The Effectiveness of Mindfulness Model on Improving Intimate Attitudes and Elderly Depression

Document Type : Original Article

Authors

1 آزاد

2 Assistant Professor Department of Counseling Faculty of Psychology & Educational Sciences Allameh Tabataba'i University

3 Associate Professor-Allameh Tabataba;i University

Abstract

Elderly is the last period of life in which people are at higher risks of intrapersonal, interpersonal, and environmental damages compared to other lifelong periods. The present study aimed to investigate the effectiveness of mindfulness model on improving intimate attitudes and depression in the elderly in 2019.It was a quasi-experimental study with pretest, post-test and control group. The statistical population of this study included all the elderly living in Tehran in 2019. Thirty people were selected by convenience sampling method along with entrance criteria to the study and were randomly assigned to experimental and control groups. Then, the intervention (Mindfulness Model) was implemented on the experimental group during eight 90-minute sessions. Data collection tools in this study were the Intimate Attitude Systems (IAS) and Beck Depression Inventory (BDI-13). Finally, the collected data were analyzed by SPSS software in two levels of descriptive statistics (mean and standard deviation) and inferential statistics (analysis of covariance).The findings of the present study showed the effective role of mindfulness model in improving intimate attitudes and decreasing depression severity (P<0.05).According to the results of the present study, it can be concluded that this educational model can be used as an effective model in counseling and psychotherapy centers (especially active centers in the elderly homes) to improve the elderly intimate attitudes and decrease their severity of depression. 

