Pnina Ron

Depression, Hopelessness, and Suicidal Ideation Among the Elderly

Abstract This study attempts to compare levels of depression, hopelessness, and suicidal ideation among elderly males and females, in reference to their living arrangement, i.e., community vs. nursing homes. For many elderly people, old age is characterized by various losses: physiological, functional, social, cognitive, financial, etc. The outcomes of such losses often include, more often than not, environmental isolation, a subjective feeling of loneliness, anxiety, depression, and frequently, loss of motivation to continue living. In light of the rise in life expectancy and the multitude of losses which can be associated with the aging process, it is probable that one out of five elderly persons will spend part of his/her life in a long term care institute. Such living arrangements may have negative effects on the mental health of its residents, because placement is often accompanied by feelings of lack of control over ones own life, and inability to make decisions regarding daily issues. Elderly persons living in the community (227: 78 men, 149 women) and 91 living in nursing homes (33 men, 58 women), in both independent and frail functional status (ADL), participated in the study. Findings show significantly more hopelessness, helplessness, and depression among residents of nursing homes compared to those living in the community, differences between men and women living in both environments, and a correlation between other demographic variables and the three dependent variables of the study. The conclusions of the study indicate a need to pay interdisciplinary attention to the mental health of elderly residents of nursing homes, particularly in the preliminary stages of placement and adjustment.

Helping Direct and Indirect Victims of National Terror: Experiences of Israeli Social Workers

In this study we explored the subjective experience and the meaning attached to it by Israeli social workers who provide help to direct and indirect victims of national terror attacks. A qualitative methodology, based on grounded theory tradition, was used to conduct and analyze interviews with 29 social workers from three types of agencies (municipal social services, general hospitals, and the National Insurance Institute) from various parts of the country. Based on the data, three main themes were constructed: (a) professional and personal functioning during intervention, (b) the immediate and long-term impact of intervening with terror attacks, and (c) the meaning attached to the social workers role in intervening with victims. Overall, the findings show that the social workers experienced symptoms similar to those of secondary traumatic stress disorder (STSD) for a few days only, but in the long-term, they perceived their experience of helping victims of terror attacks as leading to personal and professional growth.

Death and dying anxiety among elderly Arab Muslims in Israel.

Death and dying anxiety were examined among elderly Arab Muslims in Israel. A total of 145 people aged 60 and over were interviewed using a standardized questionnaire. Nursing home residents reported higher death anxiety than others; women and uneducated participants reported greater levels of fear of death and dying than others. There were no differences based on religiosity. Death anxiety was related to gender and education for elderly living in the community, but social support and self-esteem were additional correlates for those living in nursing homes. The results of this study indicate that fostering a sense that one has a supportive social and familial network is important in decreasing death and dying anxiety among elderly Arab people. It would also be beneficial to provide information and knowledge that might relieve some of the anxiety they experience.

Depression and Suicide Among Community Elderly

Abstract The phenomena of hopelessness, depression and, suicidality among the elderly have been long recognized as a social problem. It is commonly agreed that the rates of depression, sense of hopelessness and, suicidality in that age group are higher among older people. Due to its sensitive nature, the gerontological literature has been paid more theoretical and empirical attention to the understanding of such phenomena at the last two decades. The present study concerned hopelessness, depression and, suicidality among an elderly community population. It aimed at providing a demographic profile of factors contributing to depression and suicidality among old people. At five senior citizen centers at the north of Israel, 316 old people living in the community were randomly selected. Subjects were administered the Beck Depression Inventory (BDI), the Beck Hopelessness Scale (HS), and the Scale for Suicidal Ideation (SSI). The data suggest that four main demographic variables contributed to the explanation of suicidality, depression, and hopelessness among the elderly. Practical implications are discussed.

Relations between work stressors and well-being among nursing assistants in nursing homes

Background and aims: Nursing assistants undertake a variety of activities related to personal and environmental care. A review of nursing assistants’ employment conditions reveals relatively low salaries, virtually no assessment or promotion system, and rarely incentives or rewards offered for excellence. This study examines nursing assistants’ work stressors and their influence on nursing assistants’ subjective well-being. Methods: The research hypotheses were: a) Personal and job characteristics affect the subjective well-being of nursing assistants; b) Work stressors are negatively related to subjective well-being; c) Differences are found in work stressors and subjective well-being between nursing assistants working with the frail elderly and those working with the totally dependent; d) Social support proves to be a moderating factor of work stressors and contributes to higher levels of subjective well-being. The sample included 198 nursing assistants from various nursing homes in northern Israel (102 working in wards for frail elderly, and 96 in wards for totally dependent elderly). Results: The main findings show that work stressors are negatively related to subjective well-being, especially role conflict and work demands. Conclusions: Findings describe a profile of nursing assistants’ characteristics in nursing homes from unique point of view regarding Israeli culture.

