数据,运用分层线性模型 (HLM) 分析村级社区水平的经济、人口、管理、设施、生态环境五个维度的特征对农村老人抑郁症状的影响,发现中国农村老人的抑郁水平具有显著的村间差异.加入村级水平的解释变量后发现,村子的平均收入水平高,村里具有高中学历的人口比例高,村主任的任职年限长以及村里的基础设施水平高,村里老人抑郁水平显著更低;而在工业污染排放中度和严重的村子里,老人抑郁显著更高.进一步的跨水平交互作用分析则探索了村级变量对具有不同个体特征的老人群体的作用差异.研究结果对于农村社区建设的政策发展以及农村老人的抑郁干预提供了实证依据.     

Qualitative exploration of supporting figures in the lives of emerging adults who left care compared with their noncare‐leaving peers

Studies on youth leaving care have emphasized their limited social support and their need for continuing support after emancipation. However, less is known about the nature of their existing social networks after emancipation and their roles during their transition to adulthood compared with their noncare‐leaving peers. With this in mind, 32 young adults aged 18 to 25 participated in semi‐structured interviews regarding their current support figures in order to learn whether they were congruent with their needs after emancipation. Thematic analysis revealed four main features of the two groups' social networks: (a) stability versus uncertainty as to the lasting presence of the supportive figure, (b) reliance on parents as main supportive figures versus relying on different supportive figures, (c) confidence versus uncertainty in the supportive figures' ability to help, and (d) holistic versus fragmented support of the young adults' needs. The discussion addresses the unique characteristics of care leavers in emerging adulthood and the implications of their social networks' features for their adjustment after emancipation. One of the study's recommendations is to proactively connect them to new supportive figures such as professionals or mentors by offering them mentoring programs cognizant of the instrumental and developmental tasks of emerging adulthood.     

Life stress, social support, coping and depressive symptoms: a comparison between the general population and family caregivers

Major depression is one of the four most prevalent psychiatric diseases in Taiwan. Furthermore, a study showed that 45 per cent of the family caregivers of persons with persistent psychiatric disability were at risk of depression. The present study aimed at examining if caregivers experienced more depressive symptoms than the general population while controlling for other variables (direct effect), and if the constellation of correlates of depressive symptoms was different between the general population and caregivers (interaction effect). Data from 1979 subjects were gathered in a national survey, using stratified random sampling. The results revealed that the caregivers experienced significantly more depressive symptoms than the general population. However, the effect disappeared when other variables were taken into account. Life stress appeared to be more important than coping and social support. The other two common correlates of depressive symptoms were age and being unmarried. Relational stress mattered especially for caregivers. Lastly, social support variables were significant only for the general population; satisfaction with support could buffer the negative effect of survival stress on depressive symptoms.     

Parents' depressive symptoms and support from sons and daughters in Rural China

This investigation examined how initial levels of elder parents' depressive symptoms influenced financial, instrumental, and emotional support from sons and from daughters in rural China. Data derived from a two-wave (2001, 2003) longitudinal survey of 1,324 parents aged 60 and over living in rural areas of Anhui Province, China. Structural Equation Modeling with latent difference score was used to estimate the reciprocal relatioships between children's support and elder parents' depressive symptoms. Results showed that older parents who had higher levels of depressive symptoms at baseline experienced reduced financial, instrumental, and emotional support from sons, but not from daughters. In rural China where the patrilineal family system has distinguished sons and daughters with respect to their functions in elder parents' support networks, the roles of sons and daughters warrant further examination, particularly when elder parents have some depressive symptoms, which elevates the needs of the parents and puts a strain on intergenerational relationships.