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Who Experiences the Move into a Nursing Home as Stressful? Examination of the Relocation Stress Hypothesis using Archival, Time-Series Data

Published online by Cambridge University Press:  29 November 2010

Peter R. Grant
Peter R. Grant
Affiliation:
University of Saskatchewan
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Abstract

The relocation stress hypothesis that older people find the move into a nursing home to be stressful was examined using archival time-series data. The prevalence of psychological distress following admission was obtained from nursing notes written on monthly medical charts for 159 residents of four Saskatchewan nursing homes. Excluding those with an organic psychotic disorder (19.5%), the results showed that the majority of new residents (82.7%) were not distressed by the move. However, a large proportion of those who were stressed and, in particular, those who had behavioral problems prior to admission did experience psychological distress on admission, and this proportion dropped slowly over an eight month period. While this evidence does not support a general relocation stress hypothesis, it is consistent with a perceived control interpretation of this hypothesis as well as a number of other interpretations focussing on alternative explanations for the behavioral problems variable.

Résumé

L'hypothèse du stress engendré par le relogement, selon laquelle le transfert de la personne âgée en maison de retraite provoque un stress a été ré-étudiée à la lumière des données d'archives longitudinales et sérielles. L'incidence des cas d'angoisse suite à l'admission provient des commentaires accompagnant les fiches médicales de 159 personnes habitant dans quatre maisons de retraite en Saskatchewan. Mis à part les sujets atteints de désordres psychotiques d'origine organique (19,5%), la majorité des nouveaux résidents (82,7%) ne présente pas d'angoisse de relogement. Cependant, une forte proportion des sujets présentant des signes de stress avant leur admission, notamment ceux qui présentaient déjà des problèmes du comportement, éprouvent de l'angoisse au moment de leur transfert, mais leur proportion diminue progressivement au cours des huit mois qui suivent. Bien que ces résultats ne viennent pas étayer la thèse d'un stress de relogement général, elle ne contredit pas l'interprétation selon laquelle le sujet a le sentiment de dominer la situation non plus que diverses interprétations centrées sur d'autres explications concernant la variable des problèmes du comportement

Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 4 , Issue 2 , June 1985 , pp. 87 - 100
Copyright
Copyright © Canadian Association on Gerontology 1985

