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1.
Appl Psychol Health Well Being ; 12(2): 532-558, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32185891

RESUMO

BACKGROUND: Working adults spend most of their leisure time watching TV. In this paper, we seek to clarify how experiences of psychological need fulfillment and well-being differ when watching TV and engaging in other leisure activities. We suggest that, compared to other leisure activities, watching TV is equally conducive to fulfilling needs for: (a) relaxation and detachment from stress and (b) autonomy, but is less conducive to fulfilling needs for (c) meaning, (d) mastery, and (e) affiliation and thus also less conducive to promoting subjective wellbeing. METHODS: We tested our predictions in two day reconstruction studies and a daily diary study. RESULTS: People experienced similar levels of detachment and relaxation when watching TV and engaging in other types of leisure. However, they experienced less fulfillment of other needs, and lower levels of satisfaction and some aspects of affective well-being, when watching TV compared to other activities. Further, unlike time spent watching TV, daily time spent in physical activities was positively associated with positive activated affect. CONCLUSIONS: Given that watching TV tends to be associated with lower levels of need fulfillment and well-being than other leisure activities, leisure choices may be an important target for improving employee well-being.


Assuntos
Comportamento de Escolha , Emprego/psicologia , Exercício Físico/psicologia , Atividades de Lazer/psicologia , Satisfação Pessoal , Relaxamento/psicologia , Televisão , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
2.
Int J Stroke ; 15(2): 149-158, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-30940047

RESUMO

BACKGROUND: Cognitive deficits and low mood are common post-stroke. Music listening is suggested to have beneficial effects on cognition, while mindfulness may improve mood. Combining these approaches may enhance cognitive recovery and improve mood early post-stroke. AIMS: To assess the feasibility and acceptability of a novel mindful music listening intervention. METHODS: A parallel group randomized controlled feasibility trial with ischemic stroke patients, comparing three groups; mindful music listening, music listening and audiobook listening (control group), eight weeks intervention. Feasibility was measured using adherence to protocol and questionnaires. Cognition (including measures of verbal memory and attention) and mood (Hospital Anxiety and Depression Scale) were assessed at baseline, end of intervention and at six-months post-stroke. RESULTS: Seventy-two participants were randomized to mindful music listening (n = 23), music listening (n = 24), or audiobook listening (n = 25). Feasibility and acceptability measures were encouraging: 94% fully consistent with protocol; 68.1% completing ≥6/8 treatment visits; 80-107% listening adherence; 83% retention to six-month endpoint. Treatment effect sizes for cognition at six month follow-up ranged from d = 0.00 ([-0.64,0.64], music alone), d = 0.31, ([0.36,0.97], mindful music) for list learning; to d = 0.58 ([0.06,1.11], music alone), d = 0.51 ([-0.07,1.09], mindful music) for immediate story recall; and d = 0.67 ([0.12,1.22], music alone), d = 0.77 ([0.16,1.38]mindful music) for attentional switching compared to audiobooks. No signal of change was seen for mood. A definitive study would require 306 participants to detect a clinically substantial difference in improvement (z-score difference = 0.66, p = 0.017, 80% power) in verbal memory (delayed story recall). CONCLUSIONS: Mindful music listening is feasible and acceptable post-stroke. Music listening interventions appear to be a promising approach to improving recovery from stroke.


Assuntos
Cognição/fisiologia , Disfunção Cognitiva/reabilitação , Atividades de Lazer/psicologia , Música/psicologia , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/complicações , Afeto , Idoso , Disfunção Cognitiva/etiologia , Disfunção Cognitiva/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Plena , Projetos Piloto , Recuperação de Função Fisiológica , Acidente Vascular Cerebral/psicologia , Resultado do Tratamento
3.
Int Arch Occup Environ Health ; 93(2): 213-227, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31552505

