Cortisol diurnal patterns,associations with depressive symptoms,and the impact of intervention in older adults: Results using modern robust methods aimed at dealing with low power due to violations of standard assumptions

Advances in salivary bioscience enable the widespread integration of biological measures into the behavioral and social sciences. While theoretical integration has progressed, much less attention has focused on analytical strategies and tactics. The statistical literature warns that common methods for comparing groups and studying associations can have relatively poor power compared to more modern robust techniques. Here we illustrate, in secondary data analyses using the USC Well Elderly II study (n = 460, age 60–95, 66% female), that modern robust methods make a substantial difference when analyzing relations between salivary analyte and behavioral data. Analyses that deal with the diurnal pattern of cortisol and the association of the cortisol awakening response with depressive symptoms and physical well-being are reported. Non-significant results become significant when using improved methods for dealing with skewed distributions and outliers. Analytical strategies and tactics that employ modern robust methods have the potential to reduce the probability of both Type I and Type II errors in studies that compare salivary analytes between groups, across time, or examine associations with salivary analyte levels.     

Impacto en residencias de la atención centrada en las personas (ACP) sobre la calidad de vida,el bienestar y la capacidad de salir adelante. Estudio transversal

IntroductionThe aging of the population has led to the introduction of qualitative and quantitative changes in healthcare resources, among which are the introduction of models of person-centred care (PCC), although there is a lack of information on their impact. The objective of this study is to assess the impact of a PCC model on the quality of life, well-being and thriving, in people living in nursing homesMethodsCross-sectional study. Population: all persons who lived indefinitely in the two participating centres that gave their consent. Impact of PCC vs. traditional model was assessed in terms of quality of life, well-being and thriving. Effect size was estimated with Cohen d adjusted for health problems, Charlson index, and presence of depression.ResultsOverall participation was 78% (59/77 persons from the conventional centre and 66/88 from the PCC). The people of the PCC centre had better well-being (d = 0.378) and thriving (d = 0.566). No differences were found in quality of life.ConclusionThe PCC model can have a positive impact on well-being and thriving in persons living in nursing homes.     

Human well-being differs by community type: Toward reference points in a human well-being indicator useful for decision support

Human activity has growing impacts on the natural capital humans depend on for existence. While many of these impacts are regional, national, or international in scope, it is increasingly evident that decisions made at the local community level are also important. Yet, understanding the impacts of local decisions, as well as how to correct or mitigate these impacts, can be problematic, as communities differ in resources, priorities, dependencies on natural capital, and even opinions about whether these impacts actually affect quality of life. Every community has unique characteristics, however effective decision support at the community level requires common reference points in measures of human well-being upon which to base decision support. We have developed a community classification system that is intended to find such common ground in community characteristics and tie these common elements to measures of human well-being. This community classification system was developed in the USA with publically available data on resource dependence, socio-economic composition, and existence of natural capital. The resulting classification was applied to coastal communities at the county level and then used to predict human well-being based on an existing human well-being index. Coastal communities were separated into eight characteristics groups based on Bayesian cluster analysis. Classification groups were found to be associated with significant differences in human well-being. More importantly, significant differences in specific elements of well-being were associated with key community characteristics, such as population density and economic dependence on local natural resources. In particular, social cohesion and the leisure time were strong elements of well-being in low density communities with high natural resource dependence but this association weakened as population densities and economically diversity increased. These sorts of commonalities in community type that can be tied to differences in human well-being are important because they provide clear ties to environmental service flows, as well as a meaningful reference point from which to measure the local impacts of decisions as changes in community-specific human well-being.     