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References

REFERENCES

Abrahams, R. B., & Patterson, R. D. (1978-1979). Psychological distress among the community elderly: Prevalence, characteristics and implications for service. International Journal of Aging and Human Development, 9(1), 1–18.CrossRefGoogle ScholarPubMed
Aldrich, C. K. (1964). Personality factors and mortality in the relocation of the aged. Gerontologist, 4, 92–93.CrossRefGoogle ScholarPubMed
Aldrich, C. K. & Mendkoff, E. (1963). Relocation ofthe aged and disabled. Journal of American Geriatrics Society, 11, 185–194.CrossRefGoogle Scholar
Banziger, G. & Roush, S. (1983). Nursing homes for the birds: A control-relevant intervention with bird feeders. Gerontologist, 23 (5), 527–531.CrossRefGoogle Scholar
Borup, J. H. (1983) Relocation mortality research: Assessment, reply, and the need to refocus on the issues. Gerontologist, 23 (3), 235–241.CrossRefGoogle ScholarPubMed
Borup, J. H., Gallego, D. & Heffeman, P. (1979). Relocation and its effect on mortality. Gerontologist, 19, 135–140.CrossRefGoogle ScholarPubMed
Borup, J. H., Gallego, D. T. & Heffeman, P. G. (1980). Relocation: Its effect on health, functioning and mortality. Gerontologist, 20(4), 468–477.CrossRefGoogle ScholarPubMed
Coffman, T. L. (1981). Relocation and survival of institutionalized aged A reexamination. Gerontologist, 21, 483–500.CrossRefGoogle Scholar
Cohen, S. (1980). Aftereffects of stress on human performance and social behavior A review of research and theory. Psychological Bulletin, 88(1), 82–108.CrossRefGoogle ScholarPubMed
Cook, T. D. & Campbell, D. T. (1979). Quasi-experimentation: Design and analysis for field settings. Chicago: Rand McNally.Google Scholar
Grant, P. R. & Gutman, G. M. (1981). Self-induced dependency, learned helplessness, and relocation stress: A new kind of intervention. In Crawford, J. (Ed.) Canadian Gerontological Collection III (pp. 208–222). Winnipeg: Canadian Association on Gerontology.Google Scholar
Kowalski, N. C. (1981). Institutional relocation: Current programs and applied approaches. Gerontologist, 21(5), 512–519.CrossRefGoogle Scholar
Langer, E. J. & Rodin, J. (1976). The effects of choice and enhanced personality for the aged: A field experiment in an institutional setting. Journal of Personality and Social Psychology, 34, 191–198.CrossRefGoogle Scholar
Lazarus, R S. (June, 1976). Theory and method in the study of stress and coping. A paper presented at the Fifth World Health Organization Conference on Society, Stress and Disease: Aging and Old Age. Stockholm, Sweden.Google Scholar
Lazarus, R. S. (1981). The stress and copying paradigm. In Eisdorfer, C., Cohen, D., Kleinman, A., & P. Maxim (Eds.). Models for clinical psychopathology (pp. 177–214). New York: Spectrum.CrossRefGoogle Scholar
Lieberman, M. A. (1961). Relationship of mortality rates to entrance to a home for the aged. Geriatrics, 76, 515–519.Google Scholar
Lieberman, M. A., Prock, V. A. & Tobin, S. S. (1968). Psychological effects of institutionalization. Journal of Gerontology, 23, 343–353.CrossRefGoogle ScholarPubMed
Luke, E., Norton, W., & Denbigh, K. (1982). Prevalence of psychologic impairment in an advanced-age population. Journal of the American Geriatrics Society, 30(2), 114–122.CrossRefGoogle Scholar
Miller, D. & Lieberman, M. A. (1965). The relationship of affect state and adaptive capacity to reactions to stress. Journal of Gerontology, 20, 492.Google ScholarPubMed
Myles, J. (1980). Institutionalizing the elderly: A critical assessment of the sociology of total institutions. In Marshall, V. W. (ed). Aging in Canada: Social Perspectives (pp. 257–268). Don Mills, Ontario: Fitzhenry and White-side.Google Scholar
Pearlin, L. I. & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.CrossRefGoogle ScholarPubMed
Penning, & Chappell, N. (1980). A reformulation of basic assumptions about institutions for the elderly. In Marshall, V. W. (ed.). Aging in Canada: Social Perspectives (pp. 269–280). Don Mills, Ontario: Fitzhenry and White-side.Google Scholar
Pineo, C. J., Rosica, L. M. & Carter, T. J. (1978). The differential effects of relocation on nursing home patients. Gerontologist, 18, 167–172.CrossRefGoogle Scholar
Pohl, J. M. & Fuller, S. S. (1980). Perceived choice, social interaction, and dimensions of morale of residents in a home for the aged. Research in Nursing and Health, 3, 147–157.CrossRefGoogle Scholar
Rodin, J.Bohm, L. C., & Wack, J. T. (1982). Control coping, and aging: Models for research and intervention. In Bickman, L. (Ed.) Applied Social Psychology Annual: Vol. 3 (pp. 153–180). Beverly Hills: Sage.Google Scholar
Rodin, J. & Langer, E. J. (1977). Long-term effects of a control relevant intervention with the institutionalized aged. Journal of Personality and Social Psychology, 35, 897–902.CrossRefGoogle ScholarPubMed
Rodstein, M., Savitsky, E. & Starkman, R. (1976). Initial adjustment to a long-term care institution: Medical and behavioral aspects. Journal of the American Geriatrics Society, 24(2), 65–71.CrossRefGoogle ScholarPubMed
Rowland, K. (1977). Environmental events predicting death for the elderly. Psychological Bulletin, 84(2), 349–372.CrossRefGoogle ScholarPubMed
Saskatchewan Formulary Committee (1980). Saskatchewan Formulary. Regina: Saskatchewan Prescription Drug Plan.Google Scholar
Schulz, R. & Brenner, G. (1977). Relocation of the aged: A review and theoretical analysis. Journal of Gerontology, 32(2), 323–333.CrossRefGoogle ScholarPubMed
Senior Citizen's Provincial Council (1983). The first institutional year The results of relocation in special care homes. Regina, Saskatchewan.Google Scholar
Statistics Canada (1981-1982). Survey ofspecial care facilities. Non-catalogued publication, Ottawa.Google Scholar
Stolee, P., Rockwood, K., & Robertson, D. (1982). The elderly in the community: Report of the Saskatchewan Health Status Survey of the elderly: Part II (Preliminary Report). Saskatchewan: Division of Geriatric Medicine, University of Saskatchewan.Google Scholar
Tesser, R. & Mechanic, D. (1978). Psychological distress and perceived health status. Journal of Health and Social Behavior, 19, 254–262.CrossRefGoogle Scholar
Tryon, W. W. (1982). A simplified time-series analysis for evaluating treatment interventions. Journal of Applied Behavior Analysis, 15, 423–429.CrossRefGoogle ScholarPubMed
Turner, B.F., Tobin, S. S. & Lieberman, M. A. (1972). Personality traits as predictors of institutional adaptation among the aged. Journal of Gerontology, 27, 61–68.CrossRefGoogle ScholarPubMed
World Health Organization (1977). Manual of the international classification of diseases, injuries, and causes of death. Based on the recommendations of the Ninth Revision Conference, Geneva, 1975.Google Scholar