RESUMO

PURPOSE: The study had three aims. We investigated, first, how six recovery experiences (i.e., detachment, relaxation, control, mastery, meaning, and affiliation) during off-job time suggested by the DRAMMA model (Newman et al. in J Happiness Stud 15(3):555-578. https://doi.org/10.1007/s10902-013-9435-x, 2014) are related to well-being (i.e., vitality, life satisfaction, and work ability). Second, we examined how age related to these outcomes, and third, we investigated whether age moderated the relationships between recovery experiences and well-being outcomes. METHODS: A sample of 909 Finnish teachers responded to an electronic questionnaire (78% women, average age 51 years). The data were analyzed with moderated hierarchical regression analyses. RESULTS: Detachment from work, relaxation, control, and mastery were associated with higher vitality. Detachment, relaxation, meaning, and affiliation were related to higher life satisfaction. Older age was related to lower work ability, but not to vitality or life satisfaction. Older teachers benefited more from control and mastery during off-job time than did younger teachers in terms of vitality, whereas younger teachers benefited more from relaxation in terms of all well-being outcomes. CONCLUSIONS: Detachment, relaxation, control, mastery, meaning, and affiliation during off-job time were related to higher well-being, supporting the DRAMMA model. Age moderated the relationships between control, mastery, and relaxation and vitality and life satisfaction. The role of aging in recovery from work needs further research.


Assuntos
Estresse Ocupacional/psicologia , Relaxamento/psicologia , Professores Escolares/psicologia , Fatores Etários , Feminino , Finlândia , Nível de Saúde , Humanos , Atividades de Lazer/psicologia , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Estresse Psicológico/psicologia , Inquéritos e Questionários
4.
HERD ; 12(2): 130-146, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30526092

RESUMO

OBJECTIVE: Ulrich's (1991) definition of "positive distraction" includes that which "elicits positive feelings and holds attention," implying that the capacity of an environmental feature to hold attention is a necessary component. This article examines whether, in the context of a pediatric hospital, a distraction needs to "hold attention" to secure positive benefits for patient well-being. BACKGROUND: Data collected from 246 patients at Melbourne's Royal Children's Hospital (Australia) revealed a discrepancy between what children and young people told us they did, and valued, within the hospital, relative to the time they spent engaging in, or paying attention to, these same features. This motivated a closer interrogation of the relationship between well-being, distraction, and socialization within the pediatric context. METHOD: Data were collected using a mixed-methods approach that included 178 surveys, 43 drawings contributed by patients/siblings within the outpatient waiting room, 25 photo-elicitation interviews with patients, and 100 hr of spatial observations within public and waiting room spaces. This was supplemented by interviews with architects and hospital staff. CONCLUSIONS: The mechanism by which we have understood positive distraction to contribute to well-being within the pediatric hospital environment is more complex than existing models accept. Within this context, environmental features that can positively transform expectations of visiting the hospital-that can ignite the imagination and incite a desire to return-can offer significant benefits to well-being. This is particularly relevant in the context of absenteeism from outpatient appointments and in reducing patient resistance to future, or ongoing, treatments.


Assuntos
Adaptação Psicológica , Arteterapia/métodos , Hospitais Pediátricos , Atividades de Lazer/psicologia , Estresse Psicológico/terapia , Adolescente , Austrália , Criança , Feminino , Humanos , Masculino , Inquéritos e Questionários
5.
PLoS One ; 13(6): e0199605, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29953472

RESUMO

BACKGROUND: Retirement is a life transition involving an obligatory change in how people use their time. Because there are strong associations between use of time and health, different changes in time use following retirement may have different impacts on mental health. METHODS: 105 participants were followed from 6 months before retirement to 12 months after retirement. At each time-point, use of time was quantified using a validated computerised 24-hour recall. Depression, anxiety and stress were assessed using the Depression, Anxiety and Stress Scales (DASS21), well-being with the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS), life satisfaction with the Australian Unity Personal Well-being Index (AUPWI), and self-esteem with the Rosenberg Self-Esteem Scale. Time-use data were analysed using compositional data analysis, which treats the 24-h day as a holistic "activity composition" rather than as individual activity domains. Time flow analytics were used to map patterns of change in time use from pre-retirement to post-retirement. Regression analysis was used to determine whether changes in the activity composition were significantly associated with changes in mental health. Compositional isotemporal substitution models were used to illustrate dose-response relationships between changes in time use and conditional changes in mental health for individual activity domains, such as sleep, screen time and physical activity. RESULTS: Following retirement, time no longer spent in work flowed mainly to household chores, sleep, screen time and quiet time (e.g. reading). Mental health improved overall. Changes in the activity composition were significantly related to conditional changes in DASS21 total score, depression, stress, and self-esteem, but not to anxiety, well-being or life satisfaction. Replacing work time with physical activity or sleep was associated with positive changes in mental health. Effect sizes for 60-minute substitutions ranged from -0.15 to +0.31. CONCLUSION: Following retirement, replacing work with physical activity, and to a lesser extent sleep, is associated with better mental health.


