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Dissertations / Theses on the topic 'Older people Mental health Victoria'

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Published: 10 December 2022

Last updated: 29 January 2023

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1

Fortune, Tracy. "Establishing an occupational milieu in aged mental health units an occupational ethnography /." Connect to full text, 2002. http://hdl.handle.net/2123/5458.

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Thesis (Ph. D.)--University of Sydney, 2003.
Title from title screen (viewed Oct. 26, 2009) Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Discipline of Surgery, Faculty of Health Sciences. Degree awarded 2003; thesis submitted 2002. Includes bibliography. Also available in print form.

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2

Picken, Alicia Lillianne. "Quality of life in older people with mental health difficulties." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/7710.

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Introduction: The proportion of individuals aged 65 and over is increasing and mental health services need to recognise the resources of these individuals and meet their needs. Quality of life is a widely used outcome variable in mental health policy and clinical research. Subjective factors are consistently found to be more significant than objective factors in determining quality of life. This gives clinicians areas to consider when working to improve an individual’s quality of life. The current research looks at the relationship between successful psychosocial development and quality of life in older people with mental health difficulties. A secondary aim is to consider the impact of chronic mental health difficulties on quality of life. Method: Twenty-four older people (mean age 72) who were living in the community and supported by Community Mental Health Teams opted in to the study. Questionnaires, which included the WHOQOL-Old and MEPSI, were administered by the researcher. Results: Strong and significant correlations were found between quality of life and successful psychosocial development. A regression analysis found that successful resolution of the final stage of psychosocial development was the most significant predictor of quality of life over other psychological and demographic variables. No impact of chronicity was found. Discussion: The results of the study suggest that psychosocial development is an important factor to consider when working with older people and that a sense of ego-integrity is important to an individual’s perception of quality of life.

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3

Choi, Po-yee Doris. "Mental health condition and the utilization of community services among the elderly in Hong Kong." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31970965.

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4

Griffiths, Hayley. "Self-stigmatization and ageism amongst older people accessing mental health services." Thesis, University of Hertfordshire, 2009. http://hdl.handle.net/2299/3472.

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The aim of this novel piece of research was to explore experiences of self-stigma amongst a group of older people (aged 65+) currently using mental health services. In order to try and identify possible contributing factors to internalized stigma it was also decided to gather information on optimism and a baseline measure of distress. These scores were all compared with the individual’s likeliness to continue to use the mental health services as it was hypothesized that higher levels of self-stigma would be linked with a lower likelihood to continue to use services. Fourteen participants (age range 65-92) from three different geographical areas agreed to take part having been approached by a mental health professional known to them. Interviews were then arranged directly with each participant, with each interview being made up of three questionnaire measures to rate levels of distress, optimism and experiences of mental health stigma, a Likelihood to Continue to Use Services rating scale, and a repertory grid. The repertory grids had been specifically designed to explore the construct systems of the participants in relation to their age. The main finding was that experiences of mental health stigma were minimal, but that participants showed some signs of internalizing ageist attitudes. However, neither of these variables was correlated with a likelihood to continue to use services, suggesting that it is factors other than mental health stigma and age stigma and selfstigmatization that impact on an older person’s decision to continue to engage with mental health services or not. The small sample size also meant that power was lacking from the findings, indicating that further research needs to be carried out. This study has opened up a research area which needs further ongoing investigation in order to fully explore the clinical implications of self-stigma in relation to age and mental health problems. Areas of potential future research are offered and briefly explored.

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5

Ball, Laurence Francis Joseph. "Older people and the use of the Mental Health Act (1983)." Thesis, University of Birmingham, 2013. http://etheses.bham.ac.uk//id/eprint/3851/.

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This thesis explores the use of the Mental Health Act (MHA)(1983) with older people(65+) by providing a multi-perspective insight as expressed by those involved in the process. In particular, it focuses on the personal and social circumstances in which decisions to compulsorily detain older people are made. The thesis comprises two elements; one documentary, one qualitative. The documentary study was over a four year period (2000-2003) gathering demographic data around various themes including numbers of older people detained, gender, age, diagnosis and the relevant section used to detain the older person under the MHA(1983) This provided an insight into the scale of the phenomenon. Within the qualitative study, 58 semi-structured interviews were conducted providing fifteen case studies which were then thematically described and interpreted using Interpretative Phenomenological Analysis. Semi-structured 1:1 interviews were adopted to allow participants the opportunity to express their personal experience. The thesis concluded that at times, some older people and their caregivers became passive recipients of mental health services, mainly through power inequalities, particularly at the time of assessment and discharge.

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6

Sakadakis, Venes. "Bibliotherapy : a mental health approach with institutionalized elderly people." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59436.

