L'impact des sympt?mes somatiques dans l'évaluation de la dépression chez une population gériatrique.

Studied the relationship among age, physical health status, and psychic and somatic symptoms of depression among elderly adults. Human Ss: 318 male and female Canadian older adults (aged 65–102 yrs). Information on sociodemographic factors and health status was obtained using the Older American Research Scale, French version, by R. Lefran?ois et al (1988). A French version by P. Bourque and D. Beaudette (1982) of the Beck Depression Inventory was also used. The results were evaluated according to each S's sex, age, institutionalized residence status, and health status. Statistical tests were used. (English abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evaluations of older and younger adult speakers: Influence of communication effectiveness and noise.

University students (N?=?96) performed 3 communication tasks presented to them either by young men (mean age?=?26 yrs) or by older men (mean age?=?77 yrs). In counterbalanced order, students heard speakers in 3 message conditions (effective, ineffective, and noise). The messages of older men and the older men themselves were evaluated less positively than were younger men. In line with the hypothesis of age-biased behavioral interpretation, older adults speaking effectively were not accorded the same evaluative benefits over their less-effective guises, especially on competence ratings, as were younger speakers. Furthermore, the noise condition was predictably more detrimental to ratings of the older speakers, who were more vulnerable to generalized negative affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Service use and mental impairment among the elderly: Arguments for consultation and education.

Compared the service use patterns of older adults with varying levels of mental impairment, and assessed the effects of services received on their mental health status over a 1-yr period. Data were obtained from a US General Accounting Office (1977, 1979) study of 531 elderly persons (mean age 76.1 yrs), which included administration of a modified version of the Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire. Ss were interviewed twice, 1 yr apart. 174 Ss were classified as having a mild psychiatric impairment, and 118 Ss had a severe psychiatric impairment. The existence of mental impairment was related to marital status, race, and level of education. Usage of mental health services was low, although mentally impaired Ss were more likely than unimpaired Ss to use social and medical services. Results also suggest that such services can have an important effect on the mental health of older persons. (22 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Type A behavior pattern and emotion expression in younger and older adults.

80 younger (M?=?28 yrs) and 80 older (>50 yrs, M?=?69 yrs) Type A and Type B Ss were evaluated for Type A behavior pattern using the Structured Interview (SI) and given personality tests for anxiety, depression, anger, aggression, hostility, and anger-in–anger-out. Ss also underwent an emotion induction procedure. Videotapes of the emotion induction procedure (N?=?160) and the SI (N?=?80) were coded for facial expression of emotion. Type As did not differ from Bs on anxiety or depression but did on anger and aggression. Type As showed anger inhibition and anger bound to shame, as predicted by emotion socialization theory. The greatest number of differential effects were observed between age groups. Older individuals, in general, were more emotionally expressive than younger Ss across a range of emotions. Women appeared more conflicted about anger expression than men, and Type A women more so than Type A men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adulthood age differences in causal attributions for cognitive, physical, and social performance.

42 young (mean age 19.18 yrs) and 39 elderly (mean age 74.90 yrs) men and women made causal attributions for their own or for another person's hypothetical performance in the cognitive, physical, and social domains. When attributions for the same performance by young and elderly adults were compared, the results presented an unflattering view of the elderly, similar to the findings of T. O. Blank (1982) and G. Banziger and J. Drevenstedt (see record 1983-01031-001). In contrast, when attributions for good vs poor performance by the elderly were compared, a more favorable picture emerged: The elderly were more likely to be given credit for their good performance than to be blamed for their poor performance. These findings give reason to question the pervasiveness of the negative view of the elderly that has been presented in previous studies. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A note on old and young in helping groups.

Compared group behaviors in helping-group contexts for age-homogeneous groups of elderly and young adults. Ss were attending either 2 local senior citizen centers (mean ages 73 and 70 yrs) or adult education courses (mean age 69 yrs), or were college students in psychology courses (mean age 19 yrs). Different and similar patterns of group process frequencies were examined. The dimension of self-disclosure, which was observed more frequently among the elderly, is evaluated. Differences between the age groups on this dimension are explored in terms of identity issues across the life span and differential awareness of shared problems. Implications for group helping interventions among the elderly are considered. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Episodic memory functioning in a community-based sample of old adults with major depression: Utilization of cognitive support.

Community-based samples of old adults with current major depression (n?=?17; mean age 83.29 yrs) and healthy old adults (n?=?51; mean age 83.29 yrs) were examined on a variety of episodic recall and recognition tasks. Results indicate depression-related deficits in recall that were reduced but not eliminated, in recognition. Control Ss were able to utilize cognitive support in the form of more study time and item organizability in free recall, whereas depressed Ss were not. However, both groups showed equal gains from the provision of category cues and beneficial effects of prior knowledge and more study time in recognition. Results suggest that depression results in deficits in effortful, elaborate processes at encoding and retrieval and that old age depression is associated with a reduced ability to utilize cognitive support to improve episodic memory. Depressed older adults appear to require cognitive support at both encoding and retrieval to demonstrate memory facilitation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Age and schematic differences in the reliability of eyewitness testimony.

