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Zadworna M, Ardelt M. The mediating role of health-related behavior in the relationship between wisdom and depressive symptoms in older Polish adults. Aging Ment Health 2024; 28:1029-1040. [PMID: 38233975 DOI: 10.1080/13607863.2024.2302313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 12/16/2023] [Indexed: 01/19/2024]
Abstract
OBJECTIVES Although studies have shown that wisdom is positively related to mental health in older adults, little is known about its possible mechanisms. The current study examines whether health-related behavior can play a mediating role in the relationships between wisdom and geriatric depressive symptoms. METHODS The study included 334 Polish older adults aged 60-99 years (M = 71.91; SD = 7.01). The respondents completed the Geriatric Depression Scale, Three-Dimensional Wisdom Scale, Health-Related Questionnaire for Seniors, and a sociodemographic survey. RESULTS Three-dimensional wisdom and its three dimensions correlated negatively with geriatric depressive symptoms but positively with general health-related behavior and its factors. Health-related behavior acted partially as a mediator between wisdom and geriatric depressive symptoms. CONCLUSION Wiser seniors tend to take part in more health-promoting behavior, which may prevent depressive symptoms. The findings support the important role played by wisdom in mental health-promoting interventions for older adults.
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Affiliation(s)
- Magdalena Zadworna
- Institute of Psychology, Faculty of Educational Sciences, University of Lodz, Lodz, Poland
| | - Monika Ardelt
- Department of Sociology and Criminology & Law, University of Florida, Gainesville, FL, USA
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2
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Pamuk Cebeci S, Bilgiç Ş. Perception of Good Death and Level of Perceived Stress in Relatives of Palliative Care Patients. OMEGA-JOURNAL OF DEATH AND DYING 2024:302228241237838. [PMID: 38656222 DOI: 10.1177/00302228241237838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2024]
Abstract
This study aimed to examine the perception of a good death and the level of perceived stress in relatives of palliative care patients. Relatives of 110 patients hospitalized in a palliative care center constituted the research sample. A personal information form, the "Good Death Scale," and the "Perceived Stress Scale" were used for data collection. The patients' relatives defined good death as being with family members and living this process without suffering. The mean total Good Death Scale score of the relatives of palliative care patients was 54.86 ± 7.78, and their mean total Perceived Stress Scale score was 31.11 ± 10.10. These findings showed that patients' relatives had high perceptions of good death and that their stress levels were above average. To expand the scope of nursing care, it is important to know how patients' relatives are affected by this process. It is recommended that more studies be conducted on this subject.
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Affiliation(s)
- Sevil Pamuk Cebeci
- Fundamentals of Nursing Department, Faculty of Health Sciences, Eskişehir Osmangazi University, Eskişehir, Türkiye
| | - Şebnem Bilgiç
- Fundamentals of Nursing Department, Faculty of Health Science, Trakya University, Edirne, Turkey
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Patapoff MA, Jester DJ, Daly RE, Mausbach BT, Depp CA, Glorioso DK. Remotely-administered resilience and self-compassion intervention targeting loneliness and stress in older adults: a single-case experimental design. Aging Ment Health 2024; 28:369-376. [PMID: 37814972 PMCID: PMC10842569 DOI: 10.1080/13607863.2023.2262411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 09/18/2023] [Indexed: 10/11/2023]
Abstract
OBJECTIVES Loneliness and chronic stress are prevalent issues for older adults that have been linked to adverse health outcomes. We conducted a remote resilience and self-compassion intervention targeting loneliness and chronic stress. METHODS This study utilized a multiple-phase-change single-case experimental design with three consecutive 6-week phases: control, intervention, follow-up. Assessments and biomarker collection (blood pressure, inflammation, sleep actigraphy) were conducted at each phase. Participants completed a 6-week remotely-administered resilience and self-compassion intervention using techniques from cognitive behavioral therapy and resilience training. Repeated measures ANOVAs were conducted over the 12-week period from control (week 0) to intervention completion (week 12) and over the 18-week period from control (week 0) to follow-up (week 18) in supplemental analyses. RESULTS Participants reported a reduction in stress (p < 0.001; ηp2 = 0.15), depression (p = 0.02; ηp2 = 0.08), and loneliness (p = 0.003; ηp2 = 0.18), and an increase in self-compassion (p = 0.01; ηp2 = 0.13) from control to intervention completion (weeks 0-12). Post-hoc tests revealed that stress reduced significantly during the intervention phase (weeks 6-12) and loneliness reduced significantly during the control phase (weeks 0-6). Some improvements in blood pressure, inflammation, and sleep quality were noted in a subsample of participants. CONCLUSION Findings indicate that our remote resilience and self-compassion intervention for older adults targeting loneliness and chronic stress was efficacious.
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Affiliation(s)
- Molly A Patapoff
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | - Dylan J Jester
- Women's Operational Military Exposure Network (WOMEN), VA Palo Alto Health Care System
| | - Rebecca E Daly
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | - Brent T Mausbach
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | - Colin A Depp
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
| | - Danielle K Glorioso
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
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Zadworna M. Effects of Wisdom on Mental Health in Old Age: Exploring the Pathways Through Developmental Tasks Attainment and Self-Rated Health. Psychol Res Behav Manag 2023; 16:4541-4554. [PMID: 37942442 PMCID: PMC10629457 DOI: 10.2147/prbm.s429918] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Accepted: 10/16/2023] [Indexed: 11/10/2023] Open
Abstract
Purpose A number of studies indicate a relationship between wisdom and mental health in older adults, which can be explained by different pathways. However, the role of developmental task accomplishment, and of self-rated health in the relationships between wisdom and mental health in later life remain unclear. The aim of the current study is to explore the structure of the relationships between wisdom, developmental task attainment, self-rated health, and positive and negative mental health outcomes (viz. wellbeing and depressive symptoms) in older adults. Methods The study included 381 Polish older adults aged 60-86 (M= 67.33; SD = 5.08). The respondents completed the Personal Wellbeing Index, Geriatric Depression Scale, Three-Dimensional Wisdom Scale, Developmental Tasks Attainment Questionnaire for Seniors, self-rated health scale and sociodemographic survey. Results Three-dimensional wisdom, developmental task attainment and self-rated health scores were positive predictors of personal wellbeing and negative predictors of depressive symptoms in older adults. Structural equation modelling revealed that developmental tasks attainment and self-rated health partially mediated the relations between wisdom and mental health in older adults. Conclusion It can be assumed that wise older adults implement developmental tasks more efficiently and assess their subjective health more favorably, which may strengthen their personal wellbeing and prevent depression. The findings suggest that wisdom plays an important role in healthy aging.
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Affiliation(s)
- Magdalena Zadworna
- Institute of Psychology, Faculty of Educational Sciences, University of Lodz, Lodz, Poland
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5
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Cahill S, Hager R, Shryane N. Patterns of resilient functioning in early life: Identifying distinct groups and associated factors. Dev Psychopathol 2023:1-21. [PMID: 37848396 DOI: 10.1017/s0954579423001165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
Abstract
Resilience, the capacity to maintain or regain functionality in the face of adversity, is a dynamic process influenced by individual, familial, and community factors. Despite its variability, distinct resilience trajectories can be identified within populations, yet the predictors defining these distinct groups remains largely unclear. Here, using data from the Avon Longitudinal Study of Parents and Children (ages 0-18), we quantify resilience as the remaining variance in psychosocial functioning after taking into account the exposure to adversity. Growth mixture modeling identified seven distinct resilience trajectories, with over half of the study population maintaining resilience throughout early life. Factors increasing the likelihood of resilient trajectory membership included a less emotional temperament, high cognitive abilities, high self-esteem, low levels of autistic social traits, strong sibling relationships, high maternal care, and positive school experiences. Among the socioeconomic factors considered, maternal education - a significant indicator of socioeconomic status - and birth-order were associated with resilient trajectories. Our findings underscore the importance of fostering cognitive abilities, self-esteem, social relationships, positive school experiences, and extracurricular engagement to bolster resilience in adversity-exposed individuals and communities. This research informs resilience-focused interventions in mental health, education, and social policy sectors, and prompts further exploration of socioeconomic influences on resilience trajectories.
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Affiliation(s)
- Stephanie Cahill
- Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, MA, UK
- Faculty of Humanities, Cathie Marsh Institute for Social Research, University of Manchester, Manchester, MA, UK
| | - Reinmar Hager
- Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, MA, UK
| | - Nick Shryane
- Faculty of Humanities, Cathie Marsh Institute for Social Research, University of Manchester, Manchester, MA, UK
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Zadworna M, Stetkiewicz-Lewandowicz A. The relationships between wisdom, positive orientation and health-related behavior in older adults. Sci Rep 2023; 13:16724. [PMID: 37794089 PMCID: PMC10550949 DOI: 10.1038/s41598-023-43868-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 09/29/2023] [Indexed: 10/06/2023] Open
Abstract
The concept of healthy ageing, i.e. maintaining health in late life, is closely connected with the role of health behavior. Although health behavior is determined by personal factors, little is known about its relationships with wisdom and positive orientation. Therefore, the aim of the study was to establish relationships between sociodemographic and health factors, personal resources (wisdom and positive orientation) and health-related behavior in late life. The study included 353 Polish seniors aged 60-99 (M = 71.95; SD = 1.45). The respondents completed the Health-Related Questionnaire for Seniors, Three Dimensional Wisdom Scale, Positive Orientation Scale and a sociodemographic survey. Wisdom and positive orientation were associated with general health behavior and all of its factors. Among the sociodemographic variables, attendance in nonformal education courses had the strongest predictive role for health behavior. A hierarchical regression model demonstrated that personal resources significantly determined healthy lifestyle, after controlling for sociodemographic factors. Additionally, mediational analyses revealed that positive orientation acted as a partial mediator between wisdom and health behavior. Our findings extend knowledge about the factors enhancing healthy lifestyle in older adults, indicating that both wisdom and positive orientation may represent valuable personal resources for health-related behavior.
