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University of Colorado Denver

Centers for American Indian and Alaska Native Health
 
 
 

NCAIANMHR

Chronically Ill Elderly


PROJECT TITLE:
Chronically Ill Elderly

FUNDING SOURCE: 
NIMH

DATES OF FUNDING: 
1985 - 1989

PRINCIPAL INVESTIGATOR(S): 
Spero Manson, Ph.D.

CENTER STAFF INVOLVED:
Spero Manson, Ph.D.; Anna Barón, Ph.D.

 

SPECIFIC AIMS/RESEARCH GOALS:

This study had 3 goals:

  1. to examine physical health problems as a major risk factor for depression among older American Indians;
  2. to identify mediating factors such as social support, cognitive-behavioral coping strategies, and various personality factors; and
  3. to deliver as well as evaluate a preventive intervention intended to reduce the risk of psychological dysfunction due to these physical health problems.

 

RESEARCH DESIGN:
  1. Two surveys were administered 18 months apart to 314 participants;
  2. weekly reports and surveys completed by the people participating in the preventive intervention; and
  3. a third and fourth survey administered to the people in the intervention and a matched sample from the 314 study participants.

 

PARTICIPANTS:

The study sample was composed of 314 American Indians from the their tribal reservations.   This sample was identified through the Indian Health Service (IHS) Clinics on the basis of age (>45) and the primary diagnosis of a chronic physical health problem (diabetes, rheumatoid arthritis, coronary heart disease).

 

MEASURES:
  1. Center for Epidemiologic Studies Depression Scale (CES-D).
  2. Sociodemographics.
  3. Social desirability.
  4. Subjective health status.
  5. Aspects of daily life affected by health problems.
  6. Health locus of control scale.
  7. Health care utilization and satisfaction.
  8. Life satisfaction.
  9. Social support.
  10. Coping strategies.
  11. Inventory to Diagnose Depression (IDD).
  12. Alcohol use.

 

PUBLICATIONS:

Barón, A.E., Manson, S.M., Ackerson, L.M., & Brenneman, D.L. (1990). Depressive symptomatology in older American Indians with chronic disease: Some psychometric considerations.   In, C. Attkinsson & J. Zitch (Eds.), Screening for depression in primary care setting. New York, NY: Pergamon Press.

Manson, S. M. (1995). Culture and major depression: Current challenges in the diagnosis of mood disorders. Psychiatric Clinics of North America, 18(3), 487-501.

Manson, S. M., & Brenneman, D. L. (1995). Chronic disease among older American Indians: Preventing depression and related problems of coping. In D. K. Padgett (Ed.), Handbook on ethnicity, aging, and mental health (pp. 284-303). Westport, CT: Greenwood Press.

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