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Bibliotherapy is an innovative therapeutic technique that uses reading as a helping process for dealing with stress. It has been proposed as a mental health approach for individuals facing social, psychological or developmental problems. As reading tends to be a non-threatening method of sharing problems, a bibliotherapy group was implemented for 12 weeks with eight alert elderly people who had difficulties coping with their current life situation in a long-term care institution. The effectiveness of a bibliotherapeutic approach with this population is evaluated and implications for social work policy, practice and research are discussed.

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7

Currin, James B. "Historical Changes in Elderly Cohorts' Attitudes toward Mental Health Services." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2908/.

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Older adults' attitudes toward mental health services have received little research attention. Overall, older adults are thought to hold relatively negative attitudes. In this study, Analysis 1 investigated historical shifts in attitudes toward mental health services among three independent samples of older adults, separated by 14-year and 9-year intervals (1977 sample, N = 90; 1991 sample, N = 101; 2000 sample, N = 99). Analysis 2 compared two samples of older and younger adults, each separated by a 9-year interval (Older Adults: 1991 sample, N = 93; 2000 sample, N = 91 and Younger Adults: 1991 sample, N = 131; 2000 sample, N = 147). Participants completed a questionnaire containing five, internally consistent scales assessing multiple dimensions of mental health attitudes (Openness, Biases, Range of Knowledge, Breadth, Help Seeking Attitudes). Analyses suggested that the 1991 and 2000 samples of older adults had more positive attitudes than did the 1977 sample. However, a sustained trend for more positive attitudes beyond 1991 was not seen. In fact, no differences existed between 1991 and 2000 samples with exception of two. Older and younger adults together had lower Biases and Breadth scores in 2000 than in 1991. Age effects, gender effects, and interactions were also examined. Possible historical influences were discussed along with implications for the delivery of mental health care to future cohorts of older adults.

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8

Martin, Christina Marie. "Meeting the mental health needs of older adults through the reminiscence group." CSUSB ScholarWorks, 1993. https://scholarworks.lib.csusb.edu/etd-project/481.

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9

Lee, Chu-kee Angel. "Prevalence of and factors associated with depression among community elderly people using the mobile health clinic." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31971143.

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10

Miller, Eva Mary. "Communicating with elderly mental health clients about medication concordance." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3195.

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11

Byrd, Edwina Haith. "An analysis of functional status and utilization behavior in long-term care for the elderly /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487259125218917.

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12

Farquhar, Sarah. "Self-compassion and mindfulness and their relationship to mental health in older people." Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/51633/.

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The western world has a rapidly aging population. Depression and anxiety in combination with physical health problems are common and approaches are required to help people successfully negotiate the challenges of aging. This volume explores the contribution made by the concepts of self-compassion and mindfulness, considering the role they may play in helping us understand vulnerability to later life mental health problems and in psychological interventions for older people. Chapter I provides a critique of the research on mindfulness-based interventions (MBIs) with older people, considering their acceptability, accessibility and usefulness. The reviewed literature comprises a small evidence-base, with many methodological weaknesses. However, it suggests MBI’s show promise in terms of effectiveness and accessibility as psychological approaches for older people. Directions for future research are discussed. Chapter II describes an empirical investigation into the relationships between self-compassion, and depression and anxiety in older people, comparing clinical and community samples. Levels of self-compassion were found to be lower in the clinical sample and associated with higher levels of depression and anxiety. The component aspects of self-compassion were also considered separately and the research is discussed in the context of the growing evidence-base. Implications for mental health service provision and future research are considered. Chapter III presents the author’s reflections on her own and participants’ reactions to the concept of self-compassion. This includes consideration of the influence of cultural and cohort factors.

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13

Jan, Farida. "Effectiveness of recovery-focused mental health care of older people with memory problems." Thesis, University of Hertfordshire, 2015. http://hdl.handle.net/2299/15486.

