bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE PROTECTIVE ROLE OF SOCIAL SUPPORT ON DEPRESSIVE SYMPTOMS AMONG AGING SEXUAL MINORITY CANADIANS
Authors: Stinchcombe Arne , Hammond Nicole G , Wilson Kimberley 
Published: November 2019

Abstract
Sexual minority older adults face minority stressors that are associated with higher rates of mental illness. The stress buffering effects of social support within majority populations are well documented. Using a large population-based sample of aging Canadians, we sought to examine the relationship between sexual orientation and depressive symptoms, and determine whether this relationship is moderated by social support and sex. Baseline data from the Canadian Longitudinal Study on Aging (CLSA) were used (n = 46147). Participants were between the ages of 45-85 years at time of recruitment (mean age = 62.46, SD = 10.27), and self-reported their sexual orientation as heterosexual or lesbian, gay, or bisexual (LGB) (2.1%). Social support and depressive symptoms were measured using validated instruments. Four functional social support subscales were derived: tangible, positive social interaction, affectionate, and emotional/informational. Multiple linear regression models adjusted for relevant covariates were conducted. LGB identification was associated with greater depressive symptoms when compared to heterosexual participants (p = 0.032). As evidenced by a significant 3-way interaction (p = 0.030), increasing tangible social support was associated with a corresponding decrease in the risk of depressive symptoms; this relationship was most pronounced for lesbian and bisexual women. A significant 2-way interaction (p = 0.040) revealed that as emotional/informational social support increased, depressive symptoms decreased, with greater disparity between LGB and heterosexual participants at lower levels of social support. The results highlight the importance of social support in promoting mental health, especially among sexual minority older adults.
SEXUAL ORIENTATION AS MULTIDIMENSIONAL: AGE AND GENDER DIFFERENCES IN SEXUAL MINORITY OLDER ADULTS
Authors: Root Eve Z , Caskie Grace , Detwiler Bethany , Johnson Nicole L 
Published: November 2019

Abstract
Recommendations to conceptualize sexual orientation as a continuum and as multidimensional rather than one dichotomous variable (e.g., DeBlaere et al., 2010; Kinsey et al., 1948) have been largely unexplored in sexual minority older adults, including how these dimensions might differ by age and gender. In this study, participants indicated their sexuality using three continua representing (1) attraction in general, (2) emotional attraction, and (3) physical attraction. Possible responses ranged from 0=exclusively opposite sex to 7=exclusively same sex. The current sample included 187 participants (50-86 years; 73 men, 114 women) self-identifying their sexual attraction in general as not exclusively to the opposite sex. Age groups were 50-55 (n=56), 56-64 (n=84), and 65-86 (n=47) years. MANOVA results indicated a significant multivariate age group by gender interaction (p=.040) that was significant for all three attraction variables---attraction in general (p=.035), emotional attraction (p=.010), and physical attraction (p=.029). In the 50-55 age group, the average response for physical attraction was closer to exclusively same sex for men than for women. For the 56-64 age group, the average response for attraction in general and emotional attraction was closer to exclusively same sex for women than men. Among those 65+, women responded closer to exclusively same sex than men only for emotional attraction. Gender differences on all three sexual attraction continua were not consistent across age groups, which may reflect a more fluid and complex understanding of sexuality in older LGB adults. Future studies should consider using multidimensional and continuous variables when measuring sexual orientation.
EXPLORING HOW AGE PREDICTS OUTNESS AND INTERNALIZED HOMOPHOBIA IN A LIFESPAN SAMPLE OF SEXUAL MINORITIES
Authors: Vale Michael T , Pasta Paige M , Bisconti Toni L 
Published: November 2019

