bluuebunny/crossref_metadata_2025_split huggingface dataset:
ASSOCIATIONS BETWEEN LONELINESS AND COGNITIVE RESILIENCE TO NEUROPATHY IN OLDER ADULTS
Authors: Jackson Kathryn , Wilroth Emily , Luo Jing , James Bryan , Ong Anthony , Bennett David , Mroczek Daniel , Graham Eileen 
Published: December 2022

Abstract
Loneliness in the aging population is a concern, as increased loneliness is associated with decreased cognitive function and increased neuropathology. Less is understood about the relationship between loneliness and cognitive resilience. Cognitive resilience is defined as the discordance between a person’s actual and expected cognition given their neuropathology and can be estimated by extracting residuals from a model regressing cognition on neuropathology. Using data from two longitudinal aging cohorts (MAP/MARS), we estimated cognitive resilience proximate to death and cognitive resilience over time to use as the key outcomes. We then regressed these two cognitive resilience indicators onto loneliness level and slope. Higher baseline loneliness and increasing loneliness over time were both associated with lower cognitive resilience. Our results suggest that loneliness should be included into resilience-based prevention models, and interventions aimed at optimizing cognitive function across older adulthood should include loneliness reduction as a potential area of focus.
IS NARCISSISTIC PERSONALITY ASSOCIATED WITH SUICIDE IDEATION IN MIDDLE-AGED AND OLDER MEN?
Authors: Heisel Marnin , Flett Gordon , Links Paul 
Published: December 2022

Abstract
Older adults have high rates of suicide, necessitating theory and research on factors that contribute to suicide risk and may be targets for intervention. Clark (1993) theorized that age-related losses and transitions can trigger narcissistic injury in older men, and lead to mood decline, substance misuse, loss of insight, and suicide ideation and behavior. We tested elements of Clark’s model in a secondary analysis of a geriatric depression clinic database (n=574), and reported a positive association between clinician-diagnosed Narcissistic Personality (NP) and suicide ideation and behavior, controlling for depression severity (Heisel et al., 2007). We sought to replicate and extend these findings in 82 community-residing men, 55 years and older (M=63.3, SD=4.6), who participated in a trial of Meaning-Centered Men’s Group (MCMG; Heisel et al., 2020) for those concerned about or struggling with the transition to retirement. Participants completed the Pathological Narcissism Inventory (Pincus et al., 2009), Geriatric Suicide Ideation Scale (Heisel & Flett, 2006), and Geriatric Depression Scale (Yesavage et al., 1983). Linear regression analyses indicated a significant association between PNI-Contingent Self-Esteem and GSIS totals (t=2.41, p=.019) and GSIS Loss of Personal Worth (t=2.10, p=.040) and Perceived Meaning in Life Subscales (t=2.80, p=.007), controlling for depressive symptom severity (Geriatric Depression Scale; Yesavage et al., 1983), suggesting an association between suicide ideation and self-esteem issues. These and other findings will be discussed in a broader thematic context regarding masculinity, loss, life transitions, and suicide prevention.
RETIREMENT TRANSITIONS AND COMPLETED SUICIDE DURING RECOVERY FROM THE GREAT RECESSION: EVIDENCE FROM THE NVDRS
Authors: Mezuk Briana , Ananthasubramaniam Aparna , Dang Linh , Jurgens David 
Published: December 2022

Abstract
One million older Americans retire annually. While these transitions are not generally associated with poor mental health, the broader macro-economic context in which retirement transitions take place may shape how they relate to mental health. The objective of this study was to use state-of-the-art natural language processing (NLP) to develop a model to identify retirement transitions from textual data in the National Violent Death Reporting System (NVDRS), and to use that model to examine how the number of suicides related to retirement transitions changed during the recovery from the Great Recession. Data come from the NVDRS (2003 - 2018, n=62,165), a state-based registry of suicide deaths. We used RoBERTa to train a NLP model to identify retirement transitions (e.g., recent retirement, anticipated retirement, unable to retire despite wanting to) from 1,291 annotated sentences from NVDRS text narratives of suicide decedents aged ≥55 (model performance: F1=0.92). Applying this model, 19.35 of every 1,000 suicides among decedents aged ≥55 years mentioned a retirement transition. Decedent characteristics associated with retirement transitions were younger age (&lt; 75 years), having a college education and experiencing financial problems. The probability that a narrative referenced a retirement transition increased 1.495-fold during the Great Recession (2007 - 2009) and declined during recovery (2009-2016) before beginning to increase again. Findings illustrate the utility of NLP methods to identify workforce transitions from NVDRS narratives, and further understanding the impact of macro contextual events like the Great Recession on population mental health.
DIFFERENCES IN ADVANCE CARE PLANNING AMONG RACIAL AND ETHNIC MINORITIES AND PERSONS WITH ADRD
Authors: Yauk Jessica , Meng Hongdao , Dobbs Debra 
Published: December 2022

