Changes in impairment level, functional status, and use of assistive devices by older people with depressive symptoms. Dayao, Arveene L. BS Psychology II – 01 Manila Tytana Colleges To be submitted to : Ms. Sheila Laine Dela Paz Date submitted : January 30, 2012 ABSTRACT This study sought to understand how functional status, impairment level, and use of assistive devices change over 3 years for older adults with depressive symptoms. I further explored factors that predict change in severity of depressive symptoms. During 3 years, participants experienced ncreased physical disability, a decline in severity of depressive symptoms, and an increase in the total number of assistive devices owned. A significant number of older adults will experience a decrease in depressive symptoms over 3 years, despite an increase in physical disability. They also will obtain more assistive devices as they age. The specific issue that stands out in the journal is relative to the various changes in impairment level, functional status and use of some suggested assistive devices that could be used by older people who suffer symptoms of depression. I do very much agree how the author ouched the subject and explained depression among the older people. There is nothing from the journal article that I disagree about. The points presented by the author about the existence of this feeling of depression among the older people are true and satisfactory. The second journal that I have, Suicide In Older Adults : Nursing Assessment Of Suicide by Linda Garand, PhD, APRN, BC, Ann M. Mitchell, PhD, RN, AHN, BC, Ann Dietrick, MSN, APRN, BC, Sophia P. Hijjawi, BSN, RN, and Di Pan, BSN, RN, is somewhat parallel to my first journal. This second article talks about suicide in older adults.
It is being discussed here that suicide and attempted suicide is associated with depression, psychosis and substance abuse among younger individuals, yet among older adults, depression and co morbid medical conditions play important contributory roles. Same as what was being talked about in the first article. The issue that attracts my attention is on the prevalence of suicidal behaviors in older adults and lays a foundation for understanding the role of risk factors in the prevention of suicide. Just like in the first article, the issue focuses more on depression on older adults.
It has been proven that the older adults are the one that easily get depressed than the younger ones. Just as no single factor is universally causal, no single intervention will prevent all suicides. The multi-dimensionality of suicide presents great challenges, but also has important implications for prevention. Suicide in late life must be understood as a complex combination of interactive effects in which mood disorders take a central role. Our ability to more precisely target preventive interventions will hinge on a better understanding of those relationships. Until then, urses and others must be diligent in the identification of older adults at risk for suicide. Subgroups of older adults at high risk for suicide include those with depressive illnesses, previous suicide attempts, physical illnesses, and those who are socially isolated. Therefore I can say, that major depression is the most common diagnosis in older adults (of both sexes) who attempt or complete suicide. This study used data from Rehabilitation Engineering Research Center on Aging Consumer Assessment Study, a longitudinal study of coping strategies of elders with disabilities.
Above all things, this will be a great help to me who would really like to be a successful Clinical Psychologist in the future. REFERENCES Mann, William C. , et al. “Changes in impairment level, functional status, and use of assistive devices by older people with depressive symptoms. ” AJOT: American Journal of Occupational Therapy 62. 1 (2008): 9+. InfoTrac Custom 100 Titles. Web. 19 Jan. 2012. Document URL http://find. galegroup. com/gtx/infomark. do? &source=gale&srcprod=SP00&prodId=SPJ. SP00&u serGroupName=phmtc&tabID=T002&docId=A208219498&type=retrieve&contentSet=IAC-
Documents&version=1. 0 Agree, E. , & Freedman, V. (2003). A comparison of assistive technology and personal care in alleviating disability and unmet need. Gerontologist, 43, 335-344. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed. ). Washington, DC: Author. Bergner, M. , Bobbitt, R. , Pollard, W. , Martin, D. , & Gilson, B. (1976). The Sickness Impact Profile: Validation of a health status measure. Medical Care, 14, 57-67. Bradburn, N. (1969). The structure of psychological well-being. Chicago: Aldine. Center for Functional Assessment Research. 1990). Guide for use of the Uniform Data Set for Medical Rehabilitation (Version 3. 1). Buffalo, NY: Author. Chen, T. Y. , Mann, W. C. , Tomita, M. , & Nochajski, S. (2000). Caregiver involvement in the use of assistive devices by frail older persons. Occupational Therapy Journal of Research, 20, 179- 199. Federal Interagency Forum on Aging-Related Statistics. (2004). Older Americans 2004: Key indicators of well-being. Washington, DC: U. S. Government Printing Office. Fillenbaum, G. G. (1988). Multidimensional functional assessment of older adults: The Duke Older American Resources and Services procedures.
Hillsdale, NJ: Erlbaum. Fillenbaum, G. G. , & Smyer, M. A. (1981). The development, validity, and reliability of the OARS Multidimensional Functional Assessment Questionnaire. Journal of Gerontology, 36, 428-434. Folstein, M. , Folstein, S. E. , & McHugh, P. (1975). “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189- 198. Gilson, B. S. , Gilson, J. S. , Bergner, M. , Bobbit, R. A. , Kressel, S. , Pollard, W. E. , et al. (1975). The Sickness Impact Profile: Development of an outcome measure of health care.
American Journal of Public Health, 65, 1304-1325. Hamilton, B. , Granger, C. , Sherwin, F. , Zielenzy, M. , & Tashman, J. (1987). A uniform national data system for medical rehabilitation. In M. Fuhrer (Ed. ), Rehabilitation outcomes: Analysis and measurement (pp. 137-147). Baltimore: Paul H. Brookes. Hamilton, M. (1960). A rating scale for depression. Journal of Neurologic Neurosurgical Psychiatry, 23, 56-62. Hoenig, H. , Taylor, D. , & Sloan, F. (2003). Does assistive technology substitute for personal assistance among the disabled elderly? American Journal of Public Health, 93, 330-337.
