scholarly journals An exploration of the impact of younger-onset dementia on employment

Dementia ◽  
2016 ◽  
Vol 18 (1) ◽  
pp. 262-281 ◽  
Author(s):  
David Evans

This study explored the emergence of dementia in people who were still working. A qualitative life course approach was used to describe the experience from the onset of dementia-related symptoms to the time when the person left the workforce. The emergence of dementia at work for the participants in this study took the form of a slow transition that initially was not noticed by co-workers. It brought about subtle changes as the person became forgetful, disorganised, made mistakes and was slower. Over time the person’s job performance continued to deteriorate and others at the workplace started to realise that there was a problem. Some were seen to be poor workers and so experienced difficulties with supervisors and co-workers. Others encountered difficulties managing changing relationships at work and negotiating the complex world of the workplace. Few were able to continue working beyond their diagnosis, and several raised concerns about the lack of opportunities for people who develop dementia while still employed. Given the greater participation of older people in the workforce, findings highlight the importance of identifying and supporting workers with declining cognitive function.

Author(s):  
Jumpei Mizuno ◽  
Daisuke Saito ◽  
Ken Sadohara ◽  
Misato Nihei ◽  
Shinichi Ohnaka ◽  
...  

Information support robots (ISRs) have the potential to assist older people living alone to have an independent life. However, the effects of ISRs on the daily activity, especially the sleep patterns, of older people have not been clarified; moreover, it is unclear whether the effects of ISRs depend on the levels of cognitive function. To investigate these effects, we introduced an ISR into the actual living environment and then quantified induced changes according to the levels of cognitive function. Older people who maintained their cognitive function demonstrated the following behavioral changes after using the ISR: faster wake-up times, reduced sleep duration, and increased amount of activity in the daytime (p < 0.05, r = 0.77; p < 0.05, r = 0.89, and p < 0.1, r = 0.70, respectively). The results suggest that the ISR is beneficial in supporting the independence of older people living alone since living alone is associated with disturbed sleep patterns and low physical activity. The impact of the ISR on daily activity was more remarkable in the subjects with high cognitive function than in those with low cognitive function. These findings suggest that cognitive function is useful information in the ISR adaptation process. The present study has more solid external validity than that of a controlled environment study since it was done in a personal residential space.


2020 ◽  
Author(s):  
Sarah J Richardson ◽  
Daniel H J Davis ◽  
Blossom C M Stephan ◽  
Louise Robinson ◽  
Carol Brayne ◽  
...  

Abstract Background Delirium is common, distressing and associated with poor outcomes. Previous studies investigating the impact of delirium on cognitive outcomes have been limited by incomplete ascertainment of baseline cognition or lack of prospective delirium assessments. This study quantified the association between delirium and cognitive function over time by prospectively ascertaining delirium in a cohort aged ≥ 65 years in whom baseline cognition had previously been established. Methods For 12 months, we assessed participants from the Cognitive Function and Ageing Study II-Newcastle for delirium daily during hospital admissions. At 1-year, we assessed cognitive decline and dementia in those with and without delirium. We evaluated the effect of delirium (including its duration and number of episodes) on cognitive function over time, independently of baseline cognition and illness severity. Results Eighty two of 205 participants recruited developed delirium in hospital (40%). One-year outcome data were available for 173 participants: 18 had a new dementia diagnosis, 38 had died. Delirium was associated with cognitive decline (−1.8 Mini-Mental State Examination points [95% CI –3.5 to –0.2]) and an increased risk of new dementia diagnosis at follow up (OR 8.8 [95% CI 1.9–41.4]). More than one episode and more days with delirium (&gt;5 days) were associated with worse cognitive outcomes. Conclusions Delirium increases risk of future cognitive decline and dementia, independent of illness severity and baseline cognition, with more episodes associated with worse cognitive outcomes. Given that delirium has been shown to be preventable in some cases, we propose that delirium is a potentially modifiable risk factor for dementia.