Keywords


Aghayoosefi, A., Oraki, M., Zare, M., & Imani, S. (2013). Effectiveness of mindfulness in decreasing stress, anxiety and depression among the substance abusers. Thoughts and Behavior in Clinical Psychology, 8(27), 17-26. [Persian]
Amidon, E., Kumar, V. K., & Treadwell, T. (1983). Measurement of intimacy attitudes: the intimacy attitude scale-revisited. Journal of Personality Assessment47(6), 635-639.
Atkinson, B. J. (2013). Mindfulness training & the cultivation of secure, satisfying couple relationships. Couple & Family Psychology: Research & Practice, 2(1), 73-94.
Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction & responses to relationship stress. Journal of Marital & Family Therapy, 33(1), 482-500.
Bastami, F., Salahshoori A., Shirani, F., Mohtashami, A., & Sharafkhani, N. (2016). Risk factors of depression on the elderly: a review study. Journal of Gerontology, 1 (2), 54-65. [Persian]
Beck, A. T., Rial, W. Y., & Rickels, K. (1974). Short form of depression inventory: cross-validation. Psychological Reports, 34, 1184–1186.
Beck, A. T., (1972). Measuring depression: The depression inventory. In T. A. Williams, M. M. Katz, & J. A. Shields (eds.), Recent advances in the psychobiology of the depressive illnesses, (pp. 299-302). Washington, DC: US Government Printing Office.
Bergomi, C., Tschacher, W., Kupper, Z. (2013). The assessment of mindfulness with self-report measures: Existing scales & open issues. Mindfulness Journal, 4(1), 191-202.
Bianchi, R., Rolland, J.-P., & Salgado, J. F. (2018). Burnout, depression, & borderline personality: A 1,163-participant study. Frontiers in Psychology, 8(1), 1-10.
Birami, M., Farnam, A., Gholizadeh, H., & Imani, M. (2010). Comparison of familial functions of primary depressed patients with healthy individuals based on McMaster model. Journal of Tabriz University of Medical Sciences, 32(2), 25-29. [Persian]
Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients & their partners participating in mindfulness-based stress reduction (MBSR). Psycho-Oncology, 19(1), 1004-1009.
Brown, K. W., & Ryan R. M. (2003). The benefits of being present: Acceptance & commitment Training & Its role in psychological wellbeing. Journal of Personality & Social Psychology, 81(11), 811-818.
Buge, L., Marnix, S., Verhoef, P. C., & Buunk, A. (2011). Costumer intimacy & commitment to relationships with firms in five different sectors. Journal of Retailing & Costumer, 18(4), 247-358.
De-Marco, A. P., Mahoney, J. J., Aduen, P. A., Bajo, S. D., & Broshek, D. K. (2017). The relationship between the neuro-quality of life depression & anxiety measures & the personality assessment inventory in persons with epilepsy. Epilepsy Behavior, 70(1), 145-149.
Domenech-Abella, J., Lara, E., Rubio-Valera, M., Olaya, B., Moneta, M. V., Rico-Uribe, L. A., & Haro, J. M. (2017). Loneliness & depression in the elderly: the role of social network. Social Psychiatry Epidemiology, 52(4), 381-390.
Du Rocher Schudlich, T. D., Papp, L. M., & Cummings, E. M. (2011). Relations between spouses’ depressive symptoms & marital conflict: A longitudinal investigation of the role of conflict resolution styles. Journal of Family Psychology, 25(4), 531-540.
Ertz, M., & Sarigöllü, E. (2019). The behavior-attitude relationship and satisfaction in proenvironmental behavior. Environment and Behavior51(9-10), 1106-1132.
 Firoozjah, b. (2016). A study of the psychological well-being of the elderly living in the home and the elderly living in the nursing home (unpublished Master Thesis). Allameh Tabatabai University, Tehran. [Persian]
Fleming, J. E., & Kocovski, N. L. (2007). Mindfulness and acceptance-based group therapy for social anxiety disorder: A treatment manual. Unpublished manuscript.
Ganong, K., & Larson, E. (2011). Intimacy and belonging: the association between sexual activity and depression among older adults. Society and Mental Health1(3), 153-172.
Geiger, P. J., Boggero, I. A., Brake, C. A., Caldera, C. A., Combs, H. L., Peters, J. R., & Baer, R. A. (2016). Mindfulness-based interventions for older adults: a review of the effects on physical and emotional well-being. Mindfulness7(2), 296-307.
Griffith, G. M., Bartley, T., & Crane, R. S. (2019). The Inside Out Group Model: Teaching Groups in Mindfulness-Based Programs. Mindfulness10(7), 1315-1327.
Habibi, M., & Hanasabzadeh, M. (2014). The Effectiveness of Mindfulness Based Art Therapy on Depression, Anxiety, Stress and Quality of Life Among Postmenopausal Women. Salmand: Iranian Journal of Ageing, 9(1), 22-31. [Persian]
Han, K. M., Han, C., Shin, C., Jee, H. J., An, H., Yoon, H. K., ... Kim, S. H. (2018). Social capital, socioeconomic status, and depression in community-living elderly. Journal of Psychiatric Research98, 133-140.
Hede, A. (2017). Using mindfulness to reduce the health effects of community reaction to aircraft noise. Noise & Health, 19(89), 165-173.
Hofer, J., & Busch, H. (2011). When the needs for affiliation and intimacy are frustrated: Envy and indirect aggression among German and Cameroonian adults. Journal of Research in Personality45(2), 219-228.
Hojjati, H., Koochaki, G., & Sanagoo, A. (2012). The Relationship between Loneliness and Life Satisfaction of the Elderly in Gorgan and Gonbad Cities. Journal of Research Development in Nursing and Midwifery, 9(1), 61-68. [Persian]
Hong, E. (2019). Intimate relationship development for the elderly: Transition from 'Volkstuin' (community garden) to residential environment. Available at http://resolver.tudelft.nl/uuid:2ad5a161-017f-4318-a6bf-3bc4eeefa75b
