Browsing by Author "Miranda-Castillo, Claudia"

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    Consequences of caring for the physical health, mental health and subjective well-being of Chilean older adults
    (Policy Press, 2024) Fernandez, M. Beatriz; Miranda-Castillo, Claudia; Rosell Cisternas, Javiera Esperanza; Herrera Campos, Priscilla Soledad
    Using a propensity score matching approach, this study evaluates the effect of caring on the physical health, mental health and subjective well-being of Chilean older people. The average treatment effect was not significant in any of the outcomes to physical health. However, older carers - and those who care intensely - were more likely to have depressive and anxious symptomatology and lower life satisfaction than older non-carers. Interventions should consider strategies that favour mental health and avoid caregiver burden, considering the interaction between caring and the challenges of ageing. This could improve the quality of life of carers and those being cared for.
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    El papel del ocio y entretenimiento digital en la salud mental de personas mayores en contextos de crisis social: el caso del estallido social en Chile
    (2024) Rosell, Javiera; Vergés, Alvaro; Miranda-Castillo, Claudia
    En la última década, el uso de dispositivos digitales se ha expandido en la población mayor. Además, se ha evidenciado que el ocio y entretenimiento digital puede contribuir a una mejor salud mental, especialmente en situaciones estresantes. En octubre del 2019, en Chile se produjo una revuelta social conocida como “el estallido social”, consistente en un movimiento ciudadano reclamando por las desigualdades en el país. Esto produjo un contexto de incertidumbre potencialmente estresante debido a hechos de violencia y a la declaración de un estado de excepción. El objetivo de este estudio fue indagar sobre la asociación entre el ocio y entretenimiento digital y la sintomatología depresiva de personas mayores, considerando la percepción del impacto del estallido social chileno en la propia salud mental como mediadora de esta asociación. Se aplicó una encuesta en línea a 577 personas mayores de 60 años. Los resultados mostraron que los hombres reportaron más frecuentemente una influencia positiva del estallido social en su salud mental (p = 0.04). Asimismo, quienes realizaron actividades de ocio y entretenimiento digital con mayor frecuencia refirieron menos sintomatología depresiva, mediada por una percepción más positiva del impacto del estallido social en su salud mental (efecto indirecto = −0.03, 95 % IC [−0.06, −0.004]). En conclusión, fomentar y educar en el uso de tecnologías digitales para el ocio y entretenimiento en personas mayores puede contribuir a un mejor afrontamiento de eventos sociohistóricos potencialmente estresantes como el estallido social y, por lo tanto, favorecer la salud mental de este grupo etario.
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    Internet use by informal caregivers in Chile: An analysis including age and gender perspectives
    (2023) Rosell, Javiera; Araya, Alejandra-Ximena; Miranda-Castillo, Claudia
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    Predictors of Unmet Needs in Chilean Older People with Dependency: A Cross-Sectional Study
    (2023) Carvacho, Raffaela; Carrasco, Marcela; Fernández, María Beatriz; Miranda-Castillo, Claudia
    Approximately one in five Chilean older adults has some degree of dependency. Limited evidence is available on self-perceived needs in Latin-American older people. The main aim of this study was to identify predictors of unmet needs of dependent older persons without cognitive impairment, considering personal and primary informal caregivers’ factors. This cross-sectional study was conducted with a sample of 77 dyads of older people with dependency and their caregivers. A survey was administered, evaluating sociodemographic characteristics, anxious and depressive symptomatology, health-related quality of life, and social support. Older people’s self-reported met and unmet needs and caregivers’ burden and self-efficacy were also assessed. To determine predictors of unmet needs, a multiple regression analysis was carried out. Most participants had mild to moderate levels of dependency. The most frequent unmet needs were “daytime activities” (33.8%), “company” (23.4%), “benefits” (23.4%), and “psychological distress” (24.7%). Older people’s higher level of dependency and anxious symptomatology were predictors of a higher number of unmet needs, with a model whose predictive value was 31%. The high prevalence of anxious symptomatology and its relationship with the presence of unmet needs highlight the importance of making older people’s psychological and social needs visible and addressing them promptly.