Depression and alcohol use among the Dutch residential home elderly: Is there a shared vulnerability?

The purpose of this article is to investigate whether data from an older population sample would support the co-occurrence between depression and (problematic) alcohol use found in the general population and in clinical samples. Additionally, important predictors concerning these phenomena are identified in this population, by interviewing 156 inhabitants of five residential homes (mean age 84 years), using several questionnaires. The results showed that there is no link present between depression and alcohol use in this very old, mostly female population. Our results found a relation between the personality traits extraversion and openness to experience with both depression as well as alcohol use. Neuroticism was only related to depressive symptoms. Chronic diseases was related to non-alcohol use and parental problem drinking was found to be a risk factor for late life problem drinking. Future studies should aim at developing screening instruments for alcohol use in this population and, because of the importance of the personality traits, aim at developing or adapting of psychotherapeutic interventions fit for this population. Keywords: Depression, alcohol use, older adults, residential homes, personalit

Turkish Adult Children as Caregivers of Parents with Alzheimer's Disease: Perceptions and Caregiving Experiences

There is substantial evidence suggesting that Western and non-Western caregivers of patients with Alzheimer's disease have different caregiving experiences depending on the cultural values they adopt. Although family-centered constructs such as familism and filial piety have taken some attention, there is still a paucity of research on how cultural values and norms shape caregiving appraisals, coping strategies, and formal service use specifically in Eastern-oriented contexts. The aim of this study was to investigate Turkish adult children caregivers' perceptions of Alzheimer's disease and caregiving experience. Researchers conducted in-depth interviews with 20 primary caregivers and analyzed data with interpretative phenomenological analysis. First, most caregivers viewed family disharmony as the main cause of the disease. Second, although burden is evident in their accounts, caregivers reported positive changes during their caregiving experiences, as well. Third, caregivers employ religious/fatalistic coping and they benefit from social support during their caregiving experiences. Forth, most caregivers opposed to nursing home placement because they view it as a morally improper act; they are afraid of neighborhood pressure; they perceive caregiving as a child's responsibility; they do not want their children to do so; and they do not trust conditions of care facilities in Turkey. Findings indicated that Eastern norms and values might have differential impacts on Alzheimer's disease caregiving outcomes. Hence, we invite mental health professionals to integrate culturally sensitive aspects into the possible intervention programs targeting Alzheimer's disease caregivers from non-Western contexts

Does Marital Adjustment Mediate Type C Personality-Depressive Symptoms Relation? A Comparison between Breast Cancer Patients and Cancer-Free Women

The purpose of this study was to investigate the relation between Type C personality and depressive symptoms in breast cancer patients, and to examine if marital adjustment mediates this relation. The data was collected from 98 married breast cancer patients undergoing post-operative chemotherapy treatment. Also, 97 married cancer-free women were included in the study as the comparison group to test whether the proposed relationship is typical only to breast cancer patients. Regression analyses indicated that marital adjustment partially mediated Type C personality-depressive symptoms relation in breast cancer patients. However, this mediation was not found in cancer-free women. Findings of the study were discussed in relation to current literature and cultural context of Turkey

Turkish Muslim Healers: A Qualitative Investigation of Hocas and Their Methods

A vast majority of Turkish individuals are Muslim, and several Turkish individuals refer to traditional healers to get help for medical and psychological problems. The purpose of the present study was to investigate Turkish traditional healing methods and to delineate the kinds of presenting problems that the clients bring to healers, methods used by the healers, the healing process, and the effect of healing on the clients. For this purpose, 11 participants were interviewed. The data were analyzed using the consensual qualitative research method. Nine domains emerged from the interviews: symptoms, diagnosis, etiology, treatment, response to treatment, characteristics of healers, clients' beliefs and desire to be healed, all healing coming from Allah (God), and characteristics of jinns. The findings were discussed in light of Kleinman's (Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry, University of California Press, Berkeley,1980) illness explanatory model and characteristics of Turkish culture