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1.
Nutrients ; 15(20)2023 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-37892524

RESUMO

Acylethanolamides (NAEs) are bioactive lipids derived from diet fatty acids that modulate important homeostatic functions, including appetite, fatty acid synthesis, mitochondrial respiration, inflammation, and nociception. Among the naturally circulating NAEs, the pharmacology of those derived from either arachidonic acid (Anandamide), oleic acid (OEA), and palmitic acid (PEA) have been extensively characterized in diet-induced obesity. For the present work, we extended those studies to linoleoylethanolamide (LEA), one of the most abundant NAEs found not only in plasma and body tissues but also in foods such as cereals. In our initial study, circulating concentrations of LEA were found to be elevated in overweight humans (body mass index (BMI, Kg/m2) > 25) recruited from a representative population from the south of Spain, together with AEA and the endocannabinoid 2-Arachidonoyl glycerol (2-AG). In this population, LEA concentrations correlated with the circulating levels of cholesterol and triglycerides. In order to gain insight into the pharmacology of LEA, we administered it for 14 days (10 mg/kg i.p. daily) to obese male Sprague Dawley rats receiving a cafeteria diet or a standard chow diet for 12 consecutive weeks. LEA treatment resulted in weight loss and a reduction in circulating triglycerides, cholesterol, and inflammatory markers such as Il-6 and Tnf-alpha. In addition, LEA reduced plasma transaminases and enhanced acetyl-CoA-oxidase (Acox) and Uncoupling protein-2 (Ucp2) expression in the liver of the HFD-fed animals. Although the liver steatosis induced by the HFD was not reversed by LEA, the overall data suggest that LEA contributes to the homeostatic signals set in place in response to diet-induced obesity, potentially contributing with OEA to improve lipid metabolism after high fat intake. The anti-inflammatory response associated with its administration suggests its potential for use as a nutrient supplement in non-alcoholic steatohepatitis.


Assuntos
Dislipidemias , Hepatopatia Gordurosa não Alcoólica , Ratos , Humanos , Animais , Masculino , Ratos Sprague-Dawley , Obesidade/metabolismo , Fígado/metabolismo , Hepatopatia Gordurosa não Alcoólica/metabolismo , Dieta Hiperlipídica/efeitos adversos , Aumento de Peso , Inflamação/tratamento farmacológico , Inflamação/metabolismo , Triglicerídeos , Colesterol/metabolismo , Dislipidemias/metabolismo , Ácido Oleico/uso terapêutico
2.
J Appl Gerontol ; 42(7): 1620-1630, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36825556

RESUMO

This study analyzes the efficacy of a brief psychoeducational program aimed at preventing older adult infantilization by nursing home professionals. We examined whether an experimental group of professionals reported less infantilization than those of a control group. Changes in stereotypes and humanization were regarded as sub-targets. The sample comprised 154 staff members. Infantilization, humanization, and negative stereotypes toward older adults were assessed before and after the intervention, and repeated measures of ANOVA and one-way ANCOVAs were conducted. Infantilization and negative stereotypes decreased in the experimental group. Significant post-intervention differences were found between the experimental and control groups both in infantilization and negative stereotypes but not in humanization. Results reflect the relevance of developing specific interventions focused on preventing infantilization as well as the need for professionals' training and education to generate a culture of change.


Assuntos
Abuso de Idosos , Casas de Saúde , Humanos , Idoso , Instituições de Cuidados Especializados de Enfermagem , Terapia Comportamental , Abuso de Idosos/prevenção & controle
3.
Clin Gerontol ; 46(4): 608-618, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35957587