The Impact of Ongoing National Terror on the Community of Hospital Nurses in Israel

The main goal of this study was to explore the connections between the exposure of nurses in Israel to national terror and the levels of distress experienced due to ongoing terror attacks. The data were collected from 214 nurses from various parts of Israel who work in three types of heath services (mainly hospital departments) and provide help to victims of terror. The nurses reported very high levels of burnout, high levels of stress and medium-to high levels of intrusive memories. Levels of exposure were associated with burnout, intrusive memories and level of stress. More professional attention should be given to hospital nurses who provide care for trauma patients.

Depression, Hopelessness, and Suicidal Ideation among the Elderly: A Comparison between Veterans and New Immigrants

The study attempts to compare between levels of depression, hopelessness, and suicidal ideation among two groups of independent and relatively independent elderly in Israel: a) old immigrants from the former Soviet Union (FSU); and b) veteran persons who live in Israel since 1948 or earlier. The research assumption was that depression, hopelessness, and suicidal ideation will be found in higher levels among old immigrants compared to those veterans in Israel. Three hundred and seventy-six elderly immigrants and 392 veterans participated in the study. Findings show negatively significant differences regarding hopelessness, helplessness and depression among immigrants compared to those veterans. The conclusions of the study indicate the need for paying interdisciplinary attention to the mental health of elderly immigrants.

Care Giving Offspring to Aging Parents: How it Affects Their Marital Relations, Parenthood, and Mental Health

The study examined the effect of direct and indirect stresses on the mental health of offspring caring for an aging parent. The study is based on Pearlin, Lieberman, Menaghan, and Mullans (1981) Stress Development Model. The research examined 345 subjects, men and women aged 40-59 who filled a questionnaire sent by post within their workplace. The research findings show that the various stresses of the caregiver role are mutually connected and have a significant positive effect on the mental health of caregiving offspring. Another finding shows that the extended family support variable acts as a buffer on the caregiving burden on the adult child.

Death and Dying Anxiety Among Bereaved and Nonbereaved Elderly Parents

This study examines differences in death and dying anxiety between bereaved and nonbereaved elderly Israeli parents, as well as correlates of these factors among bereaved parents. A total of 97 parents (49 bereaved, 48 nonbereaved) completed measures of death and dying anxiety and religiosity. Bereaved parents reported significantly higher dying anxiety scores than nonbereaved parents, but there were no significant differences between the 2 groups in death anxiety. Religiosity was unrelated to death and dying anxiety. Dying anxiety was higher among bereaved mothers than bereaved fathers. Death and dying anxiety were not associated with the length of time since the loss of the child or the nature of the childs death. Results are discussed in light of the difficulties that bereaved parents experience after the loss of their child. Implications for theory, for health and welfare professionals, and for policy are suggested.

Elderly People's Death and Dying Anxiety: A Comparison between Elderly Living within the Community and in Nursing Homes in Israel:

Due to our fear of extinction or annihilation, there is a great deal of preoccupation with the subject of death, through which we attempt to learn to feel more at ease with the concept, and allowing us to cope with our fear of death. The study assumptions seek to emphasize the correlations between: a) demographic characteristics and anxiety of death and dying; b) innerpersonality characteristics and death and dying anxiety variable; and c) intrapersonal characteristics and death and dying anxiety. The study sample comprised 217 participants, of which 119 elderly participants lived within the community and 98 lived in nursing homes. The studys data was collected via face-to-face interviews. Findings indicate that elderly people with a high level of self-evaluation and sense of mastery will experience lower levels of death and dying anxiety. It appears that death and dying anxiety is present regardless of the type of residential arrangement. Policy makers in the field of geriatrics ought to focus on finding ways to increase satisfaction with life, a variable shown to be related to reduction of the psychological distress associated with the end of life.