Psychological, sociological and health behaviour aspects of a long term activation programme for institutionalized elderly people
Abstract
The present study deals with psychological, sociological and subjective health aspects of social isolation and understimulation in institutional elderly people. In a controlled study over a 6 month period, A programme was devised in collaboration with residents of a senior citizens apartment building and its staff. The aim of the programme was to increase social activation and to encourage among the elderly an enhanced control over their daily lives. It was agreed that the programme implemented should involve no extra costs, overtime work or external resources. Most psychological and sociological variables were stable over the 6 month period. However, social activity level increased 3-fold in the Experimental group compared with the Control group. The E-group also started to attend activities outside the actual programme, and in general spent more time out of doors. Seasonal variations were found in feelings of depression, visits to the country/summer houses, as well as visits by children and neighbours. There were no changes in psychosomatic or psychological complaints indices. However, feelings of restlessness decreased significantly in the E-group over the 6 month period compared with the C-group. There was also a non significant decrease over time in complaints of heart palpitations in the E-group.
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Research indicates that indices of social connectedness are modifiable among older adults using social interventions, including group psychotherapy, art/recreational therapy, and peer support.
“Research indicates that indices of social connectedness are modifiable among older adults using social interventions, including group psychotherapy [83], art/recreational therapy [84,85,86,87], and peer support [88].”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [84]
An activity programme for senior citizen apartment residents reportedly increased the number of participants' activities at six months, although no reduction was observed in level of depression or suicidal thoughts.
“An activity programme for senior citizen apartment residents [60] reportedly increased the number of participants' activities at six months, although no reduction was observed in level of depression or suicidal thoughts.”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [60]
Thirteen out of 19 (68%) group interventions in this review had a positive effect on at least one of the four social health sub-domains.
“Thirteen out of 19 (68%) group interventions in this review [13,53,55,60,63,66-69,73-76] had a positive effect on at least one of the four social health sub-domains.”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [60]
Nineteen out of 23 (83%) participatory interventions were observed to have beneficial effects on at least one outcome compared with only four out of nine (44%) non-participatory interventions.
“Nineteen out of the 23 (83%) participatory interventions were observed to have beneficial effects on at least one outcome [13,52-56,60,63,65-70,73-76,81] compared with only four out of nine (44%) non-participatory interventions [59,71,78,79].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [60]
Nine out of 11 (82%) interventions delivered by health and social care professionals reported at least one beneficial effect.
“compared with nine out of 11 (82%) interventions delivered by health and social care professionals [13,52,56,60,65,69,70,76,81].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [60]
Six out of seven (86%) activity interventions had at least one beneficial effect across the three domains of social, mental and physical health.
“six out of the seven (86%) activity interventions had at least one beneficial effect across the three domains of social, mental and physical health [13,60,67,70,74,81].”
From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [60]
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- Authors
- Arnetz, B. B., Theorell, T., & Arnetz, B. B.
- Affiliations
- Karolinska Institutet (SE)
- ORCID
- Theorell, Töres
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1983-01
- Volume
- 17
- Issue
- 8
- Pages
- 449-456
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2038593260
- Cited by
- 33
- References
- 17
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2012: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- institutionalized elderly, long-term care, social isolation, social activity, self-rated health, depression, seasonal variation, psychosomatic symptoms, restlessness, palpitations, self-determination
- MeSH terms
- Affective Symptoms, Aged, Depression, Humans, Institutionalization, Interpersonal Relations, Middle Aged, Psychophysiologic Disorders, Seasons, Social Behavior
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