Abstract
Minority Stress Theory posits that specific minority stressors, such as internalized homophobia and outness, predict negative health outcomes in sexual minorities. There has been substantial work in addressing these stressors in young adult samples; however, less in known about older adults. Older sexual minorities were socialized in a time in which same-sex relations were considered deviant and illegal, and therefore, have been exposed to a lifetime of marginalization. Although there is evidence that minority stressors negatively impact health in older adults, many studies exclude a complete lifespan sample. The goal of this study was to collect a sample of individuals in same-sex relationships ranging in age from 18-80 (N = 228, M = 40.93, SD = 15.87) and examine whether age correlates with outness and internalized homophobia. We found that older participants had higher degrees of outness (r = .21, p &lt; .01) and less internalized homophobia (r = -.20, p &lt; .01) resulting in less overall minority stress. We also analyzed different social resources that might explain the age-related decrease in minority stress and found that age was related to higher self-esteem (r = .24, p &lt; .01). We tested whether self-esteem moderated the direct relationships between age and the minority stressors and found a significant interaction for internalized homophobia (B = .0175, p &lt; .01), but not outness. Our findings provide support that older sexual minorities report less minority stress and more research is needed to explain what promotes these trends.
EXPLORING AGE, GENDER, AND RELATIONSHIP CLOSENESS DIFFERENCES IN RESPONSES TO IGNORED DISRESPECT
Authors: Steele Jenessa C , Chappell Amanda , Scott Rachel 
Published: November 2019

Abstract
Emotional responses to disrespect tend to be negative (Hawkins, 2015). Little is known about how responses to disrespect vary across age groups and relationship closeness. It is unknown whether older adults have more emotional protection against disrespectful experiences, or are more deeply affected due to relationship closeness. Overall, we might expect that older adults react less negatively to disrespect compared to young adults, as they are more-skilled emotion regulators (Carstensen, 1991; English & Carstensen, 2014). We aimed to explore if, and under which circumstances, older adults are more or less sensitive to disrespect compared to younger adults. Three hundred participants responded to six scenarios illustrating ignored disrespect. Participants were randomly assigned to close or distant relationship disrespect scenarios. Relationship closeness was first determined by requesting participants identify a person in each layer of Kahn and Antonucci’s (1980) Social Convoy Model. Identified names were then automatically inserted into the six scenarios. Emotional responses and sensitivity to each scenario were recorded. Participants in the close condition reported more sensitivity to disrespect and negative emotions than participants in the distant condition. Females reported more sensitivity to disrespect and negative emotions than males. We did not find overwhelming support for age differences in responses to disrespect. A single scenario indicated younger participants more sensitive to disrespect than older participants. Findings suggest it is more hurtful to be disrespected by someone close to you and females may be more sensitive to disrespect than males. More research investigating the role of age in disrespect is needed.
PORTRAYAL OF A CENTENARIAN: EXPLORING ACTOR INSIGHTS ON AGING AND LONGEVITY
Authors: Bishop Alex J , Finchum Tanya , Pearson-Littlethunder Julie 
Published: November 2019

Abstract
Data for this study originated the Oklahoma 100 Year Life Project. A total N = 7 volunteer actors (n = 5 women; n = 2 men) were recruited to participant as actors to play the role of centenarians in a living history play based on oral historical narratives. Actors participated in preliminary (prior to play performance) and post (after play performance) focus group sessions. Focus group questions addressed four key ideas: (1) Perceptions of aging and human longevity; (2) Loss and decline in aging; (3) Narrative storytelling and; (4) Personal life goal(s). Qualitative content analysis was performed to assess general thematic evidence stemming from actor perspectives. Four predominant themes emerged suggestive of adaptation in actor perceptions about human aging and longevity. These themes included: (1.) Purpose seeking (e.g. "It was interesting to see how much you can get out of life."); (2.) Age-embodiment (e.g., “I really wanted to focus on my facial movements and the way I talked”); (3.) Creative curiosity (e.g., “It takes a little bit of creativity. . . someone who has curiosity”); and (4.) Self-actualization (e.g., “You just think it’s not going to happen to me. . . and then you’re like. . . I am probably going to live to 100 now.”). Results have implications relative to how oral historical narratives can be used to enhance the personification of aging on stage, as well as demystify personal myths about longevity. Applications for use within educational and community settings for theatrical performances will be shared.
ARTS AND HUMANITIES BRIDGING ACROSS CONTINUUM OF CARE: CASE STUDY, GEORGETOWN LOMBARDI COMPREHENSIVE CENTER
Authors: Langley Julia 
Published: November 2019