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Introduction: Dementia is a syndrome due to disease of the brain, usually of a chronic nature, in which there is disturbance of multiple higher cortical functions including Memory, Comprehension, Thinking, Judgment, Orientation, language and communication skills and abstract thinking. It is one of the most challenging disorders both in terms of prevalence and economic burden. There are currently approximately 800,000 people with dementia in UK and national cost is 17 billion per year. It is estimated that in next thirty years, number of people with dementia will increase to 1.4 million and the national cost will be over 50 billion. The exceptional advances in modern medicine in terms of prolonging life expectancy do not necessarily improve the care delivered to people with dementia. Dementia is a progressive condition where clinical recovery is not possible despite the discovery of cognition enhancing drugs. This belief leads to low expectations that tend to erode hope and foster indignity. Advances in treatment of Alzheimer’s disease have, however, stimulated new thinking and methods of service delivery. At certain stage of their illness, if not from the very beginning, personal, and social recovery becomes more meaningful for service users than their clinical recovery. Objective: To investigate whether recovery-orientated psychiatric assessment and therapeutic intervention enhances the wellbeing of people with memory problems and their family carers. Method: This study was a preliminary randomised control study. Patients were randomly allocated to recovery focus group or treatment as usual group acting as the control. Participants in the recovery focus group received a recovery-focused pre-diagnostic wellbeing assessment and counselling, diagnostic consultation with written feedback and post-diagnostic support over a period of six months. Participants in both groups were assessed using the WHO Wellbeing Index (WHO-5) as the primary outcome measure. The Mini Mental State Examination, Cornell Scale for Depression in Dementia, EuroQol-5D and Zarit Burden Interview were used as secondary outcome measures. Written records of the narrative accounts of participants in the recovery focus group were also obtained. Results: 48 patients with early dementia were recruited and agreed to take part in the study. Out of these, 34 patients completed the study, of which 17 patients were in the recovery focus group and 17 patients were in the treatment as usual group (control).There was a significant difference between the groups in terms of greater improvement in wellbeing as rated by the WHO – 5 Wellbeing Index in the recovery focus group compared to the control group. The secondary outcome measures in the areas of cognition, quality of life and caregiver burden showed no differences between the groups. However, case histories from the recovery focus group identified the main areas of improvement in improved mood, increased social interaction, reduction in carer strain and/or burden and improved self-worth and/or confidence. Conclusions: This study shows that recovery focused care can enhance the wellbeing of people with mild to moderate dementia. The additional benefits perceived by the patients and their relatives /carers include improvement in mood symptoms, social interaction and confidence as well as reduction in carer burden and strain.

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14

Pruett, Charlie D. Jr. "Intrinsic Religious Orientation and Mental Health in Later Life." Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc3274/.

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This dissertation research project was conducted to investigate religion as a coping resource in later life. The major proposition of the study was that intrinsic religious orientation is positively associated with mental health in late life. A forty three-item questionnaire was distributed to residents of four independent retirement communities resulting in a sixty-six percent return rate. The convenience sample of 214 individuals, with a mean age of 81.94 years, consisted of 156 female and 58 male respondents. Intrinsic religious orientation was held as the independent variable, while mental health was the dependent variable. Stress vulnerability characteristics were held as control variables including age, gender, education, stressful life events, marital status, perceived social support, and physical health. The zero order correlation between the independent and dependent variables was r = .128, sig. = .034 (1 tailed). When all control variables were entered, the relationship between intrinsic religious orientation and mental remained, r = .116, sig. = 046 (1 tailed). Regression analysis produced three predictors of mental health for females: stressful life events, age, and intrinsic religious orientation. Intrinsic religious orientation did not significantly change the relationship between stressful life events and mental health. A highly narrow variability in the sample limited stronger results. Findings indicate the importance of further investigation into religion as a coping resource, especially among older females.

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15

Wu, Yu-Tzu. "Living environment and mental health in later life." Thesis, University of Cambridge, 2015. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.709341.

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16

Inbinder, Francine C. "A descriptive study of the relationship between mental health and sexual functioning in the older adult." Click here for text online. The Institute of Clinical Social Work Dissertations website, 1993. http://www.icsw.edu/_dissertations/inbinder_1993.pdf.

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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1993.
A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

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17

McGregor, Katherine DeWinter. "Reminiscence, life satisfaction, depression, and perceived health in elderly women a descriptive study." CSUSB ScholarWorks, 1988. https://scholarworks.lib.csusb.edu/etd-project/247.

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18

Willis, Lia. "Housing subsidy and self-perception of well-being does housing subsidy make a difference in residents' perception of their physical and mental health? /." Diss., Columbia, Mo. : University of Missouri-Columbia, 2007. http://hdl.handle.net/10355/4734.

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Thesis (Ph. D.)--University of Missouri-Columbia, 2007.
The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on March 4, 2008) Vita. Includes bibliographical references.

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19

Bellringer, Sophie Margaret. "Public opinions towards people with mental health problems : a qualitative study of older adults." Thesis, University of East London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542286.

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Background: Negative public attitudes and discrimination towards people with mental health problems have persisted throughout history. Despite recent 'antistigma' campaigns, older adults still sometimes hold misinformed and negative attitudes. Yet, little is known about how these attitudes have been formed and the depth and nuance of views. Aim: To explore older adults' views towards mental health problems and people with mental health difficulties. Particular attention was given to influences which informed these views. Methods: Five males and ten females between the ages of 66-89 years (mean age = 75.3) were recruited from a range of community groups in the south Essex area. Semi-structured interviews were conducted and social constructionist grounded theory was utilised to analyse the data. Results: The theoretical framework 'perceptions and evaluations of mental health problems and people with mental health difficulties' was constructed from the data. Participant views were influenced by personal experience, the media, societal discourses and contact with individuals with mental health problems. Mental health problems were understood as psychiatric diagnoses, 'illnesses' and abnormalities and were explained with reference to bio-psycho-social causes and within moralistic and historical frameworks. Participants said that people with mental health problems could be harmful, violent, unpredictable, uncontrollable and difficult to interact with; these views sometimes led to social avoidance. Participants particularly empathised with individuals with a diagnosis of dementia but were fearful of people diagnosed as schizophrenic. The perceived impacts of mental health problems included societal discrimination and impaired quality of life. Professional assistance, informal support and individual responsibility were considered important for recovery. Implications: These findings highlight the importance of anti -discri mination practices which take into consideration the views of older adults and perhaps specifically target this cohort. Clinical psychologists have a role to play in these practices as well as the media, policy and social justice

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20

Harrison, Anthony. "Mental health care for older people in the general hospital : a personal research journey." Thesis, University of the West of England, Bristol, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.573152.