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Affiliation(s)
- Magdalena Zadworna
- Institute of Psychology, Faculty of Educational Sciences, University of Lodz, al. Rodziny Scheiblerów 2, 90-128, Lodz, Poland.
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Shilton T, Mancini AD, Perlstein S, DiDomenico GE, Visoki E, Greenberg DM, Brown LA, Gur RC, Gur RE, Waller RE, Barzilay R. Contribution of risk and resilience factors to anxiety trajectories during the early stages of the COVID-19 pandemic: A longitudinal study. Stress Health 2023; 39:927-939. [PMID: 36751725 PMCID: PMC10404639 DOI: 10.1002/smi.3233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 12/17/2022] [Accepted: 01/31/2023] [Indexed: 02/09/2023]
Abstract
The COVID-19 pandemic, and the response of governments to mitigate the pandemic's spread, resulted in exceptional circumstances that comprised a major global stressor, with broad implications for mental health. We aimed to delineate anxiety trajectories over three time-points in the first 6 months of the pandemic and identify baseline risk and resilience factors that predicted anxiety trajectories. Within weeks of the pandemic onset, we established a website (covid19resilience.org), and enrolled 1362 participants (n = 1064 from US; n = 222 from Israel) who provided longitudinal data between April-September 2020. We used latent growth mixture modelling to identify anxiety trajectories and ran multivariate regression models to compare characteristics between trajectory classes. A four-class model best fit the data, including a resilient trajectory (stable low anxiety) the most common (n = 961, 75.08%), and chronic anxiety (n = 149, 11.64%), recovery (n = 96, 7.50%) and delayed anxiety (n = 74, 5.78%) trajectories. Resilient participants were older, not living alone, with higher income, more education, and reported fewer COVID-19 worries and better sleep quality. Higher resilience factors' scores, specifically greater emotion regulation and lower conflict relationships, also uniquely distinguished the resilient trajectory. Results are consistent with the pre-pandemic resilience literature suggesting that most individuals show stable mental health in the face of stressful events. Findings can inform preventative interventions for improved mental health.
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Affiliation(s)
- Tal Shilton
- Sheba Medical Centre, Child Adolescent Psychiatry Division, Tel Aviv University Sackler School of Medicine, Israel
| | | | - Samantha Perlstein
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
| | - Grace E DiDomenico
- Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | - Elina Visoki
- Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
| | | | - Lily A Brown
- Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Ruben C Gur
- Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
- Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Raquel E Gur
- Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
- Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Rebecca E Waller
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
| | - Ran Barzilay
- Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA, USA
- Perelman School of Medicine, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
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Yamada Y, Shinkawa K, Shimmei K, Kim HC, Daly R, Depp C, Jeste DV, Lee EE. Latent subgroups with distinct patterns of factors associated with self-rated successful aging among 1,510 community-dwelling Americans: potential role of wisdom as an implicit promoter. Aging Ment Health 2023; 27:1127-1134. [PMID: 35735096 PMCID: PMC9780403 DOI: 10.1080/13607863.2022.2087207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 05/28/2022] [Indexed: 12/27/2022]
Abstract
OBJECTIVES To investigate whether latent subgroups with distinct patterns of factors associated with self-rated successful aging can be identified in community-dwelling adults, and how such patterns obtained from analysis of quantitative data are associated with lay perspectives on successful aging obtained from qualitative responses. METHODS Cross-sectional data were collected from 1,510 community-dwelling Americans aged 21-99 years. Latent class regression was used to identify subgroups that explained the associations of self-rated successful aging with measures of physical, cognitive, and mental health as well as psychological measures related to resilience and wisdom. Natural language processing was used to extract important themes from qualitative responses to open-ended questions, including the participants' definitions of successful aging. RESULTS Two latent subgroups were identified, and their main difference was that the wisdom scale was positively associated with self-rated successful aging in only one subgroup. This subgroup had significantly lower self-rated successful aging and worse scores for all health and psychological measures. In the subgroup's qualitative responses, the theme of wisdom was only mentioned by 10.6%; this proportion was not statistically different from the other subgroup, for which the wisdom scale was not statistically associated with the self-rated successful aging. CONCLUSION Our results showed heterogeneous patterns in the factors underpinning successful aging even in community-dwelling adults. We found the existence of a latent subgroup with lower self-rated successful aging as well as worse health and psychological scores, and we suggest a potential role of wisdom in promoting successful aging for this subgroup, even though individuals may not explicitly recognize wisdom as important for successful aging.
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Affiliation(s)
| | | | | | - Ho-Cheol Kim
- AI and Cognitive Software, IBM Research-Almaden, San Jose, US
| | - Rebecca Daly
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, US
- Department of Psychiatry, University of California San Diego, La Jolla, US
| | - Colin Depp
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, US
- Department of Psychiatry, University of California San Diego, La Jolla, US
| | - Dilip V. Jeste
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, US
- Department of Psychiatry, University of California San Diego, La Jolla, US
- Department of Neurosciences, University of California San Diego, La Jolla, US
| | - Ellen E. Lee
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, US
- Department of Psychiatry, University of California San Diego, La Jolla, US
- VA San Diego Healthcare System, San Diego, US
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Ramsey A, Govind T, Lam JA, Palmer BW, Jeste DV, Lee EE. Self-compassion, but not compassion toward others, is associated with better physical health: A cross-sectional study. Schizophr Res 2023; 255:17-23. [PMID: 36940620 PMCID: PMC10881115 DOI: 10.1016/j.schres.2023.03.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 01/20/2023] [Accepted: 03/08/2023] [Indexed: 03/23/2023]
Abstract
Compassion is a modifiable construct that is associated with better physical health outcomes but, to our knowledge, has seldom been studied in people with schizophrenia (PwS) despite its applicability to counteract widespread depression in this community that might prevent positive health behaviors. We hypothesized that, compared to non-psychiatric comparison subjects (NCs), PwS would have lower compassion toward self (CTS), lower compassion toward others (CTO), and a positive association between compassion and health outcomes, such as physical wellbeing, comorbidities, and plasma hs-CRP. This cross-sectional study examined differences in physical health, CTS, and CTO in 189 PwS and 166 NCs. We used general linear models to analyze the relationship between compassion and health. As hypothesized, PwS had lower levels of CTS and CTO, worse physical well-being, more comorbidities, and higher levels of plasma hs-CRP than NCs. In the combined sample, higher CTS was significantly associated with better physical well-being and fewer comorbidities, while higher CTO was significantly associated with more comorbidities. In PwS alone, higher CTS was significantly associated with better physical well-being and lower levels of hs-CRP. CTS seemed to have a larger positive association with physical health than CTO, with depression acting as a potential mediator for CTS. Exploring effects of CTS interventions on physical health and health behaviors could be a promising next step.
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Affiliation(s)
- Arren Ramsey
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
| | - Tushara Govind
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA
| | - Jeffrey A Lam
- Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Barton W Palmer
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; VA San Diego Healthcare System MIRECC, San Diego, CA, USA
| | - Dilip V Jeste
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Department of Neurosciences, University of California San Diego, La Jolla, CA, USA
| | - Ellen E Lee
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, USA; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; VA San Diego Healthcare System, San Diego, CA, USA.
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Callen-Davies RJ, Bristow J, Gazder T, Griffith GM, Noorani Y, Crane RS. Mindfulness-based programmes and 'bigger than self' issues: protocol for a scoping review. BMJ Open 2023; 13:e067819. [PMID: 36921950 PMCID: PMC10030572 DOI: 10.1136/bmjopen-2022-067819] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
Abstract
INTRODUCTION Mindfulness-based programmes (MBPs) have an established, growing evidence base as interventions to optimise health, well-being and performance of individual participants. Emerging evidence suggests that MBPs also enhance prosociality, encouraging individuals to contribute to positive social change. This study focuses on the potential of MBPs to facilitate development of participants' inner resources that support prosocial shifts. The review seeks to detect shifts in MBP benefit from individual toward 'bigger than self', informing and empowering individual and collective responses to complex societal and global issues. The review aims to map current literature on MBPs and social change, into a descriptive overview with commentary on quality, trends, theoretical models and gaps, and on how training in MBPs potentially enables individual and collective responses to societal and global issues. Recommendations for future directions for researchers seeking to advance this evidence base, and practitioners developing innovative MBPs for this purpose will be provided. METHODS AND ANALYSIS A scoping review of peer-reviewed literature will be undertaken and reported on according to the Joanna Briggs Institute (JBI) Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidance. Systematic searches of four scientific databases will be undertaken to identify potentially eligible articles published from all time to current date. Data will be extracted using an extraction template and analysed descriptively using narrative synthesis. ETHICS AND DISSEMINATION This scoping review involves no human participants, so ethics is not required. Findings will be shared through professional networks, conference presentations and journal publication.