Abstract
How does a hospital-based arts and humanities program build towards a better healthcare system for older patients, caregivers and medical professionals? The Georgetown Lombardi Arts and Humanities Program (AHP) supports the continuum of care by encouraging a creative and constructive response to illness through the use of music, dance, expressive writing and visual arts. Artists-in-residence at MedStar Georgetown University Hospital work throughout the hospital, with in-patients and out-patients, in waiting rooms, intensive care units, and clinics. At the same time, the AHP recognizes the need to introduce the next generation of physicians, nurses, and medical professionals to the benefits of interacting with the arts to improve skills of observation, communication, empathy, and perspective-taking to serve all populations, especially older patients living with chronic illness. The AHP’s educational programs at the National Gallery of Art, and the IONA Senior Day Center will be highlighted along with their supporting evidence base
THE RELATIONSHIP BETWEEN MARITAL STATUS, COHORT, AND DEPRESSION SYMPTOMS IN TAIWAN
Authors: Huang Fang-Yi , Li Min 
Published: November 2019

Abstract
Objectives: The relationship between marital status and depression symptoms is well documented. However, how the negative economic shock affect relationship differ by gender and cohort is still indecisive. The dataset “2011 wave of the Taiwan Longitudinal Study in Aging” and logistic regression models were used in the study. The results: Marital status is related to depression symptoms, but it differs by gendered cohort. With considering financial shock, there is no difference of depressive symptom between divorced and married female. The divorced and widowed have 4.81 and 2.47 times higher of getting depression symptom than the married for baby boom female. Being divorced is 3.67 times higher of getting depressive symptoms than being married for baby boom male. For WWII female, the widows are 1.78 times higher to have depressive symptoms than the married. being divorced, widowers, and single are 3.32, 2.21 and 2.90 times higher of getting depressive symptoms than being married for WWII male. Being divorced is 3.67 times higher of getting depressive symptoms than being married for baby boom male. In conclusions, people with unstable marital statuses are more depressed than the married. In particular, the effect of unstable marital statuses on depression could be account for by financial decline for women but not men. Given the policy emphasis on those with unstable marital status and economic decline, divorce female and single baby boom female may represent particular groups in whom interventions designed to financially support.
PSYCHOSOCIAL FACTORS INFLUENCING DEPRESSIVE SYMPTOMS AMONG OLDER ADULTS FROM NORTHERN INDIA
Authors: Banerjee Kasturi , Baker Tamara A 
Published: November 2019

Abstract
Global data show a significant increase in the number of adults 65+ years of age in India. Despite this increase, there is a dearth of available resources to adequately service their mental health needs. Data indicate that residents in Northern India, in particular, report poorer mental health outcomes than those in the South. The prevalence and impact of neuropsychiatric disorders and depression remain particularly significant, but largely unexplored. The aim of this study was to examine possible psychosocial and health factors affecting depressive symptoms in North India. Data were taken from the Longitudinal Ageing Study in India (LASI). Participants included adults aged 45 years and above (n=792), from the states of Rajasthan and Punjab. A multiple linear regression model was calculated to determine the influence of identified demographic and psychosocial factors (e.g., financial and social support, life satisfaction) on depressive symptoms. Data show that low life satisfaction (β= -0.19,p&lt;0.001), poorer self-reported health (β=0.15,p&lt;0.01), and being a care provider (β= -0.12,p&lt;0.01) were significant predictors of depressive symptoms. These results indicate an increased need for care-giver mental health support along with policy aimed at awareness about caregiver burnout, health care access, and economic instrumental support services. A magnified view of the impact of life satisfaction on depression will be of immense value for understanding the unique needs and challenges of working with this population.
THE ASSOCIATION BETWEEN MULTIPLE CHRONIC CONDITIONS AND DEPRESSIVE SYMPTOMS: DISTINCTIONS BY RACE, GENDER, AND AGE
Authors: Erving Christy L , Frazier Cleothia 
Published: November 2019