Flexible working hours, health, and well-being in Europe: some considerations from a SALTSA project

The project brought together researchers from 9 EU-Countries and resulted in a number of actions, in particular the following: (a) There is an urgent need of defining the concept of flexible working hours, since it has been used in many different and even counterintuitive ways; the most obvious distinction is where the influence over the working hours lies, that is between the “company-based flexibility” and the “individual-oriented flexibility”; (b) The review of the Legislation in force in the 15 European countries shows that the regulation of working times is quite extensive and covers (Council Directive 93/104/EC) almost all the various arrangements of working hours (i.e., part-time, overtime, shift, and night work), but fails to provide for flexibility; (c) According to the data of the Third EU Survey on Working Conditions, longer and “irregular” working hours are in general linked to lower levels of health and well-being; moreover, low (individual) flexibility and high variability of working hours (i.e., company-based flexibility) were consistently associated with poor health and well-being, while low variability combined with high autonomy showed positive effects; (d) Six substudies from different countries demonstrated that flexible working hours vary according to country, economic sector, social status, and gender; overtime is the most frequent form of company-based flexibility but has negative effects on stress, sleep, and social and mental health; individual flexibility alleviates the negative effects of the company-based flexibility on subjective health, safety, and social well-being; (e) The literature review was able to list more than 1,000 references, but it was striking that most of these documents were mainly argumentative with very little empirical data. Thus, one may conclude that there is a large-scale intervention ongoing in our society with almost completely unknown and uncontrolled effects. Consequently, there is a strong need for systematic research and well-controlled actions in order to examine in detail what flexible working hours are considered, what and where are their positive effects, in particular, as concerns autonomy, and what regulation seem most reasonable.     

Social media use and emotional and behavioural outcomes in adolescence: Evidence from British longitudinal data

We investigate the relationship between social media use and emotional and behavioural outcomes in adolescence using data from a large and detailed longitudinal study of teenagers from the UK. We use individual fixed effects, propensity score matching and treatment effects with Inverse Probability Weighted Regression Adjustment, controlling for a rich set of children’s and family’s characteristics and using comprehensive sensitivity analyses and tests to assess the potential role of unobserved variables. Our results show that prolonged use of social media (more than 4 hours per day) is significantly associated with poor emotional health and increased behavioural difficulties, and in particular decreased perception of self-value and increased incidence of hyperactivity, inattention and conduct problems. However, limited use of social media (less than 3 h per day) compared to no use has some moderate association with positive peer relationships.     

Morningness/Eveningness and Satisfaction With Life in a Polish Sample

Previous studies have provided evidence that eveningness could be related to disadvantageous individual characteristics. The hypothesis that more evening-oriented individuals exhibit lower satisfaction with life has been tested by Randler using a sample of 164 German university students, and this showed that eveningness is associated with lower satisfaction with life (r?=?.177). The aim of the present study was to answer the question of whether or not this relationship is culturally independent, and would exist if a sample from another geographical location and culture had been studied. A sample of 349 residents (149 men) aged between 13 and 59 yrs from two Polish cities completed the Morningness-Eveningness Questionnaire and the Satisfaction with Life Scale. Analysis revealed that morningness was related to greater life satisfaction (r?=?.105), regardless of age and sex. The magnitude of this relationship did not differ significantly between the Polish and the German sample, which suggests that the magnitude and direction of association between morningness/eveningness and satisfaction with life could be independent of culture or geographical location. (Author correspondence: E-mail: konrad.jankowski@psych.uw.edu.pl)     

EFFECTS OF ARTIFICIAL DAWN ON SUBJECTIVE RATINGS OF SLEEP INERTIA AND DIM LIGHT MELATONIN ONSET

The timing of work and social requirements has a negative impact on performance and well-being of a significant proportion of the population in our modern society due to a phenomenon known as social jetlag. During workdays, in the early morning, late chronotypes, in particular, suffer from a combination of a nonoptimal circadian phase and sleep deprivation. Sleep inertia, a transient period of lowered arousal after awakening, therefore, becomes more severe. In the present home study, the authors tested whether the use of an alarm clock with artificial dawn could reduce complaints of sleep inertia in people having difficulties in waking up early. The authors also examined whether these improvements were accompanied by a shift in the melatonin rhythm. Two studies were performed: Study 1: three conditions (0, 50, and 250 lux) and Study 2: two conditions (0 lux and self-selected dawn-light intensity). Each condition lasted 2 weeks. In both studies, the use of the artificial dawn resulted in a significant reduction of sleep inertia complaints. However, no significant shift in the onset of melatonin was observed after 2 weeks of using the artificial dawn of 250 lux or 50 lux compared to the control condition. A multilevel analysis revealed that only the presence of the artificial dawn, rather than shift in the dim light melatonin onset or timing of sleep offset, is related to the observed reduction of sleep inertia complaints. Mechanisms other than shift of circadian rhythms are needed to explain the positive results on sleep inertia of waking up with a dawn signal. (Author correspondence: m.c.gimenez@rug.nl)     

