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Hill NL, Bhargava S, Do J, Bratlee-Whitaker E, Brown MJ, Komalasari R, Wu R, Mogle J. Just as expected? Older adults' aging expectations are associated with subjective cognition. Aging Ment Health 2024:1-8. [PMID: 39241125 DOI: 10.1080/13607863.2024.2399080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 08/23/2024] [Indexed: 09/08/2024]
Abstract
OBJECTIVES This study investigated the relationship between older adults' expectations regarding aging and subjective cognition. Specifically, we examined whether the three domains of aging expectations (physical health, mental health, and cognitive function) were associated with two aspects of subjective cognition: current subjective cognition and subjective cognitive decline (SCD). METHOD An online survey was conducted among U.S. adults aged 65-90 (N = 581; Mage=71.4, SD ± 4.81; 51% female). Measures included the 12-item Expectations Regarding Aging scale, the 8-item PROMIS Cognitive Abilities scale (current subjective cognition), and the 12-item Everyday Cognition scale (SCD). We used generalized linear models to examine associations between overall aging expectations and its three domains with current subjective cognition ratings and SCD. RESULTS We found that more positive expectations regarding physical health, mental health, and cognitive function in aging were associated with higher ratings of current subjective cognition as well as lower SCD. The magnitude of effects across aging expectations domains were similar for both aspects of subjective cognition. CONCLUSION Aging expectations are malleable and influence an individual's perceptions of their cognitive functioning. Modifying older adults' aging expectations could support healthier cognitive aging through increased awareness and accurate assumptions about the aging process.
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Affiliation(s)
- Nikki L Hill
- Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA
| | | | - Justin Do
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA
| | | | - Monique J Brown
- Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Renata Komalasari
- Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, USA
| | - Rachel Wu
- Department of Psychology, University of California, Riverside, Riverside, CA, USA
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2
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Meyer-Wyk F, Wurm S. The role of social network diversity in self-perceptions of aging in later life. Eur J Ageing 2024; 21:20. [PMID: 38926182 PMCID: PMC11208383 DOI: 10.1007/s10433-024-00815-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/18/2024] [Indexed: 06/28/2024] Open
Abstract
While the link between self-perceptions of aging (SPA) and healthy aging is well established, less is known about the association between social factors and SPA. The present study investigated whether higher social network diversity is associated with more positive and less negative SPA and whether this association is moderated by age. We examined cross-sectional data from the German Ageing Survey of 2008 (DEAS; N = 6205, 40-85 years, 49.5% female). Network diversity was assessed as the number of social roles in an individual's network (such as spouse, friend and colleague). Three domains of SPA were measured using the Aging-Related Cognitions Scale (AgeCog): ongoing development (positive SPA), social losses (negative SPA) and physical losses (negative SPA). We conducted multiple linear regression models and tested for a moderator effect of age using an interaction term of age and network diversity. Results showed that at higher ages older adults with higher network diversity reported more positive SPA related to ongoing development and more negative SPA related to social losses than those with less diverse networks, indicating that age has a moderating effect. We found no association between network diversity and negative SPA related to physical losses and no indication that age was relevant to this relationship. The present study adds to evidence on the role of social networks in SPA. Our findings suggest that in certain SPA domains and depending on age, network diversity is related to both more positive and more negative SPA, which emphasizes the importance of considering domain-specific SPA.
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Affiliation(s)
- Frauke Meyer-Wyk
- Department for Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
- European Commission, Joint Research Centre (JRC), Ispra, Italy.
| | - Susanne Wurm
- Department for Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
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Steckhan GM, Fleig L, Wurm S, Wolff JK, Schwarzer R, Warner LM. Fear of Falling Carries Over into Overprotection in Old Age: A Cross-Lagged Panel Analysis. Int J Aging Hum Dev 2024; 98:436-451. [PMID: 37615122 PMCID: PMC11062071 DOI: 10.1177/00914150231196819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
Fear of falling might result in overprotection by one's social environment. In turn, feeling dependent could increase fear of falling. However, the association between fear of falling and perceived overprotection and its temporal order is unknown. This longitudinal study explores this potential mutual longitudinal association. This study presents secondary analyses from a larger trial. We tested the association between fear of falling and perceived overprotection in a cross-lagged path model controlled for falls, health-related quality of life, age, gender, and trial condition. N = 310 participants (M = 70 years, range: 64-92) completed self-reports at Time 1, 7 (Time 2), and 11 weeks (Time 3) after baseline assessment. We found a positive association from fear of falling to perceived overprotection (β = .12, 95% CI[0.02, 0.21], p = .02; β = .10; [0.01, 0.18], p = .03). The reversed cross-lagged paths were not significant. Findings suggest higher fear of falling translates into perceived overprotection, which may in turn increase loss of independence in old age.