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Affiliation(s)
- Robert John Callen-Davies
- Centre for Mindfulness Research and Practice, School of Human and Behavioural Science, Bangor University, Bangor, UK
- Primary Care Mental Health Support Service, Aneurin Bevan University Health Board, Newport, UK
| | - Jamie Bristow
- The MIndfulness Intiative, Sheffield City Centre, Sheffield, UK
| | - Taranah Gazder
- Centre for Mindfulness Research and Practice, School of Human and Behavioural Science, Bangor University, Bangor, UK
| | - Gemma M Griffith
- Centre for Mindfulness Research and Practice, School of Human and Behavioural Science, Bangor University, Bangor, UK
| | | | - Rebecca Susan Crane
- Centre for Mindfulness Research and Practice, School of Human and Behavioural Science, Bangor University, Bangor, UK
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Shilton T, Hertz-Palmor N, Matalon N, Shani S, Dekel I, Gothelf D, Barzilay R. Contribution of Risk and Resilience Factors to Suicidality among Mental Health-Help-Seeking Adolescent Outpatients: A Cross-Sectional Study. J Clin Med 2023; 12:jcm12051974. [PMID: 36902760 PMCID: PMC10004343 DOI: 10.3390/jcm12051974] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/16/2023] [Accepted: 02/28/2023] [Indexed: 03/06/2023] Open
Abstract
BACKGROUND Peer victimization is an established risk factor for youth suicidal thoughts and behavior (suicidality), yet most peer-victimized youth are not suicidal. More data are needed pertaining to factors that confer resilience to youth suicidality. AIM To identify resilience factors for youth suicidality in a sample of N = 104 (Mean age 13.5 years, 56% female) outpatient mental health help-seeking adolescents. METHODS Participants completed self-report questionnaires on their first outpatient visit, including the Ask Suicide-Screening Questions, a battery of risk (peer victimization and negative life events) and resilience (self-reliance, emotion regulation, close relationships and neighborhood) measures. RESULTS 36.5% of participants screened positive for suicidality. Peer victimization was positively associated with suicidality (odds ratio [OR] = 3.84, 95% confidence interval [95% CI] 1.95-8.62, p < 0.001), while an overall multi-dimensional measure of resilience factors was inversely associated with suicidality (OR, 95% CI = 0.28, 0.11-0.59, p = 0.002). Nevertheless, high peer victimization was found to be associated with a greater chance of suicidality across all levels of resilience (marked by non-significant peer victimization by resilience interaction, p = 0.112). CONCLUSIONS This study provides evidence for the protective association of resilience factors and suicidality in a psychiatric outpatient population. The findings may suggest that interventions that enhance resilience factors may mitigate suicidality risk.
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Affiliation(s)
- Tal Shilton
- Child Adolescent Psychiatry Division, Sheba Medical Centre, Ramat Gan 52621, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Nimrod Hertz-Palmor
- Child Adolescent Psychiatry Division, Sheba Medical Centre, Ramat Gan 52621, Israel
- Medical Research Council Cognition and Brain Sciences Unit, University of Cambridge, Cambridge CB2 7EF, UK
| | - Noam Matalon
- Child Adolescent Psychiatry Division, Sheba Medical Centre, Ramat Gan 52621, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Shachar Shani
- Child Adolescent Psychiatry Division, Sheba Medical Centre, Ramat Gan 52621, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Idit Dekel
- Child Adolescent Psychiatry Division, Sheba Medical Centre, Ramat Gan 52621, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
| | - Doron Gothelf
- Child Adolescent Psychiatry Division, Sheba Medical Centre, Ramat Gan 52621, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
- Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 69978, Israel
| | - Ran Barzilay
- Lifespan Brain Institute, Children’s Hospital of Philadelphia (CHOP) and Penn Medicine, Philadelphia, PA 19104, USA
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
- Correspondence: ; Tel.: +1-(484)-695-7937
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Jeste DV, Glorioso DK, Depp CA, Lee EE, Daly RE, Jester DJ, Palmer BW, Mausbach BT. Remotely Administered Resilience- and Wisdom-Focused Intervention to Reduce Perceived Stress and Loneliness: Pilot Controlled Clinical Trial in Older Adults. Am J Geriatr Psychiatry 2023; 31:58-64. [PMID: 35965169 PMCID: PMC9847241 DOI: 10.1016/j.jagp.2022.07.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 07/13/2022] [Accepted: 07/14/2022] [Indexed: 01/25/2023]
Abstract
OBJECTIVE Older adults are vulnerable to perceived stress and loneliness, exacerbated by the COVID-19 pandemic. We previously reported inverse relationships between loneliness/perceived stress and wisdom/resilience. There are few evidence-based tele-health interventions for older adults. We tested a new remotely-administered manualized resilience- and wisdom-focused behavioral intervention to reduce perceived stress and loneliness in older adults. METHODS This pilot controlled clinical trial used a multiple-phase-change single-case experimental design, with three successive 6-week phases: control, intervention, and follow-up periods. The intervention included six once-a-week one-hour sessions. Participants were 20 adults >65 years, without dementia. RESULTS All 20 participants completed every session. The study indicated feasibility and acceptability of the intervention. While the sample was too small for demonstrating efficacy, there was a reduction (small-to-medium effect size) in perceived stress and loneliness, and increase in resilience, happiness, and components of wisdom and positive perceptions of aging. CONCLUSION These preliminary data support feasibility, acceptability, and possible efficacy of a remotely-administered resilience- and wisdom-focused intervention in older adults to reduce stress and loneliness.
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Affiliation(s)
- Dilip V Jeste
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Danielle K Glorioso
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Colin A Depp
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Ellen E Lee
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Rebecca E Daly
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Dylan J Jester
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Barton W Palmer
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA
| | - Brent T Mausbach
- Department of Psychiatry and Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA; VA San Diego Healthcare System, San Diego CA.
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Zhang J, Liu Z, Long Y, Tao H, Ouyang X, Wu G, Chen M, Yu M, Zhou L, Sun M, Lv D, Cui G, Yi Q, Tang H, An C, Wang J, Wu Z. Mediating role of impaired wisdom in the relation between childhood trauma and psychotic-like experiences in Chinese college students: a nationwide cross-sectional study. BMC Psychiatry 2022; 22:655. [PMID: 36271351 PMCID: PMC9587544 DOI: 10.1186/s12888-022-04270-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 09/08/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The association between childhood trauma (CT) and psychotic-like experiences (PLEs) is well-established. Many previous studies have recognized wisdom as a protective factor for mental health, but its role in the relation between CT and PLEs remains unknown. We aimed to investigate the mediating effect of wisdom in the above association among Chinese college students. METHODS We conducted a nationwide survey covering 9 colleges across China and recruited a total of 5873 students using online questionnaires between September 14 and October 18, 2021. Convenience sampling was adopted. We employed the San Diego Wisdom Scale (SD-WISE), the Childhood Trauma Questionnaire (CTQ-28), and the 15-item Positive Subscale of the Community Assessment of Psychic Experiences (CAPE-15) to measure the wisdom, CT and PLEs, respectively. Descriptive, correlation, and mediation analysis were utilized. RESULTS The positive correlation between CT and PLEs was well-replicated among college students (Pearson's r = 0.30, p < 0.001). Wisdom was negatively associated with CT (Pearson's r = - 0.46, p < 0.001) and frequency of PLEs (Pearson's r = - 0.25, p < 0.001). Total wisdom scores partially mediated the relationship between cumulative childhood trauma, neglect, abuse and PLEs, separately. The mediated model respectively explained 21.9%, 42.54% and 18.27% of the effect of CT on PLEs. Our model further suggested that childhood trauma could be related to PLEs through decreasing the following wisdom components: decisiveness, emotional regulation and prosocial behavior. CONCLUSION For the first time, our results suggested that impaired wisdom played a role in the translation from childhood adversity to subclinical psychotic symptoms, implicating wisdom as a possible target for early intervention for psychosis among young individuals. Longitudinal work is warranted to verify the clinical implications.
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Affiliation(s)
- Jiamei Zhang
- grid.216417.70000 0001 0379 7164Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan China ,grid.452708.c0000 0004 1803 0208China National Clinical Research Center on Mental Disorders, Changsha, Hunan China
| | - Zhening Liu
- grid.216417.70000 0001 0379 7164Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan China ,grid.452708.c0000 0004 1803 0208China National Clinical Research Center on Mental Disorders, Changsha, Hunan China
| | - Yicheng Long
- grid.216417.70000 0001 0379 7164Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan China ,grid.452708.c0000 0004 1803 0208China National Clinical Research Center on Mental Disorders, Changsha, Hunan China
| | - Haojuan Tao
- grid.216417.70000 0001 0379 7164Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan China ,grid.452708.c0000 0004 1803 0208China National Clinical Research Center on Mental Disorders, Changsha, Hunan China
| | - Xuan Ouyang
- grid.216417.70000 0001 0379 7164Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan China ,grid.452708.c0000 0004 1803 0208China National Clinical Research Center on Mental Disorders, Changsha, Hunan China
| | - Guowei Wu
- grid.216417.70000 0001 0379 7164Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan China ,grid.452708.c0000 0004 1803 0208China National Clinical Research Center on Mental Disorders, Changsha, Hunan China
| | - Min Chen
- grid.449428.70000 0004 1797 7280Department of Psychiatry, Jining Medical University, Jining, Shandong China
| | - Miaoyu Yu
- grid.412594.f0000 0004 1757 2961Department of Mental Health, the Second Affiliated Hospital of Guangxi Medical University, Nanning, China
| | - Liang Zhou
- grid.410737.60000 0000 8653 1072Department of Social Psychiatry, the Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong China
| | - Meng Sun
- grid.410737.60000 0000 8653 1072Department of Social Psychiatry, the Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong China
| | - Dongsheng Lv
- grid.410612.00000 0004 0604 6392Department of Mental Health Institute of Inner Mongolia Autonomous Region, The Affiliated Mental Center of Inner Mongolia Medical University, Inner Mongolia, Hohhot, China
| | - Guangcheng Cui
- grid.412613.30000 0004 1808 3289Department of Psychiatry, Qiqihar Medical University, Qiqihar, Heilongjiang China
| | - Qizhong Yi
- grid.13394.3c0000 0004 1799 3993Psychological Medicine Center, Xinjiang Medical University, Urumqi, Xinjiang China
| | - Hong Tang
- grid.440714.20000 0004 1797 9454Department of Psychiatry, Gannan Medical University, Ganzhou, Jiangxi China
| | - Cuixia An
- grid.256883.20000 0004 1760 8442Department of Psychiatry, Hebei Medical University, Shijiazhuang, Hebei China
| | - Jianjian Wang
- Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan, China. .,China National Clinical Research Center on Mental Disorders, Changsha, Hunan, China. .,Clinical Nursing Teaching and Research Section, The second Xiangya Hospital of Central South University, Changsha, Hunan, China.
| | - Zhipeng Wu
- Second Xiangya Hospital, Institute of Mental Health, Central South University, Changsha, Hunan, China. .,China National Clinical Research Center on Mental Disorders, Changsha, Hunan, China. .,Clinical Nursing Teaching and Research Section, The second Xiangya Hospital of Central South University, Changsha, Hunan, China.