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21

Daley, Stephanie Karen. "The applicability of the concept of recovery for older people with mental health problems." Thesis, King's College London (University of London), 2014. http://kclpure.kcl.ac.uk/portal/en/theses/the-applicability-of-the-concept-of-recovery-for-older-people-with-mental-health-problems(bfcbf103-e861-4d13-8e96-20f1cf12337f).html.

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Despite the emphasis on recovery in services for adults of working age, equivalent developments and research in older people’s mental health services (OPMHS) have not taken place. In this thesis, the applicability of the concept of ‘recovery’ to older people with mental health problems is explored. First, a qualitative study was undertaken with 28 service users and 10 carers, which produced a conceptual framework of recovery for older people with mental health problems. This highlighted similarities and differences in the experience of recovery for older people compared to their younger peers. This was used to identify the working practice implications and to develop an intervention for staff working within OPMHS and intended effects. A feasibility study was undertaken to optimise the intervention and evaluation strategy, and to define the trial parameters for a future definitive trial. The intervention was delivered to 204 staff working in 15 clinical teams in South London, UK. The hypotheses were that the intervention would improve recovery and quality of life for service users. A ‘controlled before and after’ (CBA) design was used with 103 service user participants at baseline, who were interviewed across three time points. Process evaluation comprised: qualitative interviews with staff and trainers (n=15), pre-post staff ratings of recovery knowledge and attitude (n=176), fidelity assessment and an audit of care plans of 328 service users.

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22

Turner, Jayne University of Ballarat. "Mental health of older adults : the development and testing of a model." University of Ballarat, 2006. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/12778.

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The high rates of depression and suicide among older adults have given rise to research which aims to identify factors that protect older people from mental illness. Recently, Bailey and McLaren (2005) developed and tested a model which investigated the relationships between engagement in various leisure activities performed alone or with others, sense of belonging, depression, and suicidal ideation. The present study examined an extended version of the mental health model, incorporating the additional variables of perceived freedom in leisure and physical health status. A sample of Australian males and females (N = 379) aged 65 years and over (M age = 77.23, SD = 7.48) completed the Perceived Freedom in Leisure Questionnaire, the Yale Physical Activity Survey,the Duke Health Profile, the Sense of Belonging Instrument, the Centre for Epidemiological Studies-Depressive Scale, and the Suicide Subscale of the General Health Questionnaire. Results indicated that the model was invariant for gender, and accounted for 56% of the variance in suicidal ideation. The model indicated that physical health had direct relationships with each variable in the model. Perceived freedom in leisure predicted engagement in physical activity, sense of belonging-antecedent, and depression, whereas sense of belonging psychological state predicted depression and suicidal ideation. Results suggest that interventions aimed at improving older adults’ perceptions of freedom and personal choice with regard to their leisure experiences, maintaining optimal health, and increasing opportunities to foster feelings of belonging and relatedness with others, should protect against the development of mental ill health.
Doctor of Psychology (Clinical)

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23

Turner, Jayne. "Mental health of older adults : the development and testing of a model." University of Ballarat, 2006. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/15389.

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The high rates of depression and suicide among older adults have given rise to research which aims to identify factors that protect older people from mental illness. Recently, Bailey and McLaren (2005) developed and tested a model which investigated the relationships between engagement in various leisure activities performed alone or with others, sense of belonging, depression, and suicidal ideation. The present study examined an extended version of the mental health model, incorporating the additional variables of perceived freedom in leisure and physical health status. A sample of Australian males and females (N = 379) aged 65 years and over (M age = 77.23, SD = 7.48) completed the Perceived Freedom in Leisure Questionnaire, the Yale Physical Activity Survey,the Duke Health Profile, the Sense of Belonging Instrument, the Centre for Epidemiological Studies-Depressive Scale, and the Suicide Subscale of the General Health Questionnaire. Results indicated that the model was invariant for gender, and accounted for 56% of the variance in suicidal ideation. The model indicated that physical health had direct relationships with each variable in the model. Perceived freedom in leisure predicted engagement in physical activity, sense of belonging-antecedent, and depression, whereas sense of belonging psychological state predicted depression and suicidal ideation. Results suggest that interventions aimed at improving older adults’ perceptions of freedom and personal choice with regard to their leisure experiences, maintaining optimal health, and increasing opportunities to foster feelings of belonging and relatedness with others, should protect against the development of mental ill health.
Doctor of Psychology (Clinical)

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24

Omagari, Lynda Lee. "Depression among the elderly." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3336.