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Affiliation(s)
- Greta M. Steckhan
- Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
- MSB Medical School Berlin, Department Psychology, Institute of Psychosocial Research for Health Promotion and Intervention, Berlin, Germany
| | - Lena Fleig
- MSB Medical School Berlin, Department Psychology, Institute of Psychosocial Research for Health Promotion and Intervention, Berlin, Germany
| | - Susanne Wurm
- University of Medicine Greifswald, Department of Prevention Research and Social Medicine, Institute for Community Medicine, Greifswald, Germany
| | - Julia K. Wolff
- University of Medicine Greifswald, Department of Prevention Research and Social Medicine, Institute for Community Medicine, Greifswald, Germany
- IGES Institute Berlin, Berlin, Germany
| | - Ralf Schwarzer
- Freie Universität Berlin, Division of Health Psychology, Berlin, Germany
- SWPS University, Faculty of Psychology, Wroclaw, Poland
| | - Lisa M. Warner
- MSB Medical School Berlin, Department Psychology, Institute of Psychosocial Research for Health Promotion and Intervention, Berlin, Germany
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Ludwig V, Kessler EM, Warner LM, Pedroso-Chaparro MDS, Rothermund K, de Paula Couto MCP. 'Who tells me when to stay active or to leave?' age differences in and predictors of endorsement of prescriptive views of aging. Aging Ment Health 2024:1-11. [PMID: 38804061 DOI: 10.1080/13607863.2024.2354333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 05/07/2024] [Indexed: 05/29/2024]
Abstract
OBJECTIVES Prescriptive views of aging (PVoA) are normative age-based expectations about age-appropriate behavior for older adults, e.g. that they should stay fit/active (active aging norms) but also behave altruistically toward younger generations (altruistic disengagement norms). We aimed at examining age differences in endorsement of active aging and altruistic disengagement and investigated predictors of endorsement. METHOD In the AGEISM Germany survey, a representative sample of N = 1,915 German participants was recruited, covering a wide age range (Mage=56.57 years, 16-96 years). Cross-sectional data was collected via computer-assisted telephone interviews. RESULTS Active aging was more strongly endorsed than altruistic disengagement. Endorsement of both PVoA was higher in older age groups - even more pronounced for altruistic disengagement. Endorsement of both norms was positively associated with positive age stereotypes. Furthermore, active aging was predicted by age centrality whereas altruistic disengagement was predicted by negative age stereotypes. Age was still a robust predictor of PVoA even after entering additional predictors. CONCLUSION Although associated, prescriptive age norms (i.e. beliefs how older people should behave) and descriptive age norms (i.e. beliefs about how older adults and the aging process are like) represent partly independent belief systems, highlighting the importance to assess & further investigate predictors and consequences of PVoA, which become more prevalent with age.