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Reynolds CF, Jeste DV, Sachdev PS, Blazer DG. Mental health care for older adults: recent advances and new directions in clinical practice and research. World Psychiatry 2022; 21:336-363. [PMID: 36073714 PMCID: PMC9453913 DOI: 10.1002/wps.20996] [Citation(s) in RCA: 51] [Impact Index Per Article: 25.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
The world's population is aging, bringing about an ever-greater burden of mental disorders in older adults. Given multimorbidities, the mental health care of these people and their family caregivers is labor-intensive. At the same time, ageism is a big problem for older people, with and without mental disorders. Positive elements of aging, such as resilience, wisdom and prosocial behaviors, need to be highlighted and promoted, both to combat stigma and to help protect and improve mental health in older adults. The positive psychiatry of aging is not an oxymoron, but a scientific construct strongly informed by research evidence. We champion a broader concept of geriatric psychiatry - one that encompasses health as well as illness. In the present paper, we address these issues in the context of four disorders that are the greatest source of years lived with disability: neurocognitive disorders, major depression, schizophrenia, and substance use disorders. We emphasize the need for implementation of multidisciplinary team care, with comprehensive assessment, clinical management, intensive outreach, and coordination of mental, physical and social health services. We also underscore the need for further research into moderators and mediators of treatment response variability. Because optimal care of older adults with mental disorders is both patient-focused and family-centered, we call for further research into enhancing the well-being of family caregivers. To optimize both the safety and efficacy of pharmacotherapy, further attention to metabolic, cardiovascular and neurological tolerability is much needed, together with further development and testing of medications that reduce the risk for suicide. At the same time, we also address positive aging and normal cognitive aging, both as an antidote to ageism and as a catalyst for change in the way we think about aging per se and late-life mental disorders more specifically. It is in this context that we provide directions for future clinical care and research.
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Affiliation(s)
| | - Dilip V. Jeste
- Department of PsychiatryUniversity of California San DiegoLa JollaCAUSA
| | | | - Dan G. Blazer
- Department of Psychiatry and Behavioral SciencesDuke UniversityDurhamNCUSA
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15
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Xu R, Wang C, Hsu Y, Wang X. Research on the Influence of DNN-Based Cross-Media Data Analysis on College Students' New Media Literacy. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:9224834. [PMID: 35965761 PMCID: PMC9365540 DOI: 10.1155/2022/9224834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 07/11/2022] [Accepted: 07/12/2022] [Indexed: 11/17/2022]
Abstract
New media has gradually become the mainstream media that college students rely on, and new media has also brought about subversive changes and has become an essential medium for college students to receive and disseminate information, such as learning, interpersonal communication, and entertainment. Young college students have become the most enthusiastic recipients and users of new media. College students need to have the ability to recognize, understand, and criticize new media. New media literacy has become the basic quality that every college student living in modern society must have. This paper takes 826 college students as the research object with deep neural network (DNN), and then analyzes their media selection tendency, media usage time, positive influence, and the relationship with new media literacy. The formation of good new media literacy has a positive effect and influence on the work and study after the university, making it the main force of the media society.
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Affiliation(s)
- Rui Xu
- The Graduate Institute of Design Science, Tatung University, Taipei, Taiwan 11604, China
- School of Art and Design, Fuzhou University of International Studies and Trade, Fuzhou, Fujian 350200, China
| | - Chen Wang
- School of Art and Design, Fuzhou University of International Studies and Trade, Fuzhou, Fujian 350200, China
- College of Journalism and Communications, Shih Hsin University, Taipei, Taiwan 11604, China
| | - Yen Hsu
- The Graduate Institute of Design Science, Tatung University, Taipei, Taiwan 11604, China
| | - Xinyan Wang
- The Graduate Institute of Design Science, Tatung University, Taipei, Taiwan 11604, China
- Nanhang Jincheng College, Independent College of Nanjing University of Aeronautics and Astronautics, Jiangning, Nanjing 211156, China
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16
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Kim SB, Lee YJ. Older Adults, Protective Factors, and Opportunities to Promote Health during the COVID-19 Pandemic. HAWAI'I JOURNAL OF HEALTH & SOCIAL WELFARE 2022; 81:230-231. [PMID: 35923385 PMCID: PMC9344537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Sophia B Kim
- Thompson School of Social Work and Public Health, University of Hawai'i at Mānoa, Honolulu, HI
| | - Yeonjung Jane Lee
- Thompson School of Social Work and Public Health, University of Hawai'i at Mānoa, Honolulu, HI
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17
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Wisdom enhancement and life skills to augment CBT outcomes for depression in later life: a series of N-of-1 trials. Behav Cogn Psychother 2022; 50:508-527. [PMID: 35795916 DOI: 10.1017/s1352465822000224] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND It has been suggested that cognitive behavioural therapy for older adults be augmented with age-appropriate methods to enhance outcomes for depression treatment. AIMS This study investigated whether a CBT wisdom enhancement timeline technique for older adults reduced depression, as well as increase self-compassion and self-assessed wisdom. METHOD An N-of-1 series trial with non-concurrent multiple-baseline AB design was conducted. Older adults experiencing depression, recruited from mental health service waiting lists, were randomly assigned to baseline conditions. Participants received five individual sessions of the examined intervention, offering a structured way of utilising one's life experiences to evolve the psychological resource of wisdom within a cognitive behavioural framework, in order to improve mood. Participants completed idiographic daily measures and self-report standardised measures of depression, anxiety, self-compassion and wisdom during baseline and intervention phases, and at 1 month follow-up. RESULTS Six participants competed the study and were subject to standardised and single-case data analyses. Four participants were deemed responders with reliable changes in depression post-intervention with idiographic changes coinciding with intervention onset. Two participants saw clinically significant changes in depression scores at follow-up. One responder saw significant changes in measures of self-compassion and self-assessed wisdom. CONCLUSIONS The examined technique shows promise as an effective technique for reducing depression in older adults. There is insufficient evidence to implicate wisdom and/or self-compassion as significant mechanisms of change. Clinical and theoretical implications are discussed.
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18
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Thomas ML, Palmer BW, Lee EE, Liu J, Daly R, Tu XM, Jeste DV. Abbreviated San Diego Wisdom Scale (SD-WISE-7) and Jeste-Thomas Wisdom Index (JTWI). Int Psychogeriatr 2022; 34:617-626. [PMID: 34857061 PMCID: PMC9844079 DOI: 10.1017/s1041610221002684] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
OBJECTIVES Wisdom is a personality trait comprising seven components: self-reflection, pro-social behaviors, emotional regulation, acceptance of diverse perspectives, decisiveness, social advising, and spirituality. Wisdom, a potentially modifiable trait, is strongly associated with well-being. We have published a validated 28-item San Diego Wisdom Scale, the SD-WISE-28. Brief scales are necessary for use in large population-based studies and in clinical practice. The present study aimed to create an abbreviated 7-item version of the SD-WISE. METHOD Participants included 2093 people, aged 20-82 years, recruited and surveyed through the online crowdsourcing platform Amazon Mechanical Turk. The participants' mean age was 46 years, with 55% women. Participants completed the SD-WISE-28 as well as validation scales for various positive and negative constructs. Psychometric analyses (factor analysis and item response theory) were used to select one item from each of the seven SD-WISE-28 subscales. RESULTS We selected a combination of items that produced acceptable unidimensional model fit and good reliability (ω = 0.74). Item statistics suggested that all seven items were strong indicators of wisdom, although the association was weakest for spirituality. Analyses indicated that the 28-item and 7-item SD-WISE are both very highly correlated (r = 0.92) and produce a nearly identical pattern of correlations with demographic and validity variables. CONCLUSION The SD-WISE-7, and its derived Jeste-Thomas Wisdom Index (JTWI) score, balances reliability and brevity for research applications.