RESUMO

OBJECTIVES: Caring for older adults is a demanding task. Some professionals may find themselves in complex situations for which they may not be prepared. However, the repercussions of these difficult experiences will depend on personal factors. Resilience acts as a buffer against difficulties and experiences. However, its study with first-line caregivers in nursing homes is limited. This study aimed to validate the Connor-Davidson Resilience Scale-2 (CD-RISC2), examine its psychometric properties, and analyze the variables associated with resilience (sociodemographic and professionals´ variables). METHODS: 312 nursing home professionals participated in the study. Besides the Connor-Davidson Resilience Scale-2, they answered questionnaires about good care, burnout, quality of life, person-centered care, and well-being. RESULTS: The CD-RISC2 showed adequate reliability and test-retest reliability. Good support was found for convergent validity with perceived health, person-directed care, personal growth, life purpose, quality of life and good care, and for discriminant validity with burnout. CONCLUSIONS: To our knowledge, this is the first study that validates the CD-RISC2 Spanish version with front-line workers in nursing homes showing adequate psychometric properties. CLINICAL IMPLICATIONS: An abbreviated, simpler, self-assessed version may be more useful than longer versions, especially with professionals with a heavy workload, such as direct care staff in nursing homes.


Assuntos
Resiliência Psicológica , Humanos , Idoso , Reprodutibilidade dos Testes , Qualidade de Vida , Psicometria , Casas de Saúde
4.
Front Psychiatry ; 13: 837533, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35350426

RESUMO

Background: The COVID-19 pandemic is a major stressful life event. This pandemic is causing significant changes in older adults' daily life affecting their physical and mental health. Psychological wellbeing is a protective variable when facing adverse circumstances, like the COVID-19 pandemic. This study analyzes the impact of COVID-19 on older adults' psychological wellbeing (personal growth and purpose in life) over time. Materials and Methods: One hundred ninety-two people over 60 years old participated in a longitudinal study. Data were collected in three time points: during the lockdown on March 2020, when the lockdown finished (4 months after baseline), and during the third wave (10 months after baseline). We used latent growth curve models to assess the linear longitudinal trajectories of psychological wellbeing. Results: Older adults did not show worse psychological wellbeing over time. Age has a positive impact on purpose in life. Furthermore, being a male, worrying about adverse effects of COVID-19, family functioning, resilience, personal growth, and acceptance associated with purpose in life. Discussion: These results suggest that despite the difficult circumstances experienced during the COVID-19 pandemic, older adults have used protective variables for their psychological wellbeing.

5.
Front Psychol ; 13: 772896, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35310207

RESUMO

Objective: This study aimed to analyse how stereotypes towards older people moderate the relationship between burnout and quality of life (QoL) of professionals working in nursing homes. Method: A total of 312 professionals were asked to complete questionnaires of burnout Maslach Burnout Inventory quality of Life (QPL-35) and aging stereotypes (CENVE). The moderation effects were tested using linear regression models. Results: A negative association was observed between burnout and QoL. It was also found a statistically significant moderator effect of the total score of stereotypes and the health stereotypes, besides a marginally statistically significant moderator effect for motivational stereotypes. The moderator effects were different for people with low and high negative stereotypes. QoL was more affected under conditions of high burnout, in which people with more negative stereotypes tended to present higher QoL than people with lower negative stereotypes. Conclusion: Highly burned-out professionals in nursing homes may avoid their negative feelings projecting them to residents through stereotypes, as a way of coping with burnout and increasing their QoL. However, this mechanism is an "aggressive reaction" and may have negative effects for both the older adult and the professional. The comprehension of these variables is essential for developing adequate intervention programs.

6.
Psychogeriatrics ; 22(1): 77-83, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34716634

RESUMO

BACKGROUND: Older adults have proven their ability to overcome adversities throughout their life. This study aims to assess the impact of the COVID-19 pandemic on older adults' psychological distress (anxiety and depression) over time. METHODS: A community-dwelling Spaniard population (N = 192) completed a survey and reported on their sociodemographic characteristics, appraisal and personal resources. Older adults took part in a longitudinal online survey collected in April 2020 (during the lockdown restrictions) and at two subsequent time points 3 and 9 months after baseline (without lockdown restrictions and during the third wave of the pandemic respectively). RESULTS: Older adults did not evidence higher emotional distress than during the initial lockdown. Furthermore, depression remained stable and anxiety significantly decreased. Results also suggest that some sociodemographic characteristics, appraisals and personal resources are relevant. Older participants showed less anxiety than younger ones. Furthermore, being a male, resilience, and acceptance were related with the decrease of anxiety. Otherwise, fear of the COVID-19 outbreak and depression were related with the increase of anxiety. CONCLUSION: Older adults may adapt to the adverse pandemic impact by using more adaptive resources that reduce their distress. Efforts to ameliorate older adults' anxiety by focusing on older adults' personal resources should be considered.