Assuntos
Saúde Mental , Aposentadoria/psicologia , Ansiedade , Depressão , Feminino , Seguimentos , Humanos , Atividades de Lazer/psicologia , Estilo de Vida , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Autoimagem , Sono , Estresse Psicológico , Fatores de Tempo
6.
Ann Phys Rehabil Med ; 61(6): 414-418, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28461128

RESUMO

Music has the capacity to engage auditory, cognitive, motor, and emotional functions across cortical and subcortical brain regions and is relatively preserved in aging and dementia. Thus, music is a promising tool in the rehabilitation of aging-related neurological illnesses, such as stroke and Alzheimer disease. As the population ages and the incidence and prevalence of these illnesses rapidly increases, music-based interventions that are enjoyable and effective in the everyday care of the patients are needed. In addition to formal music therapy, musical leisure activities, such as music listening and singing, which patients can do on their own or with a caregiver, are a promising way to support psychological well-being during aging and in neurological rehabilitation. This review article provides an overview of current evidence on the cognitive, emotional, and neural effects of musical leisure activities both during normal aging and in the rehabilitation and care of stroke patients and people with dementia.


Assuntos
Envelhecimento/psicologia , Atividades de Lazer/psicologia , Musicoterapia/métodos , Música/psicologia , Reabilitação Neurológica/psicologia , Idoso , Idoso de 80 Anos ou mais , Cognição , Emoções , Feminino , Humanos , Masculino , Reabilitação Neurológica/métodos , Qualidade de Vida
7.
Psychosom Med ; 79(7): 732-734, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28806202

RESUMO

In this issue of Psychosomatic Medicine, Mausbach and colleagues report that Alzheimer's disease caregivers who engage in more pleasant leisure activities had lower blood pressure for 5 years compared with those who engage in fewer leisure activities. This novel finding suggests that something as simple as taking more walks in the park or more time for reading books could protect the physical health of caregivers. In this editorial, we review possible mechanisms linking pleasant leisure activities with lower blood pressure in caregivers and discuss potential barriers that prevent caregivers from engaging in pleasant leisure activities. One possibility is that caregivers may not give themselves "permission" to take time away from caregiving, or feel guilty or selfish for doing so. Another impediment may be lack of outside assistance or support that would be needed to take time for leisure activities. Primary health care providers may play an important role in helping caregivers overcome these obstacles. In addition, public policy innovations are needed to meet the increasing societal demands on the psychological and medical consequences of caregiver burden.


Assuntos
Doença de Alzheimer/enfermagem , Pressão Sanguínea/fisiologia , Cuidadores/psicologia , Atividades de Lazer/psicologia , Humanos
8.
J Occup Health Psychol ; 22(3): 365-380, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28358572

RESUMO

Job-stress recovery during nonwork time is an important factor for employee well-being. This article reviews the recovery literature, starting with a brief historical overview. It provides a definition of recovery that differentiates between recovery as a process and recovery as an outcome. Empirical studies have shown that recovery activities (e.g., physical exercise) and recovery experiences (e.g., psychological detachment from work) are negatively associated with strain symptoms (e.g., exhaustion) and positively associated with positive well-being indicators (e.g., vigor). Recovery activities and recovery experiences suffer when employees face a high level of job stressors. Psychological mechanisms underlying recovery seem to be similar across different temporal recovery settings (e.g., work breaks, free evenings, vacations) and seem to be enhanced in natural environments. Intervention studies have pointed to a diverse set of strategies for how everyday job-stress recovery can be supported. This article discusses 5 avenues for future research, with a particular focus on individual and contextual factors that may influence recovery as well as highlighting more complex temporal patterns than those uncovered in previous research. (PsycINFO Database Record


