AGing Flashcards
positive attitude toward self, accurate perception of reality mastery of the environment, autonomy, personal balance, growth + self actualization
Mental Health
Multidimensional approach) Biological forces, health problems increase with age + provide clues about psychological difficulties; Psychological forces, normative changes can mimic mental disorders, nature of personal relationships; Sociocultural forces, cultural differences must be taken into account; Life-cycle forces, influence of one’s past experience
psychopathology
Looking at behaviors, not in global sense, but through considering what else is happening in an individual’s life and if behaviors fit what is happening / specific circumstances
Differentiating mental health and psychopathology:
What are the key dimensions used for categorizing psychopathology?
Biological forces, psychological forces, sociocultural forces, life-cycle forces
Why are ethnicity and aging important variables to consider in understanding mental health
Social disparities may result in different prevalence of mental disorders, inadequate access to healthcare, contextual differences in ethnic communities (ex: degree of comfort revealing information about self to strangers)
Consider cultural norms
certain groups look down on receiving mental health treatment.
Ex: In Korea, higher depression in women, higher suicide in men
How does the Multidimensional Life-Span Approach to Psychopathology help in the interpretation of adults’ behaviors?
This approach helps in the interpretation of adults’ behaviors as it is multi-dimensional, thus taking several different forces into account while analyzing adult behavior.
biological forces
may give insight on disorders such as dementia which often has a specific genetic basis, thus improving the diagnosis
Psychological forces
force us to consider the life tasks of younger and older people, younger people increase social groups and gain more connections whereas older people begin to lose connections, thus the nature of personal relationships may mimic psychopathology
Sociocultural
forces take into account cultural differences which influence interpretations of our own and other’s behaviors; For example, a highly paranoid older person may just have fallen victim to scams thus warranting their degree of paranoia or suspicion toward strangers or the internet, to avoid exploitation
life-cycle forces
take a look at a person’s experiences and how those experiences influence their current behavior.
What key areas are included in the multidimensional approach to assessment?
Physical health, cognitive functioning, psychological functioning, daily living skills, social and environmental resources
What factors influence the assessment of adults?
Negative and positive biases and nonoptimal environment
How are mental health issues assessed
Clinical interview:
Report by others: .
Psychophysiological assessments:
Performance based assessment:
Delirium
confused thinking and reduced awareness of one’s environment. Difficulties with attention, memory, orientation, and rambling speech. May also affect perception, sleep-wake cycle, personality, and mood.
. Delirium
rapid onset, can vary greatly over a day, is more severe in adults, and may go undetected.
Delirium
May be caused by a number of factors such as mental conditions, dehydration, substance intoxication, sleep deprivation, fever, etc.
Delirium
Older adults take more medications than any other age group, which can often cause
How is delirium assessed
through the Confusion Assessment Method (CAM), which assesses the four features
four features of delirium
- Acute onset + fluctuation
- Inattention
- Disorganized thinking
- Altered level of consciousness
dementia
general term for loss of memory and other cognitive abilities severe enough to interfere with daily life; Characterized by cognitive and behavioral deficits involving some form of permanent brain damage
Dementia
not caused by a rapid onset of a toxic substance or by acute infection.
What are the major symptoms of Alzheimer’s disease
gradual changes in cognitive function, declines in personal hygiene and self-care skills, inappropriate social behavior, changes in personality, and sundowning