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Effect of older adult health and age on psychology doctoral trainees' expectations of clinical work with older adult clients.

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Title: Effect of older adult health and age on psychology doctoral trainees' expectations of clinical work with older adult clients.
Authors: Caskie, Grace I. L.1 caskie@lehigh.edu, Johnson, Benjamin B.1, Root, Eve Z.1
Source: Gerontology & Geriatrics Education. Jan-Mar2025, Vol. 46 Issue 1, p148-162. 15p.
Subject Terms: *Counseling, *Mental depression, *Training, *Psychology students, Older people
Abstract: This experimental, repeated-measures study investigated the effects of client health and client age on doctoral psychology students' clinical expectations for their work with older adult clients. Doctoral clinical and counseling psychology trainees (N = 223) completed measures assessing clinical expectations for three older adult clients of varying health status (healthy, recent Alzheimer's Disease (AD) diagnosis, heart disease) who all presented with depressive symptoms. Trainees were randomly assigned to the 71-year-old or 81-year-old condition. Trainees perceived a depressed client with a recent AD diagnosis as a less appropriate candidate for therapy, less motivated and less responsible for therapy, and less able to develop a therapeutic relationship. Additional health-based differences in prognosis, comfort, and competence were moderated by client age. Although age did have a small effect, the health of the older adult client had a stronger influence on trainees' clinical expectations for work with older adults. Cognitive health concerns were perceived as a greater barrier to clinical work with older adults than were physical health concerns. Health biases for clinical work with older adults could impact the quality of mental healthcare provided. [ABSTRACT FROM AUTHOR]
Copyright of Gerontology & Geriatrics Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Effect of older adult health and age on psychology doctoral trainees' expectations of clinical work with older adult clients.
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  Data: <searchLink fieldCode="AR" term="%22Caskie%2C+Grace+I%2E+L%2E%22">Caskie, Grace I. L.</searchLink><relatesTo>1</relatesTo><i> caskie@lehigh.edu</i><br /><searchLink fieldCode="AR" term="%22Johnson%2C+Benjamin+B%2E%22">Johnson, Benjamin B.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Root%2C+Eve+Z%2E%22">Root, Eve Z.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Gerontology+%26+Geriatrics+Education%22">Gerontology & Geriatrics Education</searchLink>. Jan-Mar2025, Vol. 46 Issue 1, p148-162. 15p.
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  Data: *<searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br />*<searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br />*<searchLink fieldCode="DE" term="%22Training%22">Training</searchLink><br />*<searchLink fieldCode="DE" term="%22Psychology+students%22">Psychology students</searchLink><br /><searchLink fieldCode="DE" term="%22Older+people%22">Older people</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: This experimental, repeated-measures study investigated the effects of client health and client age on doctoral psychology students' clinical expectations for their work with older adult clients. Doctoral clinical and counseling psychology trainees (N = 223) completed measures assessing clinical expectations for three older adult clients of varying health status (healthy, recent Alzheimer's Disease (AD) diagnosis, heart disease) who all presented with depressive symptoms. Trainees were randomly assigned to the 71-year-old or 81-year-old condition. Trainees perceived a depressed client with a recent AD diagnosis as a less appropriate candidate for therapy, less motivated and less responsible for therapy, and less able to develop a therapeutic relationship. Additional health-based differences in prognosis, comfort, and competence were moderated by client age. Although age did have a small effect, the health of the older adult client had a stronger influence on trainees' clinical expectations for work with older adults. Cognitive health concerns were perceived as a greater barrier to clinical work with older adults than were physical health concerns. Health biases for clinical work with older adults could impact the quality of mental healthcare provided. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Gerontology & Geriatrics Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/02701960.2024.2395276
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      – Code: eng
        Text: English
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        StartPage: 148
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      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Training
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      – SubjectFull: Psychology students
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      – SubjectFull: Older people
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      – TitleFull: Effect of older adult health and age on psychology doctoral trainees' expectations of clinical work with older adult clients.
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              Text: Jan-Mar2025
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              Y: 2025
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