Enfermedad de Alzheimer y calidad de vida del cuidador informal

Background

Along with an ageing population, a higher incidence of chronic diseases leads to increasingly complex health profiles. The relationship between survival, dependence, and social and demographic trends affecting caregiving, has led to an increase in the negative consequences associated with care provision. In this context, an assessment needs to be made on the impact that caregiving has on the well-being of the caregivers. The main aim of this article is to study the factors that determine the Quality of Life (QoL) of those who provide informal care to people suffering from Alzheimer's disease (AD).

Investigation of readiness and perceived workload in junior female basketball players during a congested match schedule

This study aimed to: a) investigate the differences in workload and readiness between two junior female national basketball teams competing at different European Championships (EC); b) compare workload, readiness and match performance for players with longer and shorter playing times, and; c) examine the relationship between workload, readiness and match performance variables. Under-18 (U18) (n = 10, height = 179.9 ± 6.6 cm, body mass = 70.2 ± 5.1 kg) and under-20 (U20) female national basketball teams (n = 11, height = 178.4 ± 8.8 cm, body mass = 73.0 ± 9.7 kg) were monitored during congested match schedules encompassing 7 matches within 9 days. Daily workload was determined via the session rating of perceived exertion (sRPE workload); readiness was measured by heart-rate variability (HRV) and well-being (WB); and match performance was assessed using the efficiency statistic and playing time. Analysis of workload and readiness during the EC showed no statistically significant between-team differences in any variables except WB for the U18 team, which was lower on Day 8 compared to the U20 team (p = 0.03; effect size [ES] = large). Players accumulating longer playing time showed a higher sRPE workload (p = 0.01, ES = moderate) and efficiency statistic (p = 0.04, ES = moderate) while no readiness variable differed significantly (p > 0.05) compared to players with shorter playing time. Trivial-to-small correlations were observed between workload, readiness and match performance variables. The study shows that junior female basketball players were able to cope with a congested schedule of 7 matches in 9 days irrespective of the competition context or individual differences in workload. Finally, combining objective and subjective methods to assess workload and readiness is recommended due to the weak relationships observed between these methods.     

Culpa y bienestar en cuidadores familiares de personas mayores dependientes institucionalizadas

Introduction and objectiveThe experience of family caregivers after nursing home admission has received much less attention, probably because many caregivers experience an initial sense of initial emotional relief. However, for some caregivers nursing home admission is a stressor despite the reduced physical burden of caregiving. Caregiver distress following institutionalization has been related to the new burdens and challenges encountered in the nursing home. Ambivalence and guilt related to the institutionalization decision have been identified as sources of stress. Therefore, this study examined the effect of guilt and well-being on the perceived stress of family caregivers of institutionalized dependent persons.Materials and methodsTwo hundred and one family caregivers of institutionalized persons in a nursing home (La Rioja, Spain) participated. Perceived stress, caregiving guilt and subjective well-being, sociodemographic and caregiving-related variables were assessed. Linear regression analyses and correlations between variables were performed.ResultsGuilt and five dimensions of well-being (anxiety, vitality, self-control and depression, except general health) significantly predicted stress (R²adj = .552 (F (6, 198) = 41.71, P<.001)). The effect size was large (95% CI = .461).ConclusionsPaying attention to family caregivers’ feelings of guilt during institutionalization is important. This will enable the design and implementation of psychosocial interventions that improve caregiver adjustment immediately after institutionalization.