Assuntos
Atividades de Lazer/psicologia , Estresse Ocupacional/psicologia , Estresse Ocupacional/terapia , Trabalho/psicologia , Adaptação Psicológica , Humanos , Satisfação no Emprego , Relaxamento , Inquéritos e Questionários , Carga de Trabalho/psicologia
9.
Rev. Kairós ; 19(4): 173-203, mar. 2016. ilus
Artigo em Português | LILACS, INDEXPSI | ID: biblio-947598

RESUMO

O artigo objetiva apresentar os resultados de um estudo exploratório-descritivo, sobre a importância da expressão plástica e da música erudita, práticas legitimadas neste estudo como de animação sociocultural a idosos, diagnosticados por seus cuidadores, como apresentando doenças crónico-degenerativas, ou distúrbios psiquiátricos. As duas manifestações artísticas funcionam como um expoente de liberdade e de reencontro de um idoso com as próprias emoções, e com as de outro idoso. Foi aplicado o método qualitativo, complementado pela observação-participante, tendo-se verificado que as duas expressões de arte, ao gerar dinâmicas potencializadoras à ressignificação do Eu do idoso, mostram-se uma via de combate às rotinas da velhice institucionalizada.


The article aims to present the results of an exploratory-descriptive study on the importance of artistic expression and classical music, practices legitimized in this study as 'sociocultural encouragement' to the elderly, diagnosed by their caregivers, as presenting chronic-degenerative diseases, or Psychiatric disorders. The two artistic manifestations function as an exponent of freedom and the reunion of an elderly person with their own emotions, and with those of another elderly person. The qualitative method was applied, complemented by participant observation, and it was verified that the two expressions of art, by generating potentializing dynamics to the resignification of the ego of the elderly, are a way of combating the routines of institutionalized old age.


El artículo pretende presentar los resultados de un estudio exploratorio-descriptivo sobre la importancia de la expresión artística y la música clásica, prácticas legitimadas en este estudio como "animación sociocultural" a las personas mayores, diagnosticadas por sus cuidadores, que tienen enfermedades crónico-degenerativas o desórdenes psiquiátricos. Las dos expresiones artísticas funcionan como un exponente de la libertad y el reencuentro de una persona mayor con sus propias emociones, y con las de otra persona mayor. Se aplicó el método cualitativo, complementado con la observación participante, y se verificó que las dos expresiones del arte, generando dinámicas potencializadoras a la resignificación del yo de los ancianos, son una forma de combatir las rutinas de la vejez institucionalizada.


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Arteterapia , Instituição de Longa Permanência para Idosos , Música , Cultura , Demência , Pesquisa Qualitativa , Atividades de Lazer/psicologia
10.
Psicol. Estud. (Online) ; 21(4): 677-685, out.-dez. 2016.
Artigo em Inglês, Português | INDEXPSI, LILACS | ID: biblio-1102091

RESUMO

O objetivo deste estudo foi investigar os fatores motivacionais de idosos para praticarem atividades físicas regularmente. A amostra foi composta por 77 idosos de ambos os sexos, com idade entre 55 e 90 anos, que estavam praticando atividades físicas há pelo menos um mês nos núcleos de esporte e lazer do município de Indaiatuba. Para a coleta dos dados, foi utilizado o IMPRAF-54 (Inventário de Motivação para a Prática Regular de Atividades Físicas), um instrumento que abrange seis dimensões da motivação para a prática de atividades físicas: controle do estresse, saúde, sociabilidade, competitividade, estética ou prazer. Os resultados mostram que o principal fator motivacional para os idosos é a saúde. Depois da saúde, aparecem empatados a sociabilidade, o prazer e o controle do estresse e, por fim, a estética e a competitividade. Com esses dados, é possível conhecer o que estimula os idosos a frequentarem as aulas e planejá-las de forma apropriada, abarcando os seus interesses, considerando-os de maneira integral.


