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Is Aging a Disease? Mental Health Issues and Approaches for Elders and Caregivers

  • Lucia McBeeEmail author
  • Patricia Bloom
Part of the Advances in Mental Health and Addiction book series (AMHA)

Abstract

Aging, illness, loss, and death are part of life. Mindfulness offers an important perspective on these inevitable facts of life. Western medical innovations have extended the life trajectory, resulting in a greater prevalence of chronic diseases, often accompanied by pain. Mindfulness interventions have demonstrated effectiveness in ameliorating chronic conditions, cognitive decline and pain, and problems disproportionately impacting elders and often leading to emotional distress. Mindfulness interventions have also provided skills to alleviate the stress of caregiving, an essential component of the well-being of frail elders. In this chapter, we will describe the most common mental health problems for elders and caregivers, as well as adaptations of mindfulness-based interventions (MBIs) to provide relief.

Keywords

Frail elders Caregivers Mindfulness-based interventions Mindfulness-based stress reduction Older adults 

References

  1. Adelman, R. D., Tmanova, L. L., Delgado, D., Dion, S., & Lachs, M. S. (2014). Caregiver burden: A clinical review. JAMA, 311, 1052–1060.PubMedGoogle Scholar
  2. Ball, M. S., & Vernon, B. (2014). A review on how meditation could be used to comfort the terminally ill. Palliative Support Care, 30, 1–4.Google Scholar
  3. Beckman, H. B., Wendland, M., Mooney, C., Krasner, M. S., Quill, T. E., Suchman, A. L., et al. (2012). The impact of a program in mindful communication on primary care physicians. Academy of Medicine, 87, 815–819.Google Scholar
  4. Bennett, J., & O’Donovan, D. (2001). Substance misuse by doctors, nurses and other healthcare workers. Current Opinion in Psychiatry, 14, 195–199.Google Scholar
  5. Benshoff, J. J., Harrawood, L. K., & Koch, D. S. (2003). Substance abuse and the elderly: Unique issues and concerns. Journal of Rehabilitation, 69, 43–48.Google Scholar
  6. Bethay, J. S., Wilson, K. G., Schnetzer, L. W., Nassar, S. L., & Bordieri, M. J. (2012). A controlled pilot evaluation of acceptance and commitment training for intellectual disability staff. April 2012. Retrieved online 3/24/13 from Mindfulness. http://link.springer.com/article/10.1007%2Fs12671-012-0103-8?LI=true#Google Scholar
  7. Black, D. S., O’Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Internal Medicine. doi: 10.1001/jamainternmed.2014.8081. Published online February 16, 2015.PubMedCentralPubMedGoogle Scholar
  8. Bloom, H. G., Ahmed, I., Alessi, C. A., Ancoli-Israel, S., Buyesse, D. J., Kryger, M. H., et al. (2009). Evidence-based recommendations for the assessment and management of sleep disorders in older persons. Journal of the American Geriatric Society, 57, 761–789.Google Scholar
  9. Brooker, J., Julian, J., Webber, L., Chan, J., Shawyer, F., & Meadows, G. (2012). Evaluation of an occupational mindfulness program for staff employed in the disability sector in Australia. Published online, May 2012, retrieved 3/23/13 from Mindfulness. http://link.springer.com/article/10.1007%2Fs12671-012-0112-7?LI=true#Google Scholar
  10. Bureau of Labor Statistics (BLS). (2007). The 0 fastest-growing occupations, 00–0. http://www.bls.gov/news release/ecopro.t06.htm. Accessed December 26, 2007.
