PREDICTING CHANGE IN DEPRESSIVE SYMPTOMS IN THE NURSING HOME WELL-BEING IN LONG-TERM

Depressive symptoms are common among nursing home (NH) residents. Important predictors of depression to tease apart include demographic characteristics, physical status, functional ability, and chronic pain. A challenge to addressing depression is that a majority of NH residents have some level of dementia. Nonpharmacological man-agement of depression in the NH is a recommended first line of treatment including: personalized activities, music therapy, repositioning, and attention to personal care needs (toileting, resting, and hydration). A holistic approach to the well-being of NH residents is the adoption of person directed (PDC) care models. In this study, predictors of decreased depression over time was examined in residents (N=144) living in two communities featuring PDC models, and those living in traditional care communities within the same NH. Care in the two PDC communities focused on provision of comfort care for persons with advancing dementia at-risk of not having their care needs met largely due to their inability to clearly communicate these needs. Care practices focused on knowing each elder deeply, and anticipating their needs. Care practices also included an emphasis on staff empowerment and meaningful life ac-tivities for residents. Traditional communities are those where PDC practices had not yet been incorporated. Data on demographic characteristics, cognitive status, physical and functional status, behavioral symptoms, and pain were extracted from the MDS. Results showed that being in the PDC group, less time in the nursing home, having less pain, and fewer behavioral symptoms were significant predictors of decreased depressive symptoms over a six-month period. This study aimed to elicit psychosocial reactions to relocation to nursing homes from older adults’ perspectives with a qualitative interview design. Narratives from 23 Chinese nursing home residents from Fuzhou, China in a life review program were recorded, transcribed into sentences, and analyzed with the qualitative content analysis. It revealed five stages of psychosocial reactions to relocation to nursing homes as fear, struggle, compromise, acceptance, and contri-bution. The first stage resulted from negative labels attached to nursing homes, disconnection to the society, difficulties in establishing new relationships, and being abandoned by their families. The second stage described the behaviors of struggle: complain about family members, think of going back home, pray to have a change, and take action to leave. The third stage described the keys to compromise: choices between maintaining the harmony in family relation and companionship of relatives, choices between professional care and family care, and choices between costs and effects of family care and nursing home care. The fourth stage described how they accept nursing home life: accept the life and yet with worries, affirm benefits of living in nursing homes, and embrace the nursing home life. The last stage resulted from sense of ownership and giving full play to self-worth. This study generated new insights into the knowledge on psychosocial reactions to relocation to nursing homes and provided both family members and nursing home staff with a direction for how to promote a smoother relocation process. in a long-term care (LTC) facility poses nu-merous challenges to psychological well-being and rates of depression are high. Sense of belonging (SoB) has been linked with measures of well-being in all age groups and interventions focused on improving SoB have been successful with college-age adults. It is unclear if SoB improves in LTC residents as they adjust to living in this environment or what factors Objectives: To investigate whether caregiver neuroticism has an effect on subsequent occurrence of elder abuse and whether change in the level of caregiver perceived burden alters this relationship. Methods: Using two-year longitudinal data, we analyzed a consecutive sample of 800 Chinese family caregivers and their care recipients with dementia re-cruited from the geriatric and neurological departments of three Grade-A hospitals in People’s Republic of China (PRC). All the participatory dyads were assessed between September 2015 and February 2016 and followed for two years. Results: Significant increase in the prevalence was found for physical and psychological abuse, caregiver neglect, and financial ex-ploitation. Caregivers high in neuroticism were more likely to engage in subsequent physical and psychological abuse, however, change in the level of caregiver perceived burden al-tered this association. Specifically, absence and alleviation of care burden during the two-year observation prevented the subsequent occurrence of physical and psychological abuse. This and while change in the level of may alter this trajectory. These findings suggest the importance of implementing caregiver-centered intervention and prevention programs for by specifically targeting at related to their neurotic personality trait and cognitive appraisal of associated with such This study investigated the association between childhood socioeconomic status (cSES) risk of cognitive impairment but not dementia (CIND), cognitive impairment (dementia or CIND),


