Psychotherapeutic Intervention Plan to Reduce the Emotional Effects of Empty Nest Syndrome in Older Adults

Authors

DOI:

https://doi.org/10.18050/psiquemag.v13i1.2679

Keywords:

Empty nest syndrome, emotions, psychotherapy, elderly

Abstract

Introduction: Empty nest syndrome is a psychological disorder that carries significant emotional implications for parents when their children leave home. Common experiences include anxiety, depression, lack of coping strategies and family dysfunctionality. Objective: The purpose is to design a psychotherapeutic intervention plan aimed at mitigating the emotional effects of empty nest syndrome in older adults. Material and methods: A descriptive-exploratory study was carried out with a quantitative approach, using a pretest design. The sample, consisting of 100 adults over 65 years of age, was selected by convenience sampling. A questionnaire including demographic variables was designed and tests such as the Mini Mental, Yesavage, Family Apgar, Hamilton-Anxiety and CAE Coping were applied. The data were analyzed with the statistical software SPSS V 22.00 and Stata 17.0. Results: Significant differences were observed in emotional indicators and other sociodemographic variables, particularly in depression, family dysfunction, lack of coping and anxiety (P > 0.05). Likewise, age, sex, residence and marital status were found to exert a significant influence (P > 0.05). Conclusion: The psychotherapeutic intervention plan emphasizes the importance of improving health, lifestyles and family dynamics, as well as promoting the integration of the elderly into society.

References

Anastasia Stuart-Edwards, Adriane MacDonald, M. A. A. (2023). Twenty years of research on mindfulness at work: A structured literature review. Journal of Business Research, 169(4), 114–285. https://doi.org/doi.org/10.1016/j.jbusres.2023.114285.

Arias, P. R., Gordón-Rogel, J., Galárraga-Andrade, A., & García, F. E. (2022). Propiedades Psicométricas de la Hamilton Anxiety Rating Scale (HARS) en Estudiantes Ecuatorianos. Revista AJAYU, 20(2), 273–287. https://doi.org/10.35319/ajayu.202110

Bar-Tur, L. (2021). Fostering Well-Being in the Elderly: Translating Theories on Positive Aging to Practical Approaches. Frontiers in Medicine, 8(April), 1–9. https://doi.org/10.3389/fmed.2021.517226

Bougea, A., Despoti, A., & Vasilopoulos, E. (2019). Empty-nest-related psychosocial stress: Conceptual issues, future directions in economic crisis. Psychiatriki, 30(4), 329–338. https://doi.org/10.22365/jpsych.2019.304.329.

CEPAL. (2023). XII Reunión de la Conferencia Estadística de las Américas de la. 2023. https://cea.cepal.org/12/es

Cevallos, V. (2023). Informe del Estado Situacional del Servicio de Cuidado Gerontológico Integral para Personas Adultas Mayores provisionado por el MIES y Entidades Cooperantes. In Ministerio de Inclusión Económica y Social (Vol. 1, Issue 2). https://www.inclusion.gob.ec/direccion-poblacion-adulta-mayor/

Cohen, Y., Spector-Mersel, G., & Shiovitz-Ezra, S. (2023). The second empty nest: The lived experience of older women whose intensive ‘grandmotherhood’ has ended. Journal of Aging Studies, 66(July), 101163. https://doi.org/10.1016/j.jaging.2023.101163

Dos Santos, R. I. M., De Cárdenas, A. M. C., Chamilco, R. A. D. S. I., Da Mata, N. D. S., Prudêncio, L. D. S., & De Assis Mello, M. V. F. (2021). Empty nest syndrome: Experiences of elderly people at the university of maturity project in amapÁ. Ciencia y Enfermeria, 27(2), 24–45. https://doi.org/10.29393/cs27-14sdra60014

Drysdale, C. (2021). La discriminación por edad es un desafío global: ONU Ginebra, Suiza: Organización Mundial de la Salud; 2021.

Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. Guildford Press.

Feijoo D, E. alt. (2016). Mini-Mental State Examination. Potenciar La Lectura Desde La Farmacia Comunitaria En Personas Mayores Para Protegerlos Del Deterioro Cognitivo.

Flórez, J. A., & González, M. J. (2000). Psicoterapia en el anciano. Medicina Integral, 36(2), 1–14.