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Affiliation(s)
- Michael L. Thomas
- Department of Psychology, Colorado State University, Fort Collins, Colorado, U.S.A
| | - Barton W. Palmer
- Department of Psychiatry, University of California San Diego, La Jolla, California, U.S.A
- VA San Diego Healthcare System, San Diego, California, U.S.A
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, California, U.S.A
| | - Ellen E. Lee
- Department of Psychiatry, University of California San Diego, La Jolla, California, U.S.A
- VA San Diego Healthcare System, San Diego, California, U.S.A
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, California, U.S.A
| | - Jinyuan Liu
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, California, U.S.A
- Department of Mathematics, University of California San Diego, La Jolla, California, U.S.A
| | - Rebecca Daly
- Department of Psychiatry, University of California San Diego, La Jolla, California, U.S.A
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, California, U.S.A
| | - Xin M. Tu
- Department of Psychiatry, University of California San Diego, La Jolla, California, U.S.A
- VA San Diego Healthcare System, San Diego, California, U.S.A
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, California, U.S.A
| | - Dilip V. Jeste
- Department of Psychiatry, University of California San Diego, La Jolla, California, U.S.A
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, California, U.S.A
- Department of Neurosciences, University of California San Diego, La Jolla, California, U.S.A
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Seon Q, Mady N, Yang M, Karia M, Lashley M, Sescu C, Lalonde M, Puskas S, Outerbridge J, Parent-Racine E, Pagiatakis C, Gomez-Cardona L, Yiang D, Bouchard S, Linnaranta O. A Virtual Reality-Assisted Cognitive Behavioral Therapy (VR-CBT) for and with Inuit in Quebec - a protocol for a proof-of-concept randomized controlled trial (Preprint). JMIR Res Protoc 2022; 12:e40236. [DOI: 10.2196/40236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 12/19/2022] [Accepted: 01/10/2023] [Indexed: 01/12/2023] Open
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Jeste DV. Neurobiology of "Positive Psychiatry". Schizophr Bull 2022; 48:533-535. [PMID: 35265970 PMCID: PMC9077419 DOI: 10.1093/schbul/sbac023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Dilip V Jeste
- Department of Psychiatry, University of California San Diego, San Diego, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, San Diego, CA, USA.,Department of Neurosciences, University of California San Diego, San Diego, CA, USA
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21
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Jeste DV, Pender VB. Social Determinants of Mental Health: Recommendations for Research, Training, Practice, and Policy. JAMA Psychiatry 2022; 79:283-284. [PMID: 35195678 DOI: 10.1001/jamapsychiatry.2021.4385] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Dilip V Jeste
- Department of Psychiatry, University of California, San Diego, San Diego.,Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, San Diego
| | - Vivian B Pender
- Department of Psychiatry, Weill-Cornell Medical College, New York, New York
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22
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Behavioral Epidemic of Loneliness in Older U.S. Military Veterans: Results From the 2019-2020 National Health and Resilience in Veterans Study. Am J Geriatr Psychiatry 2022; 30:297-310. [PMID: 34417085 DOI: 10.1016/j.jagp.2021.07.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 07/14/2021] [Accepted: 07/14/2021] [Indexed: 02/06/2023]
Abstract
OBJECTIVE This study aimed to characterize the current prevalence of loneliness, and the relation between loneliness severity and mental and physical health conditions, suicidality, and functional measures in a predominantly older sample of U.S. military veterans. METHODS This cross-sectional study used data from the National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of U.S. veterans (N = 4,069; mean age = 62) from November 2019 through March 2020. Veterans were classified into one of 3 groups based on their current level of loneliness (hardly ever, sometimes, often) on an adapted version of the Revised UCLA Loneliness Scale. A comprehensive range of mental and physical health, and functioning variables were assessed using valid and reliable self-report assessments. RESULTS A total of 56.9% of veterans endorsed feeling lonely sometimes (37.2%) or often (19.7%). Loneliness severity was independently associated with a range of mental health (odds ratios [ORs] = 1.21-33.30), physical health (ORs = 1.21-6.80), and functional difficulties (d's = 0.09-0.59). Relative to hardly ever feeling lonely, feeling lonely often or sometimes was associated with a more than 12- and three-fold greater likelihood of current suicidal ideation (29.0% versus 7.3% versus 1.5%), even after adjustment for sociodemographic, military, and psychiatric risk factors. CONCLUSIONS Loneliness is highly prevalent in U.S. military veterans, with more than half endorsing feeling lonely sometimes or often, and 1-of-5 reporting feeling lonely often. Loneliness severity was independently associated with a broad range of mental and physical health and functional measures, ias well as suicidal ideation. Results underscore the importance of loneliness as a transdiagnostic prevention and intervention target in the U.S. veteran population.
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Abstract
OBJECTIVES The relationship between wisdom and fluid intelligence (Gf) is poorly understood, particularly in older adults. We empirically tested the magnitude of the correlation between wisdom and Gf to help determine the extent of overlap between these two constructs. DESIGN Cross-sectional study with preregistered hypotheses and well-powered analytic plan (https://osf.io/h3pjx). SETTING Memory and Aging Center at the University of California San Francisco, located in the USA. PARTICIPANTS 141 healthy older adults (mean age = 76 years; 56% female). MEASUREMENTS Wisdom was quantified using a well-validated self-report-based scale (San Diego Wisdom Scale or SD-WISE). Gf was assessed via composite measures of processing speed (Gf-PS) and executive functioning (Gf-EF). The relationships of SD-WISE scores to Gf-PS and Gf-EF were tested in bivariate correlational analyses and multiple regression models adjusted for demographics (age, sex, and education). Exploratory analyses evaluated the relationships between SD-WISE and age, episodic memory performance, and dorsolateral and ventromedial prefrontal cortical volumes on magnetic resonance imaging. RESULTS Wisdom showed a small, positive association with Gf-EF (r = 0.181 [95% CI 0.016, 0.336], p = .031), which was reduced to nonsignificance upon controlling for demographics, and no association with Gf-PS (r = 0.019 [95% CI -0.179, 0.216], p = .854). Wisdom demonstrated a small, negative correlation with age (r = -0.197 [95% CI -0.351, -0.033], p = .019), but was not significantly related to episodic memory or prefrontal volumes. CONCLUSIONS Our findings indicate that most of the variance in wisdom (>95%) is unaccounted for by Gf. The independence of wisdom from cognitive functions that reliably show age-associated declines suggests that it may hold unique potential to bolster decision-making, interpersonal functioning, and other everyday activities in older adults.
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Wu Z, Jiang Z, Wang Z, Ji Y, Wang F, Ross B, Sun X, Liu Z, Long Y. Association Between Wisdom and Psychotic-Like Experiences in the General Population: A Cross-Sectional Study. Front Psychiatry 2022; 13:814242. [PMID: 35509888 PMCID: PMC9058059 DOI: 10.3389/fpsyt.2022.814242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Accepted: 03/11/2022] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION Wisdom has been empirically researched as a complex psychological characteristic that is associated with many mental health outcomes. However, its association with psychotic-like experiences (PLEs) remains unclear. This is the first work to assess wisdom, explore its association with PLEs, and test its moderating effect on the relation between the frequency of PLEs and their associated distress in the general population. METHODS From January 29th to February 5th, 2021, our online self-administered survey recruited 927 participants (ages 14 to 65) from thirteen Chinese provinces. Convenience sampling was employed. We measured wisdom with the 12-item three-dimensional wisdom scale (3D-WS-12) and PLEs with the 15-item positive subscale of the Community Assessment of Psychic Experiences (CAPE-P15). RESULTS Using the cut-off value of 1.47 in the mean frequency score, we divided our participants into high-PLEs group (188, 22.1%) and low-PLEs group (663, 77.9%). Three-dimensional wisdom score was decreased in the high-PLEs group compared to the low-PLEs group (Kruskal-Wallis t = 59.9, p < 0.001). Wisdom was associated with less frequent PLEs (Spearman's rho = -0.21, p < 0.01) and lower distress related to PLEs (Spearman's rho = -0.28) in the high-PLEs group (all above p < 0.001), which were replicated in the low-PLEs group. Notably, wisdom significantly attenuated the distress associated with PLEs [coefficient = -0.018, Bootstrap 95% CI (-0.029, -0.008)], but only in the low-PLEs group. CONCLUSION Our results implicated that wisdom could protect individuals from distressful subclinical psychotic symptoms and wiser individuals have better general mental health.
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Affiliation(s)
- Zhipeng Wu
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Mental Disorders, Changsha, China
| | - Zhengqian Jiang
- Xiangya School of Medicine, Central South University, Changsha, China
| | - Zhipeng Wang
- Xiangya School of Medicine, Central South University, Changsha, China
| | - Yuqiao Ji
- Xiangya School of Medicine, Central South University, Changsha, China
| | - Feiwen Wang
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Mental Disorders, Changsha, China
| | - Brendan Ross
- Faculty of Medicine, McGill University, Montreal, QC, Canada
| | - Xiaoqi Sun
- Department of Psychology, Cognition and Human Behavior Key Laboratory of Hunan Province, Hunan Normal University, Changsha, China
| | - Zhening Liu
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Mental Disorders, Changsha, China
| | - Yicheng Long
- Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.,National Clinical Research Center for Mental Disorders, Changsha, China
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Nester MS, Brand BL, Schielke HJ, Kumar S. An examination of the relations between emotion dysregulation, dissociation, and self-injury among dissociative disorder patients. Eur J Psychotraumatol 2022; 13:2031592. [PMID: 35145611 PMCID: PMC8823688 DOI: 10.1080/20008198.2022.2031592] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Dissociative disorder (DD) patients report high rates of self-injury. Previous studies have found dissociation and self-injury to be related to emotional distress. To the best of our knowledge, however, the link between emotion dysregulation and self-injury has not yet been examined within a DD population. OBJECTIVE The present study investigated relations between emotion dysregulation, dissociation, and self-injury in DD patients, and explored patterns of emotion dysregulation difficulties among DD patients with and without recent histories of self-injury. METHOD We utilized linear and logistic regressions and t-test statistical methods to examine data from 235 patient-clinician dyads enrolled in the TOP DD Network Study. RESULTS Analyses revealed emotion dysregulation was associated with heightened dissociative symptoms and greater endorsement of self-injury in the past six months. Further, patients with a history of self-injury in the past six months reported more severe emotion dysregulation and dissociation than those without recent self-injury. As a group, DD patients reported the greatest difficulty engaging in goal-directed activities when distressed, followed by lack of emotional awareness and nonacceptance of emotional experiences. DD patients demonstrated similar patterns of emotion dysregulation difficulties irrespective of recent self-injury status. CONCLUSIONS Results support recommendations to strengthen emotion regulation skills as a means to decrease symptoms of dissociation and self-injury in DD patients.