The aim of this study was to investigate the motivational factors for older adults to practice physical activities regularly. The sample consisted of 77 elderly of both genders, aged 55 to 90 years and who were practicing physical activities for at least a month in centers of sports and leisure in the city of Indaiatuba. The inventory IMPRAF-54 (Motivation for the Regular Practice of Physical Activity Inventory) was used for data collection. This instrument covers 6 dimensions of motivation for the practice of physical activities: stress control, health, sociability, competitiveness, aesthetic and pleasure. The results showed that the main motivational factor for the elderly is health. After health, sociability, pleasure and control of stress appear tied and, finally, aesthetics and competitiveness. With these results, it is possible to know what encourages older adults to attend classes and to plan for them properly, including their interests and considering them holistically.


El objetivo de este estudio fue investigar los factores motivacionales de los adultos mayores a la práctica de actividad física regular. La muestra consistió en 77 hombres y mujeres de edad avanzada, comprendidas entre 55 y 90 años y que practicaban actividad física durante al menos 1 mes en los núcleos de deporte y el ocio en la ciudad de Indaiatuba. Para recopilar los datos, se utilizó el IMPRAF-54 (Inventario de Motivación para La Actividad Física Regular), un instrumento que cubre 6 dimensiones de la motivación para la actividad física: manejo del estrés, salud, sociabilidad, competitividad, estética y placer. Los resultados muestran que el principal factor de motivación para las personas mayores es la salud. Después de salud, aparecerá atada sociabilidad, placer y manejo del estrés y, por último, la estética y la competitividad. Con estos datos, es posible saber que anima a las personas mayores para asistir a clases y planificar de manera adecuada, más abarcadora de sus intereses, considerándolos de manera integral.


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Idoso/psicologia , Motivação , Atividade Motora , Esportes/psicologia , Envelhecimento/psicologia , Exercício Físico/psicologia , Saúde , Comportamento Competitivo , Estética/psicologia , Prazer , Atividades de Lazer/psicologia
11.
Can J Gastroenterol Hepatol ; 29(2): 77-84, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25803017

RESUMO

BACKGROUND: Despite improvements in therapies for inflammatory bowel diseases (IBDs), patient quality of life continues to be significantly impacted. OBJECTIVE: To assess the impact of IBD on patients and families with regard to leisure, relationships, mental well-being and financial security, and to evaluate the quality and availability of IBD information. METHODS: An online survey was advertised on the Crohn's and Colitis Canada website, and at gastroenterology clinics at the University of Alberta Hospital (Edmonton, Alberta) and University of Calgary Hospital (Calgary, Alberta). RESULTS: The survey was completed by 281 IBD patients and 32 family members. Among respondents with IBD, 64% reported a significant or major impact on leisure activities, 52% a significant or major impact on interpersonal relationships, 40% a significant or major impact on financial security, and 28% a significant or major impact on planning to start a family. Patient information needs emphasized understanding disease progression (84%) and extraintestinal symptoms (82%). There was a strong interest in support systems such as health care insurance (70%) and alternative therapies (66%). The most common source of information for patients was their gastroenterologist (70%); however, most (70%) patients preferred to obtain their information from the Crohn's and Colitis Canada website. CONCLUSIONS: The impact of IBD on interpersonal relationships and leisure activities was significant among IBD patients and their families. Understanding the disease, but also alternative treatment options, was of high interest. Currently, there is a discrepancy between interest in information topics and their availability. Respondents reported a strong desire to obtain information regarding disease progression, especially extraintestinal symptoms.