Assuntos
COVID-19 , Angústia Psicológica , Idoso , Ansiedade/epidemiologia , Controle de Doenças Transmissíveis , Depressão/epidemiologia , Humanos , Masculino , Pandemias , SARS-CoV-2
7.
Psicothema ; 33(3): 423-432, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34297672

RESUMO

BACKGROUND: Although several biopsychosocial variables could play an important role as risk and protective factors of mental health, COVID-19 outbreak studies among older people have seldom focused on protective factors. The purpose of this study was to analyze how older adults' personal strengths predict their well-being and emotional distress. METHOD: 783 Spanish people aged 60 and over completed a survey that included sociodemographic characteristics, perceived health, direct or indirect infection by COVID-19, resilience, gratitude, experiential avoidance, family functioning, emotional distress and well-being. Structural Equation Modelling (SEM) was performed. SEM invariance was also used to analyze whether there were differences between older people affected by COVID-19 and those not affected. RESULTS: The best model supports the mediation effect of resilience, gratitude and experiential avoidance on older people's well-being and emotional distress. Whether participants or relatives had been infected by the virus or not did not affect the results. CONCLUSIONS: Variables used as criteria in older adults are related to well-being and emotional distress, but only indirectly and mediated by resilience, gratitude and experiential avoidance. This confirms the importance of considering psychological strengths in older people's well-being. Interventions focused on these personal resources should be considered.


Assuntos
Adaptação Psicológica , COVID-19/psicologia , Pandemias , Resiliência Psicológica , SARS-CoV-2 , Idoso , Aprendizagem da Esquiva , COVID-19/etiologia , Estudos Transversais , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Fatores de Proteção , Angústia Psicológica , Isolamento Social/psicologia
8.
BMC Geriatr ; 21(1): 251, 2021 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-33858348

RESUMO

BACKGROUND: There is extensive concern about older people's care in institutions, especially recently in the past years. One of the reasons is linked to the cases of elder abuse, not only shown by academic and scientific sources, but also by social and mass media and their impact on public perception of the institutional setting. What is more, current COVID-19 pandemic consequences on older people have provoked alarm and worry especially about what is happening in institutions. METHODS: The sample for this study consists of 286 staff working in nursing homes in Spain. This study aimed to assess the psychometric properties of the Professional Good Care Scale in Nursing Homes (GCS-NH). RESULTS: Results of parallel analyses and exploratory factor analyses (EFAs) showed a four-factor model for the 32-item scale: humanization (9 items), non-infantilization (10 items), respect (7 items) and empowerment (6 items). Then, psychometric properties were tested analysing internal consistency (reliability) and convergent, divergent and criterion validity. High internal consistency (reliability) and different validity evidence were obtained for the total scores of the GCS-NH and its subscales. GCS-NH scores were also capable of detecting risk of probable institutional elder abuse. CONCLUSIONS: Results show that this scale is an appropriate, valid, and reliable multidimensional instrument to evaluate good care in older institutionalized people by staff. Good care is an outcome of a complex construct in which a wide range of factors converge (staff, older people, and environmental characteristics). The GCS-NH has potential to be used as a multidimensional tool to assess good care.


Assuntos
COVID-19 , Pandemias , Idoso , Idoso de 80 Anos ou mais , Humanos , Casas de Saúde , Psicometria , Reprodutibilidade dos Testes , SARS-CoV-2 , Espanha , Inquéritos e Questionários
9.
Artigo em Inglês | MEDLINE | ID: mdl-33477928