Abstract
Advance care planning (ACP) is an important process to enable individuals to make their preferences known in the event of dementia onset. Racial and ethnic minorities have an increased risk of developing dementia. Understanding more about ACP differences by race and dementia status will help improve ACP communication among minority populations. For the current study the 2018 wave of the Health and Retirement Study (N=8,663) to test the relationship between dementia status and ACP and if there were differences by race. Findings indicated that both African Americans and Hispanics are less likely to have completed ACP than non-Hispanic Whites. In unadjusted models, having a dementia diagnosis indicated a lower likelihood of completing ACP; dementia was not significant in the final model when controlling for predisposing and enabling factors. More research on the predisposing and enabling factors that influence ACP among minority and dementia populations is needed.
EXPERIENCES WITH APATHY AND MHEALTH PREFERENCES AMONG ADULTS WITH MILD COGNITIVE IMPAIRMENT
Authors: Ingle Pilar , Plys Evan , Kline Danielle , Stark Emma , Portz Jennifer Dickman 
Published: December 2022

Abstract
Apathy is common early in dementia, often increases in severity as illness progresses, and is one of the most pervasive neuropsychiatric symptoms associated with Alzheimer’s Disease and related dementias (ADRDs). This study explored experiences of apathy and preferences for dyadic-communication via mobile health (mHealth) among adults with mild cognitive impairment (MCI) and their care-partners. Semi-structured interviews were conducted with 10 ADRD-related health providers (5 behavioral neurologists, 2 nurse practitioners, 2 geriatricians, 1 nurse, 1 social worker), 9 patients with MCI (5 male, mean age = 73), and 6 of their care-partners. Participants expressed interest in the development of mHealth dyadic communication tools targeting apathy symptom monitoring, dyadic understanding of apathy, spiritual and religious coping, sharing ADRD health information, and resources for addressing burdensome behavioral symptoms of MCI. This research provides preliminary insight to the development of apathy specific mHealth communication strategies that may improve patient and care-partner quality of life.
MY LONG CLOSE FRIENDSHIP WITH HELEN KIVNICK
Authors: Wyatt-Brown Anne 
Published: December 2022

Abstract
Anne Wyatt-Brown will discuss meeting Dr. Kivnick at a conference at Case Western Reserve in the 1980s, organized by David Van Tassel, who was introducing academics to the field of Gerontology. Kivnick was invited to discuss her work with Erik Erikson. Wyatt-Brown will discuss her long friendship with Kivnick, which continued until Kivnick’s death at age 70. Wyatt-Brown will also discuss Kivnick’s chapter in their book The Big Move with Ruth Karpen and Margaret Gullette, where Kivnick comments with compassion and insight about the steps Wyatt-Brown took to become vitally involved in the eldercare community, where she lived with her seriously ill husband.
ANOCRITICAL READINGS OF THE INTERSECTIONS OF AGE AND GENDER IN AMERICAN LITERATURE: A FEMINIST CRITIQUE
Authors: Haring Nicole 
Published: December 2022

Abstract
Intergenerational relationships have been present features in texts from the American literary canon that often problematizes the intersections of age and gender. This paper investigates how representations of intergenerationality provide the opportunity to explore the concepts of relationality and intersectionality through a feminist lens. Maierhofer’s concept of anocriticism was used in in the analysis of Julia Alvarez’ In the Time of the Butterflies (1994) and Yaa Gyasi’s novel Homegoing (2016) to validate individual experiences of gendered ageing. This paper presents ways in which this particular intersection can be viewed as a potential site of resistance towards what it means to grow old as a woman. Placing literature in a cultural, social, and political context, traditional paradigms can be reconstructed and heteronormative assumptions of age and gender can be deconstructed by focusing on the individual narratives and their potential for resistance.
USING PHOTOVOICE TO EXPLORE THE STRUCTURED ENVIRONMENT AND ADVANCE POLICY IN MULTIPLE CONTEXTS
Authors: Hladek Melissa , Han Hae-Ra 
Published: December 2022

