Valuation of Life as outcome and mediator of a depression intervention for older African Americans: the Get Busy Get Better Trial

Gitlin, Laura N.; Parisi, Jeanine M.; Huang, Jin; Winter, Lieven De; Roth, David L.

doi:10.1002/gps.4710

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…Of the participants that withdrew from the study prior to receiving the intervention ( n = 6, 17.6%), the primary reasons were concerns regarding COVID-19 exposure ( n = 4), “having too much going on personally and health-wise” ( n = 1), and health complications ( n = 1). We originally set a goal of a 13% attrition rate at the 12-week follow-up based on GBGB and other well-established behavioral interventions among community-dwelling older adults ( 48 , 49 ). From those who consented, we had a 32.4% attrition rate.…”

Section: Resultsmentioning

confidence: 99%

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Taylor,

Clair,

Gitlin

et al. 2023

Innovation in Aging

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Background and Objectives The intersection of race, gender and age puts older African American women at high risk of experiencing comorbid pain and depressive symptoms. The purpose of this study was to assess feasibility and acceptability of a 12-week behavioral activation intervention to target self-selected goals related to pain and depressive symptoms in middle aged and older African American women. Research Design and Methods This randomized waitlist control study included 34 self-identified African American women, 50 years of age or older, with moderate to severe chronic pain and depressive symptoms. The intervention consisted of eight in person or virtual 1-hour visits with a nurse. Follow-up acceptability assessments were conducted with 10 participants. Results The average age of the participants was 64.8 (SD: 10.5). They reported an average pain intensity score of 7.0 (SD:1.9) out of 10 and an average PHQ-9 depressive symptoms score of 11.9 (SD:4.0) at baseline. Of the 34 participants who consented, 28 (82.4%) women started the intervention, and 23 (82.1%) completed the intervention. Participants described the study as useful and beneficial. Participants recommended including a group component in future iterations. Effect sizes at 12 weeks were -0.95 for depressive symptoms indicating a substantial decrease in experienced depressive symptoms, but pain intensity was virtually unchanged (+ 0.09). Discussion and Implications The findings of this study demonstrate that the intervention is acceptable among middle-aged and older African American women and their personal goals were met. Including a group component and identifying effective ways to decrease attrition rates will be key in the next steps of development for this intervention. It is crucial to provide tailored, non-pharmacological approaches to pain, and depression symptom management in older adult populations who experience inequities in pain and mental health outcomes. This study emphasizes the importance of participant-driven goal-setting interventions.

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Section: Resultsmentioning

confidence: 99%

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Taylor,

Clair,

Gitlin

et al. 2023

Innovation in Aging

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“…Optimism and degrees of depression were not reported in earlier studies, but in cross-sectional studies, low optimism scores were associated with depression, including the risk of long-term depression (Giardini et al, 2017 ; Niklasson et al, 2017 ). Optimism is also studied as a predictor of better prognosis in depression (Ji et al, 2017 ), and the efficacy of interventions in previous clinical trials has been demonstrated (Gitlin et al, 2017 ; Ho et al, 2014 ). Optimism also appears as a measure of centrality in the present study, as well as a variable that can be predictor of outcomes as a mediator of relationships among other constructs and depression, with many possible influences in relation to depression.…”

Section: Discussionmentioning

confidence: 99%

Positive attributes in elderly people with different degrees of depression: a study based on network analysis

Santos

Machado

Fernandez

et al. 2023

Psicol. Refl. Crít.

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Introduction Depression in aging may lead to loss of autonomy and worsening of comorbidities. Understanding how positive attributes contribute to healthier and happier aging has been one of the purposes of Positive Psychology. However, the literature still lacks studies that evaluate how depression in the elderly is related to constructs considered positive. Objective The present study aimed comparing scores of constructs of spiritual well-being, social support, self-esteem, life satisfaction, affection, optimism, and hope in the elderly with minimal, mild, moderate, and severe depression and healthy controls in order to investigate possible indirect and mediated relationships between positive constructs and depression. Methods A cross-sectional study was conducted with elderly, 62 of whom were diagnosed with different severity of Major Depression (DSM-V) (minimum, mild, moderate, and severe according to the Beck Depression Inventory — BDI) and 66 healthy controls matched by age, sex and schooling. The instruments used were adapted and validated versions of the Spirituality Self-Rating Scale, the Rosenberg Self-Esteem Scale, the Medical Outcomes Social Scale of Support, the Life Satisfaction Scale, the Positive and Negative Affect Schedule, the Revised Life Orientation Test, and the Adult Dispositional Hope Scale. After comparing the means of scores between groups, an analysis of normalized partial association networks was performed to investigate the direct and mediated relationships between depression and other evaluated constructs. Results Scores of spiritual well-being, social support, self-esteem, life satisfaction, positive affect, optimism, negative affects, and hope differed significantly between the control group and the degrees of depression (p < 0.001). The analysis of normalized partial association networks has shown that the relations of depression with the constructs of life satisfaction, self-esteem, and social support are mediated, while the constructs of dispositional hope, positive affect, spiritual well-being, and optimism are indirectly related to depression. The social class was also positively related to depression. Conclusion Depression in different degrees is associated with a reduction in the scores of instruments that evaluate positive attributes. The constructs directly associated with depression are spiritual well-being, optimism, positive affect, and dispositional hope. The others had mediated relationship. These results may contribute to the planning of future interventions for the prevention of depression among the elderly.

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“…In addition, VOL can be useful in planning end-of-life treatment because the construct was associated with behavioral outcomes, such as how long people wished to live under hypothetical health scenarios ( Lawton et al, 1999 ). More recently, VOL was recognized as an important outcome in gerontological research with potential implications for advancing psychosocial interventions ( Gitlin, Parisi, Huang, Winter, & Roth, 2016 , 2018 ). Yet, the empirical basis regarding VOL and its associated factors is rather limited, as only a few studies have been conducted mostly in Western countries (e.g., Jopp, Rott, & Oswald, 2008 ; Moss, Hoffman, Mossey, & Rovine, 2007 ).…”

Section: Background and Objectivesmentioning

confidence: 99%

Valuation of Life Among Old and Very Old Adults: Comparison Between Germany and Japan

Nakagawa

Jopp

Gondo

et al. 2018

Innovation in Aging

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Background and ObjectivesValuation of life (VOL) represents a construct capturing individuals’ active attachment to their life. The majority of studies on VOL were conducted in North America and Europe where personal autonomy and independence are highly valued, leaving open the question about the relevance of this construct in interdependence-oriented cultures. Using a framework of cross-cultural and life-span theories, the present study compared levels and predictors of VOL between the young-old and old-old individuals from Germany and Japan.Research Design and MethodsTwo hundred fifty-seven Germans and 248 Japanese, matched by age, gender, education, and IADL, answered a 5-item VOL scale and shared information on sociodemographic, social, and health resources.ResultsGermans’ VOL levels were higher than in Japanese participants. Both culture- and age-moderated predictions of VOL: education was significant only in the young-old Japanese, and close social partners mattered in the old-old, not in the young-old. Health determined VOL irrespective of culture and age.Discussion and ImplicationsThe findings suggest that cultural values and aging processes should be considered to better understand how individuals value their life and to help older adults to feel that his/her life is meaningful and worth living.

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Valuation of Life as outcome and mediator of a depression intervention for older African Americans: the Get Busy Get Better Trial

Cited by 6 publications

References 34 publications

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women

Positive attributes in elderly people with different degrees of depression: a study based on network analysis

Valuation of Life Among Old and Very Old Adults: Comparison Between Germany and Japan

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