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Affiliation(s)
- Valentina Ludwig
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany
| | - Eva-Marie Kessler
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany
| | - Lisa Marie Warner
- Department of Psychology, MSB Medical School Berlin, Berlin, Germany
| | | | - Klaus Rothermund
- Department of Psychology, Friedrich Schiller University Jena, Jena, Germany
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5
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Rasset P, Mange J, Augustinova M. What do we really know about age-related stereotypes and well-being of older adults? A commentary on the state of the art. Front Psychol 2024; 15:1358403. [PMID: 38807961 PMCID: PMC11130559 DOI: 10.3389/fpsyg.2024.1358403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 04/24/2024] [Indexed: 05/30/2024] Open
Abstract
There is a considerable body of literature on harmful consequences of age-related stereotypes-including consequences on physical and mental health. However, this commentary critically argues that the current state of the art disregards consequences of these stereotypes specifically for the well-being of older adults (i.e., outcome that is not to be confounded with mental health). To this end, the content of age-related stereotypes and the mechanisms through which they operate on physical and mental health are first outlined. The commentary then focuses on the very scarce evidence documenting how and when the well-being of older adults (as assessed directly and not as inferred from other indicators) is influenced by self-directed stereotypes. After setting out possible ways well-being may be involved in the relationship between self-directed stereotypes and physical and mental health of older adults, the present commentary argues that a better understanding of well-being would benefit strategies targeting the reduction of age-related stereotypes. Overall, this commentary on the state of the art highlights that future research is still needed to better understand both the direct and indirect relationships between age-related stereotypes and well-being that is not reducible to positive experiences of life (or hedonic well-being) but also comprises an eudaimonic component.
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Affiliation(s)
- Pauline Rasset
- Univ Rennes, Université Rennes 2, LP3C (Laboratoire de Psychologie: Cognition, Comportement, Communication)-UR1285, Rennes, France
| | - Jessica Mange
- Laboratoire de Psychologie de Caen Normandie (LPCN UR7452), Psychology Department, Université de Caen Normandie, Caen, France
| | - Maria Augustinova
- Centre de Recherche sur les Fonctionnements et Dysfonctionnements Psychologiques (CRFDP UR7475), Université de Rouen Normandie, Rouen, France
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Sciacchitano S, Carola V, Nicolais G, Sciacchitano S, Napoli C, Mancini R, Rocco M, Coluzzi F. To Be Frail or Not to Be Frail: This Is the Question-A Critical Narrative Review of Frailty. J Clin Med 2024; 13:721. [PMID: 38337415 PMCID: PMC10856357 DOI: 10.3390/jcm13030721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/07/2024] [Accepted: 01/22/2024] [Indexed: 02/12/2024] Open
Abstract
Many factors have contributed to rendering frailty an emerging, relevant, and very popular concept. First, many pandemics that have affected humanity in history, including COVID-19, most recently, have had more severe effects on frail people compared to non-frail ones. Second, the increase in human life expectancy observed in many developed countries, including Italy has led to a rise in the percentage of the older population that is more likely to be frail, which is why frailty is much a more common concern among geriatricians compared to other the various health-care professionals. Third, the stratification of people according to the occurrence and the degree of frailty allows healthcare decision makers to adequately plan for the allocation of available human professional and economic resources. Since frailty is considered to be fully preventable, there are relevant consequences in terms of potential benefits both in terms of the clinical outcome and healthcare costs. Frailty is becoming a popular, pervasive, and almost omnipresent concept in many different contexts, including clinical medicine, physical health, lifestyle behavior, mental health, health policy, and socio-economic planning sciences. The emergence of the new "science of frailty" has been recently acknowledged. However, there is still debate on the exact definition of frailty, the pathogenic mechanisms involved, the most appropriate method to assess frailty, and consequently, who should be considered frail. This narrative review aims to analyze frailty from many different aspects and points of view, with a special focus on the proposed pathogenic mechanisms, the various factors that have been considered in the assessment of frailty, and the emerging role of biomarkers in the early recognition of frailty, particularly on the role of mitochondria. According to the extensive literature on this topic, it is clear that frailty is a very complex syndrome, involving many different domains and affecting multiple physiological systems. Therefore, its management should be directed towards a comprehensive and multifaceted holistic approach and a personalized intervention strategy to slow down its progression or even to completely reverse the course of this condition.
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Affiliation(s)
- Salvatore Sciacchitano
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00189 Rome, Italy;
- Unit of Anaesthesia, Intensive Care and Pain Medicine, Sant’Andrea University Hospital, 00189 Rome, Italy; (M.R.); (F.C.)