RESUMO

Despite efforts to promote good care, many institutionalized older adults (IOA) experience elevated neglectful conditions and reduced person-centered care approaches. Based on the job demand-control model, this study aimed to analyze the relationship between nursing home professionals' personal and organizational factors and good care provided to institutionalized older people. Data was collected through a self-administered survey completed by 208 nursing home staff members. Three dimensions of personal factors (i.e., personal accomplishment, depersonalization, and negative old age stereotypes) were significant predictors of good care. Depersonalization and negative old age stereotypes were negatively associated with IOA, and both good care and personal accomplishment were positively associated with good care in nursing homes. Only one work-related factor (i.e., management support) was positively associated with good care. Personal factors may play a significant role in good care. Management support offers a promising mechanism to promote good care among nursing home professionals. The findings support the need to change the focus on entirely completing care tasks to providing good care of residents in nursing homes that promotes management support, personal accomplishment, personalization and positive old age consideration, attitudes, and behaviors. Policies and interventions should be developed to address in a more humanized way.


Assuntos
Instituição de Longa Permanência para Idosos , Casas de Saúde , Idoso , Idoso de 80 Anos ou mais , Humanos , Inquéritos e Questionários
10.
Psicol. conduct ; 29(2): 331-344, 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-225321

RESUMO

La familia puede ser un recurso fundamental en momentos de pérdidas y crisis vitales. La soledad y el aislamiento en personas mayores provocan consecuencias negativas para su salud mental. La presente investigación analiza el rol de la función familiar en la ansiedad y depresión experimentadas por personas mayores durante la pandemia ocasionada por el COVID-19. Participaron 882 adultos mayores de 60 años evaluándose características sociodemográficas y del coronavirus, salud, función familiar, evitación, depresión y ansiedad. Los datos sugieren un factor amortiguador de la función familiar sobre la ansiedad y depresión durante la pandemia. Además, no estar casado, ser mujer, mayor miedo al COVID-19, una peor salud autopercibida, mayor evitación y una peor función familiar se asociaba con mayores niveles de ansiedad. Mientras que mayor miedo al COVID-19, una peor salud autopercibida, mayor evitación y una peor función familiar se relacionaban con mayor depresión. Los resultados permiten señalar que la disfunción familiar es un factor predisponente para el desarrollo de problemas emocionales de ansiedad y depresión en personas mayores en situaciones potencialmente estresantes y de pérdida (AU)


Family can be an essential resource at times of loss or vital crisis. Loneliness and isolation in older adults might have serious negative consequences for their mental health. For this reason, this research aims to analyze the role of family function in the anxiety and depression experienced by older adults during the pandemic caused by COVID-19. Participants were 882 Spanish community dwelling adults over 60 years of age. Sociodemographic characteristics, characteristics related to the coronavirus, self-perceived health, family function, avoidance, depression and anxiety were analyzed. Data suggest a buffering effect of family function on anxiety and depression during the pandemic. Furthermore, being unmarried or a female, greater fear of COVID-19, worse self-perceived health, greater avoidance, and worse family function were associated with higher levels of anxiety. Likewise, greater fear of COVID-19, poorer self-perceived health, greater avoidance, and poorer family function, were associated with greater depression. These results point out that family dysfunction is a predisposing factor for the development of the emotional problems of anxiety and depression in older people in potentially stressful and loss situations (AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/prevenção & controle , Quarentena/psicologia , Família/psicologia , Sintomas Afetivos/psicologia
11.
Aging Ment Health ; 22(5): 700-708, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-28282724

RESUMO

OBJECTIVE: Current studies have shown that older people's quality of life (QoL) is more associated to individual's sense of happiness and subjective life satisfaction than to objective problems. CASP scale conceptualizes QoL based on a psycho-sociological perspective. Originally, CASP consisted of 19 items (four factors: Control, Autonomy, Self-realization and Pleasure). Later, it was proposed a shorter version (12 items and three factors). The aim of this study was to assess the structure of the CASP-12 SHARE version using confirmatory factor analysis. METHOD: The CASP structures traditionally proposed were checked and tested in a sample of 1108 people aged 60 years and over. RESULTS: The three factor model (1) pleasure, (2) self-realization and (3) autonomy and control showed a good overall fit (CFI = .932; TLI = .912; RMSEA = .067). An adequate internal consistency was also obtained. CONCLUSION: This is the first study that explored the psychometric properties and validated the well-fitting three factor structure for the CASP-12 in a large population sample of older people from Spain. The results support a multidimensional model for the CASP-12 composed by three factors. It has potential to be used as a multidimensional tool to assess QoL in older people.