Kruskal, W. , & Wallis, W. (1952). Use of ranks in one-criterion variance analysis. Journal of the American Statistical Association, 47, 583-621. Lebowitz, B. , Pearson, J. , Schneider, L. , Reynolds, C. , Alexopoulos, G. , Bruce, M. , et al. (1997). Diagnosis and treatment of depression in late life. Journal of the American Medical Association, 278, 1186-1190. Lenze, E. , Schulz, R. , Matire, L. , Zdaniuk, B. , Glass, T. , Kop, W. , et al. (2005). The course of functional decline in older people with persistently elevated depressive symptoms: Longitudinal findings from the cardiovascular health study.
Journal of the American Geriatric Society, 53, 569-575. Lubin, B. (1967). Manual for the Depression Adjective Check Lists. San Diego, CA: Educational and Industrial Testing Service. Mann, W. , Llanes, C. , Justiss, M. , & Tomita, M. (2004). Frail older adults’ self-report of their most important assistive device. Occupational Therapy Journal of Research: Occupation, Participation, and Health, 24, 4-12. Mann, W. , Ottenbacher, K. , Fraas, L. , Tomita, M. , ; Granger, C. (1999). Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly.
Archives of Family Medicine, 8, 210-217. Noel, P. , Williams, J. , Unutzer, J. , Worchel, J. , Lee, S. , Cornell, J. , et al. (2004). Depression and comorbid illness in elderly primary care patients: Impact on multiple domains of health status and well-being. Annals of Family Medicine, 2, 555-562. Ottenbacher, K. , Mann, W. , Granger, C. , Tomita, M. , Hurren, D. , ; Charvat, B. (1994). Inter- rater agreement and stability of functional assessment in the community-based elderly. Archives of Physical Medicine and Rehabilitation, 75, 1297-1301. Pollak, N. , Rheult, W. , ; Stoecker, J. 1996). Reliability and validity of the FIM for persons aged 80 years and above from a multilevel continuing care retirement community. Archives of Physical Medicine and Rehabilitation, 77, 1056-1061. Pollard, W. , Bobbitt, R. , Bergner, M. , Martin, D. , ; Gilson, B. (1976). The Sickness Impact Profile: Reliability of a health status measure. Medical Care, 14, 146-155. Pollock, B. , ; Reynolds, C. (2000). Depression late in life. Harvard Mental Health Letter, 17, 3-5. Pollock, B. , ; Weksler, M. (2000). Clinical update: How to recognize and treat depression in older persons.
Geriatrics, 55, 67-7 . Raccio-Robak, N. , McErlean, M. , Fabacher, D. , Milano, P. , ; Verdile, V. (2002). Socioeconomic and health status differences between depressed and non-depressed elders. American Journal of Emergency Medicine, 20, 71-73. Radloff, L. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. Radloff, L. , ; Locke, B. (Eds. ). (1986). The community mental health assessment survey and the CES-D scale. In M. M. Weissman, J. K. Myers, ; C. E. Ross (Eds. , Community surveys of psychiatric disorders (pp. 177-189). Piscataway, NJ: Rutgers University Press. Raskin, A. , Schulterbrandt, J. , Reatig, N. , ; McKeon, J. (1969). Replication of factors of psychopathology in interview, ward behavior, and self-report ratings of hospitalized depressives. Journal of Nervous and Mental Disease, 148, 87-96. Roelands, M. , Van Oost, P. , Buysse, A. , ; Depoorter, A. (2002). Awareness among community- dwelling elderly of assistive devices for mobility and self-care and attitudes towards their use. Social Science and Medicine, 54, 1441-1451.
Rosenberg, M. (1965). Society and the adolescent self-image. Middletown, CT: Wesleyan University Press. Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, ; National Institute of Mental Health. (1994). Mental health: A report of the Surgeon General— Executive summary: Chapter 5–Depression in older adults. Rockville, MD: Authors. Retrieved February 13, 2003, from http://mentalhealth. org/features/surgeongeneralreport/chapter5/sec3. asp Schiller, J. , & Bernadel, L. (2004). Summary health statistics for the U. S. opulation: National Health Interview Survey, 2002. Vital Health Statistics, 10(220) 1-101. Tomita, M. , Mann, W. , & Fraas, L. (2004). Predictors of the use of assistive devices that address physical impairments among community-based frail elders. Journal of Applied Gerontology, 23, 141-155. Verbrugge, L. , & Sevak, P. (2002). Use, type, and efficacy of assistance for disability. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57B, S366-S37 . Wechsler, D. (1955). Manual for the Wechsler Adult Intelligence Scale. New York: Psychological Corporation.
Westfall, P. , ; Young, S. (1993). Resampling-based multiple testing: Examples and methods for p-value adjustment. New York: Wiley. Wilcoxon, F. (1945). Individual comparisons by ranking methods. Biometrics, 1, 80-83. William C. Mann, OTR, PhD, is Chairperson and Distinguished Professor, Department of Occupational Therapy, University of Florida, P. O. Box 100164, Gainesville, FL 32610-0164; [email protected] ufl. edu Jessica L. Johnson, MA, OTR/L, is Research Assistant, RERC-Tech-Aging, Rehabilitation Science Doctoral Program, University of Florida, Gainesville.
Lisa G. Lynch, MHS, OTR/L, is Occupational Therapist and Owner, Creative Therapy Works, Inc. , Lake Worth, FL. Michael D. Justiss, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, Indiana University-Purdue University at Indianapolis. Machiko Tomita, PhD, is Associate Professor, Department of Rehabilitation Science, University at Buffalo, State University of New York. Samuel S. Wu, PhD, is Assistant Professor, Department of Epidemiology and Health Policy Research, University of Florida, Gainesville.