Abstract
Multiple chronic conditions (MCC)—the co-occurrence of two or more chronic diseases—is a serious concern due to its high prevalence among middle-age and older-adults, and its association with increased disability, mortality risk, and healthcare costs. A growing body of work has shown that chronic physical conditions are associated with depressive symptoms. While MCC and depression affect a substantial proportion of older adults in general, there are important status variations in disease burden along the dimensions of race, gender, and age. This study employs an intersectional and multi-hierarchical approach to assess how these status characteristics (race, gender, and age) may condition the MCC-depression association. We use data from the 1994-2014 waves of the Health and Retirement Study (HRS), a nationally representative data source providing a longitudinal survey of U.S. adults over the age of 50 biennially. Results revealed that MCC was positively associated with depression in general. However, Black Americans, women, and younger adults were more likely to experience depression relative to their White, male, and older counterparts, respectively. The findings suggest that the lived experience of MCC differs by social status, and is perhaps due (in part) to status differences in access to social resources to counteract the potentially deleterious psychological effects of MCC. This research has also has practical implications: given the strong MCC-depression association, older adults with MCC should be offered psychological services to decrease the likelihood of developing mental health problems due to the stress associated with having multiple chronic conditions.
HIGH RISK OF NEW PSYCHIATRIC DISORDERS AND SUICIDAL BEHAVIOR IN DEMENTIA
Authors: Lai Amy , Li Yixia , Byers Amy 
Published: November 2019

Abstract
Occurrence of new mental health (MH) disorders in patients with dementia is neglected, with next to nothing known. We examined association between dementia diagnosis and risk of new psychiatric disorders and suicide, and MH services use. We merged four national databases from US Department of Veterans Affairs. Sample included 2,529,181 patients (≥50 years) in fiscal years (FY) 2012-2013 with no MH disorders. Dementia, psychiatric disorders (mood, anxiety, substance), suicidal behavior (ideation, plan, attempt, death by suicide) were identified by ICD-9/10 codes and national suicide databases. Hazard ratios (HR) were estimated using Cox proportional hazard models, with time-to-event defined as age at first diagnosis of MH disorder during FY 2014-2016. Analyses adjusted for medical/sociodemographic factors. Compared to those without dementia, dementia patients showed roughly 2-fold increased risk of new mood (HR: 2.19, 95% Wald CI: 2.15-2.24, p&lt;.001) or anxiety (HR: 1.56, 95% CI: 1.50-1.63, p&lt;.001) disorders. Recent dementia diagnosis was associated with highest risk of these disorders than prior or no diagnosis; for example, patients with recent diagnosis showed 72% greater risk of anxiety disorders (HR: 1.72, 95% CI: 1.63-1.81, p&lt;.001). Although patients with prior dementia diagnosis had lower risk of suicidal behavior, risk increased with recent dementia diagnosis. However, dementia patients with new MH disorders showed little MH services use (&lt; 20%). Patients with dementia have increased risk of new MH disorders, especially recent dementia diagnosis. Furthermore, MH services are underutilized, highlighting critical need for integration of such services in caring for dementia patients.
NEUROPSYCHIATRIC SYMPTOMS AND FUNCTIONAL ACTIVITIES AMONG OLDER ADULTS: THE ROLE OF ETHNICITY AND COGNITIVE STATUS
Authors: Burke Shanna L , Grudzien Adrienne , Naseh Mitra , Cadet Tamara J 
Published: November 2019