  11. Bureau of Labor Statistics (BLS). (2008). Household data annual averages. http://www.bls.gov/cps/cpsa2007.pdf. Accessed February 24, 2008. (BLS. 2008b)
  12. Burton, L. C., Zdaniuk, B., Schulz, R., Jackson, S., & Hirsch, C. (2003). Transitions in spousal caregiving. Gerontologist, 43, 230–241.PubMedGoogle Scholar
  13. Butler, R. N. (1980). Ageism: A foreword. Journal of Social Issues, 36, 8–11. doi: 10.1111/j.1540-4560.1980.tb02018.x.Google Scholar
  14. Byron, G., Ziedonis, D. M., McGrath, C., Frazier, J. A., & Fulwiler, C. (2014). Implementation of mindfulness training for mental health staff: Organizational context and stakeholder perspectives. Mindfulness, 1–12.Google Scholar
  15. Campbell, J. (2011). In the Field. In R. Walker, & D. Kudler (Eds.), A Joseph Campbell companion: Reflections on the art of living [E-book by Stillpoint Digital Press for Kindle]. ISBN: 9781611780062.Google Scholar
  16. Cannuscio, C. C., Jones, C., Kawachi, I., Colditz, G. A., Berkman, L., & Rimm, E. (2002). Reverberations of family illness: A longitudinal assessment of informal caregiving and mental health status in the nurses’ health study. American Journal of Public Health, 92, 1305–1311.PubMedCentralPubMedGoogle Scholar
  17. Carlson, L. E. (2012). Mindfulness-based interventions for physical conditions. ISRN Psychiatry. Article ID: 651583. doi: 10.5402/2012/651583 Google Scholar
  18. Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2003). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65, 571–581.PubMedGoogle Scholar
  19. Carmody, J., & Baer, R. A. (2009). How long does a mindfulness‐based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65, 627–638.PubMedGoogle Scholar
  20. Cavalieri, T. A. (2007). Management of pain in older adults. Journal of the American OsteopathicAssociation, 107(6 suppl), ES10–ES16.Google Scholar
  21. Chapman, M. J., Hare, D. J., Caton, S., Donalds, D., McInnis, E., & Mitchell, D. (2013). The use of mindfulness with people with intellectual disabilities: A systematic review and narrative analysis. Mindfulness, 4, 179–189.Google Scholar
  22. Christakis, N. A., & Allison, P. D. (2006). Mortality after the hospitalization of a spouse. New England Journal of Medicine, 354, 719–730.PubMedGoogle Scholar
  23. Clague, F. (2010). Doctoral thesis: The impact of mindfulness training on reflective thinking and attitudes towards patients in dementia care. Retrieved 7/29/13 from www.ed.ac.uk/polopoly_fs/1.70576!/fileManager/abstracts2010.pdf
  24. Cohen-Mansfield, J. (1997). Conceptualization of agitation: Results based on the Cohen-Mansfield agitation inventory and the agitation behavior mapping instrument. International Psychogeriatrics, 8, 309–315.Google Scholar
  25. Coleman, G., & Thupten, J. (Eds.). (2006). The Tibetan book of the dead. New York: Penguin Group.Google Scholar
  26. Coogle, C. L., Brown, K. W., Hellerstein, J. M., & Rudolph, A. (2011). Mindfulness-based Alzheimer’s caregiving: A randomized controlled trial, a replication report. Retrieved 2/3/13 at www.sahp.vcu.edu/vcoa/program/reports/pdfs/aoa_reporting.pdf
  27. Creswell, J. D., Irwin, M. R., Burklund, L. J., Lieberman, M. D., Arevalo, J. M., Ma, J., et al. (2012). Mindfulness-based stress reduction training reduces loneliness and pro-inflammatory gene expression in older adults: A small randomized controlled trial. Brain, Behavior, and Immunity, 26, 1095–1101.PubMedCentralPubMedGoogle Scholar
  28. Desbordes, G., Gard, T., Hoge, E. A., Holzel, B., Kerr, C., Lazar, S., et al. (2014). Moving beyond mindfulness: Defining equanimity as an outcome measure in meditation and contemplative research. Mindfulness. doi: 10.1007/s12671-013-0269-8.PubMedCentralPubMedGoogle Scholar
  29. DHHS and DOL U.S. Department of Health and Human Services and U.S. Department of Labor (DHHS and DOL). (2003). The future supply of long-term care workers in relation to the aging baby boom generation. Washington, DC: U.S. Department of Health and Human Services.Google Scholar
  30. Dylan, B. (1966). Rainy day women #12 & 35, from Blonde on Blonde, Dwarf Music.Google Scholar
  31. Edel, L. (1972). Henry James: A life (The Master 1901–1916, Vol. V). Philadelphia, PA: Lippincott.Google Scholar
  32. Emanuel, E. J., Fairclough, D. L., Slutsman, J., & Emanuel, L. L. (2000). Understanding economic and other burdens of terminal illness: The experience of patients and their caregivers. Annals of Internal Medicine, 132, 451–459.PubMedGoogle Scholar
  33. Epstein-Lubow, G., McBee, L., Darling, E., Armey, M., & Miller, I. W. (2011). A pilot investigation of mindfulness-based stress reduction for caregivers of frail elderly. Mindfulness, 2, 95–102.Google Scholar
  34. Figueiredo, C. (2010). PHI analysis of U.S. census Bureau, current population survey, 2010 Annual Social & Economic (ASEC) Supplement, Retrieved from http://phinational.org/direct-care-workers-glance . May 20, 2015.
