Abstract
Depression is a serious problem among older adults and there is limited research on the most effective way to implement and evaluate the effects of expressive touch, either alone or in combination with verbalization, on levels of depression. A convenience sample of 24 institutionalized depressed older adult subjects (15 females and 9 males), ages 67 to 91 years was used for this study. An interrupted time series with multiple replications design was employed with four measurements: Geriatric Depression Scale (GDS), Life-Satisfaction-A-Scale, Rosenburg Self-Esteem Scale, and Locus of Control Scale. Four interventions were implemented: expressive touch only, verbalization only, a combination of expressive touch and verbalization, and a control (presence). Significant differences were found between pretest and posttest scores on the GDS for the expressive touch/verbal intervention. The most comfortable locations to implement the expressive touch and combination interventions were in the dining room or at the subject's bedside. The most comfortable areas of the subjects' bodies touched were the arms, hands, shoulders, and back. Results of this study support an important link between depression, self-esteem, locus of control, and life satisfaction and expressive touch either alone or when combined with talk. Touch as a mode of effective social support may have a therapeutic effect for depressed older adults.
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REFERENCES
Aguilera, D. C. (1967). Relationships between physical contact and verbal interaction between nurses and patients. J. Psychiat. Nurs. Vol: 5–21.
Backman, L., and Mantyla, T. (1988). Effectiveness of self-generated cues in younger and older adults: The role of retention interval. Int. J. Aging Human Devel. 26: 241–247.
Brink, T. L., Yesavage, J. A., Lum, O., Heersema, P. H., Adey, M., and Rose, T. L. (1982). Screening test for geriatric depression. Clin. Gerontol. 1: 37–43.
Buckwalter, K. C. (1989). The depressed resident: What staff can do. Provider 8: 20–21.
Burns, N., and Grove, S. K. (1993). The Practice of Nursing Research: Conduct, Critique and Utilization (2nd Ed.), W.B. Saunders, Philadelphia.
Burnside, I. (1973). Touching is talking. Am. J. Nurs. 73: 2060–2063.
Buschmann, M. B. T., and Hollinger, L. M. (1991). The relationship between depression and touch in elderly nursing home residents. Gerontologist 31: 45.
Buschmann, M. B. T., and Hollinger, L. M. (1994). Influence of social support and control on depression in the elderly. Clin. Gerontol. 14: 13–28.
Butler, R. N., Cohen, G., Lewis, M. I., Simmons-Clemmons, W., and Sunderland, T. (1997). Late-life depression. Treatment strategies for primary care practice. Geriatrics 52: 51–2, 58–60, 63–4.
DeWever, M. K. (1997). Nursing home patients' perception of nurses' affective touching. J. Psychol. 96: 163–171.
Eaton, M., Mitchell-Bonair, I., and Friedmann, E. (1986). The effect of touch on nutritional intake on chronic organic brain syndrome patients. J. Gerontol. 41: 611–616.
Egan, E. C., Synder, M., and Burns, K. R. (1992). Intervention studies in nursing: Is the effect due to the independent variable? Nurs. Outlook 40: 187–190.
Gallop, R. (1988). Escaping borderline stereotypes. J. Psychosoc. Nurs. 26: 16–20.
Hartley, A. A. (1992). Attention. In Craik, F., and Salthouse, T. (eds.), The Handbook of Aging and Cognition, Erlbaum, Hillsdale, NJ, pp. 3–49.
Hollender, M. (1970). The need or wish to be held. Arch. Gen. Psychiat. 22: 445–453.
Hunter, M., Grinnell, R. M., Jr., and Blanchard, R. (1978). A test of a shorter privacy preference scale. J. Psychol. 98: 207–210.
Langland, R. M., and Panicucci, C. L. (1982). Effects of touch on communication with elderly confused clients. J. Gerontol. Nurs. 8: 152–155.
McDowd, J. M., and Birren, J. E. (1990). Aging and attention process. In Birrens, J. E., and Schaie, K. W. (eds.), Handbook of the Psychology of Aging (3rd Ed.), Academic Press, New York, pp. 222–223.
Neugarten, B., Havighurst, R., and Tobin, (1961). The measurement of life satisfaction. J. Gerontol. 16: 134–143.
Pastalan, L., and Bourestom, N. (1975). Forced Relocation: Setting, Staff and Patient. Institute of Gerontology, University of Michigan, Ann Arbor, MI.
Reid, D. W., Hass, G., and Hawkins, D. (1977). Locus of desired control and positive self-concept of the elderly. J. Gerontol. 32: 441–450.
Rosenberg, M. (1989). Society and the Adolescent Self-Image (Rev. Ed.), Wesleyan University Press, Middletown, CT, pp. 325–327.
Rothschild, A. J. (1996). The diagnosis and treatment of late-life depression. J. Clin. Psychiat. 5: 5–11.
Schwartz, M. S., and Schockley, E. L. (1996). The Nurse and the Mental Patient, Russell Sage Foundation, New York.
Watson, W. H. (1975). The meaning of touch: Geriatric nursing. J. Commun. 25: 104–112.
Yesavage, J. A. (1992). Depression in the elderly. Postgrad. Med. 91: 255–261.
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Buschmann, M.T., Hollinger-Smith, L.M. & Peterson-Kokkas, S.E. Implementation of Expressive Physical Touch in Depressed Older Adults. Journal of Clinical Geropsychology 5, 291–300 (1999). https://doi.org/10.1023/A:1022915024768
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DOI: https://doi.org/10.1023/A:1022915024768