Fiona Alpass

Loneliness, health and depression in older males

Loneliness and social isolation, particularly in the older adult, have been shown to influence psychosocial well-being. Loneliness has been related to chronic illness and self-rated health in older adults, and researchers suggest there is an important relationship between loneliness and psychological well-being in older adults particularly in the area of depression. This study investigated relationships between loneliness, health, and depression in 217 older men (≥ 65 years). Participants completed self-report measures of loneliness, social support, depression, and physical health. Regression analysis showed that a diagnosis of illness or disability was unrelated to depression, however self-reported health was associated with depression, with those reporting poorer health experiencing greater depression. Social support variables were unrelated to depression. The most significant relationship to depression was that of loneliness, with lonelier men reporting higher scores on the Geriatric Depression Scale (GDS). Although research suggests that depression is often a response to declining health and functional impairment in the older adult, the present findings suggest that social isolation may also influence the experience of depression. Age-related losses such as loss of professional identity, physical mobility and the inevitable loss of family and friends can affect a persons ability to maintain relationships and independence, which in turn may lead to a higher incidence of depressive symptoms.

The effects of types of social networks, perceived social support, and loneliness on the health of older people: accounting for the social context.

Objectives: To use an ecological model of ageing (Berkman, Glass, Brissette, & Seeman, 2000) which includes upstream social context factors and downstream social support factors to examine the effects of social networks on health. Method: Postal survey responses from a representative population sample of New Zealanders aged 55 to 70 years (N = 6,662). Results: Correlations and multiple regression analyses provided support for a model in which social context contributes to social network type, which affects perceived social support and loneliness, and consequent mental and physical health. Ethnicity was related to social networks and health but this was largely accounted for by other contextual variables measuring socioeconomic status. Gender and age were also significant variables in the model. Discussion: Social network type is a useful way to assess social integration within this model of cascading effects. More detailed information could be gained through the development of our network assessment instruments for older people.

Preretirement Planning and Well-Being in Later Life: A Prospective Study

Cross-sectional and retrospective research has identified a reliable relationship between preretirement planning and later-life well-being. Although it seems intuitive that retirement planning leads to more positive retirement outcomes, limited longitudinal analysis has confirmed the directionality of this relationship or clarified its complexities. The Health and Retirement Study, a prospective survey of American workers and retirees from 1992 to the present, can help illuminate this relationship. Data signifying the preretirement activities of employed individuals from the 1992 wave were compared with their postretirement ratings of retirement satisfaction and subjective physical and emotional health in 2004. An ordinal regression analysis indicated that those who had discussed retirement with their spouses and had retirement superannuation or savings plans in 1992 reported greater well-being in 2004 (controlling for health status, the reason for retirement, and income in 1992). These results confirm the importance of preretirement preparation and provide a rationale for developing more comprehensive, theory-driven measures of retirement planning.

Do Men and Women Differ in Their Retirement Planning? Testing a Theoretical Model of Gendered Pathways to Retirement Preparation

Previous literature has situated retirement and retirement planning within the male’s domain by positioning women as unconcerned and therefore ill prepared for retirement. However, women’s increasing representation in the workforce requires a reexamination of their retirement plans and the factors that enable them. In this study, a subsample of 2,277 working men and women from the New Zealand Health, Work, and Retirement Survey provides the basis for a structural equation model examining the effects of socioeconomic status, work involvement, and retirement perceptions on retirement planning. This model also tests for gender differences to assess the extent to which women are disadvantaged in terms of their retirement planning and the factors that may affect retirement plans. Results indicated that perceptions of retirement and economic living standards were associated with financial preparedness. However, women were still economically disadvantaged compared to men and this impacted negatively on their financial preparations. Retirement and retirement planning is now of greater concern for women. Future promotional initiatives should be aimed at these groups to assist their financial preparations for the future.

Psychosocial Aspects of Chronic Lower Leg Ulceration in the Elderly

The perceived health of a group of elderly people with chronic lower leg ulceration was compared with health perceptions of a matched group of controls. The perceived psychological well-being, self-esteem, life satisfaction, and social supports of the two groups were also compared. The people with leg ulceration described significantly more problems with activity and mobility, pain, and health worries and concerns than the control group. The groups did not differ significantly in their general evaluations of their health status, the experience of physical symptoms, or the numbers of diagnosed medical problems present. The leg ulcer group reported significantly lower levels of self-esteem and higher levels of negative affect, but the groups did not differ significantly on the other psychological variables. Leg ulcers are a serious problem for those affected by them, and health care providers need to be more informed about the effect of chronic health problems on elderly persons.