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This study will examine depression among the elderly in an assisted living facility. The main problem in depression in the elderly is the lack of diagnosis and treatment. Left untreated it affects the elderly person's overall well-being and may eventually lead to their mortality.

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25

Sham, Ka-hung Joe, and 岑家雄. "The effect of group residence on the psycho-social well-being of elderly residents in public subsidized housing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1997. http://hub.hku.hk/bib/B31978356.

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26

Fondow, Meghan Dee Miller. "Effects of retirement and health among men and women in the health and retirement study." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1180107602.

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27

Husband, Hilary J. "The assessment of mental capacity in older people with known or suspected cognitive impairment." Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273497.

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28

Chan, Lung-fai. "Mental health of Chinese spousal caregivers of frail elderly : the role of the traditional Chinese family values /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38165727.

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29

Dodge, Jan Marjorie. "THE RELATIONSHIP OF FAMILY SUPPORT TO ELDER WELL-BEING." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276455.

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A descriptive study was conducted to examine the relationship between family support and elder well-being of a group of ambulatory elders living in the community. Information regarding the elder parent's reporting of the overall support received by adult children and its affect on well-being was sought. Forty five female subjects, aged 65 to 91 years, participated in this study. The subjects completed a questionnaire which included the Demographic Questionnaire, Family Support Exchange Questionnaire, Family APGAR, and Philadelphia Geriatric Center Morale Scale. The sample population was homogeneous and no significant correlations were demonstrated between quantity or quality measures of family support and elder well-being. The study findings were consistent with previous studies in that elder parents generally live in close proximity to at least one adult child and have frequent contact with them. Elderly parents were satisfied with the support they received from children and would confide in their children.

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30

Coon, Sharon K. "An investigation of two groups of registered nurses comparing attitudes toward the elderly and the ability to differentiate signs, symptoms and interventions with dementia and depression in the elderly." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845954.

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The purpose of this study was to compare two groups of nurses's attitudes towards the elderly and the knowledge base of the nurses as to signs, symptoms and interventions with depression and dementia in the elderly. The theoretical framework for this study was Oren's (1985) self-care deficit theory. Attitude was measured using the Koan Attitude Toward Old People Scale (Koan, 1961) and knowledge was measured using a scale developed by (Myton, Allen, and Baldwin, 1991).The population studied was registered nurses working at these state hospitals in a midwestern state and agency nurses from four agencies that provide staff coverage at these hospitals. The convenience sample consisted of state nurses (n=65) and agency nurses (n=38). A cover letter explaining confidentiality and voluntary participation was attached to each survey. Completion of the survey constituted consent to participate in the study. There were no identified risks related to participation in the study.The study did not identify significant differences between groups in any of the variables involving attitude toward the elderly, ability to differentiate signs, symptoms, and interventions for dementia and depression in the elderly. Both groups were able to correctly identify signs, symptoms and interventions for dementia and depression about one-half the time. The treatment modalities are different for dementia and depression. The problem is significant because if signs, symptoms and interventions are not identified correctly the patient will not be assisted toward recovery and self-care may decrease. The recommendation for increased inservice education on gerontological nursing are applicable to both groups.
School of Nursing

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31

Hu, Chun. "Development of resilience scale and examination of relationships among resilience, physical activity and mental health for older adults in Hong Kong." HKBU Institutional Repository, 2019. https://repository.hkbu.edu.hk/etd_oa/721.