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Affiliation(s)
- M Shae Nester
- Department of Psychology, Towson University, Towson, MD, USA
| | - Bethany L Brand
- Department of Psychology, Towson University, Towson, MD, USA
| | - Hugo J Schielke
- Traumatic Stress Injury & Concurrent Program, Homewood Health Centre, Guelph, Ontario, Canada
| | - Shaina Kumar
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA
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Taira K, Nagahara H, Tanaka H, Kimura A, Nakata A, Iseki Y, Fukuoka T, Shibutani M, Toyokawa T, Lee S, Muguruma K, Ohira M, Kawaguchi T, Fujiwara Y. Impact of the COVID-19 Pandemic on Patients with Gastrointestinal Cancer Undergoing Active Cancer Treatment in an Ambulatory Therapy Center: The Patients' Perspective. Healthcare (Basel) 2021; 9:healthcare9121688. [PMID: 34946414 PMCID: PMC8701259 DOI: 10.3390/healthcare9121688] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 12/01/2021] [Accepted: 12/04/2021] [Indexed: 12/13/2022] Open
Abstract
Background: The mortality risk increases greatly in patients with cancer if they are infected with severe acute respiratory syndrome coronavirus 2. The new American Society of Clinical Oncology (ASCO) and the European Society of Medical Oncology (ESMO) guidelines for the COVID-19 pandemic suggested modifications to the standards of care to reduce harm from treatment. However, it is unclear whether these changes suit the wishes of patients. Methods: We conducted a survey of patients with gastrointestinal cancer who were undergoing active chemotherapy in our ambulatory therapy center between 17 August and 11 September 2020. The survey comprised 18 questions on five topics: patient characteristics, lifestyle changes, disturbance in their psychological health, thoughts on the cancer treatment, and infection control in the hospital. Results: Among the 63 patients who received the questionnaire, 61 participated in the study. The COVID-19 pandemic has led to changes in their lifestyles and substantially impacted their psychological wellbeing. The incidence of anxiety and insomnia has considerably increased during the pandemic. However, female patients and patients aged 70 years or older reported no notable differences. There was no significant difference in the responses to the questions regarding thoughts on the cancer treatment. Conclusion: Our study revealed that the COVID-19 pandemic has substantially impacted patients’ lifestyles and psychological wellbeing. However, most patients preferred to continue their usual treatment without any change to their treatment plan. It is important to involve the patient in the decision-making process when formulating treatment goals.
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Affiliation(s)
- Koichi Taira
- Department of Gastroenterology, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (A.K.); (A.N.); (Y.F.)
- Correspondence: ; Tel.: +81-6-6645-3811
| | - Hisashi Nagahara
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Hiroaki Tanaka
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Akie Kimura
- Department of Gastroenterology, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (A.K.); (A.N.); (Y.F.)
| | - Akinobu Nakata
- Department of Gastroenterology, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (A.K.); (A.N.); (Y.F.)
| | - Yasuhito Iseki
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Tatsunari Fukuoka
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Masatsune Shibutani
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Takahiro Toyokawa
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Shigeru Lee
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Kazuya Muguruma
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Masaichi Ohira
- Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (H.N.); (H.T.); (Y.I.); (T.F.); (M.S.); (T.T.); (S.L.); (K.M.); (M.O.)
| | - Tomoya Kawaguchi
- Department of Respiratory Medicine, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan;
| | - Yasuhiro Fujiwara
- Department of Gastroenterology, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan; (A.K.); (A.N.); (Y.F.)
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Jeste DV, Di Somma S, Lee EE, Nguyen TT, Scalcione M, Biaggi A, Daly R, Liu J, Tu X, Ziedonis D, Glorioso D, Antonini P, Brenner D. Study of loneliness and wisdom in 482 middle-aged and oldest-old adults: a comparison between people in Cilento, Italy and San Diego, USA. Aging Ment Health 2021; 25:2149-2159. [PMID: 33000647 PMCID: PMC8012404 DOI: 10.1080/13607863.2020.1821170] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES There has been growing research interest in loneliness and wisdom in recent decades, but no cross-cultural comparisons of these constructs using standardized rating measures in older adults, especially the oldest-old. This was a cross-sectional study of loneliness and wisdom comparing middle-aged and oldest-old adults in Cilento, Italy and San Diego, United States. METHOD We examined loneliness and wisdom, using the UCLA Loneliness Scale Version 3 (UCLA-3) and San Diego Wisdom Scale (SD-WISE), respectively, in four subject groups: adults aged 50-65 and those ≥90 years from Cilento, Italy (N = 212 and 47, respectively) and San Diego, California, USA (N = 138 and 85, respectively). RESULTS After controlling for education, there were no significant group differences in levels of loneliness, while on SD-WISE the Cilento ≥90 group had lower scores compared to the other three groups. There was a strong inverse correlation between loneliness and wisdom in each of the four subject groups. Loneliness was negatively associated while wisdom was positively associated with general health, sleep quality, and happiness in most groups, with varying levels of significance. CONCLUSION These results largely support cross-cultural validity of the constructs of loneliness and wisdom, and extend previous findings of strong inverse correlations between these two entities. Loneliness has become a growing public health problem, and the results of our study suggest that wisdom could be a protective factor against loneliness, although alternative explanations are also possible. Research on interventions to reduce loneliness by enhancing wisdom in older adults is needed.
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Affiliation(s)
- Dilip V. Jeste
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA,Department of Neurosciences, University of California San Diego, USA
| | - Salvatore Di Somma
- Department of Medical-Surgery Sciences and Translational Medicine, University of Rome La Sapienza, Rome, Italy,Great Network, Italy
| | - Ellen E. Lee
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA,VA San Diego Healthcare System, San Diego, CA, USA
| | - Tanya T. Nguyen
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA
| | - Mara Scalcione
- Great Network, Italy,University of Rome La Sapienza School of Medicine, Rome, Italy
| | - Alice Biaggi
- Great Network, Italy,University of Rome La Sapienza School of Medicine, Rome, Italy
| | - Rebecca Daly
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA
| | - Jinyuan Liu
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA,Department of Family Medicine and Public Health, University of California San Diego, USA
| | - Xin Tu
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA,Department of Family Medicine and Public Health, University of California San Diego, USA
| | - Douglas Ziedonis
- Department of Psychiatry, University of California San Diego, USA,School of Medicine, University of California San Diego, USA
| | - Danielle Glorioso
- Department of Psychiatry, University of California San Diego, USA,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, USA
| | | | - David Brenner
- School of Medicine, University of California San Diego, USA
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28
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Van Patten R, Nguyen TT, Mahmood Z, Lee EE, Daly RE, Palmer BW, Wu TC, Tu X, Jeste DV, Twamley EW. Physical and Mental Health Characteristics of 2,962 Adults With Subjective Cognitive Complaints. Int J Aging Hum Dev 2021; 94:459-477. [PMID: 34192887 DOI: 10.1177/00914150211026548] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
We investigated subjective cognitive complaints (SCCs), as well as physical and mental health factors, in adults and older adults. U.S. residents (N = 2,962) were recruited via the Amazon Mechanical Turk platform and completed a 90-item survey. Overall, 493/1930 (25.5%) of younger adults and 278/1032 (26.9%) of older adults endorsed SCCs. Analyses revealed worse physical and mental health characteristics in the SCC+ compared to the SCC- group, with primarily medium (Cohen's d = 0.50) to large (0.80) effect sizes. Age did not moderate relationships between SCCs and physical/mental health. Results suggest that SCCs are associated with a diverse set of negative health characteristics such as poor sleep and high body mass index, and lower levels of positive factors, including happiness and wisdom. Effect sizes of psychological correlates were at least as large as those of physical correlates, indicating that mental health is critical to consider when evaluating SCCs.
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Affiliation(s)
- Ryan Van Patten
- 1811 Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, USA.,Spaulding Rehabilitation Hospital, Charlestown, MA, USA
| | - Tanya T Nguyen
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Veterans Affairs San Diego Healthcare System, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
| | - Zanjbeel Mahmood
- Veterans Affairs San Diego Healthcare System, CA, USA.,San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, CA, USA
| | - Ellen E Lee
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
| | - Rebecca E Daly
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
| | - Barton W Palmer
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Veterans Affairs San Diego Healthcare System, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
| | - Tsung-Chin Wu
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
| | - Xin Tu
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
| | - Dilip V Jeste
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA.,Department of Neurosciences, University of California San Diego, CA, USA
| | - Elizabeth W Twamley
- 8784 Department of Psychiatry, University of California San Diego, CA, USA.,Veterans Affairs San Diego Healthcare System, CA, USA.,Sam and Rose Stein Institute for Research on Aging, University of California San Diego, CA, USA
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29
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Mougharbel F, Sampasa-Kanyinga H, Heidinger B, Corace K, Hamilton HA, Goldfield GS. Psychological and Demographic Determinants of Substance Use and Mental Health During the COVID-19 Pandemic. Front Public Health 2021; 9:680028. [PMID: 34249844 PMCID: PMC8270652 DOI: 10.3389/fpubh.2021.680028] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 05/27/2021] [Indexed: 01/24/2023] Open
Abstract
Background: Alcohol consumption and distress have increased among Canadians since the start of the COVID-19 pandemic. Methods: We examined whether sociodemographic and COVID-19-related worries are associated with various combinations of alcohol consumption and comorbid psychological distress variables among a Canadian sample of adults. Data were derived from a sample of Canadian adults (N = 1,005, 49.6% female) who participated in an online survey in May 2020. Four multivariate ordinal logistic regression models were used to estimate the odds of binge drinking, increased alcohol consumption during the pandemic, and psychological distress. Predictor variables used in the analyses included self-reported sociodemographic characteristics, financial worries, COVID-19 impact on work, and worrying about getting ill. Results: Women were found to have higher odds of increased drinking and anxiety. Also being divorced, separated, or widowed was associated with higher odds of binge drinking and anxiety, and binge drinking and depression. Furthermore, being 60 or older was associated with lower odds of binge drinking and depression and increased drinking and depression, as well as lower odds of increased drinking and depression and increased drinking and anxiety. High income groups were associated with higher odds of binge drinking, increased drinking, and mental distress. Compared to those less worried, being very worried about finances were associated with higher odds of binge drinking and anxiety, increased drinking and anxiety, and increased drinking and depression. Also, being very worried about getting ill with COVID was associated with higher odds of binge drinking and anxiety and increased drinking and anxiety. Conclusion: Our findings identify several demographic and COVID-related worries for increased odds of alcohol intake and co-morbid psychological distress during the COVID-19 pandemic, including identifying as a woman, high income groups, being divorced, separated or widowed, and experiencing financial worries and COVID illness worries. These characteristics should be considered when developing prevention and treatment programs for adults with problematic alcohol use and comorbid anxiety and depression.