Gao, M., Li, Y., Zhang, S., Gu, L., Zhang, J., Li, Z., Zhang, W., & Tian, D. (2017). Does an empty nest affect elders’ health? Empirical evidence from China. International Journal of Environmental Research and Public Health, 14(5). https://doi.org/10.3390/ijerph14050463

Gardner, W., Nutting, P. A., Kelleher, K. J., Werner, J. J., Farley, T., Stewart, L., Hartsell, M., & Orzano, A. J. (2001). Does the family APGAR effectively measure family functioning? Journal of Family Practice, 50(1), 19–25.

Glashouwer, K. A., Timmerman, J., & de Jong, P. J. (2020). A personalized approach-avoidance modification intervention to reduce negative body image. A placebo-controlled pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 68, 101544. https://doi.org/10.1016/j.jbtep.2019.101544

Gong, F., Zhao, D., Zhao, Y., Lu, S., Qian, Z., & Sun, Y. (2018). The factors associated with geriatric depression in rural China: Stratified by household structure. Psychology, Health and Medicine, 23(5), 593–603. https://doi.org/10.1080/13548506.2017.1400671

Greenfield, E. A., & Marks, N. F. (2004). Formal volunteering as a protective factor for older adults’ psychological well-being. Journals of Gerontology - Series B Psychological Sciences and Social Sciences, 59(5), 258–264. https://doi.org/10.1093/geronb/59.5.S258

Guarino, A., Forte, G., Giovannoli, J., Casagrande, M. (2020). Executive functions in the elderly with mild cognitive impairment: a systematic review on motor and cognitive inhibition, conflict control and cognitive flexibility. Aging and Mental Health, 24(7), 1028–1045. https://doi.org/10.1080/13607863.2019.1584785

Hall, J., Kellett, S., Berrios, R., Bains, M. K., & Scott, S. (2016). Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression. American Journal of Geriatric Psychiatry, 24(11), 1063–1073. https://doi.org/10.1016/j.jagp.2016.06.006

Hamilton, M. (1982). Escala De Ansiedad De Hamilton. Servicio Andaluz de Salud, 79(39), 3456–3458. http://www.hvn.es/enfermeria/ficheros/escala_de_ansiedad_de_hamilton.pdf

Hayes, S. C. (2019). Acceptance and commitment therapy: towards a unified model of behavior change. World Psychiatry, 18(2), 226–227. https://doi.org/10.1002/wps.20626

Helsinki, & Finlandia. (1996). Declaración de Helsinki de la Asociación Médica Mundial: principios éticos para las investigaciones médicas en seres humanos. Asamblea General Somerset West.

Huang, L.-J., Du, W.-T., Liu, Y.-C., Guo, L.-N., Zhang, J.-J., Qin, M.-M., Liu, K. (2019). Loneliness, Stress, and Depressive Symptoms Among the Chinese Rural Empty Nest Elderly: A Moderated Mediation Analysis. Issues in Mental Health Nursing, 40(1), 73–78. https://doi.org/10.1080/01612840.2018.1437856

Huang, G., Duan, Y., Guo, F., & Chen, G. (2020). Prevalence and related influencing factors of depression symptoms among empty-nest older adults in China. Archives of Gerontology and Geriatrics, 91, 104183. https://doi.org/10.1016/J.ARCHGER.2020.104183

Itishree Nayak, A. S. y B. K. P. (2022). Does Empty Nest Elderly Experience More Depressive Symptoms than Non-Empty Nest Elderly? Evidence from Longitudinal Aging Study in India. Itishree Nayak , Ankita Siddhanta y Basant Kumar Panda, 1(12), 23–29. https://doi.org/10.1080/00185868.2022.2097970

Lega, L., Sorribes, F., & Calvo, M. (2017). Terapia Racional Emotiva Conductual (TREC). Manual de Técnicas de Intervención Cognitivo Conductuales, 317–361.

Liang, Y., & Wu, W. (2014). Exploratory analysis of health-related quality of life among the empty-nest elderly in rural China: An empirical study in three economically developed cities in eastern China. Health and Quality of Life Outcomes, 12(1), 1–16. https://doi.org/10.1186/1477-7525-12-59

Ma Y, Fu H, Wang JJ, Fan LH, Zheng JZ, Chen RL, Qin X, H. Z. (2012). Study on the prevalence and risk factors of depressive symptoms among “empty-nest” and “non-empty-nest” elderly in four provinces and cities in China. Zhonghua Liu Xing Bing Xue Za Zhi, 33(5), 478–482.