2019 ◽  
Vol 74 (6) ◽  
pp. e1-e12 ◽  
Author(s):  
Sojung Park ◽  
Eunsun Kwon ◽  
BoRin Kim ◽  
Yoonsun Han

Abstract Objectives Drawing from life course and environmental perspectives, we examined the trajectory of cognitive function and how senior housing moderates the effects of life-course socioeconomic status (SES) disadvantage among older people living alone over time. Method Six waves of the Health and Retirement Study (HRS) were used with multilevel growth modeling to analyze developmental patterns of cognitive function over time and how various forms of life-course SES disadvantage affect cognitive function depending on senior housing residency status. Results At baseline, we found a positive role of senior housing in four subgroups: SES disadvantage in childhood only, unstable mobility pattern (disadvantage in childhood and old age only), downward mobility (no disadvantage in childhood, but in later two life stages), and cumulative disadvantage (all three life stages). Over time, the positive role of senior housing for the unstable and the most vulnerable group persisted. Discussion Our findings provide a much-needed practical and theoretical underpinning for environmental policy-making efforts regarding vulnerable elders who live alone.


2018 ◽  
Vol 23 (1) ◽  
pp. 33-47 ◽  
Author(s):  
Guido Alessandri ◽  
Chiara Consiglio ◽  
Fred Luthans ◽  
Laura Borgogni

Purpose Psychological Capital (PsyCap), consisting of hope, efficacy, resilience, and optimism, is a positive state associated with attitudes, behaviors and performance. The purpose of this paper is to investigate a dynamic mediational model posing work engagement as the mediator of the longitudinal relation between PsyCap and job performance. Design/methodology/approach Data came from all white collar employees who responded to this study’s variables (n=420) from a comprehensive data set drawn from a large communications service company over two consecutive years. Job performance was rated at the end of each year by the direct supervisor as part of the organizational appraisal system. Findings Structural equation modeling analysis found that both absolute levels and increases in PsyCap predicted subsequent work engagement increases which in turn predicted job performance increases. Moreover, the mediating role of the changes in work engagement between previous PsyCap and performance change was confirmed over time. Research limitations/implications There is much to gain in conceptualizing the relations among PsyCap, work engagement and job performance as dynamic, rather than static. The results support the conservation of resources theory, in which employees are motivated to acquire, protect and foster their valued (psychological) resources to attain successful performance outcomes, in order to create a gain cycle of resources (Salanova et al., 2010). Moreover, it provide further empirical validation for the idea that processes, like work engagement, are sustained by personal resources, and that these latter exerts mostly an indirect effect on organizational behavior outcomes (Xanthopoulou et al., 2009b). Practical implications These results are important from a practical point of view, because they point to the importance of training interventions aimed at developing and sustaining PsyCap as an important determinant of workers’ motivation and behavior within the organization. Considerable literature offers practical insights and guidelines for developing PsyCap (Luthans et al., 2006, 2015; Luthans and Youssef-Morgan, 2017). Originality/value Despite the demonstrated state-like, dynamic nature of PsyCap, its relationship with performance has mainly been statically analyzed and the role of possible mediating mechanisms largely ignored. This study begins to fill this research gap by investigating the dynamic nature of PsyCap in relation to work engagement and job performance and whether over time engagement mediates the relationship between PsyCap and job performance.


2015 ◽  
Vol 15 (1) ◽  
pp. 113-127 ◽  
Author(s):  
Linzi Ladlow ◽  
Bren Neale

Drawing on an ESRC funded qualitative longitudinal study of young fatherhood, this article explores the experiences of young offender fathers, the complex intersection of offender and fatherhood pathways for young men and the impact of professional support and tailored intervention programmes on these processes. The article challenges the axiom of young offender fathers as inherently ‘risky’, and suggests the utility of a dynamic, life course approach to criminal policy and practice that recognises the fluidity of their life journeys, and brings ideas of redemption more centrally into the picture.