Examined the reliability of eyewitness testimony for the crime of shoplifting as a function of age, prior knowledge/expectations, and type of memory test. Study 1, with 100 10-yr-olds, 100 undergraduates, and 65 older adults (mean age 72.3 yrs), was designed to empirically establish Ss' expectations for common and unusual occurrences in shoplifting. Results from a rating task indicate that Ss had expectations for common and unusual occurrences of objects and actions but not person characteristics. In Study 2, 32 10-yr-olds, 32 undergraduates, and 29 older adults (mean age 67.6 yrs) viewed videotapes of staged shopliftings incorporating high and low probability-of-occurrence actions and objects. Incidental memory was tested 1 wk later under recall and recognition test instructions. All Ss' reports were more complete, but less accurate, for high than low probability-of-occurrence information. Children's reports were as complete as but less accurate than younger adults'. Older adults' reports were less complete than but as accurate as college students'. Age differences were greatest for completeness of recall measures. Implications for theories of memory development and for the use of eyewitness testimony in legal situations are discussed. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cohort differences in attitudes toward mental health services among older persons.

In order to investigate historical shifts in attitudes toward mental health and mental health services, two independent samples of older adults separated by a 14-year time interval were administered questionnaires. There were 91 in the 1977 sample (mean age 69.91 yrs) and 116 in the 1991 sample (mean age 71.94 yrs). Four newly created, internally consistent scales assessed multiple dimensions of their mental health attitudes (breadth of conceptions, bias, openness to help, range of problems). Analyses suggested that the younger cohorts of older adults held more positive attitudes toward mental health and mental health services than the older cohorts. These cohort differences remained when controlled for age, level of education, self-reported health, and income. These data indicate a positive cohort shift in attitudes toward mental health, a finding with numerous implications for the design and implementation of mental health services for future cohorts of older persons. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Type A behavior pattern and emotion expression in younger and older adults": Correction.

Reports an error in the original article by C. Malatesta-Magai et al (Psychology & Aging, 1992[Dec], Vol 7[4], 551–561). A citation that was inadvertently omitted from the original article is provided. (The following abstract of this article originally appeared in record 1993-17168-001.) 80 younger (M?=?28 yrs) and 80 older (>50 yrs, M?=?69 yrs) Type A and Type B Ss were evaluated for Type A behavior pattern using the Structured Interview (SI) and given personality tests for anxiety, depression, anger, aggression, hostility, and anger-in–anger-out. Ss also underwent an emotion induction procedure. Videotapes of the emotion induction procedure (N?=?160) and the SI (N?=?80) were coded for facial expression of emotion. Type As did not differ from Bs on anxiety or depression but did on anger and aggression. Type As showed anger inhibition and anger bound to shame, as predicted by emotion socialization theory. The greatest number of differential effects were observed between age groups. Older individuals, in general, were more emotionally expressive than younger Ss across a range of emotions. Women appeared more conflicted about anger expression than men, and Type A women more so than Type A men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Age differences in peripheral refractive error.

Refractive error was measured at 0° to 40° temporal to fixation in 10 young adults (M age?=?26 years) and 10 older adults (M age?=?63 years). Older adults exhibited a greater amount of sphere (i.e., overall) error, but no more so in the periphery than in the fovea. Although age differences were small, younger adults were found to exhibit more peripheral astigmatism than the older adults. Discrepancies between obtained results and those of M. Millodot (1985) may be attributed to the relationship between peripheral astigmatism and presenting refractive status. Alternatively, a two-mechanism model of age-related change in lens curvature is capable of accounting for across-study outcome differences. Recommendations are made concerning optimal viewing conditions for the study of age differences in visual perceptual processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Norms for the elderly on the Brief Symptom Inventory.

Administered the Brief Symptom Inventory to 364 females (mean age 73.54 yrs) and 201 males (mean age 73.92 yrs). The mean scores on the 9 primary symptom dimensions were compared with the mean scores from a normative sample of younger adults. Results indicate that the elderly reported higher levels of distress on most symptom dimensions. It is recommended that age-relevant norms be employed when using the Brief Symptom Inventory to assess self-reported psychopathology in the elderly. (1 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attributional style among depressed patients.

Male depressed unipolar patients (n?=?30) were more likely to attribute bad outcomes to internal, stable, and global causes than were nondepressed schizophrenics (n?=?15) and nondepressed medical patients (n?=?61). Also, the depressed patients were more evenhanded in their attributions for good and bad events than the other patients. These results support the existence, in clinical depression, of the depressive attributional style postulated by the reformulated learned helplessness model and indicate that it is not a general characteristic of psychopathology. (31 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are the salutogenic effects of social supports modified by income? A test of an "added value hypothesis".

Older adults (54 men, 113 women; M age?=?69.5 years) were examined to test the hypothesis that social supports would be more salutogenic (health promoting) for persons with lower incomes than for persons with higher incomes. Interactions of income and social supports (mean of 3 emotional scales of the Interpersonal Support Evaluation List) at study entry predicted changes 15–18 months later in a cardiovascular composite (linear combination of high-density lipoproteins-mean arterial pressure; p?p?$29,000/year). In contrast, interactions of the Tangible Support Scale with income did not occur. Persons with lower incomes may derive benefits from social supports that go beyond tangible assistance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Experienced and remembered emotional intensity in older adults.