Mahmoudpour, A., Ferdousi Kejani, K., Karami, M., Toosi, M., & Ahmadboukani, S. (2023). Cognitive flexibility and emotional self-regulation of the elderly with Empty nest syndrome: Benefits of acceptance and commitment therapy. Health Science Reports, 6(7), 1–9. https://doi.org/10.1002/hsr2.1397

McQuaide. (1998). Women at midlife. Soc Work., 43(1), 21–31. https://doi.org/10.1093/sw/43.1.21

Montes de Oca, V., & Hebrero, M. (2006). Eventos cruciales y ciclos familiares avanzados: el efecto del envejecimiento en los hogares de México. Papeles de Población, 12(50), 97–116.

Pizadeh, N., Yarelahi, M.m Nazari, M. y Asadollahi, A. (2023). The empty nest syndrome assessment instrument: development and psychometric properties of Persian version among iranian older adults. Educational Gerontology, 1(2), 16. https://doi.org/10.1080/03601277.2023.2209457

Sandín B, C. P. (2002). Cuestionario de Afrontamiento del Estrés. Planetary and Space Science, 27(4), 351–354. https://doi.org/10.1016/0032-0633(79)90112-0

Sarkar, M., Kasemi, N., Majumder, M., Sk, M. A., Sarkar, P., Chowdhury, S., Roy, D., & Halder, M. (2023). Physical and mental health among older parents: Does offspring migration and living arrangement matter? Findings from Longitudinal Aging Survey in India (2017-18). SSM - Population Health, 24(July), 101503. https://doi.org/10.1016/j.ssmph.2023.101503

Senín-Calderón, C., Santos-Morocho, J., & Rodríguez-Testal, J. F. (2020). Validation of a Spanish version of the physical appearance comparison scales. International Journal of Environmental Research and Public Health, 17(20), 1–15. https://doi.org/10.3390/ijerph17207399

Sheik JI, Y. J. G. (1986). Geriatric Depression Scale. Clin Gerontol., 2(1), 1–2.

Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics. Pearson Education, Inc. https://doi.org/10.1037/022267

Wang, G., Hu, M., Xiao, S. Y., & Zhou, L. (2017). Loneliness and depression among rural empty-nest elderly adults in Liuyang, China: A cross-sectional study. BMJ Open, 7(10), 1–9. https://doi.org/10.1136/bmjopen-2017-016091

Wang H, Chen K, Zhou B, W. J. (2010). Study on social determinants and health-related quality of life among the “empty nest” (lonely) elderly Chinese people. Zhonghua Liu Xing Bing Xue Za Zhi., 4(10), 400–404.

Wang L, Liu W, Liang Y, W. Y. (2019). Mental Health and Depressive Feeling of Empty-nest Elderly People in China. American Journal of Health Behavior., 43(6), 1171–85. https://doi.org/10.5993/AJHB.43.6.14

Xu, S., Yang, X., Liu, J., Chong, M. K. C., Cheng, Y., Gong, W., & Zou, G. (2023). Health and wellbeing among the empty nest and non-empty nest elderly in China-Results from a national cross-sectional study. PloS One, 18(9), e0291231. https://doi.org/10.1371/journal.pone.0291231

Zhao, D., Li, J., Fu, P., Hao, W., Yuan, Y., Yu, C., Jing, Z., Wang, Y., & Zhou, C. (2021). Cognitive frailty and suicidal ideation among Chinese rural empty-nest older adults: Parent-child geographic proximity as a possible moderator. Journal of Affective Disorders, 282(December 2020), 348–353. https://doi.org/10.1016/j.jad.2020.12.111

Published

2024-03-27

How to Cite

Guadalupe-Tixi, P., & Santos Morocho, J. (2024). Psychotherapeutic Intervention Plan to Reduce the Emotional Effects of Empty Nest Syndrome in Older Adults. PsiqueMag, 13(1), 42–56. https://doi.org/10.18050/psiquemag.v13i1.2679

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Section

Research Articles