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Introduction: Resilience is an important trait and mechanism for older adults facing adversity in their later life. Physical activity has been established as an important determinant of mental health among older adults, in which relationship of resilience may play a mediating role. In order to examine the relationships among resilience, physical activity, and mental health in older adults, the current project is designed to conduct three studies. Study-1 aims to use qualitative method to identify the characteristics that contribute to resilience in a group of community-dwelling older adults in Hong Kong. Study-2 aims to develop and validate an age-specific resilience scale, named as "Resilience Scale for Chinese Older Adults (RSCOA)". Study-3 aims to test a model in which physical activity is hypothesized to influence mental health in path mediated by resilience. Methods: Twenty-five Chinese older adults (2 males, 23 females) aged 69 to 100 years (M=80.00, SD=39.08) were included in Study-1. Interviews were conducted to collect information about the adverse events in their lives, as well as their attitudes towards adversity and the beliefs underlying their approaches to overcoming adversity. The transcripts were analysed using qualitative content analysis. In Study-2, a sequential approach was used to develop the RSCOA in three stages. In stage 1, scale candidate items were generated and initial content validity of the RSCOA were explored. In stage 2, the factorial structure of the RSCOA was extracted using exploratory factor analysis. In stage 3, exploratory structural equation modeling was conducted to test the structure. The reliability and validity of the RSCOA were also examined. In Study-3, cross-sectional data was collected from a sample of 293 Chinese older adults [60 males, 233 females; age from 65 to 95 years old (M=76.58, SD=7.02)] from eight community senior centres located in three districts in Hong Kong. Correlation analyses were performed and path analysis was employed to assess the associations among physical activity, resilience and mental health variables. Results: In Study-1, 7 themes were emerged from the interviews: 1). Equanimity- the realisation that life has both joys and sorrows. 2). Positive attitudes towards life. 3). Meaningfulness- the realisation that life has a purpose and is full of hope. 4). Self-reliance- a belief in one's capabilities and the realisation that each person's life path is unique. 5). Social support- which comes from family and friends, health care professionals, staff in the senior centres and others' appraisal. 6). Environmental support- which includes the support from neighbours, community senior centres and government. 7). Spirituality and faith- which can take the form of a belief in destiny, gratitude or religious faith. For the scale development and validation, a pool of 70 candidate items for RSCOA was established with good content validity in stage 1. In stage 2, seven factors, namely perseverance, self-reliance, spirituality, social support, living in the moment, environmental support, and meaningfulness, reflecting internal, external and existential dimensions, were identified and reflected in 27 items in the construct of resilience. In stage 3, the 27-item RSCOA was further examined, by which 3 items were deleted to achieve acceptable internal consistency (α= 0.87) and good concurrent as well as construct validities, and finally a 24-item RSCOA was confirmed. The measurement model displayed satisfactory model fit and proven invariant across gender. Building on the three path models, it was found that significant mediation effects of resilience on the relations from physical activity to depression (β =-.54, p=.002), from physical activity to loneliness (β=-.25, p=.005), as well as from physical activity to psychological well-being (β=.37, p=.008). In sum, the results confirmed that resilience mediates relationship from physical activity to mental health among the older adults. Conclusion: The qualitative analysis found that resilience of the Hong Kong older adults is characterised by internal, external and existential factors. A reliable and valid age-specific instrument for measurement of resilience in Chinese older people was developed. Older adults who are more physically active reported greater psychological well-being and less mental health problems, and the effects were mediated by resilience. The results may be useful for developing interventions that aim at assisting older adults to enhance the positive experiences and mental health in their lives.

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Chow, Sau-king Debbie. "Rejection sensitivity and psychological health of Hong Kong elderly: does discriminative facility help?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B29740307.

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Green, Samantha. "Nurses' experiences of caring for older people with mental health needs in a general hospital setting." Thesis, University of Oxford, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490729.

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The presence of co-morbid physical and mental health needs is common in older people admitted to general hospitals and brings adverse consequences for older people, family carers, and services. There is evidence that staff well-being and patient are are closely linked and the experiences of nursing staff are therefore important. This study aimed to explore nurses' experiences of caring for older people with functional mental health problems, the associated stressors, and how nurses cope. A secondary aim of this study was to explore nurses' experiences of working with a liaison mental health nurse.

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Henderson, Scott. "Studies in social psychiatry and epidemiology of mental disorders." Thesis, Canberra, ACT : The Australian National University, 1991. http://hdl.handle.net/1885/141557.

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Bost, Melva Juanita 1955. "EFFECTS OF A PET VISITATION PROGRAM ON THE PSYCHOLOGICAL SATISFACTION, SOCIAL INTERACTION AND SELF ESTEEM OF INSTITUTIONALIZED ELDERLY WOMEN." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/275532.

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Gray, Gale René 1958. "Factors Influencing Attitudes Toward Seeking Psychological Help in Younger and Older Adults." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc278470/.

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The major purpose of this study was to test a hypothesized structural model that included many of the variables that have been found to influence people's attitudes toward seeking psychological help and investigate if these variables and their inter-relationships are different for young versus older adults. This study offers a more comprehensive investigation than previous research by testing and modifying two structural models of help-seeking attitudes, one for young adults and one for older adults. This makes it possible to examine how these variables differ for the two age groups.

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Cheung, Man-sze, and 張敏思. "Grandmotherhood: a study of role behaviours, significance and mental health." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1987. http://hub.hku.hk/bib/B42128274.

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Miller, Marleen L. "The lived experience of pet visitation among residents of long term care facilities." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020155.

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Moving into an institutional environment may cause feelings of anxiety, depression, grief or loss in the increasing number of elderly residents in long term care facilities. The lived experience of pet visitation was explored as a possible remedy. This study is significant because findings provide information about intervention strategies to assist residents in comfort and adjustment.Five themes, identified in ten interviews of residents in three midwest long term care facilities, illustrated that pet interaction: (a) contributed a sense of responsibility, environmental control, (b) afforded unconditional caring, companionship, (c) provided a connection with family and home. (d) furnished a sense of identity in the facility community, and (e) provided a sense of being protected within the facility. Evidence supports that pet visitation is a beneficial experience to the residents in long term care facilities. Study results are available for facility administrators as encouragement and justification to establish pet visitation programs.
School of Nursing

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Hackworth, Naomi. "Development and application of a methodology for the evaluation of a health complaints process." Australasian Digital Thesis Program, 2007. http://adt.lib.swin.edu.au/public/adt-VSWT20070928.092053/index.html.