  35. Fiocco, A. J., & Mallya, S. (2015). The importance of cultivating mindfulness for cognitive and emotional well-being in late life. Journal of Evidence-Based Complementary & Alternative Medicine, 20, 35–40.Google Scholar
  36. Franco, C., Sola Mdel, M., & Justo, E. (2010). Reducing psychological discomfort and overload in Alzheimer’s family caregivers through a mindfulness meditation program. Revista Española de Geriatría y Gerontología, 45, 252–258.PubMedGoogle Scholar
  37. Freudenberger, H. J. (1974). Staff burn‐out. Journal of Social Issues, 30, 159–165.Google Scholar
  38. Gallagher-Thompson, D., & Coon, D. W. (2007). Evidence-based psychological treatments for distress in family caregivers of older adults. Psychology and Aging, 22, 37–51.PubMedGoogle Scholar
  39. Gallup Poll. (2005). Sleep and healthy aging. The Gallup Organization. Published online July 21, 2008. Available at http://www.gallup.com/poll/20323/Older-Americans-Dream-Good-Nights-Sleep.aspx
  40. Gard, T., Holzel, B. K., & Lazar, S. W. (2014). The potential effects of meditation on age-related cognitive decline: A systematic review. Annals of the New York Academy of Sciences, 1307, 89–103. doi: 10.1111/nyas.12348.PubMedCentralPubMedGoogle Scholar
  41. Gawande, A. (2014). Being mortal: Medicine and what matters in the end. New York: Metropolitan Books, Henry Holt and Company, LLC.Google Scholar
  42. Gfroerer, J., Penne, M., Pemberton, M., & Folsom, R. (2003). Substance abuse treatment need among older adults in 2020: The impact of the aging baby-boom cohort. Drug and Alcohol Dependence, 69, 127–135.PubMedGoogle Scholar
  43. Goodman, C. R., & Shippy, R. A. (2002). Is it contagious? Affect similarity among spouses. Aging & Mental Health, 6, 266–274.Google Scholar
  44. Goodwin, J. (1983). Common psychiatric disorders in elderly persons. Western Journal of Medicine, 139, 502–506.PubMedCentralPubMedGoogle Scholar
  45. Gordon, R. M., & Brill, D. (2001). The abuse and neglect of the elderly. International Journal of Law and Psychiatry, 24, 183–197.PubMedGoogle Scholar
  46. Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymoore, A., Shama, R., et al. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine., 174(3), 357–368. doi: 10.1001/jamainternmed.2013.13018.PubMedCentralPubMedGoogle Scholar
  47. Grant, J. (2014). Meditative analgesia: The current state of the field. Annals of the New York Academy of Sciences, 1307, 55–63.PubMedGoogle Scholar
  48. Gross, C. R., Kreitzer, M. J., Thomas, W., Reilly-Spong, M., Cramer-Bernemann, M., Nyman, J. A., et al. (2010). Mindfulness-based stress reduction for solid organ transplant recipients: A randomized controlled trial. Alternative Therapy Health Medicine, 16, 30–38.Google Scholar
  49. Gupta, S., & Warner, J. (2008). Alcohol-related dementia: A 21st-century silent epidemic? The British Journal of Psychiatry, 193, 351–353.PubMedGoogle Scholar
  50. Haley, W. E., LaMonde, L. A., Han, B., Burton, A. M., & Schonwetter, R. (2003). Predictors of depression and life satisfaction among spousal caregivers in hospice: Application of a stress process model. Journal of Palliative Medicine, 6, 215–224.PubMedGoogle Scholar
  51. Harmell, A. L., Chattillion, E. A., Roepke, S. K., & Mausbach, B. T. (2011). A review of the psychobiology of dementia caregiving: A focus on resilience factors. Current Psychiatry Reports, 13, 219–224.PubMedCentralPubMedGoogle Scholar
  52. Ho, L., Bloom, P., Vega, J., Yemul, S., Zhao, W., & Pasinetti, G. (2011). Mindfulness-based stress reduction for caregivers of patients with Alzheimer’s disease. Alzheimer’s & Dementia, 7(Supplement), S431.Google Scholar
  53. Holzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., et al. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging, 191, 36–43. doi: 10.1016/j.psychresns.2010.08.006.PubMedCentralPubMedGoogle Scholar
