Esther Oi-Wah Chow

A body-mind-spirit model in health: An Eastern approach

SUMMARY Under the division of labor of Western medicine, the medical physician treats the body of patients, the social worker attends to their emotions and social relations, while the pastoral counselor provides spiritual guidance. Body, mind, cognition, emotion and spirituality are seen as discrete entities. In striking contrast, Eastern philosophies of Buddhism, Taoism and traditional Chinese medicine adopt a holistic conceptualization of an individual and his or her environment. In this view, health is perceived as a harmonious equilibrium that exists between the interplay of ‘yin’ and ‘yang’: the five internal elements (metal, wood, water, fire and earth), the six environmental conditions (dry, wet, hot, cold, wind and flame), other external sources of harm (physical injury, insect bites, poison, overeat and overwork), and the seven emotions (joy, sorrow, anger, worry, panic, anxiety and fear). The authors have adopted a body-mind-spirit integrated model of intervention to promote the health of their Chinese clients. Indeed, research results on these body-mind-spirit groups for cancer patients, bereaved wives and divorced women have shown very positive intervention outcomes. There are significant improvements in their physical health, mental health, sense of control and social support.

The relationship between psychological resources, social resources, and depression: Results from older spousal caregivers in Hong Kong

Objectives: The rapidly ageing population in Hong Kong has led to a major concern in providing care for the elderly. Due to the current social changes in Hong Kong, such as smaller family size, longer life spans, and increasing employment demands, spouses increasingly serve as the primary caregivers for older adults. To explore the mental health of older spousal caregivers, this study investigated the relationships between psychological resources, social resources, and depression. Method: One hundred fifty-eight spousal caregivers aged 55 and above were recruited from 13 caregiver resource centres in Hong Kong. Data were collected using structured questionnaires. Results: Hierarchical regression analysis revealed that the number of duties and psychological resources including purpose in life, caregiver burden, and personal wellbeing explained 56% of the variance in depression. Logistic regression analysis further indicated that purpose in life predicted the likelihood of depression reported by caregivers. Social resources did not significantly predict depression. Conclusion: Results suggest that mental health enhancement programs should be developed for Chinese spousal caregivers with a focus on purpose in life, burden, and personal wellbeing.

Caregiver strain, age, and psychological well-being of older spousal caregivers in Hong Kong

Summary With the social policy movement, smaller family size, longer lifespan, confined living conditions, and limited caregiving resources, informal caregiving for older adults in Hong Kong has become the main responsibility of the spouse. Their psychological well-being becomes a major concern as they may experience immense strain from undertaking the caregiving role while suffering from age-related declines. To examine whether psychological well-being differs by caregiver strain and age, 112 spousal caregivers aged 55 and over were recruited from 13 caregiver resource centres in Hong Kong. Participants responded to a structured questionnaire on multiple dimensions of psychological well-being. Findings Of the respondents, 22.9% reported high levels of strain and 9.9% reported high levels of depression. Results from t-tests revealed that caregivers who perceive low levels of strain are more likely to report lower caregiving distress, higher general mental health, lower depressive symptoms, higher subjective well-being, higher life satisfaction, and higher purpose in life. Old-old caregivers are more likely to report lower caregiving distress, lower depressive symptoms, and higher subjective well-being than young-old caregivers. Applications Findings are discussed in relation to the transactional model of stress and coping, selective optimization with compensation theory, and socio-cultural context in Hong Kong. It is suggested that culturally sensitive intervention programs should be custom-tailored for older spousal caregivers by honouring their contributions, affirming their strengths, enhancing their SOC strategies, and educating on successful ageing.

Reciprocal Influences Between Burnout and Effectiveness in Professional Care for Elders

In community care, the quality of life of the care recipient and the quality of the care provider affect each other. This is a proposition derived from the dialectical perspective, which envisions the importance of promoting the quality of life of both the care recipient and provider. The proposition hinges on mediation by caring effectiveness. This mediation model is the focus of the present study. This study surveyed 232 dyads of Hong Kong Chinese older care recipients and their professional care providers in two waves. Psychological well-being and functional disability were the indicators of the quality of life of care recipients, whereas burnout was an indicator of the low quality of life of professional care providers. The results reinforce the mediation model by showing that caring effectiveness mediates the impact of the earlier burnout of the professional care provider on the subsequent psychological well-being of the care recipient. In turn, the earlier psychological well-being and functional disability of the care recipient also affect the burnout of the professional care provider. The results support the dialectical perspective.

An Assessment of Social Networking Intervention With Older Chinese Adults in Hong Kong

Purpose: This article assessed the effectiveness of social networking strategies (networking strategic initiative [NSI]) to overcome stressful life events experienced in normal aging in Hong Kong. Method: A three-wave quasi-experimental panel design with an overall sample consisting of n = 288 Chinese elderly placed into two groups: NSI group: n 1 = 175 and comparison group: n 2 = 113. Face-to-face structured interviews were conducted for over 30 months. Five outcome measures including subjective well-being, self-esteem, locus of control, sense of belonging, and collective power were investigated, using a generalized linear mixed model for repeated measurements. Results: Findings revealed those who were continuously active throughout the intervention period experienced considerable increases in self-esteem and sense of belonging. Conclusion: No appreciable effects on any of the five outcome measures were found for those who were enrolled in the program and were inactive. The findings provide significant implications for future practice with community-dwelling elderly Chinese populations in Hong Kong and elsewhere.

Calibrating Field Practicum Assessment in Social Work Education with a Competency-based Evaluation Tool in Hong Kong

As social work is an international profession, it is necessary to establish the validity of assessment of the field practicum of students for the purpose of professional accreditation. This study calibrates an indigenous assessment tool, the Social Work Practicum Assessment (SWPA), developed in Hong Kong with a competency-based evaluation (CBE) tool popularized in North America, using data collected from 171 social work final-year undergraduates. The results demonstrate convergence between the SWPA and CBE when rated by field instructors and were greater when the student-assessed CBE was higher. Alternatively, the student-assessed CBE displayed greater convergence with the instructor-rated CBE when the indigenous assessment was higher. The positive results imply the generalizability of the assessments across places.