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Thesis (DPsych (Health Psychology)) - Faculty of Life and Social Sciences, Swinburne University of Technology, 2007.
Submitted as a requirement for the degree of Professional Doctorate in Health Psychology, Faculty of Life and Social Sciences, Swinburne University of Technology - 2007. Typescript. Includes bibliographical references (p. 189-210).

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Rossouw, Ricardo Julian. "Exploring the mental health care challenges of older transgender people in the cape metropole: a participatory photo voice research project." University of the Western Cape, 2019. http://hdl.handle.net/11394/7618.

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Magister Artium - MA
This project was born after the researcher, a practicing social worker at a psychiatric facility, observed the presence of high rates of anxiety and depressive disorders among transgender patients. These patients were often also abandoned by their family or primary caregivers. This research was part of a larger National Research Foundation (NRF) project in the Western Cape and Gauteng, which explored LGBT older persons’ care needs. It differed from the main project in that it focused on the mental health care challenges experienced by older transgender people. The project was funded by the NRF and the researcher was allocated funding from that project to explore LGBT aging and care in the marginalised areas. LGBT discrimination has been indicated as a key factor in the onset of mental health issues later in adulthood. Older adults are generally at a higher risk of developing mental disorders. The older transgender community with mental health care needs thus often suffers multiple forms of oppression within a heteronormative society. The aim of the research was to determine the mental health care challenges experienced by older transgender people in the Cape Metropole, Western Cape. Objectives to reach this aim included exploring and describing the unique challenges faced by older transgender people, their experiences when accessing mental health care, and describing strategies of addressing their mental health care needs. The research methodology entailed a qualitative approach. Snowball sampling was applied for selecting five older transgender participants and five key informants. Photo voice, a Participatory Action Research (PAR) design, was used. Data collection consisted of in-depth interviewing, focus groups, and photo journaling. Themes were developed from the data utilising Thematic Analysis, aided by Atlas.ti software. Ethics and trustworthiness were certified through guidance by the research supervisor. This research was classified as high risk, since it involved marginalised individuals from the aged LGBT community. Anxiety in the group was anticipated and dealt with by providing further counselling where needed. The findings indicate that older transgender people experience minority stress across all racial and age cohorts. They suffer heightened anxiety when accessing healthcare services, as they anticipate transphobia and oppression. In addition, the intersectional socio-economic status of age and gender identity seems to contribute to building resilience within the participants. Lastly, substance use and social and professional support were identified as coping strategies in the face of on-going discrimination.

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蔡寶儀 and Po-yee Doris Choi. "Mental health condition and the utilization of community services among the elderly in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31970965.

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Hall, Karen 1951. "STRESS, COPING, AND SATISFACTION AMONG ELDERLY MIGRANTS." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275260.

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Ashaye, Olakunle Adebisi. "The effectiveness of the Camberwell Assessment of Need for the Elderly (CANE) as a needs assessment tool in the psychiatric day hospital care of older people." Thesis, University College London (University of London), 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325591.

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李珠璣 and Chu-kee Angel Lee. "Prevalence of and factors associated with depression among community elderly people using the mobile health clinic." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31971143.

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Prina, Alberto Matthew. "An investigation of common mental disorders and health services in later life." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.607821.

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Dewey, Elizabeth. "A mixed methods feasibility study of group-based acceptance and commitment therapy with older people with mental health difficulties." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/30802/.

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Background: CBT has mixed findings for older people with mental health difficulties and has been described as no more efficacious than relaxation training for anxiety. Due to the types of difficulties associated with old age that cannot be changed, such as chronic health conditions and experiences of bereavement and retirement, a more acceptance-based approach, such as Acceptance and Commitment Therapy (ACT) could be more suitable; however, there are few clinical trials with ACT and older people. Objectives: This feasibility study used mixed methods to explore the acceptability and feasibility of delivering ACT groups to inpatient and outpatient older people. Method/Results: 14 participants were recruited, nine of these completed the group (defined as attending four of six sessions) and eight were interviewed. Results suggested that 12 weeks after the last session, completers’ anxiety and cognitive fusion scores significantly decreased. Interviews suggested that ACT was acceptable to participants. Conclusions: ACT is both a feasible and acceptable transdiagnostic intervention for older people in an outpatient setting. Preliminary quantitative analysis suggested the intervention reduced anxiety and cognitive fusion; however, this should be measured in future intervention studies with higher participant numbers. Qualitative analysis suggested older people engaged with ACT because of the focus on visual material and that it seemed to increase their perspective taking and self-efficacy. The latter needs to be explored quantitatively.