PSYCHOSOCIAL REACTIONS TO RELOCATION TO NURSING HOMES IN CHINESE OLDER ADULTS
Xiuyan Lan, 1 Huimin Xiao, 2 and Ying Chen, 2 1. Fujian Provincial Hospital,Fuzhou,China,2. Fujian Medical University,Fuzhou,China This study aimed to elicit psychosocial reactions to relocation to nursing homes from older adults' perspectives with a qualitative interview design. Narratives from 23 Chinese nursing home residents from Fuzhou, China in a life review program were recorded, transcribed into sentences, and analyzed with the qualitative content analysis. It revealed five stages of psychosocial reactions to relocation to nursing homes as fear, struggle, compromise, acceptance, and contribution. The first stage resulted from negative labels attached to nursing homes, disconnection to the society, difficulties in establishing new relationships, and being abandoned by their families. The second stage described the behaviors of struggle: complain about family members, think of going back home, pray to have a change, and take action to leave. The third stage described the keys to compromise: choices between maintaining the harmony in family relation and companionship of relatives, choices between professional care and family care, and choices between costs and effects of family care and nursing home care. The fourth stage described how they accept nursing home life: accept the life and yet with worries, affirm benefits of living in nursing homes, and embrace the nursing home life. The last stage resulted from sense of ownership and giving full play to self-worth. This study generated new insights into the knowledge on psychosocial reactions to relocation to nursing homes and provided both family members and nursing home staff with a direction for how to promote a smoother relocation process.

SENSE OF BELONGING, RELIGIOUS ACTIVITY, AND WELL-BEING IN LONG-TERM CARE RESIDENTS Kelly Shryock, and Suzanne Meeks, University of Louisville, Louisville, Kentucky, United States
Residence in a long-term care (LTC) facility poses numerous challenges to psychological well-being and rates of depression are high. Sense of belonging (SoB) has been linked with measures of well-being in all age groups and interventions focused on improving SoB have been successful with college-age adults. It is unclear if SoB improves in LTC residents as they adjust to living in this environment or what factors predict poor SoB in this population. As part of a larger study of care preferences in LTC residents, participants (n= 76) completed measures of SoB, well-being, religious activity, and demographic information. SoB did not vary significantly based on duration of stay, age, gender, ethnicity, marital status, number of children, education, facility, cognitive functioning, or physical health. SoB was found to be significantly and positively correlated with participation in religious activities (r= .388, N=76, p=.001), private religious practices (r= .275, N=71, p=.020), and spirituality (r= .263, N=70, p=.028). There was also a significant positive correlation between SoB and positive affect (r= .450, N=74, p<.001) and SoB and life satisfaction (r= .393, N=74, p=.001). These results suggest that connections formed before admission to a LTC facility, including religious networks, are important to SoB and well-being and that individuals without or with low religious involvement may benefit most from interventions focusing on improving SoB in LTC residents.  Aging, 2020, Vol. 4, No. S1 and anxiety. For example, people with anxiety disorders often report high Neuroticism and low Conscientiousness (Kotov et al., 2010). Dementia-related anxiety (DRA) is concern about developing dementia that can occur in individuals of any age and cognitive status (Kessler et al., 2012). This study assessed associations between the FFM and DRA and the extent to which other factors, such as demographics and variables related to DRA (i.e., external locus of control and lacking knowledge of dementia), contributed to relationships. Participants (N = 664; aged 18 to 81; M = 30.24) completed measures of the FFM, DRA, locus of control, and dementia knowledge. Hierarchical regression (block 1: basic demographics, block 2: DRA-related variables, and block 3: FFM) was computed. The set of predictors explained 17.9% of the variance in DRA, F(14, 623) = 9.69, p < 001. Being older, partnered, low on Conscientiousness and Openness, and having greater external locus of control and less dementia knowledge predicted higher DRA (p-values < .05). Surprisingly, Neuroticism was not predictive of DRA after controlling for demographic and DRA-related factors, indicating that the trait-like tendency towards emotional instability does not explain DRA. Longitudinal research can explore the course of relationships among Conscientiousness, Openness, and DRA over time to further examine significant effects of age, as expressions of personality change across the lifespan. Research targeting potentially modifiable factors (i.e., dementia knowledge) could help identify methods of reducing DRA.