  54. Homer, A. C., & Gilleard, C. (1990). Abuse of elderly people by their carers. British Medical Journal, 301(6765), 1359–1362.PubMedCentralPubMedGoogle Scholar
  55. Hoppes, S., Bryce, H., Hellman, C., & Finlay, E. (2012). The effects of brief mindfulness training on caregivers’ well-being. Activities, Adaptation, & Aging, 36, 147–166.Google Scholar
  56. Institute of Medicine (IOM) of the National Academies. (2008). Retooling for an aging America: Building the health care workforce. Washington, DC: The National Academies. Retrieved March 8, 2015, from http://www.iom.edu/agingamerica.
  57. Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: A review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15, 61–66.PubMedGoogle Scholar
  58. James, B. D., Leurgans, S. E., Hebert, L. E., Scherr, P. A., Yaffe, K., & Bennett, D. A. (2014). Contribution of Alzheimer disease to mortality in the United States. Neurology. doi: 10.1212/WNL.0000000000000240. Published online December 11, 2013.Google Scholar
  59. Joiner, T. E., Jr., & Katz, J. (1999). Contagion of depressive symptoms and mood: Meta-analytic review and explanations from cognitive, behavioral, and interpersonal viewpoints. Clinical Psychology: Science and Practice, 6(2), 149–164.Google Scholar
  60. Kabat-Zinn, J. (1982). An out-patient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.PubMedGoogle Scholar
  61. Kabat-Zinn, J. (2013). Full catastrophe living, revised edition. New York: Bantam Books.Google Scholar
  62. Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163–190.PubMedGoogle Scholar
  63. Kennedy, B. R. (2005). Stress and burnout of nursing staff working with geriatric clients in long-term care. Journal of Nursing Scholarship, 37, 381–382.PubMedGoogle Scholar
  64. Kiecolt-Glaser, J. K., Preacher, K. J., MacCallum, R. C., Atkinson, C., Malarkey, W. B., & Glaser, R. (2003). Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proceedings of the National Academy of Sciences of the United States of America, 100, 9090–9095.PubMedCentralPubMedGoogle Scholar
  65. Kornfield, J. (2015). You will survive. Retrieved May 15, 2015 from http://www.jackkornfield.com/you-will-survive/
  66. Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J., et al. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association, 302, 1284–1293.PubMedGoogle Scholar
  67. Krause, N. (2004). Stressors arising in highly valued roles, meaning in life, and the physical health status of older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 59, S287–S297.Google Scholar
  68. Kyokai, B. D. (2006). The teachings of Buddha. New Delhi: Sterling.Google Scholar
  69. Lantz, M. S., Buchalter, E. N., & McBee, L. (1997). The wellness group: A novel intervention for coping with disruptive behavior in elderly nursing home residents. The Gerontologist, 37, 551–557.PubMedGoogle Scholar
  70. Lau, D. T., Mercaldo, N. D., Harris, A. T., Trittschuh, E., Shega, J., & Weintraub, S. (2010). Polypharmacy and potentially inappropriate medication use among community-dwelling elders with dementia. Alzheimer Disease and Associated Disorders, 24, 56–63. doi: 10.1097/WAD.0b013e31819d6ec9.PubMedCentralPubMedGoogle Scholar
  71. Lavretsky, H. H., Epel, E. S., Siddarth, P., Nazarian, N., Saint-Cyr, N., Khalsa, D. S., et al. (2013). A pilot study of yogic meditation for family dementia caregivers with depressive symptoms: Effects on mental health, cognition, and telomerase activity Yogic meditation for stress reduction in dementia caregivers. International Journal of Geriatric Psychiatry, 28, 57–65.PubMedCentralPubMedGoogle Scholar
  72. Levine, S., & Levine, O. (1989). Who dies? An investigation of conscious living and conscious dying. New York: Anchor Books, a Division of Random House, Inc.Google Scholar