- Department of Life Sciences, Health and Health Professions, Link Campus University, 00165 Rome, Italy
| | - Valeria Carola
- Department of Dynamic and Clinical Psychology and Health Studies, Sapienza University of Rome, 00189 Rome, Italy; (V.C.); (G.N.)
| | - Giampaolo Nicolais
- Department of Dynamic and Clinical Psychology and Health Studies, Sapienza University of Rome, 00189 Rome, Italy; (V.C.); (G.N.)
| | - Simona Sciacchitano
- Department of Psychiatry, La Princesa University Hospital, 28006 Madrid, Spain;
| | - Christian Napoli
- Department of Surgical and Medical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy;
| | - Rita Mancini
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00189 Rome, Italy;
| | - Monica Rocco
- Unit of Anaesthesia, Intensive Care and Pain Medicine, Sant’Andrea University Hospital, 00189 Rome, Italy; (M.R.); (F.C.)
- Department of Surgical and Medical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy;
| | - Flaminia Coluzzi
- Unit of Anaesthesia, Intensive Care and Pain Medicine, Sant’Andrea University Hospital, 00189 Rome, Italy; (M.R.); (F.C.)
- Department Medical and Surgical Sciences and Biotechnologies, Sapienza University of Rome, Polo Pontino, 04100 Latina, Italy
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Hajek A, König HH. Sexual satisfaction and aging satisfaction among middle-aged and older adults. Evidence from a nationally representative study. Arch Gerontol Geriatr 2023; 115:105102. [PMID: 37418821 DOI: 10.1016/j.archger.2023.105102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 06/05/2023] [Accepted: 06/11/2023] [Indexed: 07/09/2023]
Abstract
AIM To examine the association between sexual satisfaction and aging satisfaction (also stratified by sex and age group). METHODS We used data from the German Ageing Survey (year 2008, n = 5,418 individuals). This is an established, nationally representative sample of individuals living in private households aged 40 years and over in Germany. The widely used "Attitudes Toward Own Ageing" (ATOA) subscale of the established Philadelphia Geriatric Morale Scale was used to quantify aging satisfaction. It was adjusted for several covariates in regression analysis. RESULTS After adjusting for sociodemographic and health-related covariates, multiple linear regressions still showed that higher sexual satisfaction was associated with higher aging satisfaction in the total sample (β = 0.06, p < .001). This association was also present among both sexes (men, β = 0.07, p < .001; women, β = 0.06, p < .001) as well as among both age groups (middle-aged adults: β = 0.07, p < .001; older adults: β = 0.06, p < .001). CONCLUSIONS Even after adjusting for several covariates, there is a clear link between sexual satisfaction and aging satisfaction. Such knowledge may assist in maintaining satisfaction with aging and may thus contribute to successful aging.
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Affiliation(s)
- André Hajek
- Department of Health Economics and Health Services Research, University Medical-Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Germany.
| | - Hans-Helmut König
- Department of Health Economics and Health Services Research, University Medical-Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Germany
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8
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Langmann E, Weßel M. Leaving no one behind: successful ageing at the intersection of ageism and ableism. Philos Ethics Humanit Med 2023; 18:22. [PMID: 38001533 PMCID: PMC10668457 DOI: 10.1186/s13010-023-00150-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 11/17/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND The concept of 'successful ageing' has been a prominent focus within the field of gerontology for several decades. However, despite the widespread attention paid to this concept, its intersectional implications have not been fully explored yet. This paper aims to address this gap by analyzing the potential ageist and ableist biases in the discourse of successful ageing through an intersectional lens. METHOD A critical feminist perspective is taken to examine the sensitivity of the discourse of successful ageing to diversity in societies. The paper analyzes how ageist and ableist biases can manifest in the ways we conceptualize ageing, drawing on examples in the context of mental health. RESULTS We argue that the conventional approach to successful ageing is limited in its ability to account for the experiences of people who have faced intersectional discrimination throughout their lives. Drawing on examples in the context of mental health, we explore among others the link between depression and disabilities. Furthermore, we shed light on the negative impact of ageist and ableist attitudes concerning the diagnosis and treatment of dementia. DISCUSSION We demonstrate how diversity is often overlooked in discussions of ageing well, and how ageist and ableist biases can manifest in the ways we conceptualize ageing. We argue that focusing solely on the health status as a means of achieving success fails to adequately counter ageism for all people. We further emphasize the role of structural factors, such as ageist attitudes, in shaping the experience of ageing and exacerbating health inequalities. CONCLUSION Overall, our findings emphasize the need for a more nuanced and inclusive understanding of ageing and therefore an intersectional approach to conceptions of ageing well that recognizes and addresses the biases and limitations of current discourses. Thereby, this paper offers valuable insights into the complex intersections between age and disabilities from a bioethical perspective, highlighting the need for a more inclusive and intersectional approach to ageing.