Jung, J., Roh, D., Moon, Y. S., & Kim, D. H. (2017). The moderating effect of religion on the relationship between depression and suicidal ideation in the elderly. The Journal of Nervous and Mental Disease205(8), 605-610.
Kabat-Zinn, J., & Santorelli, S. (1999). Mindfulness-based stress reduction professional training resource manual. Center for Mindfulness in Medicine, Health Care and Society: Worchester, MA.
Kakavand, A. (2016). The Effectiveness of Mindfulness on Dysfunctional Attitudes and Depressive Symptoms among Elderly Women with Major Depressive Disorder. Aging Psychology, 2(2), 101-91. [Persian]
Kalantarian, A., Zarinfar, S., & Zarinfar, A. (1396). The effectiveness of mindfulness-based cognitive-cognitive therapy to increase intimacy in couples. Article presented at International Conference on Psychology, Counseling, and Education. Shandiz Higher Education Institute, Mashhad. [Persian]
Kalra, G., Subramanyam, A., & Pinto, C. (2011). Sexuality: Desire, activity and intimacy in the elderly. Indian journal of psychiatry53(4), 300.
Karremans, J. C., Schellekens, M. P. J., & Kappen, G. (2015). Bridging the sciences of mindfulness & romantic relationships: A theoretical model & research agenda. Personality and Social Psychology Review, 21(1), 29-49.
Khodabakhsh, R., Saatchi, L., & Maleki Majd, M. (2018). The Effectiveness of mindfulness-based cognitive therapy on depression, death anxiety and life expectancy in elderly women. Journal of Gerontology (JOGE), 3(2), 11-20. [Persian]
Kim, K. N., Son, H. G., & Park, H. J. (2014). Effects of mindfulness meditation program on sleep, depression and quality of life in the institutionalized elderly women. The Korean Journal of Health Service Management8(3), 157-168.
Kok, R. M., & Reynolds, C. F. (2017). Management of depression in older adults: a review. Journal of the American Medical Association, 317(20), 2114-2122.
Kolodziejczak, K., Gerstorf, D., & Rook, K. (2019). Facets of close, romantic, and intimate relationships in later life. Innovation in Aging3(Supplement-1), S792-S792.
Kumar, S., Adiga, K. R., & George, A. (2014). Impact of mindfulness-based stress reduction (mbsr) on depression among elderly residing in residential homes. The Nursing Journal of India105(6), 248-251.
Lau, Y., Chow, A., Chan, S., & Wang, W. (2014). Fear of intimacy with helping professionals & its impact on elderly Chinese. Geriatrics & Gerontology International, 14(2), 474-480.
Lee, H. S., Kim, C., & Lee, D. (2016). Factors influencing middle-aged women's depression. Korean Journal of Health Promotion16(1), 1-10.
Lerche, S., Gutfreund, A., Brockmann, K., Hobert, M. A., Wurster, I., Sünkel, U., ... & Berg, D. (2018). Effect of physical activity on cognitive flexibility, depression and RBD in healthy elderly. Clinical Neurology and Neurosurgery165, 88-93.
Liu, D., Xi, J., Hall, B. J., Fue, M., Zhang, B., Guo, J., & Feng, X. (2020). Attitudes toward Aging, Social Support and Depression among Older Adults: Difference by Urban and Rural Area in China. Journal of Affective Disorders, 274, 85-92.
Lyddy, C. J., & Good, D. J. (2017). Being while doing: An inductive model of mindfulness at work. Frontiers in Psychology, 7(1), 1-10.
Manavipour, D., & darabi, M. (2018). The Effect of Mindfulness Training on Problem Solving Styles and Test Anxiety in students. Social Cognition, 7(1), 41-53. [Persian]
Miller, R. S., & Perlman, D. (2009). Social cognition. In R. S. Miller & D. Perlman (5th Eds.), Intimate Relationships (pp. 108-142). New York, NY: McGraw-Hill.
Mirkena, Y., Reta, M. M., Haile, K., Nassir, Z., & Sisay, M. M. (2018). Prevalence of depression & associated factors among older adults at ambo town, Oromia region, Ethiopia. BMC psychiatry, 18(1), 338-338.
Mirzaie, M., & Darabi, S. (2017). Population aging in Iran and rising health care costs. Salmand. Iranian Journal of Ageing, 12 (2), 156-169. [Persian]
Moradi, A., Kajbaf, M., & Qamarani, A. (2007). The Relationship between Intimacy Attitudes and Mental Health among Physically Disabled Females in the City of Esfahan. Women's Studies Sociological and Psychological, 5(3), 95-108. [Persian]
Muniruzzaman, M. D. (2017). Transformation of intimacy & its impact in developing countries. Life Sciences, Society & Policy, 13(1), 10-10.
Robin, B., & Junkin, M. (2014). The effect of mindfulness cognitive therapy on self-esteem and loneliness for depressed adults. Journal of Affect Disord114(5), 251-262.
Sheibani Tazraji, F., Pakdaman, S., Dadkhah, A., & Hasanzadeh Tavakoli, M R. (2010). The Effect of Music Therapy on Depression and Loneliness in Old People. Salmand: Iranian Journal of Ageing, 5(2), 54-60. [Persian]
Suzuki, K., Miyamoto, M., & Hirata, K. (2017). Sleep disorders in the elderly: Diagnosis & management. Journal of General & Family Medicine, 18(2), 61-71.
Amidon, E., Kumar, V. K., & Treadwell, T. W. (1983). Measurement of intimacy attitudes: The Intimacy Attitudes Scale-Revised. Journal of Personality Assessment, 47, 635-639.
Walker, L. M., Santos-Iglesias, P., & Robinson, J. (2018). Mood, sexuality, and relational intimacy after starting androgen deprivation therapy: implications for couples. Support Care Cancer, 26(11), 3835-3842.
Wang, G., Hu, M., Xiao, S. Y., & Zhou, L. (2017). Loneliness and depression among rural empty-nest elderly adults in Liuyang, China: a cross-sectional study. BMJ open7(10), e016091.
Zadmohammadi, A., & Malekhosravi, GH. (2006). Preliminary study and psychometric and accreditation characteristics of family function measurement (FDA). Journal of the Research Family, 5(2), 69-86. [Persian]