  73. Levy, B. (2009). Stereotype embodiment a psychosocial approach to aging. Current Directions in Psychological Science, 18, 332–336.PubMedCentralPubMedGoogle Scholar
  74. Lewallen, A. C., & Neece, C. L. (2015). Improved social skills in children with developmental delays after parent participation in MBSR: The role of parent–child relational factors. Journal of Child and Family Studies. Retrieved 5/5/15 from: http://link.springer.com/article/  10.1007/s10826-015-0116-8#page-1
  75. Luders, E., Cherbuin, N., & Kurth, F. (2015). Forever young(er): Potential age-defying effects of long-term meditation on gray matter atrophy. Frontiers in Psychology. doi: 10.3389/fpsyg.2014.01551.Google Scholar
  76. Mackenzie, C. S., & Poulin, P. A. (2006). Living with the dying: Using the wisdom of mindfulness to support caregivers of older adults with dementia. International Journal of Health Promotion and Education, 44, 43–47.Google Scholar
  77. Mackenzie, C. S., Poulin, P. A., & Seidman-Carlson, R. (2006). A brief mindfulness-based stress reduction intervention for nurses and nurse aides. Applied Nursing Research, 19, 105–109.PubMedGoogle Scholar
  78. Malec, M., & Shega, J. W. (2014). Pain management in the elderly. Medical Clinics of North America, 99, 337–50.PubMedGoogle Scholar
  79. McBee, L. (2008). Mindfulness-based elder care: A CAM model for frail elders and their caregivers. New York: Springer.Google Scholar
  80. McCown, D., Reibel, D., & Micozzi, M. S. (2010). Teaching mindfulness: A practical guide for clinicians and educators. New York: Springer.Google Scholar
  81. Meeten, F., Whiting, S., & Williams, C. M. (2014). An exploratory study of group mindfulness-based cognitive therapy for older people with depression. Mindfulness. doi: 10.1007/s12671-014-0279-1.Google Scholar
  82. Miller, R. (January 1, 1973). Roger Miller with his friends and his music. ABC television http://quoteinvestigator.com/2012/09/21/get-wet/
  83. Miller, E. A., & Weissert, W. G. (2000). Predicting elderly people’s risk for nursing home placement, hospitalization, functional impairment, and mortality: A synthesis. Medical Care Research and Review, 57, 259–297.PubMedGoogle Scholar
  84. Mittelman, M. S., Haley, W. E., Clay, O. J., & Roth, D. L. (2006). Improving caregiver well-being delays nursing home placement of patients with Alzheimer Disease. Neurology, 67, 1592–1599.PubMedGoogle Scholar
  85. Morone, N. E., Greco, C. M., & Weiner, D. K. (2008). Mindfulness meditation for the treatment of chronic low back pain in older adults: A randomized controlled pilot study. Pain, 134, 310–319.PubMedCentralPubMedGoogle Scholar
  86. Morone, N. E., Rollman, B. L., & Moore, C. G. (2009). A mind-body program for older adults with chronic low back pain: Results of a pilot study. Pain Medicine, 10, 1395–1407.PubMedCentralPubMedGoogle Scholar
  87. Moss, A. S., Reibel, D. K., Greeson, J. M., Thapar, A., Bubb, R., Salmon, J. et al. (2014). An adapted mindfulness-based stress reduction program for elders in a continuing care retirement community: Quantitative and qualitative results from a pilot randomized controlled trial. Journal of Applied Gerontology. pii: 0733464814559411. [Epub ahead of print]Google Scholar
  88. Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. The Lancet, 370(9590), 851–858.Google Scholar
  89. Murrell, S. A., Himmelfarb, S., & Wright, K. (1983). Prevalence of depression and its correlates in older adults. American Journal of Epidemiology, 117, 173–185.PubMedGoogle Scholar
  90. National Alliance for Caregiving &AARP. (2009). Caregiving in the US. Retrieved from www.caregiving.org/data/Caregiving_in_the_US_2009_full_report.pdf. Accessed on May 22, 2015.