Assuntos
Envelhecimento/psicologia , Psicometria/instrumentação , Psicometria/normas , Qualidade de Vida/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Vida Independente , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Espanha
12.
Res Aging ; 37(1): 63-81, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25651551

RESUMO

Detection of elder abuse risk is a critical issue because a lot of cases remain hidden. Screening tools can be used to detect elder abuse. However, few tools have been developed for use with caregivers. The purpose was to develop a translation and adaptation of a Spanish version of the Caregiver Abuse Screen (CASE) and to assess its validity and reliability. The CASE was then used with 211 primary caregivers. Validity and reliability were evaluated, as well as the factorial structure of the instrument. This version showed good psychometric properties. It was found to have strong internal consistency and split-half reliability as well as allowing for a good replication of the original factorial structure. Additionally, several variables related to elder abuse were linked to the CASE such as depression, burden, frequency, and reactions to problem behaviors. The version developed showed sufficient validity and reliability and could be considered as a suitable instrument to assess risks of elder abuse in a Spanish-speaking context.


Assuntos
Abuso de Idosos/diagnóstico , Psicometria/normas , Inquéritos e Questionários/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Cuidadores/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/métodos , Reprodutibilidade dos Testes , Espanha
13.
Med. clín (Ed. impr.) ; 141(12): 522-526, dic. 2013.
Artigo em Espanhol | IBECS | ID: ibc-117609

RESUMO

Fundamento y objetivo: Aunque los malos tratos hacia las personas mayores no son un fenómeno nuevo, continúa estando oculto. A pesar de que se han realizado diversos estudios sobre prevalencia en diferentes países, los resultados de estos solo pueden ser utilizados como datos orientativos. El objetivo de este estudio es estimar la prevalencia de malos tratos en personas mayores sin deterioro cognitivo residentes en el ámbito comunitario que acudían a Centros de Atención Primaria o de Servicios Sociales. Pacientes y método: Se realizó un estudio transversal en el que participaron 340 personas mayores. Resultados: Se ha encontrado una prevalencia de malos tratos del 12,1%, siendo el tipo más frecuente el psicológico y siendo frecuente la presencia simultánea de diferentes tipos (maltrato psicológico y físico y sexual). Los malos tratos son más frecuentes en mujeres y los responsables son con mayor frecuencia los cónyuges. Conclusiones: Los datos obtenidos permiten avanzar en el conocimiento de los malos tratos hacia personas mayores en España, donde los precedentes de investigación en este área son aislados. No obstante, la cifra estimada de prevalencia de malos tratos no debe caer dentro del alarmismo social ni, por el contrario, en una «dejadez social» (AU)


Background and objective: Although elder abuse is not a new phenomenon , remains hidden. There have been several preliminary studies on the prevalence of elder abuse in different countries. The aim of this study was to estimate the prevalence of suspected abuse of older persons without cognitive impairment , living in the community, who were seen in primary health care or social service centers . Patients and methods: A cross-sectional study involving 340 elderly was conducted.Results: A prevalence of 12.1% of suspected abuse was found . Suspected psychological abuse was the most common type and it was very common simultaneous presence of different types of abuse ( psychological , physical and sexual ) . Suspicion of abuse is more common in women and husbands were responsible for a large high frequency. Conclusions: The information obtained can advance knowledge of elder abuse in Spain , where research on this topic is scarce. However, the prevalence is found should not be considered as a social alarm or as a social weakness (AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Abuso de Idosos/estatística & dados numéricos , Seguridade Social , Estudos Transversais , Atenção Primária à Saúde/estatística & dados numéricos , Delitos Sexuais/estatística & dados numéricos , Repressão Psicológica
14.
Med Clin (Barc) ; 141(12): 522-6, 2013 Dec 21.
Artigo em Espanhol | MEDLINE | ID: mdl-23481870