Assuntos
Efeitos Psicossociais da Doença , Doenças Inflamatórias Intestinais/psicologia , Adolescente , Adulto , Idade de Início , Idoso , Canadá , Criança , Pré-Escolar , Informação de Saúde ao Consumidor/estatística & dados numéricos , Feminino , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Doenças Inflamatórias Intestinais/economia , Internet , Relações Interpessoais , Atividades de Lazer/psicologia , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
12.
Int J Audiol ; 54(4): 211-9, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25491255

RESUMO

OBJECTIVE: To investigate factors influencing young people's motivation to reduce their leisure noise exposure, and protect their hearing health. DESIGN: Questionnaires were conducted online to investigate young people's hearing health attitudes and behaviour. Items were developed using an integrated health promotion approach. The stage of change model was used to group participants in relation to their engagement with noise reduction behaviour. The health belief model was used to compare each group's perceptions of susceptibility and severity of hearing loss, as well as the benefits and barriers to noise reduction. STUDY SAMPLE: Results are presented for 1196 young Australians aged between 18 and 35 years. RESULTS: Participants' engagement with noise reduction behaviour was used to assign them to stage of change groupings: Maintenance (11%), Action (28%), Contemplation (14%), or Pre-contemplation (43%). Each group's responses to health belief model items highlighted key differences across the different stages of engagement. CONCLUSIONS: Future hearing health promotion may benefit from tailoring intervention activities to best suit the stage of change of individuals. Different information may be useful at each stage to best support and motivate young people to look after their hearing health.


Assuntos
Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde/métodos , Audição , Atividades de Lazer , Ruído/efeitos adversos , Adolescente , Adulto , Austrália , Feminino , Perda Auditiva Provocada por Ruído/prevenção & controle , Perda Auditiva Provocada por Ruído/psicologia , Humanos , Atividades de Lazer/psicologia , Masculino , Inquéritos e Questionários , Adulto Jovem
14.
Am J Geriatr Psychiatry ; 22(1): 63-74, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23582750

RESUMO

OBJECTIVES: To examine the effects of cognitive stimulation (mahjong) and physical exercise (tai chi [TC]) on cognitive performance in persons with dementia. DESIGN: Cluster-randomized open-label controlled design. SETTING: Nursing homes. PARTICIPANTS: One hundred ten residents, most of whom were cholinesterase-inhibitor naive. Inclusion criteria were Mini-Mental State Examination (MMSE) = 10-24 and suffering from at least very mild dementia (Clinical Dementia Rating ≥ 0.5). Exclusion criteria were being bedbound, audio/visual impairment, regular activity participation before study, or contraindications for physical or group activities. INTERVENTIONS: Homes were randomized into three conditions (mahjong, TC, and simple handicrafts [control]). Activities were conducted three times weekly for 12 weeks. MEASUREMENTS: Primary outcome was MMSE. Secondary outcomes were immediate/delayed recall, categorical fluency, and digit span. Various biological risk factors, including apolipoprotein E ε4 allele, were included as covariates. Measures were collected at 0 (baseline), 3 (posttreatment), 6, and 9 months. RESULTS: Intent-to-treat analyses were performed using mixed-effects regression. Mahjong's effect varied by time for MMSE, delayed recall, and forward digit span. TC had similar effects but not for delayed recall. The typical pattern was that control participants deteriorated while mahjong and TC participants maintained their abilities over time, leading to enlarged treatment effects as time progressed. By 9 months, mahjong and TC differed from control by 4.5 points (95% confidence interval: 2.0-6.9; d = 0.48) and 3.7 points (95% confidence interval: 1.4-6.0; d = 0.40), respectively, on MMSE. No treatment effects were observed for immediate recall and backward digit span. CONCLUSIONS: Mahjong and TC can preserve functioning or delay decline in certain cognitive domains, even in those with significant cognitive impairment.


Assuntos
Transtornos Cognitivos/complicações , Transtornos Cognitivos/prevenção & controle , Cognição/fisiologia , Demência/complicações , Demência/psicologia , Exercício Físico/fisiologia , Idoso , Idoso de 80 Anos ou mais , Alelos , Apolipoproteínas E/genética , Transtornos Cognitivos/fisiopatologia , Transtornos Cognitivos/psicologia , Demência/fisiopatologia , Feminino , Humanos , Atividades de Lazer/psicologia , Masculino , Testes Neuropsicológicos , Casas de Saúde , Tai Chi Chuan/psicologia
15.
Scand J Occup Ther ; 21(1): 58-68, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24041155