Abstract
Contextual factors, including social determinants of health, have gained recognition for greatly influencing aging trajectories and chronic disease progression. Although traditional qualitative research gives a rich understanding of the internal psychological experience, it is unable to assess socio-cultural and built environment aspects of life apart from the verbal descriptions from participants. This symposium examines the use of Photovoice as a tool to assess the socio-cultural and structural context surrounding the participant. This symposium will present a narrative review on the use of current Photovoice methodologies in dementia care; results from three studies using photovoice, one with participants with mild cognitive impairment and their caregivers to explore their perceptions of aging in their home, the second exploring the lived experience and structural barriers among older adults with pre-frailty or frailty awaiting kidney transplant, and the third exploring the older adult peer mentors’ experience providing community-delivered hearing care. The talks will also address practical aspects of using photovoice such as institutional review board tips, logistical challenges, interview preparation and coding approaches. The fifth talk will describe Photovoice result dissemination strategies, including photo exhibits and stakeholder meetings, used to engage the community and advance policy to improve disparities. Photovoice as a research tool originally aimed to reinforce empowerment for those marginalized in society to describe their lived environment. This important aim is augmented in this symposium by improving researchers’ understanding of context to design more impactful research.
NARRATIVE LITERATURE REVIEW OF PHOTOVOICE STUDIES TO EXPLORE METHODOLOGY, ANALYSIS, AND THE DEMENTIA EXPERIENCE
Authors: Jenkins Emerald , Thaitrong Phatt , Taylor Janiece , Reiff Jenni Seale , Huynh Grace , Hladek Melissa , Szanton Sarah 
Published: December 2022

Abstract
Dementia is a serious public health concern requiring effective interventions to address older adults’ unmet needs. Photovoice, an underutilized and effective communication method for persons with waning abilities, provides insight into lived experiences and diverse needs. The purpose of this study is to understand current methodologies, analysis, and participant insights from photovoice literature in persons with dementia. A narrative review was conducted through PubMed, CINAHL Plus, and PsycINFO. From eleven eligible studies, insights were categorized via the 5-level Hierarchy Model of Needs in Dementia incorporating the 3-level Blackfoot Native American belief. Synthesized findings suggest providing dyadic opportunities to: (1) spend time in the natural world, (2) link activities for healthy aging with a need for hard work, and (3) recognize the importance of social determinants of health/disease when focusing on brain health. This review fills the knowledge gap regarding the lived experience of persons with dementia using relevant photovoice methodology.
VISION IMPAIRMENT IN A GLOBAL LIFE COURSE MODEL OF POTENTIALLY MODIFIABLE DEMENTIA RISK FACTORS
Authors: Ehrlich Joshua , Goldstein Jenna , Swenor Bonnielin , Whitson Heather , Langa Kenneth , Veliz Phillip 
Published: December 2022

Abstract
Vision impairment (VI) is a risk factor for accelerated cognitive decline and incident dementia. An estimated 90% of VI is preventable. Nonetheless, VI has not been included in the dominant life-course models of dementia risk factors. We sought to strengthen existing models of potentially modifiable dementia risk factors through the inclusion of VI using cross-sectional survey data from the Gateway to Global Aging project (G2Aging) from 31 countries. Prevalence rates and communalities from the G2Aging will be used to estimate the population attributable fraction (PAF) of dementia due to VI. It is expected that the PAF for VI will range from 1.0%-2.0%, suggesting that &gt;10,000,000 prevalent dementia cases globally may potentially have been prevented through healthy vision. Since a large majority of VI can be treated with cost-effective but underutilized interventions, this may represent a viable target for future interventional research that aims to slow cognitive decline and prevent dementia.
INFLUENCE OF POSTTRAUMATIC STRESS AND ABNORMAL SPIROMETRY ON COGNITIVE PERFORMANCE IN 9/11 WTC RESPONDERS
Authors: Zammit Andrea , Hall Charles , Clousten Sean , Luft Benjamin 
Published: December 2022

