The present study examines worry themes and the tendency to worry in older adults. The sample, which is made up of 162 participants, is divided into three groups. The first group includes 47 participants aged from 55 to 64 years old (the youngest subjects). The second group consists of 56 participants aged from 65 to 74 years old. Finally, the third group includes 59 participants who are 75 years old or older (the oldest subjects). Participants completed the Worry and Anxiety Questionnaire, the Worry Domains Questionnaire for Older Adults and the Penn State Worry Questionnaire. For all subjects combined, the most frequently reported worry theme was health, followed by relationships with family and friends. The results show that participants in group 1 (the youngest subjects) worry more about their future, work and finances than those in the other two groups. The results also show that participants in the first two groups have a greater tendency to worry and report a greater number of worries than those in the third group (the oldest subjects). The study's findings are discussed in light of current knowledge of worry among the elderly.

This study examined the relationship between physical mobility, social integration and well-being in a subsample of 754 unmarried older community dwellers selected from Statistics Canada's 1985 General Social Survey. Also examined was the relationship of mobility; social integration with children, siblings, other relatives, and close friends; and social satisfaction with friend and family relations in predicting well-being. A cross-sectional design was used. Age, gender, marital status and living arrangements were included in the multiple regression analysis. Although no significant interactions were found between mobility and social integration, the results lend support to the importance of mobility and the quality, as opposed to the quantity, of social relationships to well-being. Mobility, satisfaction with friendships, being older and satisfaction with family relations were identified as the variables most strongly related to well-being. Research and practice implications are discussed.

Recent research suggests that the single strongest predictor of burden among dementia caregivers is a measure of marital aggrandizement (Marital Conventionalization Scale). The current study corroborates the significant inverse relation between these constructs. In addition, there appears to be little association between this response style and more standard social desirability constructs (i.e. self-deception, impression management). Furthermore, the tendency to discount negative experience in one's marital history appears distinct from emotion- and problem-focussed coping as defined within Lazarus and Folkman's cognitive phenomenological model. The propensity to idealize one's spouse and marriage is discussed relative to the reconstructionist theory of memory and social exchange theory.

This study compared the diagnostic performance of the Beck Depression Inventory (BDI) and the Geriatric Depression Scale (GDS) in correctly identifying depressed and nondepressed older people who are nursing home residents without cognitive disorders. At the usual cut-off scores of 10 and 11, sensitivity was 96.30 per cent for the BDI and 88.89 per cent for the GDS, while their specificity rates were 46.15 and 56.41 per cent respectively. Using Receiver Operating Characteristics (ROC) curves, the results obtained using these scales were compared with the diagnosis of psychiatric disorder according to the DSM-III-R. Contrary to the hypothesis, no difference was found between the area under the ROC for the BDI (Az = .87; SD = .04) and for the GDS (Az = .85; SD = .05). The exclusion of the somatic items, or the somatic factor, did not change the diagnostic performance of the BDI. Indices of temporal stability, concurrent validity and agreement with clinical diagnoses also confirmed the reliability and validity of these two scales for older people living in nursing homes.

Pregraduate students (N = 144) used a modified version of the Treatment Evaluation Inventory (TEI; Kazdin, 1980a) to rate the acceptability of one of three treatments for depression (cognitive therapy, cognitive bibliotherapy, and antidepressant medication) for one of three cases of a depressed elderly person (mild, moderate or severe symptoms). Factorial analysis of the modified version of the TEI revealed two factors (treatment acceptability and negative aspects) which accounted for 72.8 per cent of the total variance. The modified TEI was shown to possess good concurrent validity as well as good internal consistency and test-retest reliability. Subjects rated all treatments as equally acceptable, and treatments were judged more acceptable for mild to moderate symptoms.

This study investigated the relationships among several aspects of cognitive functioning and the outcome of self-medication training in hospitalized elderly patients. Data from 53 geriatric patients who received rehabilitation treatment at the SCO Hospital in Ottawa, Canada between 1992 and 1997 were collected, on an archival basis. Patients began a graduated self-medication program after undergoing a neuropsychological evaluation. Performance scores from five different aspects of cognition were regressed on the self-medication training outcome measures. Findings revealed that aspects of cognitive functioning were significantly related to the outcome of self-medication training. Thus, psychometric measures of cognition can be useful in predicting which patients are most likely to benefit from a self-medication program, or alternatively, those who would require a modified program to be able to learn. The clinical implications of these results are discussed.

Although there are reports that the State-Trait Anxiety Inventory (STAI) should be adapted to older adults, the standard version of the instrument is consistently used with this population. Bouchard, Gauthier, Ivers and Paradis (1996) have adapted a French version of the STAI for a population of older adults and found one item with extremely low item-remainder correlation. In Study 1 (N = 57), alternative formulations of item 24 were assessed to examine if the low item-remainder correlation was related to problems in translation that could become apparent in a sample of older adults. Study 2 (N= 188) was conducted in order to replicate the findings of Study 1 and assess the factor structure of the instrument. In Study 3, 46 older adults completed the instrument on two occasions with a 35-day interval to assess test-retest reliability. Our results suggest that: (a) item 24 should be removed from the trait anxiety scale and be replaced by the mean of the other anxiety-present items; (b) the instrument has a four-factor structure similar to what is found with the standard version of the STAI in nonelderly samples; and (c) both subscales are highly stable.