  91. National Opinion Research Center. (2014, May). Long term care in America: Expectations and realities. Retrieved from http://www.longtermcarepoll.org/PDFs/LTC%202014/AP-NORC-Long-Term%20Care%20in%20America_FINAL%20WEB.pdf
  92. Newberg, A. B., Serruya, M., Wintering, N., Moss, A. S., Reibel, D., & Monti, D. A. (2014). Meditation and neurodegenerative diseases. Annals of the New York Academy of Sciences, 1307, 112–123.PubMedGoogle Scholar
  93. Nhat Hanh, T. (1990). Present moment wonderful moment: Mindfulness verses for daily living. Berkeley, CA: Parallax.Google Scholar
  94. Noone, S. J., & Hastings, R. P. (2010). Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness, 1, 67–73.Google Scholar
  95. Norouzi, M., Golzari, M., & Sohrabi, F. (2013). Effectiveness of mindfulness based cognitive therapy on the quality of life, depression and burden of Alzheimer’s women caregivers. Journal of Research in Medical Sciences. Retrieved 3/22/13 from http://www.zjrms.ir/browse.php?a_code=A-10-1770-2&slc_lang=en&sid=en
  96. O’Connor, M., Piet, J., & Hougaard, E. (2013). The effects of mindfulness-based cognitive therapy on depressive symptoms in elderly bereaved people with loss-related distress: A controlled pilot study. Mindfulness. doi: 10.1007/s12671-013-0194-x.Google Scholar
  97. Oken, B. S., Fonareva, I., Haas, M., Wahbeh, H., Lane, J. B., Zajdel, D., et al. (2010). Pilot controlled trial of mindfulness meditation and education for dementia caregivers. The Journal of Alternative and Complementary Medicine, 16, 1031–1038.PubMedCentralPubMedGoogle Scholar
  98. Ozga, M. (November 3, 2011). Nursing and residential care workers suffer highest occupational injury rates. Retrieved from http://phinational.org/blogs/nursing-and-residential-care-workers-suffer-highest-occupational-injury-rates. Accessed on May 20, 2015.
  99. Paraprofessional Healthcare Institute (PHI). (2013). PHI facts. Retrieved from http://phinational.org/fact-sheets/facts-3-americas-direct-care-workforce. Accessed on May 20, 2015.