RESUMO

BACKGROUND AND OBJECTIVE: Although elder abuse is not a new phenomenon, it remains hidden. There have been carried out various preliminary studies about the prevalence of elder abuse in different countries. The aim of this study is to estimate the prevalence of suspicion of elder abuse in old persons without cognitive impairment, dwelling in community, who were attended in Primary Health Care or Social Services Centres. PATIENTS AND METHOD: We carried out a transverse study in which 340 elders participated. RESULTS: We found a 12.1% prevalence of suspicion of elder abuse. Psychological abuse suspicion was the most frequent type and it was very common the simultaneous presence of different types of abuse (psychological and physical and sexual). The suspicion of elder abuse was more frequent in women and spouses were responsible in a high great frequency. CONCLUSIONS: The information obtained allows advancing in the knowledge of elder abuse in Spain, where the research about this issue is poor. However, the prevalence found neither has to be considered as a social alarm nor as a social slackness.


Assuntos
Abuso de Idosos/estatística & dados numéricos , Vida Independente , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Atenção Primária à Saúde , Fatores de Risco , Serviço Social , Espanha/epidemiologia
15.
Rev. esp. geriatr. gerontol. (Ed. impr.) ; 45(4): 213-218, jul.-ago. 2010.
Artigo em Espanhol | IBECS | ID: ibc-80519

RESUMO

Este trabajo constituye la continuación natural del proyecto llevado a cabo por la Sociedad Española de Geriatría y Gerontología y el Instituto de Mayores y Servicios Sociales y auspiciado por la OMS y la Universidad de Ginebra, denominado «respuesta global al maltrato hacia las personas mayores incluyendo la negligencia: capacitación de los servicios de atención primaria para el abordaje de un problema mundial». Su realización ha sido posible gracias a la financiación del Instituto de Mayores y Servicios Sociales en el marco del Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica 2004–2007. El objetivo general de este proyecto era la validación tanto de un instrumento para la detección de sospecha de maltrato hacia las personas mayores denominado índice de sospecha de maltrato hacia las personas mayores (EASI) como del formulario de evaluación de trabajo social (FETS) cuyo objetivo era la confirmación de casos de sospecha de maltrato. Tras los resultados obtenidos, en este trabajo se presentan los cuestionarios obtenidos como resultado de la adaptación lingüística y cultural del índice de sospecha de maltrato hacia las personas mayores y del formulario de evaluación de trabajo social(AU)


This work is the natural continuation of the project conducted by the Spanish Geriatrics and Gerontology Society (SEGG) and the Institute for the Elderly and Social Services (IMSERSO) and under the auspices of the World Health Organisation and Geneva University, called “Global response to abuse and neglect of the elderly: Building Primary Health Care Services capacity to deal with a worldwide problem”. The carrying out of this work has been made possible due to funding by the Institute for the Elderly and Social Services (IMSERSO) in the framework of the National Plan for Scientific Research, Development and Technological Innovation 2004–2007. The general aim of this project was the validation of the tool for detecting suspected elder abuse, called (Elder Abuse Suspicion Index, EASI) as well as the Social Worker Evaluation Form (FETS) which is used for the confirmation of suspected abuse cases. After obtaining the results, the questionnaires obtained as a result of the linguistic and cultural adaptation of EASI and FETS are presented(AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Linguística/métodos , Cultura , Abuso de Idosos/ética , Abuso de Idosos/prevenção & controle , Abuso de Idosos/estatística & dados numéricos , Linguística/educação , Linguística/tendências
16.
Rev Esp Geriatr Gerontol ; 45(4): 213-8, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-20447737

RESUMO

This work is the natural continuation of the project conducted by the Spanish Geriatrics and Gerontology Society (SEGG) and the Institute for the Elderly and Social Services (IMSERSO) and under the auspices of the World Health Organisation and Geneva University, called "Global response to abuse and neglect of the elderly: Building Primary Health Care Services capacity to deal with a worldwide problem". The carrying out of this work has been made possible due to funding by the Institute for the Elderly and Social Services (IMSERSO) in the framework of the National Plan for Scientific Research, Development and Technological Innovation 2004-2007. The general aim of this project was the validation of the tool for detecting suspected elder abuse, called (Elder Abuse Suspicion Index, EASI) as well as the Social Worker Evaluation Form (FETS) which is used for the confirmation of suspected abuse cases. After obtaining the results, the questionnaires obtained as a result of the linguistic and cultural adaptation of EASI and FETS are presented.


