Cited by 33Aging, Health, and DisabilityGeriatric Care and Nursing HomesAging, Elder Care, and Social Issues

Psychological, sociological and health behaviour aspects of a long term activation programme for institutionalized elderly people

Arnetz, Bengt B., Theorell, Töres, Arnetz, Bengt B.·1983·Social Science & Medicine

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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Crossref · 10.1016/0277-9536(83)90050-3

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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].”
  • 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.”
  • 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.”
  • 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].”
  • 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].”

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Authors
Arnetz, B. B., Theorell, T., & Arnetz, B. B.
Affiliations
Karolinska Institutet (SE)
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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