  100. Patterson, T. L., & Jeste, D. V. (1999). The potential impact of the baby-boom generation of substance abuse among elderly persons. Psychiatric Services: Special Section on Mental Health and Aging, 50, 1184–1188. doi: 10.1176/ps.50.9.1184.Google Scholar
  101. Phillips, V. L., & Diwan, S. (2003). The incremental effect of dementia‐related problem behaviors on the time to nursing home placement in poor, frail, demented older people. Journal of the American Geriatrics Society, 51, 188–193.PubMedGoogle Scholar
  102. Pinquart, M., & Sorensen, S. (2006). Helping caregivers of persons with dementia: Which interventions work and how large are their effects? International Psychogeriatrics, 18, 577–595.PubMedGoogle Scholar
  103. Quintana Hernandez, D. J., Miro Barrachina, M. T., Ibanez Fernandez, I., Del Pino, A. S., Garcia Rodriguez, J. R., & Hernandez, J. R. (2014). Effects of a neuropsychology program based on mindfulness on Alzheimer’s disease: Randomized double-blind clinical study. Revista española de geriatría y gerontología. pii: S0211-139X(14)00056-0. doi: 10.1016/j.regg.2014.03.002 Google Scholar
  104. Rajguru, P., Kolber, M. J., Garcia, A. N., Smith, M. T., Patel, C. K., & Hanney, W. J. (2014). Use of mindfulness meditation in the management of chronic pain: A systematic review of randomized controlled trials. American Journal of Lifestyle Medicine. doi: 10.1177/1559827614522580.Google Scholar
  105. Ridley, N. J., Draper, B., & Withall, A. (2013). Alcohol-related dementia: An update of the evidence. Alzheimer’s Research & Therapy. doi: 10.1186/alzrt157. Published online January 25, 2013.Google Scholar
  106. Rodda, J., Walker, Z., & Carter, J. (2011). Depression in older adults. British Medical Journal. doi: 10.1136/bmj.d5219. Published online July 28, 2011.PubMedGoogle Scholar
  107. Rosenberg, L., & Guy, D. (2000). Living in the light of death: On the art of being truly alive. Boston, MA: Shambala.Google Scholar
  108. Rymer, S., Salloway, S., Norton, L., Malloy, P., Correia, S., & Monast, D. (2002). Impaired awareness, behavior disturbance, and caregiver burden in Alzheimer disease. Alzheimer Disease & Associated Disorders, 16(4), 248–253.Google Scholar
  109. Sacks, O. (2015, February 19). My own life. The New York Times. Retrieved from http://www.nytimes.com/2015/02/19/opinion/oliver-sacks-on-learning-he-has-terminal-cancer.html?_r=3
  110. Sahyoun, N. R., Lentzner, H., Hoyert, D., & Robinson, K. N. (2001).Trends in causes of death among the elderly. Aging Trends, 1, Hyattsville, Maryland: National Center for Health Statistics.Google Scholar
  111. Santorelli, S. (1990). Heal thyself: Lessons on mindfulness in medicine. New York: Bell Tower.Google Scholar
  112. Sapolsky, R. M. (2004). Why Zebras don’t get ulcers. New York: Henry Holt.Google Scholar
  113. Sasi, K., Ramesh, A. K., & Anice, G. (2014). Effectiveness of mindfulness based stress reduction (MBSR) on stress and anxiety among elderly residing in residential homes. International Journal of Nursing Care, 2(2), 81–85. doi: 10.5958/2320-8651.2014.01276.9.Google Scholar
  114. Schenstrom, A., Ronnberg, S., & Bolund, O. (2006). Mindfulness-based cognitive attitude training for primary care staff: A pilot study. Complementary Health Practice Review, 11, 144–152.Google Scholar
  115. Schulz, R., & Beach, S. R. (1999). Caregiving as a risk factor for mortality. Journal of the American Medical Association, 282, 2215–2219.PubMedGoogle Scholar
  116. Schwartz, K., & Elman, C. (2003). Identification of factors predictive of hospital readmissions for patients with heart failure. Heart and Lung, 32, 88–99.Google Scholar
  117. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guildford.Google Scholar
  118. Shanafelt, T. D., Bradley, K. A., Wipf, J. E., & Back, A. L. (2002). Burnout and self-reported patient care in an internal medicine residency program. Annals of Internal Medicine, 136, 358–367.PubMedGoogle Scholar
  119. Singh, N. N., Lancioni, G. E., Karazsia, B. T., Myers, R. E., Winton, A. S., Latham, L. L., et al. (2014). Effects of training staff in MBPBS on the use of physical restraints, staff stress and turnover, staff and peer injuries, and cost effectiveness in developmental disabilities. Mindfulness, 1–12.Google Scholar