Assuntos
Abuso de Idosos/diagnóstico , Inquéritos e Questionários , Idoso , Características Culturais , Humanos , Idioma , Registros
17.
Psychiatry Res ; 178(1): 142-6, 2010 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-20452060

RESUMO

The aim of this work is to empirically generate a shortened version of the Geriatric Depression Scale (GDS), with the intention of maximising the diagnostic performance in the detection of depression compared with previously GDS validated versions, while optimizing the size of the instrument. A total of 233 individuals (128 from a Day Hospital, 105 randomly selected from the community) aged 60 or over completed the GDS and other measures. The 30 GDS items were entered in the Day Hospital sample as independent variables in a stepwise logistic regression analysis predicting diagnosis of Major Depression. A final solution of 10 items was retained, which correctly classified 97.4% of cases. The diagnostic performance of these 10 GDS items was analysed in the random sample with a receiver operating characteristic (ROC) curve. Sensitivity (100%), specificity (97.2%), positive (81.8%) and negative (100%) predictive power, and the area under the curve (0.994) were comparable with values for GDS-30 and higher compared with GDS-15, GDS-10 and GDS-5. In addition, the new scale proposed had excellent fit when testing its unidimensionality with CFA for categorical outcomes (e.g., CFI=0.99). The 10-item version of the GDS proposed here, the GDS-R, seems to retain the diagnostic performance for detecting depression in older adults of the GDS-30 items, while increasing the sensitivity and predictive values relative to other shortened versions.


Assuntos
Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/etiologia , Depressão/diagnóstico , Avaliação Geriátrica , Escalas de Graduação Psiquiátrica , Idoso , Idoso de 80 Anos ou mais , Depressão/complicações , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Curva ROC , Sensibilidade e Especificidade
18.
Rev Esp Geriatr Gerontol ; 44(2): 85-9, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-19268392

RESUMO

INTRODUCTION: It is usually assumed that social desirability increases with ageing, correlates with measures of emotional well-being, and represents a potential threat to research in older adults, and should therefore be systematically controlled. However, this assumption is controversial and lacks a strong empirical basis. The present study aimed to analyze the association between social desirability and measures of emotional well-being, as well as to test for age-related differences in the changes produced in emotional state after experimental anxiety induction. MATERIAL AND METHODS: We randomly assigned 149 individuals (92 university students and 52 older adults) to one of three groups: a control group and two intervention groups in which anxiety was experimentally induced. RESULTS: Social desirability scores were significantly higher in older persons (Hedges'g=1.22). No statistically significant correlations were found in any age group between social desirability and measures of emotional well-being. Likewise, in a series of univariate ANOVAs, no differences were found according to the degree of social desirability in changes in emotional state after anxiety induction. Overall, social desirability was not related to the changes produced by experimental anxiety induction. CONCLUSIONS: The present study confirms the association between social desirability and age. However, social desirability did not seem to correlate with emotional well-being in any age group. Moreover, social desirability was not related to changes in emotional state after experimental anxiety induction. These results do not support the view that social desirability is a threat to the validity of experimental studies in the elderly.


Assuntos
Emoções , Desejabilidade Social , Fatores Etários , Idoso , Ansiedade/psicologia , Feminino , Humanos , Masculino , Adulto Jovem
19.
Rev. esp. geriatr. gerontol. (Ed. impr.) ; 44(2): 85-89, mar. 2009. tab
Artigo em Espanhol | IBECS | ID: ibc-134844