After Ross Perot's abrupt withdrawal from the presidential race in July of 1992, supporters (n?=?227) rated their initial emotional reactions and described their coping strategies. After the elections in November of 1992, supporters (n?=?147) recalled their initial emotional reactions. In contrast to claims that subjective emotional intensity decreases with age, older adults (71–84 years, M?=?75) initially reported feeling just as sad, angry, and hopeful as middle-aged (46–70 years, M?=?60) and younger adults (22–45 years, M?=?37). Older adults were more likely than middle-aged and younger adults to disengage from thwarted political goals, however. For those who maintained their original goal, memory for the intensity of past feelings of sadness decreased with age. These findings suggest that age differences in response to survey questions about emotional intensity may reflect changes in memory for past emotions, and changes in coping strategies, rather than the intensity of the older adults' emotional experience as it occurred. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inefficient postural responses to unexpected slips during walking in older adults

BACKGROUND: Slips account for a high percentage of falls and subsequent injuries in community-dwelling older adults but not in young adults. This phenomenon suggests that although active and healthy older adults preserve a mobility level comparable to that of young adults, these older adults may have difficulty generating efficient reactive postural responses when they slip. This study tested the hypothesis that active and healthy older adults use a less effective reactive balance strategy than young adults when experiencing an unexpected forward slip occurring at heel strike during walking. This less effective balance strategy would be manifested by slower and smaller postural responses, altered temporal and spatial organization of the postural responses, and greater upper trunk instability after the slip. METHODS: Thirty-three young adults (age range=19-34 yrs, mean=25+/-4 yrs) and 32 community-dwelling older adults (age range=70-87 yrs, mean=74+/-14 yrs) participated. Subjects walked across a movable forceplate which simulated a forward slip at heel strike. Surface electromyography was recorded from bilateral leg, thigh, hip, and trunk muscles. Kinematic data were collected from the right (perturbed) side of the body. RESULTS: Although the predominant postural muscles and the activation sequence of these muscles were similar between the two age groups, the postural responses of older adults were of longer onset latencies, smaller magnitudes, and longer burst durations compared to young adults. Older adults also showed a longer coactivation duration for the ankle, knee, and trunk agonist/antagonist pairs on the perturbed side and for the knee agonist/antagonist pair on the nonperturbed side. Behaviorally, older adults became less stable after the slips. This was manifested by a higher incidence of being tripped (21 trials in older vs 5 trials in young adults) and a greater trunk hyperextension with respect to young adults. Large arm elevation was frequently used by older adults to assist in maintaining trunk stability. In an attempt to quickly reestablish the base of support after the slips, older adults had an earlier contralateral foot strike and shortened stride length. CONCLUSION: The combination of slower onset and smaller magnitude of postural responses to slips in older adults resulted in an inefficient balance strategy. Older adults needed secondary compensatory adjustments, including a lengthened response duration and the use of the arms, to fully regain balance and prevent a fall. The shorter stride length and earlier contralateral foot strike following the slip indicate use of a more conservative balance strategy in older adults.     

Memory complaint and memory performance in the depressed elderly.

Compared depressed and nondepressed elderly Ss recruited in the context of a large epidemiological study of health on measures of self-reported memory disturbance and an objective index of memory performance (free recall). Three groups were studied: (a) 26 Ss (mean age 71.56 yrs) meeting Research Diagnostic Criteria (RDC) for major depression, (b) 25 Ss (mean age 72.16 yrs) with high levels of self-reported depressive symptoms who did not meet RDC for major depression, and (c) 26 Ss (mean age 71.81 yrs) with low levels of self-reported depressive symptoms. Ss with high depression symptom levels reported significantly higher levels of memory complaint than did Ss with low symptom levels, but there were no differences in self-reported memory disturbance as a function of depression diagnosis. There were no significant differences between groups on the free-recall measure, either as a function of symptom level or diagnosis. It is argued that symptom severity rather than diagnosis of depression is important in determining impairment in depressed elderly people. (34 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dimensions of affective experience in three age groups.

The dimensions by which adults of differing ages experience emotion were studied by self-administering questionnaires administered to older adults (n?=?828) recruited from Elderhostel programs, middle-aged (aged 30–59 yrs) children of Elderhostel attenders (n?=?231), and young adult (aged 18–29 yrs) Ss recruited from college classes or through Elderhostel participants (n?=?207). Elders were higher in emotional control, mood stability, and emotional maturity through moderation and leveling of positive affect and lower in surgency, psychophysiological responsiveness, and sensation seeking. These findings are consistent with the hypothesized increase in self-regulatory capacity with age. These cross-sectional differences cannot, however, be distinguished from cohort-related explanations; they require considerable replication across different types of Ss and further characterization of the dimensions in terms of their functions for self-regulation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)