  120. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Curtis, W. J., Wahler, R. G., et al. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 3, 1–6.Google Scholar
  121. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Wahler, R. G., Singh, J., & Sage, M. (2004). Mindful caregiving increases happiness among individuals with profound multiple disabilities. Research in Developmental Disabilities: A Multidisciplinary Journal, 25, 207–218.Google Scholar
  122. Smith, A., Graham, L., & Senthinathan, S. (2007). Mindfulness-based cognitive therapy for recurring depression in older people: A qualitative study. Aging & Mental Health, 11, 346–357.Google Scholar
  123. Song, Y., Lu, H., Chen, H., Geng, G., & Wang, J. (2014). Mindfulness intervention in the management of chronic pain and psychological comorbidity: A meta-analysis. International Journal of Nursing Science. doi: 10.1016/j.ijnss.2014.05.014.Google Scholar
  124. Sörensen, S., Duberstein, P., Gill, D., & Pinquart, M. (2006). Dementia care: Mental health effects, intervention strategies, and clinical implications. Lancet Neurology, 5, 961–973.PubMedGoogle Scholar
  125. Spillman, B. C., & Long, S. K. (2009). Does high caregiver stress predict nursing home entry? Inquiry, 46, 140–161.PubMedGoogle Scholar
  126. Stein, G. (1955). In C. Fadiman, & C. Van Doren, (Eds.), The American treasury, 1455–1955. New York: Joanna Cotler Books.Google Scholar
  127. Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (October 11, 2007). The NSDUH report: Depression among adults employed full‐time, by occupational category. Rockville, MD. Available at. http://oas.samhsa.gov/2k7/depression/occupation.htm
  128. Thomas, P., Lalloue, F., Preux, P. M., Hazif-Thomas, C., Pariel, S., Inscale, R., et al. (2006). Dementia patients’ caregivers quality of life: The PIXEL study. International Journal of Geriatric Psychiatry, 21, 50–56.PubMedGoogle Scholar
  129. Vickrey, B. G., Mittman, B. S., Connor, K. I., Pearson, M. L., Della Penna, R. D., Ganiats, T. G., et al. (2006). The effect of a disease management intervention on quality and outcomes of dementia care: A randomized, controlled trial. Annals of Internal Medicine, 145(10), 713–726.PubMedGoogle Scholar
  130. Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is caregiving hazardous to one’s physical health? A meta-analysis. Psychological Bulletin, 129, 946–972.PubMedGoogle Scholar
  131. Vogeli, C., Shields, A. E., Lee, T. A., Gibson, T. B., Marder, W. D., Weiss, K. B., et al. (2007). Multiple chronic conditions: Prevalence, health consequences, and implications for quality, care management, and costs. Journal of General Internal Medicine, 22(3), 391–395.PubMedCentralPubMedGoogle Scholar
  132. Whitebird, R. R., Kreitzer, M., Crain, A. L., Lewis, B. A., Hanson, L. R., & Enstad, C. J. (2012). Mindfulness-based stress reduction for family caregivers: A randomized controlled trial. Gerontologist, 53, 676–686.PubMedCentralPubMedGoogle Scholar
  133. Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19, 211–228.Google Scholar
  134. Wolff, J. L., Dy, S. M., Frick, K. D., & Kasper, J. D. (2007). End of life care: Findings from a national survey of family caregivers. Archives of Internal Medicine, 167, 40–46.PubMedGoogle Scholar
  135. Young, L. A., & Baime, M. J. (2010). Mindfulness-based stress reduction: Effect on emotional distress in older adults. Journal of Evidence-Based Complementary & Alternative Medicine, 15, 59–64.Google Scholar
  136. Zarit, S. H., Todd, P. A., & Zarit, J. M. (1986). Subjective burden of husbands and wives as caregivers: A longitudinal study. Gerontologist, 26, 260–266.PubMedGoogle Scholar
  137. Zeidan, F., Grant, J. A., Brown, C. A., McHaffie, J. G., & Coghill, R. C. (2012). Mindfulness meditation-related pain relief: Evidence for unique brain mechanisms in the regulation of pain. Neuroscience Letters, 520, 165–173.PubMedCentralPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Columbia University School of Social WorkNew YorkUSA
  2. 2.Mt. Sinai School of MedicineNew YorkUSA

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