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Affiliation(s)
- Fatima Mougharbel
- Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Hugues Sampasa-Kanyinga
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
| | - Brandon Heidinger
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Kim Corace
- The Royal's Institute of Mental Health Research, Ottawa, ON, Canada
- Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
- The Royal Ottawa Mental Health Centre, Ottawa, ON, Canada
| | - Hayley A. Hamilton
- Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, ON, Canada
- Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Gary S. Goldfield
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
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Abstract
The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.
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Affiliation(s)
- Carlos Laranjeira
- Adjunct Professor, School of Health Sciences, Polytechnic of Leiria; Researcher, RECI (Research in Education and Community Intervention), Piaget Institute; Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Portugal
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31
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Grennan G, Balasubramani PP, Alim F, Zafar-Khan M, Lee EE, Jeste DV, Mishra J. Cognitive and Neural Correlates of Loneliness and Wisdom during Emotional Bias. Cereb Cortex 2021; 31:3311-3322. [PMID: 33687437 PMCID: PMC8196261 DOI: 10.1093/cercor/bhab012] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 01/11/2021] [Indexed: 02/06/2023] Open
Abstract
Loneliness and wisdom have opposing impacts on health and well-being, yet their neuro-cognitive bases have never been simultaneously investigated. In this study of 147 healthy human subjects sampled across the adult lifespan, we simultaneously studied the cognitive and neural correlates of loneliness and wisdom in the context of an emotion bias task. Aligned with the social threat framework of loneliness, we found that loneliness was associated with reduced speed of processing when angry emotional stimuli were presented to bias cognition. In contrast, we found that wisdom was associated with greater speed of processing when happy emotions biased cognition. Source models of electroencephalographic data showed that loneliness was specifically associated with enhanced angry stimulus-driven theta activity in the left transverse temporal region of interest, which is located in the area of the temporoparietal junction (TPJ), while wisdom was specifically related to increased TPJ theta activity during happy stimulus processing. Additionally, enhanced attentiveness to threatening stimuli for lonelier individuals was observed as greater beta activity in left superior parietal cortex, while wisdom significantly related to enhanced happy stimulus-evoked alpha activity in the left insula. Our results demonstrate emotion-context driven modulations in cognitive neural circuits by loneliness versus wisdom.
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Affiliation(s)
- Gillian Grennan
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, La Jolla, 92037 CA, USA
| | - Pragathi Priyadharsini Balasubramani
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, La Jolla, 92037 CA, USA
| | - Fahad Alim
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, La Jolla, 92037 CA, USA
| | - Mariam Zafar-Khan
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, La Jolla, 92037 CA, USA
| | - Ellen E Lee
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, 92037 CA, USA
- Veterans Affairs San Diego Healthcare System, San Diego, 92161 CA, USA
| | - Dilip V Jeste
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, 92037 CA, USA
- Department of Neurosciences, University of California, San Diego, La Jolla, 92037 CA, USA
| | - Jyoti Mishra
- Department of Psychiatry, University of California, San Diego, La Jolla, 92037 CA, USA
- Neural Engineering and Translation Labs, University of California, San Diego, La Jolla, 92037 CA, USA
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32
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Zusammenhänge zwischen Empathie, therapeutischer Haltung und Wirkeffizienz. PSYCHOPRAXIS. NEUROPRAXIS 2021. [PMCID: PMC8062112 DOI: 10.1007/s00739-021-00726-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
ZusammenfassungEmpathisch sein heißt, fühlen und verstehen können, was andere fühlen. Vermuten zu können, was das Gegenüber fühlt, denkt und wünscht, beruht auf der Fähigkeit, eigene Gefühle und Gedanken als getrennt von jenen anderer wahrnehmen und regulieren zu können. Definierte Therapieerfolge mit adäquatem Aufwand erreichen zu können, verlangt ein Fokussieren auf Wesentliches und Wichtiges. Die Empathie ist im Bereich der Psychotherapie jener Faktor, für den für sich genommen die höchste Effektstärke nachgewiesen werden konnte. Empathietraining ermöglicht eine bessere soziale Performance. Im Falle von Defiziten in sozialer Kompetenz ist störungsunabhängig ein besonders hoher Leidensdruck nachweisbar.
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33
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Daly JR, Depp C, Graham SA, Jeste DV, Kim HC, Lee EE, Nebeker C. Health Impacts of the Stay-at-Home Order on Community-Dwelling Older Adults and How Technologies May Help: Focus Group Study. JMIR Aging 2021; 4:e25779. [PMID: 33690146 PMCID: PMC8081194 DOI: 10.2196/25779] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 03/06/2021] [Accepted: 03/07/2021] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND As of March 2021, in the USA, the COVID-19 pandemic has resulted in over 500,000 deaths, with a majority being people over 65 years of age. Since the start of the pandemic in March 2020, preventive measures, including lockdowns, social isolation, quarantine, and social distancing, have been implemented to reduce viral spread. These measures, while effective for risk prevention, may contribute to increased social isolation and loneliness among older adults and negatively impact their mental and physical health. OBJECTIVE This study aimed to assess the impact of the COVID-19 pandemic and the resulting "Stay-at-Home" order on the mental and physical health of older adults and to explore ways to safely increase social connectedness among them. METHODS This qualitative study involved older adults living in a Continued Care Senior Housing Community (CCSHC) in southern California, USA. Four 90-minute focus groups were convened using the Zoom Video Communications platform during May 2020, involving 21 CCSHC residents. Participants were asked to describe how they were managing during the "stay-at-home" mandate that was implemented in March 2020, including its impact on their physical and mental health. Transcripts of each focus group were analyzed using qualitative methods. RESULTS Four themes emerged from the qualitative data: (1) impact of the quarantine on health and well-being, (2) communication innovation and technology use, (3) effective ways of coping with the quarantine, and (4) improving access to technology and training. Participants reported a threat to their mental and physical health directly tied to the quarantine and exacerbated by social isolation and decreased physical activity. Technology was identified as a lifeline for many who are socially isolated from their friends and family. CONCLUSIONS Our study findings suggest that technology access, connectivity, and literacy are potential game-changers to supporting the mental and physical health of older adults and must be prioritized for future research.
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Affiliation(s)
- Jessica R Daly
- Department of Psychiatry, Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, United States
| | - Colin Depp
- Department of Psychiatry, Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, United States
| | - Sarah A Graham
- Department of Psychiatry, Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, United States
| | - Dilip V Jeste
- Department of Psychiatry, Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, United States
| | - Ho-Cheol Kim
- AI and Cognitive Software, IBM Research-Almaden, San Jose, CA, United States
| | - Ellen E Lee
- Department of Psychiatry, Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, United States
| | - Camille Nebeker
- Research Center for Optimal Digital Ethics in Health, Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, La Jolla, CA, United States
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34
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Treichler EBH, Palmer BW, Wu TC, Thomas ML, Tu XM, Daly R, Lee EE, Jeste DV. Women and Men Differ in Relative Strengths in Wisdom Profiles: A Study of 659 Adults Across the Lifespan. Front Psychol 2021; 12:769294. [PMID: 35185678 PMCID: PMC8850272 DOI: 10.3389/fpsyg.2021.769294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Accepted: 12/16/2021] [Indexed: 01/14/2023] Open
Abstract
Wisdom is a multi-component trait that is important for mental health and well-being. In this study, we sought to understand gender differences in relative strengths in wisdom. A total of 659 individuals aged 27-103 years completed surveys including the 3-Dimensional Wisdom Scale (3D-WS) and the San Diego Wisdom Scale (SD-WISE). Analyses assessed gender differences in wisdom and gender's moderating effect on the relationship between wisdom and associated constructs including depression, loneliness, well-being, optimism, and resilience. Women scored higher on average on the 3D-WS but not on the SD-WISE. Women scored higher on compassion-related domains and on SD-WISE Self-Reflection. Men scored higher on cognitive-related domains and on SD-WISE Emotion Regulation. There was no impact of gender on the relationships between wisdom and associated constructs. Women and men have different relative strengths in wisdom, likely driven by sociocultural and biological factors. Tailoring wisdom interventions to individuals based on their profiles is an important next step.