Abstract
Little is known about the likelihood of future functional deficits based on current neuropsychiatric symptoms (NPSs). This study seeks to examine the impact of NPSs on functional activities (FAs) by cognitive status and ethnicity. A secondary analysis of the National Alzheimer’s Coordinating Center Uniform Data Set was conducted using ordered logistic regression to examine the effect of NPSs (based on the Neuropsychiatric Inventory Questionnaire [NPI-Q]) on FAs (based on Functional Assessment Questionnaire). Participants had a mean age of 74 (SD: 9.88) and were included if normal cognition was assessed at baseline (n= 13,470). Higher rates of NPSs were associated with higher dependency in almost all FAs. Among NPSs, apathy was the best predictor (p&lt;.05) of FAs for participants in different cognitive groups and ethnicity subsamples. The impact of other NPSs varied. Anxiety and apathy were the best predictors of FAs among participants with cognitive impairment (but not MCI). Among those who eventually developed dementia (n= 6,818), delusions, hallucinations, agitation, depression, irritability, and motor disturbance were significantly associated (p&lt;.05) with future deficits in FAs. Among Hispanics (n=1,095), hallucinations, agitation, apathy, and motor disturbance were significantly associated with dependency in FAs, while for non-Hispanics, all NPSs were associated with dependency in FAs, except elation and nighttime disturbance. Findings suggest as the severity of the NPSs increases, older adults experience higher levels of dependency in FAs. The nature and extent of NPSs’ impact on FAs varied based on cognitive status and ethnicity, suggesting the importance of considering these factors in service provision.
MULTIPLE CHRONIC CONDITIONS AND RISK OF DEMENTIA AND COGNITIVE IMPAIRMENT
Authors: Lee Yura , Cho Youngjoo , Oh Hyunkyoung 
Published: November 2019

Abstract
This study explores the relationship between the presence of multiple chronic condition and risk of dementia and cognitive impairment with no dementia (CIND) among older Americans. The study sample included 617 participants aged 70 years and older from the Aging, Demographics, and Memory Study (ADAMS). An expert consensus panel of the ADAMS data provided each participant a cognitive diagnosis into 1) no cognitive impairment, 2) CIND, or 3) dementia. The presence of multiple chronic condition was defined as having three or more chronic conditions in this study (e.g., heart attack, stroke, respiratory problems, cancer, hypertension, diabetes). Functional limitation, depression, cognitive activity engagement, apolipoprotein E (ApoE), and sociodemographic characteristics were included as covariates. A multinomial logistic regression analysis showed that individuals who have multiple chronic conditions have increased odds of being diagnosed with CIND versus no cognitive impairment controlling for other covariates. However, multiple chronic condition was not associated with increased risk of being diagnosed with dementia versus no cognitive impairment. Conclusion: The finding suggests that the presence of multiple chronic conditions may be a risk factor for cognitive impairment in later life. However, further investigation using a longitudinal design is needed to better understand the relationship between cognition and multiple chronic conditions.
CHALLENGES IN SELF-MANAGEMENT AMONG OLDER ADULTS WITH HYPERTENSION AND DIABETES
Authors: Oh Hyunkyoung , Lee Yura , Choi Wonchan , Zheng Zhi 
Published: November 2019

Abstract
This abstract introduces an ongoing research project that aimed to develop a patient-centered self-management program using health information and technologies for older adults with hypertension and diabetes. The purpose of the project in the first phase was to better understand challenges in self-management faced by older adults with both conditions. A semi-structured and face-to-face interview was conducted to explore the challenges in self-management of the target population living in Milwaukee areas, Wisconsin. Audio recordings were transcribed in verbatim; transcripts were analyzed; and themes were identified. A total of six individuals participated in this study by January 2019. Their age ranged from 56 to 75. Four of them were female; five of them were African Americans; and one was Caucasian. All participants reported more than two additional conditions that were arthritis, cardiovascular diseases, pain, kidney diseases, respiratory diseases, and depression. Most participants were self-managing their conditions mainly by taking prescribed medications. Several themes were emerged as challenges to self-management: monitoring blood pressure and glucose, engagement in physical activity, and healthy eating. Among these, participants reported healthy eating as the most difficult self-managing activity. Majority of participants expressed the need for physical activity support due to pain and/or vision problems known as one of diabetic complications. Understanding challenges and needs of a specific population is the first step for health care providers to support self-management of the patients appropriately. The results of this preliminary study will help health care providers develop effective self-management programs for older adults with both conditions.