Depression can be a disabling and debilitating condition among older adults (aged 65+). This study examined risk factors for symptoms of depression in a large sample of older home care clients (n = 218,850) in Ontario, Canada, using existing data collected with the Resident Assessment Instrument for Home Care (RAI-HC). The RAI-HC has been mandated across the province since 2002. The most important predictors of depression were lower self-rated health (odds ratio [OR] = 3.4), cognitive impairment (OR = 2.9), dual sensory impairment (OR = 1.2), and a primary language other than English or French (OR = 1.5). This suggests that not only physical health but also sensory impairments and communication difficulties increase the risk for depression among home care recipients.
Although research into the effects of stress on university students is plentiful, research on the association between technology and stress is not. The increasing access to smartphones raises concerns about their impact on university students' abilities to deal with stress. The present study aims to understand stress in university students as well as the impact that smartphones have on coping with stress. Emotion-focused coping, avoidance-focused coping, and problem-focused coping were examined to better understand stress in this sample. A total of 250 university students completed the Perceived Stress Scale (PSS) and Test of Mobile Phone Dependence (TMD). The Brief COPE was used to measure emotion-and problem-focused coping and the Acceptance and Action Questionnaire-2 (AAQ-II) was used to measure avoidance coping. Students who were highly stressed were also more dependent on their smartphones. Smartphone use to cope was also associated with smartphone dependency, and smartphone dependency was highly associated with avoidance and emotion-focused coping. It was also found that students reported being almost as likely to use music and talking with friends and family to cope with stress, as they are to use their smartphone to cope with said stress. This study illustrates that smartphones may be both helpful and harmful to a university student's ability to combat stress but that it may depend on the student's coping methods and the extent of their usage. Future research is needed to examine individuals' smartphone usage in order to understand whether specific applications may have an effect on coping methods and stress levels.
Despite the limited amount of research on gambling in older adults (55+ years), they are often encouraged to use responsible gambling strategies to ensure that it remains a “low-risk” activity. However, the effectiveness of these strategies has not been examined in this population. The purpose of this study was threefold: to document the types of responsible gambling strategies used by older Ontario residents, to examine how these strategies relate to problem gambling risk, and to assess whether there are differences in the use of responsible gambling strategies between those who are and are not at risk of problem gambling. We examined the data of 673 older adults (M = 68.7, SD = 7.6) from three different studies that used the same measurement instruments to assess demographics, problem gambling risk, and responsible gambling strategies (Norris & Tindale, 2006; Thériault, 2015; Tindale & Norris, 2015). We failed to find any evidence that the use of responsible gambling strategies was related to the risk of problem gambling in older adults (as measured by the Problem Gambling Severity Index of the Canadian Problem Gambling Index and the Windsor Screen). The respondents who used these strategies did not have a lower problem gambling risk than did the respondents who did not use the strategies. Further, the number of strategies used did not vary between problem gambling risk categories. These results raise questions about the utility of strategies used for responsible gambling.RésuméMalgré le nombre restreint de recherches effectuées sur le jeu chez les personnes âgées de 55 ans et plus, on constate que ces personnes sont souvent invitées à recourir à des stratégies de jeu responsable pour s’assurer que cette activité demeure « à faible risque ». L’efficacité de ces stratégies n’a cependant pas été examinée dans cette population. La raison d’être de cette étude est triple : répertorier les types de stratégies de jeu responsable utilisées par les personnes âgées en Ontario, examiner comment ces stratégies sont liées au risque de jeu compulsif, et évaluer s’il existe des différences entre les personnes à risque de jouer de manière compulsive et celles qui ne le sont pas dans l’utilisation de stratégies de jeu responsable. Au total, 673 personnes âgées (moyenne = 68,7, ÉT = 7,6) ont été recrutées dans trois études différentes recourant aux mêmes instruments de mesure; les mesures évaluaient les données démographiques, le risque de jeu problématique et les stratégies de jeu responsable (Norris et Tindale, 2006; Tindale et Norris, 2015; Thériault, 2015). L’étude n’a pas permis de prouver que l’utilisation de stratégies de jeu responsable était liée au risque de jeu excessif chez les personnes âgées (tel que mesuré par l’Indice canadien du jeu problématique, l’Indice de gravité du jeu problématique et le dépistage de Windsor). Les répondants qui ont utilisé ces stratégies n’affichaient pas un risque de jeu problématique inférieur à ceux qui ne les utilisaient pas. Enfin, le nombre de stratégies utilisées n’a pas varié entre les catégories de risque de jeu problématique. Ces résultats soulèvent des questions quant à l’utilité des stratégies employées pour assurer le jeu responsable.
Context: There is currently little research examining the relationship between depression and aggressive behaviour among individuals receiving long-term care. Previous research has focused on older adults with neurocognitive disorders (e.g., Alzheimer's). These studies have found a positive association between aggressive behaviour and depression and are additionally associated with cognitive impairment in older adults. Objectives: The current study aims to better understand the relationship between aggressive behaviour and depression amongst older adults with and without cognitive impairment, as previous studies have not yet examined how these relationships may differ across levels of cognitive functioning. Methods: Data from the Continuing Care Reporting System administered by the Canadian Institute for Health Information was used. At the time of analysis, data for individuals receiving continuing care was available across seven Canadian provinces and one territory. Findings: Data from 2,682,612 individuals were extracted (Mage = 80.42, SD = 11.5). A positive relationship between aggressive behaviour and depressive symptoms was found for those with and without cognitive impairment. There was no evidence of a mediating effect of cognitive impairment on aggressive behaviour. Individuals with symptoms of depression demonstrated more aggressive behaviours. Limitations: A limitation of the current work is the cross-sectional nature of the data examined. This restricts the ability to determine causation, and the questions of "Do depressive symptoms predict aggressive behaviour?" or "Are aggressive behaviours early symptoms of depression?" remain. Implications: These findings indicate that, independent of cognition, those with depressive symptoms are more likely to exhibit aggressive behaviour. Recommendations on identification and treatment of depression in this population are discussed and related policy changes are considered.
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