John B. Bond

Effect of respite care on dementia and nondementia patients and their caregivers.

The impact of a respite program on the cognitive and physical functioning of dementia and nondementia patients, and on the burden perceived by their caregivers, was assessed in a pretest-posttest design. A total of 55 caregivers were interviewed twice, 5 weeks apart. In the respite group, the caregivers patient experienced a 2-week respite stay in a nursing home during the 5-week interval, whereas in the waiting-list comparison group, the patient experienced ongoing in-home care during the interval. We hypothesized that patient diagnosis (dementia vs. nondementia) would interact with respite exposure, with nondementia patients showing more improvement from respite than dementia patients. Regardless of diagnosis, however, positive effects from respite exposure were found for caregiver reports of the patients memory and behavior.

The Financial Abuse of Mentally Incompetent Older Adults: A Canadian Study

ABSTRACT This article reports the results of a pilot study on the financial abuse of mentally incompetent seniors. The objectives of the study were to: (1) establish the incidence of suspected financial abuse among the clientele of the Office of Public Trustee, Province of Manitoba, (2) identify the characteristics of mentally incompetent older adults most at risk, and (3) identify indicators of financial abuse. Approximately 20% of the cases opened in a one year period were under suspicion of abuse. Findings were consistent with those of other research projects on elder abuse, in general, showing an over-representation of women over the age of eighty as victims of financial abuse. Unpaid personal care home bills when money should have been available was the most common indicator. In addition to providing a list of indicators of financial abuse that are of potential use to professionals, devising prevention programs, practical implications for service providers are presented.

Death anxiety in adolescents: the contributions of bereavement and religiosity.

Possible relationships between bereavement and religiosity to death anxiety levels of adolescents were investigated. Scales measuring religiosity, bereavement, and death anxiety were incorporated into one questionnaire. Two hundred and twenty-six adolescents between the ages of 11 and 18 participated in the study based in urban and rural private schools within Manitoba. Females exhibited significantly higher death anxiety levels than did males; differences between the death anxiety levels of adolescents having a no-previous-death-experience death and those who had experienced a familial death were not significant; while religiosity levels were significantly higher for students attending religion-based schools, the relationships between measurements of religiosity and death anxiety were weak. Grief due to bereavement was the major factor in determining death anxiety for the adolescent.

Ethnicity and Intergenerational Perceptions of Family Solidarity.

Intergenerational interaction between matched pairs of older parents and their middle-aged offspring were explored in this research, comparing Mennonites and non-Mennonites. Middle-aged respondents replied to a mailed questionnaire, and their parents were interviewed. Five dimensions of family solidarity were compared between the generations, with the result that middle-aged offspring typically report less family solidarity than do their parents. These results are explained in terms of the concept of the “developmental stake.”

Personality characteristics of depressed or alcoholic adult children of alcoholics

Abstract G. Winokur (1987, Family (genetic) studies in neurotic depression. Journal of Psychiatric Research, 21, 357–363) suggested that in an alcoholic family, alcohol abuse and depression among adult children of alcoholics (AGOAs) may be two ways of expressing the same propensity. It was hypothesised that Winokurs “propensity” could be characterised as a construct of personality variables, specifically low self-esteem, high neuroticism, and high psychoticism. This study examined Winokurs hypothesis using 982 male and female participants (18–64 yr of age) of a general population survey in an attempt to identify the commonalities connecting alcoholic and depressed ACOAs. ACOAs were found to have significantly different personality scores than adults from non-alcoholic families (non-ACOAs), and alcoholic ACOAs shared similar scores with depressed ACOAs on all three personality variables. No differences were seen between alcoholic and depressed participants across family history groups. It would appear from these data that ACOAs can be differentiated from non-ACOAs at least by their low self-esteem, high neuroticism, and high psychoticism, and that alcoholism and depression are two ways that ACOAs can manifest these traits.

Perceived Effectiveness of Legislation Concerning Abuse of the Elderly: A Survey of Professionals in Canada and the United States

A survey on abuse of the elderly was mailed to 174 Canadian and American professionals who were identified as persons likely to be involved with cases of elder abuse. Neglect was the most commonly reported type of abuse, followed by financial and psychological abuse. Physical abuse constituted the smallest number of cases. While various family relationships were reported, middle-aged sons were the most common abusers, while older mothers were most frequently the victim. Regardless of the legislative approach taken, laws were reported to be generally effective. Greatest concerns were expressed regarding the lack of funds to administer and provide services to abused seniors.

Familial Support of the Elderly in a Rural Mennonite Community

With an increasing number of persons entering old age and having longer life expectancies, there has been a consequent alteration of family dynamics, such that middle aged individuals frequently provide support to their older parents. At the same time, the middle aged person is often in the midst of raising his or her own children, attending to personal aspirations, and enacting the role of spouse. This study investigated support from middle aged offspring to elderly parents in a rural Mennonite community. Information on the expectation for and consequences of support to parents was gathered from pastors and middle aged family members in two Mennonite conferences, as well as from a Lutheran sample with a similar historical background. Pastoral interviews showed no differences in doctrinal beliefs regarding familial care of parents, although the institutional church responses varied. Middle aged offspring in the Lutheran congregation reported less involvement in religious practice than did members of either Mennonite congregation. Burden of caring for elderly parents felt by middle aged people showed no statistically significant differences between congregations; however, greater reported religiosity was associated with lesser burden.