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Affiliation(s)
- Emily B H Treichler
- VA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, United States.,Department of Psychiatry, University of California, San Diego, San Diego, CA, United States.,Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, San Diego, CA, United States
| | - Barton W Palmer
- VA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, United States.,Department of Psychiatry, University of California, San Diego, San Diego, CA, United States.,VA San Diego Healthcare System, San Diego, CA, United States
| | - Tsung-Chin Wu
- Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, San Diego, CA, United States.,Department of Family Medicine and Public Health, University of California, San Diego, San Diego, CA, United States
| | - Michael L Thomas
- Department of Psychology, Colorado State University, Fort Collins, CO, United States
| | - Xin M Tu
- Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, San Diego, CA, United States.,Department of Family Medicine and Public Health, University of California, San Diego, San Diego, CA, United States
| | - Rebecca Daly
- VA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, United States.,Department of Psychiatry, University of California, San Diego, San Diego, CA, United States
| | - Ellen E Lee
- VA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, United States.,Department of Psychiatry, University of California, San Diego, San Diego, CA, United States.,VA San Diego Healthcare System, San Diego, CA, United States
| | - Dilip V Jeste
- VA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, United States.,Department of Psychiatry, University of California, San Diego, San Diego, CA, United States.,Department of Neurosciences, University of California, San Diego, San Diego, CA, United States
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Nagabhushan P, Sonbhadra SK, Punn NS, Agarwal S. Towards Machine Learning to Machine Wisdom: A Potential Quest. BIG DATA ANALYTICS 2021. [DOI: 10.1007/978-3-030-93620-4_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Jeste DV, Thomas ML, Liu J, Daly RE, Tu XM, Treichler EBH, Palmer BW, Lee EE. Is spirituality a component of wisdom? Study of 1,786 adults using expanded San Diego Wisdom Scale (Jeste-Thomas Wisdom Index). J Psychiatr Res 2021; 132:174-181. [PMID: 33126011 PMCID: PMC7736537 DOI: 10.1016/j.jpsychires.2020.09.033] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 09/16/2020] [Accepted: 09/25/2020] [Indexed: 12/27/2022]
Abstract
OBJECTIVE Wisdom has gained increasing interest among researchers as a personality trait relevant to well-being and mental health. We previously reported development of a new 24-item San Diego Wisdom Scale (SD-WISE), with good to excellent psychometric properties, comprised of six subscales: pro-social behaviors, emotional regulation, self-reflection (insight), tolerance for divergent values (acceptance of uncertainty), decisiveness, and social advising. There is controversy about whether spirituality is a marker of wisdom. The present cross-sectional study sought to address that question by developing a new SD-WISE subscale of spirituality and examining its associations with various relevant measures. METHODS Data were collected from a national-level sample of 1,786 community-dwelling adults age 20-82 years, as part of an Amazon M-Turk cohort. Participants completed the 24-item SD-WISE along with several subscales of a commonly used Brief Multidimensional Measure of Religiousness/Spirituality, along with validated scales for well-being, resilience, happiness, depression, anxiety, loneliness, and social network. RESULTS Using latent variable models, we developed a Spirituality subscale, which demonstrated acceptable psychometric properties including a unidimensional factor structure and good reliability. Spirituality correlated positively with age and was higher in women than in men. The expanded 28-item, 7-subscale SD-WISE total score (called the Jeste-Thomas Wisdom Index or JTWI) demonstrated acceptable psychometric properties. The Spirituality subscale was positively correlated with good mental health and well-being, and negatively correlated with poor mental health. However, compared to other components of wisdom, the Spirituality factor showed weaker (i.e., small-to-medium vs. medium-to-large) association with the SD-WISE higher-order Wisdom factor (JTWI). CONCLUSION Similar to other components as well as overall wisdom, spirituality is significantly associated with better mental health and well-being, and may add to the predictive utility of the total wisdom score. Spirituality is, however, a weaker contributor to overall wisdom than components like pro-social behaviors and emotional regulation. Longitudinal studies of larger and more diverse samples are needed to explore mediation effects of these constructs on well-being and health.
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Affiliation(s)
- Dilip V Jeste
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA; Department of Neurosciences, University of California San Diego, La Jolla, CA, USA.
| | - Michael L Thomas
- Department of Psychology, Colorado State University, Fort Collins, CO, USA
| | - Jinyuan Liu
- Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA; Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA
| | - Rebecca E Daly
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA
| | - Xin M Tu
- Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA; Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA
| | - Emily B H Treichler
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA; VA Desert Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), San Diego, CA, USA
| | - Barton W Palmer
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA; VA San Diego Healthcare System, San Diego, CA, USA
| | - Ellen E Lee
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA; Sam and Rose Stein Institute for Research on Aging, University of California, San Diego, La Jolla, CA, USA; VA San Diego Healthcare System, San Diego, CA, USA
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Affiliation(s)
- Ipsit V Vahia
- McLean Hospital, Belmont, Massachusetts
- Harvard Medical School, Boston, Massachusetts
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Jeste DV, Lee EE. Loneliness Versus Wisdom Amid Two Concurrent Pandemics of Loneliness. Am J Geriatr Psychiatry 2020; 28:1245-1247. [PMID: 32948439 PMCID: PMC7467060 DOI: 10.1016/j.jagp.2020.08.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 08/27/2020] [Indexed: 01/11/2023]
Affiliation(s)
- Dilip V Jeste
- Department of Psychiatry (DVJ, EEL), University of California San Diego, La Jolla, CA; Sam and Rose Stein Institute for Research on Aging, University of California San Diego (DVJ, EEL), La Jolla, CA; Department of Neurosciences (DVJ), University of California San Diego, La Jolla, CA.
| | - Ellen E Lee
- Department of Psychiatry (DVJ, EEL), University of California San Diego, La Jolla, CA; Sam and Rose Stein Institute for Research on Aging, University of California San Diego (DVJ, EEL), La Jolla, CA; VA San Diego Healthcare System (EEL), San Diego, CA
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Vásquez E, Lee EE, Zhang W, Tu X, Moore DJ, Marquine MJ, Jeste DV. HIV and three dimensions of Wisdom: Association with cognitive function and physical and mental well-being: For: Psychiatry Research. Psychiatry Res 2020; 294:113510. [PMID: 33096437 PMCID: PMC7942181 DOI: 10.1016/j.psychres.2020.113510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 10/10/2020] [Indexed: 11/19/2022]
Abstract
Wisdom is a unique human personality trait with cognitive, affective or compassionate, and reflective dimensions. We evaluated relationships of three specific dimensions of wisdom with cognitive function and physical and mental well-being in people with HIV (PWH) and HIV-negative (HIV-) participants. Subjects included 138 adults (61 PWH, 77 HIV-) from the San Diego community. Validated measures were used to assess wisdom and well-being. Cognitive function was assessed via the Montreal Cognitive Assessment. We conducted multivariate linear regressions to evaluate the associations of wisdom dimensions with cognitive function and physical and mental well-being. Compared to the HIV- group, PWH had lower mean scores on cognitive function, and physical and mental well-being, and cognitive and reflective dimensions of wisdom, but similar scores on affective or compassionate wisdom. Among PWH, higher total wisdom scores were associated with older age, lower likelihood of substance dependence, greater mental well-being, better cognitive function, higher resilience, social support, and optimism scores, as well as lower levels of perceived stress and nadir CD4 count. Our findings of an association of different dimensions of wisdom with physical and/or mental well-being in PWH would point to a possibility that enhancing these dimensions of wisdom might improve health outcomes in PWH.
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Affiliation(s)
- Elizabeth Vásquez
- School of Public Health, University at Albany State University of New York, New York, NY, United States
| | - Ellen E Lee
- Department of Psychiatry, University of California San Diego, La Jolla, CA, United States; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, United States; Veterans Affairs San Diego Healthcare System, San Diego, CA, United States
| | - Weihui Zhang
- School of Public Health, University at Albany State University of New York, New York, NY, United States
| | - Xin Tu
- Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, United States; Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, United States
| | - David J Moore
- Department of Psychiatry, University of California San Diego, La Jolla, CA, United States; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, United States
| | - María J Marquine
- Department of Psychiatry, University of California San Diego, La Jolla, CA, United States
| | - Dilip V Jeste
- Department of Psychiatry, University of California San Diego, La Jolla, CA, United States; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA, United States; Department of Neurosciences, University of California San Diego, La Jolla, CA, United States.
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Coronavirus, social distancing, and global geriatric mental health crisis: opportunities for promoting wisdom and resilience amid a pandemic. Int Psychogeriatr 2020; 32:1097-1099. [PMID: 33148370 DOI: 10.1017/s104161022000366x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Abstract
BACKGROUND The ultimate goal of artificial intelligence (AI) is to develop technologies that are best able to serve humanity. This will require advancements that go beyond the basic components of general intelligence. The term "intelligence" does not best represent the technological needs of advancing society, because it is "wisdom", rather than intelligence, that is associated with greater well-being, happiness, health, and perhaps even longevity of the individual and the society. Thus, the future need in technology is for artificial wisdom (AW). METHODS We examine the constructs of human intelligence and human wisdom in terms of their basic components, neurobiology, and relationship to aging, based on published empirical literature. We review the development of AI as inspired and driven by the model of human intelligence, and consider possible governing principles for AW that would enable humans to develop computers which can operationally utilize wise principles and result in wise acts. We review relevant examples of current efforts to develop such wise technologies. RESULTS AW systems will be based on developmental models of the neurobiology of human wisdom. These AW systems need to be able to a) learn from experience and self-correct; b) exhibit compassionate, unbiased, and ethical behaviors; and c) discern human emotions and help the human users to regulate their emotions and make wise decisions. CONCLUSIONS A close collaboration among computer scientists, neuroscientists, mental health experts, and ethicists is necessary for developing AW technologies, which will emulate the qualities of wise humans and thus serve the greatest benefit to humanity. Just as human intelligence and AI have helped further the understanding and usefulness of each other, human wisdom and AW can aid in promoting each other's growth.
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Affiliation(s)
- Dilip V. Jeste
- Department of Psychiatry, University of California San Diego, La Jolla, CA, US
- Sam and Rose Stein Institute for Research on Aging, University of California La Jolla, San Diego, CA, US
- Department of Neurosciences, University of California La Jolla, San Diego, CA, US
| | - Sarah A. Graham
- Department of Psychiatry, University of California San Diego, La Jolla, CA, US
- Sam and Rose Stein Institute for Research on Aging, University of California La Jolla, San Diego, CA, US
| | - Tanya T. Nguyen
- Department of Psychiatry, University of California San Diego, La Jolla, CA, US
- Sam and Rose Stein Institute for Research on Aging, University of California La Jolla, San Diego, CA, US
| | - Colin A. Depp
- Department of Psychiatry, University of California San Diego, La Jolla, CA, US
- Sam and Rose Stein Institute for Research on Aging, University of California La Jolla, San Diego, CA, US
- VA San Diego Healthcare System
| | - Ellen E. Lee
- Department of Psychiatry, University of California San Diego, La Jolla, CA, US
- Sam and Rose Stein Institute for Research on Aging, University of California La Jolla, San Diego, CA, US
- VA San Diego Healthcare System
| | - Ho-Cheol Kim
- AI and Cognitive Software, IBM Research-Almaden, San Jose, CA, US
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