Idle minds are the devil's tools? Coping, depressed mood and divergent thinking in older adults

OBJECTIVES

The main aim was to test a causal relations model of the problem-focused and emotion-focused coping styles, depressed mood, and divergent thinking (DT) in older adults. It was hypothesized that both forms of coping would have a significant effect on predicting depressed mood, and that problem-focused coping and depressed mood would have a significant effect on DT.

METHOD

Participants were 135 subjects with ages ranging between 55 and 84 years old, who took part in a personal interview and filled out several questionnaires. The statistical analysis included structural equations models (SEM).

RESULTS

The initial model led to a final model endorsed by the goodness of fit, composite reliability, and discriminant validity indexes. This model confirms a direct relationship between the two types of coping strategies and depressed mood (with the opposite sign), but not between rational coping and DT. Finally, depressed mood was also confirmed as a mediator variable between coping and DT.

CONCLUSION

The type of coping is a clear predictor of mood in older adults. Advanced age decline is not necessarily translated into inefficacy in everyday problem solving especially in those who, through proble-focused coping, avoid depressed moods and maintain good levels of DT.

Resilience and Coping as Predictors of Well-Being in Adults

Well-being is one of the keys to successful and optimal development across the lifespan. Based on the idea that development involves changes in individuals' adaptive capacity to meet their needs over time, the changes that occur in the second half of life require effort to adapt to the new reality. This study used a structural model to test the effects of coping strategies and resilience on well-being in a sample of 305 mid-life adults. Several constructs were measured: coping strategies, resilience, and well-being. A final model was obtained with good fit indices; psychological well-being was positively predicted by resilience and negatively by emotional coping. Moreover, positive reappraisal and avoidance form part of both coping strategies (problem-focused and emotion-focused). Considering the characteristics of the model, educational intervention programs could be developed to promote skills that favor good adaptation at this stage in the life cycle and contribute to promoting successful aging.

An overall decline both in recollection and familiarity in healthy aging

BACKGROUND

In the area of recognition memory, the experimental data have been inconsistent about whether or not familiarity declines in healthy aging. A recent meta-analysis concluded that familiarity is impaired when estimated with the remember-know procedure, but not with the process-dissociation procedure.

METHOD

We present an associative recognition experiment with remember-know judgments that allow us to estimate both recollection and familiarity using both procedures in the same task and with the same participants (a sample of healthy older people and another sample of young people). Moreover, we performed a within-subjects manipulation of the type of materials (pairs of words or pairs of pictures), and the repetition or not of the pairs during the study phase.

RESULTS

The results show that familiarity, estimated using both estimation procedures, declines significantly with age, although the effect size obtained with the process-dissociation procedure is significantly smaller than the one obtained with the remember-know procedure.

CONCLUSIONS

Our results show that aging is associated with significant decreases both in recollection and, to a lesser extent, familiarity.

Autobiographical memory for the differential diagnosis of cognitive pathology in aging

AIM

The present study distinguishes three memory stages across the lifespan, and aims to compare episodic and semantic autobiographical memory in healthy older adults, with amnesic mild cognitive impairment, and with Alzheimer's disease. This information can offer evidence about the way semantic and episodic autobiographical memory work, and how the disease affects them.

METHODS

The sample was composed of 56 people, all aged over 60 years; 15 with amnestic mild cognitive impairment, 12 with Alzheimer's disease and 29 healthy older people. Participants were evaluated with the Autobiographical Memory Interview.

RESULTS

A mixed anova showed significant main effects of memory and time-period, and significant interactions of memory × group, time-period × group and memory × time × group.

DISCUSSION

Assessment of autobiographical memory provides information to differentiate amnestic mild cognitive impairment patients from Alzheimer's disease patients. Although the decline in episodic memory starts with the onset of the disease, semantic memory is maintained until moderate stages of dementia. Geriatr Gerontol Int 2016; 16:1220-1225.

The effects of instrumental reminiscence on resilience and coping in elderly

OBJECTIVES

Aging, as a stage of development is marked by major changes to which the subject must adapt. Instrumental reminiscence is based on recalling times one coped with stressful circumstances, and analyzing what it took to adapt in those situations. The purpose of the present study was to analyze the effectiveness of an instrumental reminiscent program to enhance adaptive capacity (problem-focused coping and emotion-focused) and resilience in older adults.

METHOD

Thirty participants noninstitutionalized conducted a pre and post assessment on a treatment consisting of the Mini-Mental State Examination (MMSE), Brief Resilient Coping Scale and Stress Coping Questionnaire (CAE). The program was developed over 8 sessions of 60 min.