Abstract
Post-traumatic stress disorder (PTSD) and abnormal spirometry are highly prevalent mental and health conditions in World Trade Center (WTC) responders. We tested the hypothesis that PTSD symptomatology and abnormal spirometry are conjointly and synergistically associated with poorer cognitive performance. A total of 1,326 responders (mean age = 53.1, SD = 8.1, 92% males) from the WTC Health Program took part in the study. PTSD symptomatology was assessed using the PCL-IV, and we calculated the FEV1/FVC ratio to measure pulmonary function. Cogstate assessments measured cognitive performance. Linear regressions were employed to evaluate PTSD and pulmonary function on cognitive performance while adjusting for age, sex, education, smoking status, and comorbidity. Higher PTSD symptomatology and lower pulmonary function were independently and conjointly negatively associated with cognitive performance. Further, a significant synergistic effect was present in that higher severity of PTSD symptomatology in the presence of lower pulmonary function was associated with poorer cognitive performance (estimate = -0.096, SE = 0.03, p &lt;0.001). Results suggested that chronic stress and lung damage might share underlying biological mechanisms, including inflammatory and oxidative stress pathways, which may also be affecting the brain. Early intervention efforts to mitigate preventable cognitive decline in high-risk populations should be studied.
CONTINUOUS WORK-BASED LEARNING IN THE NURSING HOME SETTING
Authors: Meijers Judith 
Published: December 2022

Abstract
Nursing homes face challenges caused by increasing numbers of older adults with frailty and multimorbidity, and complexity of care in combination with decades of under resourcing and severe workforce challenges. In most countries the vast majority of direct care in LTC homes is provided by a large unregulated workforce that is largely unregulated, female, racialized and poorly remunerated. The results are severe difficulties in recruiting and retaining staff at all levels and a tendency to substitute less qualified workers for more highly qualified and more highly remunerated. Less well reported are the significant pressures that critical LTC home managers face. However, they are equally under duress especially in the wake of a global pandemic. Developing a culture of continuous learning and integrating this into daily nursing practice is one promising way to attenuate these challenges, ensure a high quality of care and a better equipped nursing staff. However, insight into strategies and interventions that contribute to such a continuous work-based learning culture in nursing homes is still relatively limited. In this symposium we will focus on different approaches to increasing workplace learning in long term care.
SEXUAL AND MARITAL SATISFACTION IN OLDER ADULTHOOD: EFFECTS OF CHILDHOOD AND ADULTHOOD VIOLENCE EXPOSURE
Authors: Kong Jooyoung , Easton Scott , Zhang Yan 
Published: December 2022

Abstract

Objectives
Guided by Finkelhor and Browne’s traumagenic dynamics model, the current study examines: 1) the long-term effects of childhood sexual abuse (CSA) and other adverse childhood experiences (ACEs) on older adults’ sexual and marital satisfaction, 2) the mediating role of intimate partner violence (IPV) victimization in the association between childhood adversities and sexual and marital satisfaction, and 3) whether gender moderates the mediational association.

Research Design and Methods
Using the Wisconsin Longitudinal Study, we analyzed data from 4,239 older adults between the 2004/2005 (Wave 1, Mean age = 65 years) and 2011 (Wave 2, Mean age = 72 years) data collections. The structural modeling approach was employed where the independent variables were CSA and ACEs, the dependent variables were sexual and marital satisfaction in Wave 2, and the mediators were IPV victimization and sexual and marital satisfaction in Wave 1.

