Assessment of Coping in Cognitively Impaired Older Adults (original) (raw)
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Coping in aged people with Alzheimer's disease
Revista Latino-americana De Enfermagem, 2007
The intensity of stress experiences and elaboration of coping essentially depend on individuals' cognitive assessment. Considering the cognitive impairment of elderly persons with Alzheimer's disease (DA), this study aimed to identify their coping style. The Jalowiec Coping Inventory was applied to 60 elderly, 30 in the control group and 30 in the DA group. The results demonstrated a predominance of emotion-focused coping in the DA group and problem-focused coping in the control group, but the difference was not statistically significant (p=0.124). In addition, it was observed that individuals with better cognitive development in the DA group selected problem-focused coping strategies (p=0.0074). Thus, it seems there is a tendency to select evasive and emotional control strategies in demented elderly with worsened cognitive performance, rather than attempting to solve the problem or minimize its consequences.
Coping strategies as indicators of resilience in elderly subjects: a methodological study
Ciencia & saude coletiva, 2019
Coping strategies as components of resilience among the elderly serve three purposes: protection against threats to adaptation, recovery from the effects of adversity, and personal development. The present paper aims to investigate internal and external validity for a coping inventory. 415 elderly subjects (aged 65 and older) answered questions that measure coping, depression, self-rated health and satisfaction with life. Scores were compared with each other as well as according to gender, age and income. Exploratory factor analysis and internal consistency analysis were conducted. Three factors explained 30.8% of the variance: 1. non-adaptive strategies, 2.adaptive strategies, and 3. development strategies. The scale showed moderate internal consistency (α = 0.541). Development strategies were positively correlated with self-rated health and with satisfaction with life, and negatively correlated with depression (p < 0.05). The explained variance and internal validity were modera...
Impact of Age, and Cognitive and Coping Resources on Coping
Canadian Journal on Aging / La Revue canadienne du vieillissement, 2011
RÉSUMÉAfin d’explorer la valeur prédictive des ressources congnitives et de coping pour le coping centré sur le problème et sur 1’émotion en prenant en compte 1’âge, nous avons recueilli des données auprès d’adultes vivant à domicile et âgés de 20 à 90 ans. Nous avons fait 1’hypothèse que 1’âge, le stress perçu, 1’auto-efficacité, la capacité de mémoire de travail, et la flexibilité mentale sont des facteurs prédisant le coping. Nous avons recueilli des données en utilisant des versions françaises de 1’échelle de stress percu (PSS), d’autoefficacité (GSE) et un questionnaire de coping (WCC). Les évaluations cognitives ont inclus le subtest des empans envers-endroit (WAIS), et les parties A et B du Trail-Making Test (TMT). Dans les analyses multivariées, ni le déficit de mémoire de travail, ni le deficit de la flexibilité mentale ne prédisent significativement le coping centré sur le probleme. L’âge ne prédit que le coping centré sur le problème. L’auto-efficacité prédit le coping ce...
Coping and health in older adults
Current Psychiatry Reports, 2008
Although coping has been shown to influence physical health in younger populations, whether coping affects health in older adults appears to depend upon how coping and health are conceptualized. This article reviews recent literature on coping and health in older adults in three areas. First, we discuss coping's distinct relevance to health in older adults. Second, we describe ways in which coping may differ between older and younger populations. Third, we detail recent and notable findings of coping's specific effects on biomedical health and health in general. The recent literature suggests that coping may be a developmental and multifaceted process. Positive coping strategies may have positive and even protective effects on health, whereas negative strategies may have negative effects.
Validity and Reliability of the Brief COPE in Carers of People With Dementia: The LASER-AD Study
The Journal of Nervous and Mental Disease, 2008
The Brief COPE is a self-completed questionnaire measuring coping strategies. It comprises 14 subscales for which psychometric properties are described. Three composite subscales measuring emotion-focused, problem-focused, and dysfunctional coping have proved useful in clinical research and have content validity. We report psychometric properties of these subscales for the first time. One hundred twenty-five family carers of people with Alzheimer's disease completed the Brief COPE at time 1, 92 (82.9% of eligible carers) a year later, and 74 (77.1%) 2 years later. Internal consistencies were good for emotion-focused, problem-focused, and dysfunctional subscales (␣ ϭ 0.72, 0.84, 0.75). Test-retest reliability over a year was demonstrated for emotion-focused, problem-focused, and dysfunctional subscales among carers in whom burden scores did not change significantly (r ϭ 0.58, r ϭ 0.72, r ϭ 0.68; p Ͻ 0.001). Change in burden score over 2 years correlated with change in problem-focused and dysfunctional (r ϭ 0.33, r ϭ 0.32; p Ͻ 0.01) subscales, indicating sensitivity to change, but not with change on the emotion-focused scale. Change in emotion-focused coping correlated with change in problem-focused and dysfunctional coping (r ϭ 0.40, r ϭ 0.26; p Ͻ 0.05). Regression analyses indicated convergent and concurrent validity: emotion-focused coping was predicted by secure attachment ( ϭ 0.23) and by problem-focused coping ( ϭ 0.68); dysfunctional coping by burden ( ϭ 0.36) and less secure attachment ( ϭ Ϫ0.25) and problem-focused coping ( ϭ 0.31;all p Ͻ 0.05). The model predicting problem-focused coping included avoidant attachment ( ϭ 0.22; p ϭ 0.014), social support ( ϭ 0.10; p ϭ 0.25), care recipient activities of daily living impairment ( ϭ 0.12; p ϭ 0.14) and less secure attachment ( ϭ Ϫ0.25; p ϭ 0.011) and emotionfocused ( ϭ 0.53; p Ͻ 0.001) and dysfunctional coping ( ϭ 0.25, p ϭ 0.006). These subscales are potentially useful in clinical research as they reflect possible components of interventions to change coping, although more information about sensitivity to change of the emotion-focused subscale is needed.