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Dorofaeff, Michael John. "Shared status and advocating practices : nurses who work with clients who have a co-existing intellectual disability and mental health problem a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Arts Applied in Nursing /." ResearchArchive@Victoria e-Thesis, 2007. http://hdl.handle.net/10063/141.

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Hargett, Thompson Candace L. "Social Support, Depression, and Cardiovascular Disease in Married, Middle-Aged/Older Adults." Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4611/.

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This study examined the relationship between physical health, social support, and depression in a married, middle-aged/older adult sample in which at least one partner has heart disease. The data was obtained from a national longitudinal study the Health and Retirement Survey (HRS) and is composed of selected respondents and their spouses. The HRS Wave 1 data that was used for these analyses was collected in 1992 and 1993. This study tested a stress buffer model predicting the relationship between physical health, social support, and depression. For study inclusion, participants must have been diagnosed with cardiovascular disease and received treatment in the last year. A heart disease construct was developed by calculating the level of disease by the number of conditions and medical treatments received within the last year. A second health category for other chronic health conditions included diabetes, arthritis, cancer, and chronic pain. These constructs were combined into a total disease construct, which provided a broad measure of health problems typical of an older adult population. Social support was determined by respondents' satisfaction with friends, neighbors, family, their marriage, and enjoyable time spent with their spouse. Social support was subdivided into two constructs separating spousal support from social support sources outside the marriage. The Center for Epidemiological Studies Depression short-form (CES-D) calculated depression scores. Findings support a stress-buffering model among older married adults with chronic diseases. Hierarchical multiple regressions found the following main effects predicted Depression: Total Disease (Beta=. 03, p<. 000), Exercise (Beta=-.11, p<. 000), Smoking (Beta=. 04, p<. 001), General Support (Beta=-.21, p<. 000), Spousal Support (Beta=-.19, p<. 000). The Total Diseases by Spousal Support interaction was a significant predictor of Depression for men and women (Beta= -.04, p<. 000) and Total Disease by Spousal Support was also a significant predictor for men and women (Beta=-.03, plt;. 000). For men with Heart Disease, Total Disease by Spousal Support was a stronger predictor (Beta=-.03) than it was for women with Heart Disease (Beta=-.10). These results may partially explain gender differences in heart disease patients and suggests several psychological interventions that could be beneficial.

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Cheung, Man-sze. "Grandmotherhood : a study of role behaviours, significance and mental health /." Click to view the E-thesis via HKUTO, 1987. http://sunzi.lib.hku.hk/hkuto/record/B42128274.

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50

Rossouw, Ricardo. "Exploring the mental health care challenges of older transgender people in the Cape Metropole: A participatory photo voice research project." University of the Western Cape, 2020. http://hdl.handle.net/11394/7566.

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Abstract:

Magister Artium (Social Work) - MA(SW)
This project was born after the researcher, a practicing social worker at a psychiatric facility, observed the presence of high rates of anxiety and depressive disorders among transgender patients. These patients were often also abandoned by their family or primary caregivers. This research was part of a larger National Research Foundation (NRF) project in the Western Cape and Gauteng, which explored LGBT older persons’ care needs. It differed from the main project in that it focused on the mental health care challenges experienced by older transgender people. The project was funded by the NRF and the researcher was allocated funding from that project to explore LGBT aging and care in the marginalised areas. LGBT discrimination has been indicated as a key factor in the onset of mental health issues later in adulthood. Older adults are generally at a higher risk of developing mental disorders. The older transgender community with mental health care needs thus often suffers multiple forms of oppression within a heteronormative society. The aim of the research was to determine the mental health care challenges experienced by older transgender people in the Cape Metropole, Western Cape. Objectives to reach this aim included exploring and describing the unique challenges faced by older transgender people, their experiences when accessing mental health care, and describing strategies of addressing their mental health care needs. The research methodology entailed a qualitative approach. Snowball sampling was applied for selecting five older transgender participants and five key informants. Photo voice, a Participatory Action Research (PAR) design, was used. Data collection consisted of in-depth interviewing, focus groups, and photo journaling. Themes were developed from the data utilising Thematic Analysis, aided by Atlas.ti software. Ethics and trustworthiness were certified through guidance by the research supervisor. This research was classified as high risk, since it involved marginalised individuals from the aged LGBT community. Anxiety in the group was anticipated and dealt with by providing further counselling where needed. The findings indicate that older transgender people experience minority stress across all racial and age cohorts. They suffer heightened anxiety when accessing healthcare services, as they anticipate transphobia and oppression. In addition, the intersectional socio-economic status of age and gender identity seems to contribute to building resilience within the participants. Lastly, substance use and social and professional support were identified as coping strategies in the face of on-going discrimination.

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