RESUMO

OBJECTIVE: The aim of this study was to describe and assess changes in participants' experiences of everyday occupations after nature-based vocational rehabilitation (NBVR), to assess changes regarding symptoms of severe stress and the rate of return to work and possible association with experiencing the occupational value of everyday occupations. METHODS: The NBVR was carried out by a transdisciplinary rehabilitation team and took place in a specially designed rehabilitation garden. The study had a longitudinal and mixed-method approach. Data concerning experiences of everyday occupations (Oval-pd), self-assessed occupational competence (OSA-F), health status (EQ-VAS, SCI-93), and sense of coherence (SOC-13) were collected before and after the intervention, and a one-year follow-up was carried out regarding returning to work. Semi-structured interviews were performed 12 weeks after the intervention. RESULTS: Significant changes were measured regarding perceived occupational values in daily life, symptoms of severe stress, and returning to work. Both the return to work rate and symptoms of severe stress were significantly associated with changed experience of everyday occupation. CONCLUSIONS: In the interviews, participants explained that they now had a slower pace of everyday life and that everyday occupations were more often related to nature and creativity. This could be interpreted as nature-based rehabilitation inducing changes through meaningful occupations in restorative environments, leading to a positive change in perceived values of everyday occupations.


Assuntos
Emprego/psicologia , Atividades de Lazer/psicologia , Transtornos Mentais/reabilitação , Reabilitação Vocacional/métodos , Retorno ao Trabalho , Estresse Psicológico/psicologia , Adulto , Idoso , Terapia Combinada , Feminino , Nível de Saúde , Horticultura Terapêutica/psicologia , Humanos , Estudos Longitudinais , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Terapia Ocupacional , Modalidades de Fisioterapia , Escalas de Graduação Psiquiátrica , Psicoterapia de Grupo , Reabilitação Vocacional/psicologia , Autoeficácia , Senso de Coerência , Participação Social
16.
East Asian Arch Psychiatry ; 23(3): 102-7, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24088403

RESUMO

OBJECTIVE: This cross-sectional study aimed to explore the association between late-life spiritual activity participation and cognitive function in older Chinese adults in Hong Kong. METHODS: Participants aged 60 years or older without clinical dementia or major psychiatric disorders were recruited. Dementia severity and global cognitive function were assessed using the Clinical Dementia Rating and Cantonese version of the Mini-Mental State Examination, respectively. Cognitive performance was measured using 10-minute delayed recall, the Category Verbal Fluency Test, Visual Aural Digit Span Test, and Modified Card Sorting Test. Psychological status was assessed using the Chinese version of the Purpose in Life scale. Activities participated in were categorised into 6 domains of physical, cognitive, social, prosocial, spiritual, and recreational activities. RESULTS: A total of 380 participants were enrolled. Bivariate correlation showed that the composite score of cognitive function was positively correlated with aerobic exercise (r = 0.14; p = 0.01), cognitive activity (r = 0.30; p < 0.001), and spiritual activity (r = 0.16; p = 0.002). Multiple linear regression suggested that frequent participation in cognitive activity (B = 0.87, beta = 0.22; 95% confidence interval [CI] = 0.52-1.25 and p < 0.001) and spiritual activity (B = 0.45, beta = 0.11; 95% CI = 0.13-0.76 and p = 0.01) were associated with better cognitive function after controlling for age and years of education. CONCLUSION: Engagement in spiritual activity may benefit cognitive function in old age. Longitudinal studies are recommended to further examine the causal relationship of spiritual activity and cognitive function.


Assuntos
Envelhecimento/psicologia , Cognição , Espiritualidade , Idoso , Idoso de 80 Anos ou mais , Povo Asiático/psicologia , Estudos Transversais , Feminino , Humanos , Atividades de Lazer/psicologia , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Qualidade de Vida/psicologia
18.
J Cross Cult Gerontol ; 27(3): 183-99, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22790484

RESUMO

Latinos are the largest and fastest growing minority group in the U.S. but they have been overlooked in studies of successful aging. This study used a multi-method approach with an open-ended question and Phelan et al.'s (Journal of American Geriatrics Society 52:211-216, 2004) Successful Aging Measure to determine whether the quantitative measure fully captured perceptions of successful aging of 60 older Latinos living in three Western states. Then, the findings were compared with other studies that had used the measure with Anglo, Japanese, Japanese-American, and Latin American samples. The results revealed that Latinos and Latin Americans responses are very similar to each other, and somewhat different from other cultural groups. Latinos focus on maintaining a positive outlook, living in the present, enjoying a sense of community, and relying on spirituality and family for comfort and meaning as they age, but they also worry about finances. There are several components of this study that professionals can use to guide their practice, including a summary of methodological challenges and ongoing conceptual debates in the successful aging literature.