With increasing age, older adults are more likely to be challenged by an increasing number of physical, functional and social losses. As a result, coping with losses becomes a central theme in very late life. This study investigated age differences and age changes in active behavioral, active cognitive and avoidance coping and related coping to adaptational outcomes, such as physical and mental health. Sixty-one sexagenarians, 46 octogenarians, and 47 centenarians from the Georgia Centenarian Study participated in this longitudinal study to assess coping with health and family events. The results indicated age group differences in active behavioral *
Archives of gerontology and geriatrics
The changes that occur with cognitive impairment and Alzheimer's disease could affect psychological aspects unrelated to memory. The purpose of this study is to compare 32 healthy older adults, 31 amnestic mild cognitively impaired (aMCI) adults, and 32 patients diagnosed with Alzheimer's disease (AD), in order to determine whether there are differences in their psychological wellbeing, resilience, and coping strategies. Unifactorial MANOVAS and ANOVAS were performed to analyze the between-group differences. The results reveal that the AD group showed lower levels of resilience and orientation toward problem-solving and greater use of religious strategies. In addition, they had significantly lower wellbeing scores than the other groups. The worsening of the pathology impedes the capacity for adaptation and resilience and the application of strategies oriented toward the problem, and it increases the application of strategies based on magical thinking. Moreover, it also produ...
The relationship between coping, social support, functional disability and depression in the elderly
Anxiety Stress and Coping, 2006
The increase in the number of older people and the functional disability associated with increasing age have caused concern regarding the consequences of large numbers of elderly people who are limited in their functional ability. One of the psychological factors that should be related to functional disability in the elderly is the way they cope with stress. The present study examines the use of proactive coping in the elderly in relation to their depression and their functional ability. Results of structural equation modeling showed that proactive coping was negatively associated with functional disability and with depression. Social support was positively associated with proactive coping and negatively with depression. Depression was positively associated with functional disability. A significant implication of the results is the importance of studying the combined relationship of social support and coping to elderly functioning.
The life changes and developmental changes experienced by older adults require older adults to use different coping skills. The aim of the present study is to investigate the differences between gender and residence types on the coping styles of older adults. It is hypothesized that older men use active coping styles more than older women, and older women use passive coping styles more than older men. However, these main effects were qualified by an interaction with the residence type. With voluntary participation and confidentiality principles, the data was collected from 1770 older adults living either at home or nursing home in different cities around Turkey. Socio-demographic form and Ways of Coping Questionnaire were asked participants to answer. According to the results of two-way ANOVA, the older men reported higher planful problem solving, keep to self, escape/avoidance, and accepting responsibility than older women, whereas older women reported higher seeking refuge in fate and seeking supernatural forces than men. On the other hand, the older adults residing at their home reported higher planful problem solving and seeking social support than the older adults residing at a nursing home, whereas the older adults residing at a nursing home reported higher keep to self, escape/avoidance, accepting responsibility, and seeking refuge in fate than the older adults residing at their home. Moreover, the main effects were qualified by an interaction between gender and residence type for keep to self, escape/avoidance, accepting responsibility and seeking refuge in supernatural forces. Results were discussed in accordance with gender and living place interaction in advanced years.
2016
Background: Elderly people face series of challenges such as chronic illnesses and some kind stressors which have direct impact on the body functionality. A lot of the illnesses, disability and even death are associated with chronic diseases. It is more important to adapt with these stressors. Successful coping play an important role in helping the elderly people to manage their stress. Aim: to investigate the effect of disability and related stress level of chronically ill elderly on their coping strategy. Methodology: A convenient sample of 200 elderly persons 60 years old or above who were suffering from one or more of chronic physical illness for the duration of at least one year or more were included in this study. They were selected from the health insurance hospitals in El-Mahaha Alkobra and Tanta city. An interview questionnaire sheet was developed by the researchers to collect the data. It included five parts: 1) Sociodemographic data, 2) Past medical history, 3) World Heal...