Author(s):  
Tara Renae McGee ◽  
David P. Farrington

Developmental and life-course theories of crime are collectively characterized by their goal of explaining the onset, persistence, and desistance of offending behavior over the life-course. Researchers working within this framework are interested not just in offending but also in the broader category of antisocial behavior. Their research aims to investigate the development of offending and antisocial behavior throughout life; risk and protective factors that predict this development; the effects of life events; and the intergenerational transmission of offending and antisocial behavior. While there have been a number of developmental and life-course theories of crime, the more influential and empirically tested ones include Sampson and Laub’s age-graded informal social control theory and Moffitt’s typological model of life-course-persistent and adolescence-limited offending. While developmental and life-course criminology has come to be viewed a single type or grouping of criminology, there are distinctions between the more sociological life-course perspectives and the more psychological developmental perspectives. These are a result of the disciplinary training of the individuals working in the field and are reflected in the types of variables examined and the theoretical explanations developed and applied to explain the relationships. The broader life-course perspective focuses on the examination of human lives over time, with an understanding that “changing lives alter developmental trajectories,” according to Glen Elder in his 1998 work. Life-course approaches to studying human development are not unique to criminology and are represented within many disciplines, such as medicine and epidemiology. There are four central themes of the life-course paradigm: the interplay of human lives and historical times; the timing of lives; linked or interdependent lives; and human agency in making choices. Therefore the life-course perspective within criminology focuses on the examination of criminal behavior within these contexts. Given its sociological origins, life-course theoretical explanations tend to focus more on social processes and structures and their impact on crime. Developmental perspectives within criminology tend to be more psychological in nature, and its theoretical explanations tend to focus more on individual characteristics and the impact of familial processes on the individual. Both of these perspectives require longitudinal data, that is, data collected over time for each individual. Collectively, developmental and life-course criminology allow for the examination of: within-individual changes over time; the impact of critical life events; the importance of the social environment; and pathways, transitions and turning points.


Criminology ◽  
2020 ◽  
Author(s):  
Steven Zane

Broadly, longitudinal research is research that involves longitudinal data, that is, data with a time dimension. This can be contrasted with cross-sectional data, which records information about the units of analysis at a particular point in time. Longitudinal research in criminology can be used for a variety of purposes, including quantifying trends in human behavior over time, describing the progression of life events, identifying patterns of behavior change, testing theories of crime causation, and evaluating the impact of interventions including criminal justice policy. Different types of longitudinal studies can be used for each of these aims. Panel studies look at multiple waves of data collection using same measures and sample. Cohort studies involve a particular group of individuals that are studied over time, such as a “birth cohort” or a “prison cohort.” Time-series studies involve a series of measurements taken at periodic time intervals in order to measure the impact of a change (such as a policy intervention) by comparing before- and after- measurements of the phenomena of interest. Trend studies look at change over time in a total population or sample that is generalizable to that population. In what follows, longitudinal research in criminology is reviewed with an emphasis on prospective cohort designs. First, an overview of longitudinal research and the methods for analyzing longitudinal data is first provided. Next, major longitudinal cohort studies are discussed, including early (pre-1970) and later (post-1970) cohort studies, long-term follow-ups of prospective cohort studies, and major longitudinal-experimental designs. These studies have allowed researchers to control for possible cohort effects, i.e., similarities within the group, when examining patterns in offending over time. This is especially useful for “life course” researchers who are interested in how a sequence of socially defined events affects individuals over time (i.e., age and period effects). Applications of longitudinal research are then discussed. Most notably, this involves developmental and life-course criminology, which requires longitudinal research to examine criminal careers, early risk factors for offending, offending trajectories, and adult transitions and desistance. Additionally, longitudinal research has been utilized to examine intergenerational transmission of crime, to test major theories of crime, to assess the impact of criminal justice policy, and to examine aggregate trends in crime and punishment. Each of these is briefly discussed.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S576-S577
Author(s):  
Claudia Recksiedler ◽  
Boris Cheval ◽  
Stefan Sieber ◽  
Robert S Stawski ◽  
Stephane Cullati

Abstract Research documented the impact of marital transitions—particularly marital loss—on depression in old age, yet its severity depends multiple factors. Individuals’ capability to cope with transitions depends on available resources and previous exposure to stressors, such as early-life adversity, which buffers or aggravates the impact of marital transitions on later-life depression. Although studies documented the pivotal link between early-life adversity and negative health trajectories, our study is the first attempt to examine whether early-life adversity influences the relationship between prospectively-tracked, later-life marital transitions and depression. We drew data from SHARE, which samples individuals aged 50+ across Europe (N = 13,258; 2004-2016). Using multilevel linear models, we found that women who became widowed had higher levels of depression compared to coupled and single women, but experienced lower increases in depression over time. After adjusting for early-life and adulthood SES, losing a partner remained significantly associated with depression. Life-course SES was associated with levels of depression, yet interactions between marital transitions and SES were not, with some exceptions: single women who reported difficulties in their ability to make ends meet experience higher increases of depression over time. Overall, results were similar for men. Interactions between family transitions and SES were again not significant, with a few exceptions for single men: those born in more childhood conditions, and those with high education, had lower levels of depression. We interpret and discuss our findings through the lens of life-course and stress-resiliency perspectives and in light of changing family dynamics for this age group.


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