Crossing fields: the case of a multi-disciplinary research team:

There are increasing opportunities for researchers to work in multi-disciplinary research teams; however, the extensive literature on research practice barely refers to the challenges inherent in this approach. The article describes the experience of a multi-disciplinary team which was engaged in investigating the nature of technological learning in relation to productivity improvement in the dairy farming industry in New Zealand. The largely qualitative, multi-method approach taken to the project by the team is described, and the description supplemented by reflection on the factors that led to the key decisions in the research design process, and the consequences of these decisions.

The Process of Retirement Planning Scale (PRePS): Development and validation

Although a substantial proportion of the western population is approaching retirement age, little is known about how they are preparing for the future. Much attention has been paid to the consumption of educational material and retirement wealth in the present literature, but the process of retirement planning has been ignored. S. L. Friedman and E. K. Scholnicks (1997) theoretical model provided the basis for a comprehensive measure of retirement planning. According to their process theory, individuals develop an understanding of the problem, set goals, make a decision to start preparing, and finally undertake the behaviors needed to fulfill their goals. Fifty-two items were developed to assess each stage of the planning process for financial, health, lifestyle, and psychosocial retirement planning. These were tested on a population sample of 1,449 New Zealanders aged 49-60. Confirmatory factor analysis, bivariate correlations, and hierarchical regression provided support for the valid use of the measure. Necessary antecedents, such as the tendency to look to the future, and locus of control were significantly related to the Process of Retirement Planning Scale (PRePS). The PRePS also outperformed retirement planning measures used in the Health and Retirement Study (F. T. Juster & R. Suzman, 1995) after controlling for socioeconomic and psychological variables. This measure will enable social policy makers to determine which stages of retirement planning require support and intervention. The PRePS will also help to determine which domains of retirement planning predict well-being in later life and the factors which differentiate those who are planning from those who are not.

Virtuously Watching One’s Health Older Adults’ Regulation of Self in the Pursuit of Health

Individual responsibility for health is socio-culturally emphasized. This study used discourse analysis to examine 60 New Zealand adults’ (aged 55—70) uptake of health promotion discourse in talk about health and ageing. Many participants attempted to defy or manage an ageing body through a regime of exercise, food management and other practices. The subject position of being in control of one’s health counteracted anxieties about ageing; following strictures of health promotion provided a virtuous moral identity. However, there is a danger of feeling individually responsible for ill-health, or betrayed when health promotion’s promises contradict the experience of an ageing body.

Psychological Factors Account for Variation in Metabolic Control and Perceived Quality of Life Among People with Type 2 Diabetes in New Zealand

Background: Many people with diabetes experience poor metabolic control and reduced quality of life (QoL). Purpose: This study investigates the relationships between psychological variables, metabolic control, and QoL among adults with type 2 diabetes. Method: Research participants (n = 615) were randomly selected from a medical database of people with type 2 diabetes held in Wellington, New Zealand. Self-report psychological data was collected using a mailed questionnaire survey. Clinical characteristics were obtained through a review of medical records with participants’ written consent. Results: Psychological perceptions of diabetes explain approximately 8% of differences in metabolic control and 16% of variability in quality of life, even when controlling for key clinical characteristics. Belief that diabetes is temporary, a perception that diabetes is difficult to control, strong negative emotional representation of diabetes, and agreement that diabetes has serious consequences were linked to poor illness outcomes. Conclusion: Psychological variables make a unique and statistically significant contribution to the explanation of differences in both physiological and emotional diabetes outcomes. Potentially, modification of personal views about diabetes could help promote positive health outcomes for people with type 2 diabetes. This study highlights specific illness perceptions that could be targeted in future interventions.

Independence, Well‐being, and Social Participation in an Aging Population

Abstract:  In 2005 the Health, Work, and Retirement (HWR) Longitudinal Study was established at Massey University in order to identify the later‐midlife factors that lay the basis for community participation, independence, and health in later life. Information was collected via postal questionnaire on physical and mental health, psychosocial factors, work and retirement attitudes, and socioeconomic and demographic indicators of a sample of 6662 community‐dwelling adults aged 55–70 years. This report provides an overview of these results, and highlights the impact that the transition from work to retirement has on the health and retirement adjustment of older people with respect to independence, well‐being, and social participation.