Results
Both CSA and ACEs were associated with lower levels of sexual satisfaction and marital satisfaction in late adulthood. IPV victimization mediated the association between ACEs and marital satisfaction. The hypothesized moderated mediation by gender was not supported. Discussion and Implications: Using a population-based sample, this is one of the first studies demonstrating that distal life events such as CSA and ACEs can undermine older adults’ sexual and marital health, and revictimization in adulthood may serve as a mechanism for the association. Timely intervention is needed to prevent persistent negative effects of childhood violence.
TRANSFORMING AN INTERGENERATIONAL SERVICE-LEARNING PROJECT DURING THE COVID-19 PANDEMIC
Authors: Zucchero Renee' , Delgado-Rodriguez Annaliet 
Published: December 2022

Abstract
The COVID-19 pandemic has required transformation in the delivery of higher education and pedagogy that is used. The Co-Mentoring Project links undergraduate Psychology of Aging students with older adult volunteers for an intergenerational service-learning experience. Prior to the pandemic, the Project was delivered via an in-person format. During the pandemic, the Project transitioned to a virtual format. Self-reported postproject evaluations from undergraduate students (n= 30) and older adults (n= 27) during the two academic years prior to the pandemic were compared to evaluations from students (n= 26) and older adults (n= 28) during two years of the pandemic. Mann-Whitney U Tests revealed no significant differences in older adult and student postproject evaluation outcomes between in-person and virtual formats. For example, there were no differences in older adult level of enjoyment between the in-person (Md= 5, n= 27) and virtual formats (Md= 5, n= 28), U = 405.00, z = .84, p = .40. Likewise, there no differences in student level of comfort interacting with older adults between in-person (Md= 5, n= 30) and virtual formats (Md= 5, n= 26), U = 389.00, z = -.02, p = .99. Qualitative information from the postproject evaluations indicated participants were glad to have had the opportunity to meet virtually during the pandemic, however they preferred an in-person format. These results support the conclusion that intergenerational service-learning can be successfully implemented virtually. This paper will describe the transformation of the Project from an in-person to virtual format, and advantages and disadvantages of both formats.
THE DAWN OF A SOCIETY OF DIVORCEES: CHANGING PATTERNS OF LATE LIFE CIVIL STATUS
Authors: Öberg Peter , Bildtgård Torbjörn 
Published: December 2022

Abstract
Half a century ago Lopata used the concept “society of widows” to describe the gendered reality of late life singlehood, where widowed women were excluded from coupled social life, depended on a community of other widows for social integration, and refrained from initiating new relationships due to “sanctification” of their former husbands. We use Swedish, American and EU census data 1970-2020 and a national survey to Swedes 60-90 years old (n=1225; response rate 42%) to illustrate a substantial change in the demographic landscape of late life civil status. More people enter later life as divorcees or become divorced at a high age. Among Swedes 60+ divorcees outnumber widowed people, and the incidence of late life divorce has more than doubled since the millennium in what has been called the “grey divorce revolution”. Many other Western countries follow the same demographic trend, posing important questions about the transformation of unmarried later life. We conclude by proposing the concept “society of divorcees” for this new demographic landscape of late life singlehood, argue that research is needed to capture this new reality, and discuss the implications of this change for access to social support later life.
NOVEL BEHAVIORAL INTERVENTIONS TARGETING COGNITIVE-MOTOR NEUROPLASTICITY IN OLDER ADULTS
Authors: Bhatt Tanvi , Hughes Susan , Hughes Susan 
Published: December 2022

Abstract
Comparatively little is known about the ability of physical activity to improve or maintain cognitive function in older adults. Our Midwest Roybal Center uses social/behavioral theory to promote engagement in physical activity in order to improve this outcome. In 2019, we received funding to establish a Multimodal Connectomics Core that enabled investigators to examine concurrent changes in cognitive function and brain connectivity by providing access to fMRI imaging. The Connectomics Core enabled investigators for the first time to examine cognitive function and changes in brain connectivity simultaneously by providing access to fMRI imaging as well as MRI data storage and data analysis. It enabled measuring of standardized participant outcomes selected from the NIH toolbox. This Symposium describes findings from the first three completed pilots and discusses their implications for the field. The first pilot by Bronas examined effect of a 6-month home-based walking program in people chronic kidney disease on cognitive function and intervention induced neuroplasticity compared to usual care. The second pilot by Marquez adapted the Fit & Strong! program to test the combined impact of physical activity and interactive health education for managing mood on cognitive function among older adults with depression. The third pilot by Bhatt examined the effectiveness of 4 weeks of exergaming combined explicit cognitive training on behavioral measures of fall-risk (physical and cognitive) and their associations with brain integrity measures. The discussant will initiate discussion based on outcomes of these pilots and future directions for developing them into larger studies or clinical translation.