. Sun Yat-Sen University, Guangzhou, United States
Objectives: To investigate whether caregiver neuroticism has an effect on subsequent occurrence of elder abuse and whether change in the level of caregiver perceived burden alters this relationship. Methods: Using two-year longitudinal data, we analyzed a consecutive sample of 800 Chinese family caregivers and their care recipients with dementia recruited from the geriatric and neurological departments of three Grade-A hospitals in People's Republic of China (PRC). All the participatory dyads were assessed between September 2015 and February 2016 and followed for two years. Results: Significant increase in the prevalence was found for physical and psychological abuse, caregiver neglect, and financial exploitation. Caregivers high in neuroticism were more likely to engage in subsequent physical and psychological abuse, however, change in the level of caregiver perceived burden altered this association. Specifically, absence and alleviation of care burden during the two-year observation prevented the subsequent occurrence of physical and psychological abuse. Although caregiver neuroticism was also associated with subsequent caregiver neglect, caregiver perceived burden did not appear to have an impact on this relationship. Discussion: This study provided evidence that caregiver neuroticism was associated with subsequent physical and psychological abuse, while change in the level of caregiver perceived burden may alter this trajectory. These findings suggest the importance of implementing caregiver-centered intervention and prevention programs for elder abuse by specifically targeting at caregivers' behaviors related to their neurotic personality trait and cognitive appraisal of caregiving stressors associated with such personality trait.

CHILDHOOD SOCIOECONOMIC STATUS, ADULT PERSONALITY, AND COGNITION: EARLY INDICATORS OF COGNITIVE IMPAIRMENT IN OLD AGE
Amanda Sesker, 1 Jason Strickhouser, 1 Páraic Ó Súilleabháin, 2 Antonio Terracciano, 1 and Angelina Sutin, 1 1. Florida State University College of Medicine,Tallahassee,Florida,United States,2. University of Limerick,Limerick,Ireland This study investigated the association between childhood socioeconomic status (cSES) risk of cognitive impairment but not dementia (CIND), cognitive impairment (dementia or CIND), and dementia and whether adult personality mediated this association. A sample of 10,289 participants (aged 50 and older) from the Health and Retirement Study (HRS) were followed across 2-year periods between 2006 -2018. Estimates of mediation effects in Cox Proportional Hazards regressions were conducted using Mplus software to approximate the total effects of cSES on the cognitive outcomes and the natural indirect effects and natural direct effects derived when personality causally mediated this outcome. cSES was associated with increased risk of all three cognitive outcomes. Conscientiousness partially mediated the relationship between cSES and dementia, CIND, and cognitive impairment risk while neuroticism partially mediated dementia and impairment, but not CIND. Personality improved the overall model fit between cSES and both CIND and impairment, and conscientiousness was specifically associated with significantly lowered cognitive impairment risk over time. Conscientiousness and neuroticism substantially mediated the relationship between cSES and risk of impairment in old age. This research adds to lifespan models and suggests that distinct personality traits attenuate early childhood factors that contribute to lifespan development and cognitive aging. Conscientiousness in particular may act as a protective buffer mediating risk factors associated with cognitive impairment in old age.

DAILY STRESSORS AND PHYSIOLOGICAL REACTIVITY: THE ROLE OF PERCEIVED STRESS, STRESS REACTIVITY, NEUROTICISM, AND AGE
MacKenzie Hughes, and Christopher Hertzog, Georgia Institute of Technology, Atlanta, Georgia, United States Exposure to stressful events is an inevitable aspect of everyday life, such as encountering work deadlines or interpersonal conflicts. The body's physiological stress systems can become activated when exposed to stressors, resulting in increases in cortisol from the hypothalamic-pituitaryadrenal axis and/or increases in the alpha-amylase enzyme via the sympathetic-adrenal medullary system. We predicted