Research has shown that some 30% of total care needs in people with late-life depression (LLD) are unmet. It is not known to what extent patients actually don’t receive any care for these needs or consider the care to be insufficient and their satisfaction with the provided care. Results: In 67% of patients, at least one unmet need was ascertained. In most cases (80%) care was actually provided for those needs by professionals and/or informal caregivers. Patients were satisfied with the care delivered for 81% of the reported care needs. Satisfaction was lowest for social care needs (67%). For six specific care needs it was demonstrated that dissatisfied patients were significantly more depressed than satisfied patients. Conclusion: Even though patients might receive care for certain needs, this does not mean that their needs are met. A substantial proportion of patients with LDD feel that they need additional help for unmet needs.
There has been a rapidly growing number of studies of the geographical aspects of happiness and well-being. Many of these studies have been highlighting the role of space and place and of individual and spatial contextual determinants of happiness. However, most of the studies to date do not explicitly consider spatial clustering and possible spatial spillover effects of happiness and well-being. The few studies that do consider spatial clustering and spillovers conduct the analysis at a relatively coarse geographical scale of country or region. This article analyses such effects at a much smaller geographical unit: community areas. These are small area level geographies at the intra-urban level. In particular, the article presents a spatial econometric approach to the analysis of life satisfaction data aggregated to 1,215 communities in Canada and examines spatial clustering and spatial spillovers. Communities are suitable given that they form a small geographical reference point for households. We find that communities’ life satisfaction is spatially clustered while regression results show that it is associated to the life satisfaction of neighbouring communities as well as to the latter's average household income and unemployment rate. We consider the role of shared cultural traits and institutions that may explain such spillovers of life satisfaction. The findings highlight the importance of neighbouring characteristics when discussing policies to improve the well-being of a (small area) place.
The Refined Core and Balance Model of Family Leisure Functioning was used to guide our study of the link between vacation experiences of romantic couples and satisfaction with their relationship life. Results revealed that romantic couples who had more shared or joint experiences during their vacations in the previous year reported higher levels of satisfaction with their relationship life at the end of the year. This association was mediated by relationship functioning (i.e., couple cohesion and flexibility). The number of vacations was not a significant predictor of romantic couples’ satisfaction with relationship life; what mattered most was the extent to which partners were engaged in joint experiences during their vacations such as having fun together, mindful conversations, physical intimacy, and trying new things together. These findings demonstrate the need to continue to study less frequent, extraordinary leisure vacation experiences that may help maintain the love within romantic relationships. Theoretical and practical implications are discussed
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