RESULTS

Repeated measures analysis of variance showed significant differences in time-group interaction for treatment effectiveness of resilience measures, problem-solving coping, positive reappraisal and avoidance coping that it increased, and on emotion-focused coping and overt emotional expression that gets decreased after treatment.

CONCLUSION

The instrumental reminiscence has proven to be a highly useful tool and is a potentially efficient way to improve adaptive capacity and resilience in the elderly to cope with adverse situations. Through non-pharmacological therapies, the quality of life has been improved, and subjects are provided with tools, strategies and skills that allow to achieve a satisfactory adaptation.

Coping Strategies: Gender Differences and Development throughout Life Span

Development during life-span implies to cope with stressful events, and this coping may be done with several strategies. It could be useful to know if these coping strategies differ as a consequence of personal characteristics. This work uses the Coping with Stress Questionnaire with this aim using a sample of 400 participants. Specifically, the effects of gender and age group (young people, middle age and elderly), as well as its interaction on coping strategies is studied. With regard to age, on one hand, it is hypothesised a decrement in the use of coping strategies centred in problem solving and social support seeking as age increases. On the other hand, the use of emotional coping is hypothesised to increase with age. With respect to gender, it is hypothesised a larger use of emotional coping and social support seeking within women, and a larger use of problem solving within men. A MANOVA found significant effects for the two main effects (gender and age) as well as several interactions. Separate ANOVAs allowed us to test for potential differences in each of the coping strategies measured in the CAE. These results partially supported the hypotheses. Results are discussed in relation to scientific literature on coping, age and gender.

Resilience and coping as predictors of general well-being in the elderly: a structural equation modeling approach

OBJECTIVES

The aims of this article are: (a) to test for the validity of the three constructs involved in the structural model; (b) to test for the effects of both coping strategies and resilient coping on well-being in a sample of elderly, by means of a structural model with latent variables; (c) to empirically study whether a brief scale of resilient coping could predict well-being over and above that predicted by the coping resources.

METHODS

The research is a survey design. The sample consisted of 225 non-institutionalized elderly people living in the city of Valencia (Spain). The three constructs measured were: well-being, resilient coping, and coping strategies.

RESULTS

The analyses consist of a series of alternative structural models with latent variables with resilience, problem-focused coping, and emotion-focused coping as the potential predictors of well-being as measured by Ryff's well-being scales. Due to parsimony reasons, the model retained is that with a single predictor of well-being: resilient coping.

CONCLUSION

A latent variable measuring resilient coping is able to predict a significant and large part of the variance in well-being, without the need of including coping strategies. Results impact on well-being literature of the elderly is discussed.

How we compensate for memory loss in old age: adapting and validating the Memory Compensation Questionnaire (MCQ) for Spanish populations

Compensating entails using external strategies and mechanisms that help overcome or alleviate the decreasing memory function that comes with age. This study aims to adapt and validate the MCQ in the elderly Spanish population. A total of 403 elderly people aged between 65 and 92 in the city of Valencia (Spain) completed the questionnaire for the validation process. The factorial validity of the scale was tested using confirmatory factor analysis. The result showed a first order five-factor model with 23 items that met the criteria for model fit according to multiple fit indices. As a general conclusion, the adaptation into Spanish provided a reliable and valid measure of compensation in the elderly population, and it could potentially be useful in both clinical practice and research in the elderly.

Adaptation and Initial Validation of the BRCS in an Elderly Spanish Sample

Resilience is understood as a dynamic process encompassing positive adaptation within the context of adversity. This study examined the validity of the Brief Resilient Coping Scale (BRCS), a 4-item measure designed to capture tendencies to cope with stress in a highly adaptive manner, in an elderly Spanish population. A total of 133 elderly people from an association of retired persons in Valencia (Spain) provided the responses for the validation study. The factorial validity of the scale was tested using confirmatory factor analysis, with a single dimension of resilience with adequate fit indexes emerging from this analysis. The BRCS has adequate internal consistency both at the scale and item levels. The criterion-related validity of the scale was established by correlating resilient coping with measures of coping resources and psychological well-being. The correlations with measures of personal coping resources (e.g., optimism, helplessness, self-efficacy), pain-coping behaviors, and psychological well-being were in the expected direction, and were statistically significant and large. In conclusion, the adaptation into Spanish of the BRCS seems to be a reliable and valid measure of resilient coping in the elderly population, and it could potentially be used in both clinical practice and research in the elderly.