Assuntos
Envelhecimento/etnologia , Envelhecimento/psicologia , Atitude Frente a Saúde/etnologia , Comparação Transcultural , Hispânico ou Latino/psicologia , Atividades Cotidianas/psicologia , Idoso , Idoso de 80 Anos ou mais , Família/etnologia , Feminino , Humanos , Entrevistas como Assunto , Atividades de Lazer/psicologia , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Pesquisa Qualitativa , Qualidade de Vida/psicologia , Apoio Social , Fatores Socioeconômicos , Espiritualidade , Inquéritos e Questionários
19.
Am J Geriatr Psychiatry ; 20(10): 904-8, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22377774

RESUMO

OBJECTIVES: : To examine whether leisure activities can alleviate depressive symptoms among nursing home residents with very mild to mild dementia. METHODS: : A cluster-randomized open-label controlled design. Thirty-six residents with at least moderate depressive symptoms were randomized by home into three conditions-mahjong (a.k.a. mah-jongg), tai chi, and handicrafts (placebo). Activities were conducted three times weekly for 12 weeks. Outcome measure was Geriatric Depression Scale (GDS) administered at baseline, posttreatment, and at 6 months. RESULTS: : Repeated-measures analysis of variance showed a group by time interaction on the GDS. Unlike control and tai chi participants whose scores remained relatively unchanged, the mahjong group reported a drop of 3.25 points (95% confidence interval: 1.00-5.50) on the GDS at posttreatment but gained back 2.83 points (95% confidence interval: 1.95-5.47) at 6 months. Activity discontinuation might be the reason for depression to return to baseline. CONCLUSIONS: : Mahjong can lower depressive symptoms in those with mild dementia, but activity maintenance may be essential for long-term effects.


Assuntos
Demência/psicologia , Depressão/complicações , Depressão/psicologia , Atividades de Lazer/psicologia , Idoso de 80 Anos ou mais , Demência/complicações , Demência/diagnóstico , Depressão/terapia , Feminino , Humanos , Masculino , Casas de Saúde/estatística & dados numéricos , Jogos e Brinquedos/psicologia , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Tai Chi Chuan/psicologia
20.
Anxiety Stress Coping ; 25(1): 23-42, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21213152

RESUMO

This longitudinal questionnaire study conducted among 274 Finnish employees (57% women, average age 45.9 years) in a variety of jobs aimed at identifying groups of employees who share similar mean levels and changes in need for recovery and finding out whether factors regarded as antecedents of need for recovery distinguish between the different groups of need for recovery across one year. Using mixture modeling eight groups of need for recovery were identified. The individuals identified as closely resembling each other with respect to need for recovery and its change across one year were considered to belong to the same need for recovery group. Five of these groups indicated stable (low, moderately low, average, moderately high, and high) need for recovery and three showed change (mostly decreasing) in the level of need for recovery across one year. Employees in the favorable (low and moderately low) need for recovery groups (38%) reported to have more favorable work characteristics and better functioning recovery experiences and they spent more time on physical and social off-job activities than those in the unfavorable (high and moderately high) groups (23%). Thus, the antecedents examined play a significant role in maintaining need for recovery over time.


Assuntos
Adaptação Psicológica , Esgotamento Profissional/psicologia , Convalescença/psicologia , Emprego/psicologia , Esgotamento Profissional/epidemiologia , Feminino , Finlândia/epidemiologia , Humanos , Satisfação no Emprego , Atividades de Lazer/psicologia , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Atividade Motora , Relaxamento/psicologia , Comportamento Social , Inquéritos e Questionários , Local de Trabalho/psicologia
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