RESUMO

Introducción: Se asume habitualmente que la deseabilidad social se incrementa con la edad, correlaciona con medidas de bienestar emocional y supone una fuerte amenaza potencial a las investigaciones con personas mayores, por lo que debería controlarse de modo sistemático. Tal asunción, sin embargo, es controvertida y tiene una base empírica débil. Este trabajo se dirige a analizar la relación de la deseabilidad social con medidas de bienestar emocional y las diferencias en función de la edad en su relación con el cambio producido tras una inducción experimental de ansiedad. Material y métodos: Se asignaron de forma aleatoria a 149 sujetos (92 estudiantes universitarios y 52 personas mayores) a uno de tres posibles grupos: control y dos procedimientos de inducción experimental de ansiedad. Resultados: Las personas mayores presentaron grados significativamente superiores de deseabilidad social (g de Hedges=1,22). No hubo correlaciones estadísticamente significativas entre deseabilidad social y medidas del bienestar emocional en ninguno de los dos grupos de edad. Una serie de ANOVA univariados demostró asimismo la ausencia de efectos del grado de deseabilidad social en el cambio tras la inducción. La deseabilidad social no se asoció, en general, al cambio producido por la inducción experimental de ansiedad. Conclusiones: Se confirma la relación entre deseabilidad social y edad, pero la deseabilidad social no parece relacionarse con el bienestar emocional en ningún grupo y, sobre todo, no está vinculada al efecto experimental. Estos resultados no apoyan la idea de que la deseabilidad social es una amenaza para la validez de los estudios experimentales en la edad avanzada (AU)


Introduction: It is usually assumed that social desirability increases with ageing, correlates with measures of emotional well-being, and represents a potential threat to research in older adults, and should therefore be systematically controlled. However, this assumption is controversial and lacks a strong empirical basis. The present study aimed to analyze the association between social desirability and measures of emotional well-being, as well as to test for age-related differences in the changes produced in emotional state after experimental anxiety induction. Material and methods: We randomly assigned 149 individuals (92 university students and 52 older adults) to one of three groups: a control group and two intervention groups in which anxiety was experimentally induced. Results: Social desirability scores were significantly higher in older persons (Hedges¿g=1.22). No statistically significant correlations were found in any age group between social desirability and measures of emotional well-being. Likewise, in a series of univariate ANOVAs, no differences were found according to the degree of social desirability in changes in emotional state after anxiety induction. Overall, social desirability was not related to the changes produced by experimental anxiety induction. Conclusions: The present study confirms the association between social desirability and age. However, social desirability did not seem to correlate with emotional well-being in any age group. Moreover, social desirability was not related to changes in emotional state after experimental anxiety induction. These results do not support the view that social desirability is a threat to the validity of experimental studies in the elderly (AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Emoções , Desejabilidade Social , Fatores Etários , Ansiedade/psicologia , Adulto Jovem
20.
Arch Gerontol Geriatr ; 48(1): 45-9, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-18035430

RESUMO

Due to the difficulties in recruiting elderly people for psychological studies, a wide range of recruitment methods has been used. The underlying assumption that the recruitment method does not seriously affect the results has to be tested. Results in different worry measures are compared between three samples which were recruited with different strategies: (i) randomization sampling from the census of an urban area (random sample; n=97); (ii) people involved in leisure activities in senior centers (convenience sample; n=142); and (iii) people from the close environment of psychology students (snowball sample; n=60). People from those samples, aged 65 and more, completed the Penn State Worry Questionnaire (trait-worry), and the Worry Scale (contents of worry). Differences were found for several demographic characteristics. There were marked differences between samples in the percentage of individuals endorsing cut-score criteria for generalized anxiety disorder (GAD), with a very high percentage for the snowball sample. For all of the worry measures, analyzes of variance revealed significantly higher total scores for the non-randomly selected samples (p<0.01). Comparing the latter samples, higher trait worry (p<0.01) and more worrying about health and personal competencies (p<0.01) was found in the snowball sample. These results suggest that the sample recruitment method can specifically and seriously affect the outcomes of studies with elderly people, thus limiting the generalization of their results.


Assuntos
Atividades Cotidianas/classificação , Ansiedade/psicologia , Avaliação Geriátrica/métodos , Seleção de Pessoal/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Espanha , Inquéritos e Questionários , População Urbana
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