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Affiliation(s)
- Elisabeth Langmann
- Institute of Ethics and History of Medicine, University of Tübingen, Gartenstraße 47, Tübingen, 72074, Germany.
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9
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Hu RX, Larkina M, Smith J. The Impact of Caregiving History on Later-Life Self-Perceptions of Aging. J Gerontol B Psychol Sci Soc Sci 2023; 78:1805-1812. [PMID: 37494006 PMCID: PMC10645304 DOI: 10.1093/geronb/gbad103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Indexed: 07/27/2023] Open
Abstract
OBJECTIVES Theories suggest that self-perceptions of aging (SPA) reflect structural and cultural ageism together with an individual's personal life experiences. We examine the impact of an individual's history of informal caregiving on their SPA. METHODS Using data from the Health and Retirement Study (HRS, N = 8,372, age range 50-102 years), we investigated caregiving history as a determinant of later-life SPA. HRS participants provided reports of up to 5 episodes of caregiving, the life-course timing of each episode (start/end year), and their relationship with the care recipients. SPA was measured by the HRS Attitudes Toward Own Aging Scale. We conducted linear regressions to examine associations between specific caregiving histories and later-life SPA. Models included controls for current sociodemographic and health status. RESULTS Individuals who were ever a caregiver reported more negative SPA than noncaregivers. Variations in the impact of histories of caregiving were also revealed. Specifically, compared to people who had cared for adult(s) only, HRS participants who cared for both a child with special needs and an adult reported more negative SPA later in life. DISCUSSION The study provides insight into potential life-course precursors of SPA and highlights the importance of conceptualizing caregiving history as a complex life experience that might affect an individual's SPA later in life.
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Affiliation(s)
- Rita Xiaochen Hu
- School of Social Work, University of Michigan, Ann Arbor, Michigan, USA
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
| | - Marina Larkina
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA
| | - Jacqui Smith
- Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA
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10
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Low G, França AB, Wilson DM, Gutman G, von Humboldt S. Suitability of the Attitudes to Aging Questionnaire Short Form for Use among Adults in Their 50s: A Cross-Sectional e-Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7035. [PMID: 37998266 PMCID: PMC10671007 DOI: 10.3390/ijerph20227035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 09/27/2023] [Accepted: 11/01/2023] [Indexed: 11/25/2023]
Abstract
This cross-sectional e-survey study examines the suitability (reliability and validity) of the 12-item Attitudes to Aging Questionnaire Short Form (AAQ-SF) for use among adults in their 50s. The AAQ-SF instrument was originally designed to capture subjective perceptions of physical change, psychosocial loss, and psychological growth by asking people aged 60 and beyond how they feel about growing older. Our sample comprised 517 people residing in three Canadian provinces. Respondents completed the Attitudes to Aging Questionnaire Short Form, the Rosenberg Self-Esteem Scale, and a short sociodemographic profile. Our findings replicate the original AAQ-SF structure for physical change, psychosocial loss, and psychological growth, with a promising internal consistency range for the third subscale. In our sample, psychological growth is best represented as 'Self' and 'Generativity', with a particularly greater capacity to explain variations in scores for item 18 and item 21. Physical change and psychosocial loss scores strongly differed based on perceived health and chronic illness presence. Psychosocial loss and psychological growth were moderately correlated with two aspects of self-esteem. We relate these patterns of findings within the context of prevailing growth and development theory and their perceived implications within the context of COVID-19 and post-pandemic life.
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Affiliation(s)
- Gail Low
- Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada
| | - Alex Bacadini França
- Laboratory of Human Development and Cognition, Federal University of São Carlos, São Paulo 13566-590, Brazil
| | - Donna M Wilson
- Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada
| | - Gloria Gutman
- Gerontology Research Centre, Simon Fraser University, Vancouver, BC V6B 5K3, Canada
| | - Sofia von Humboldt
- William James Center for Research, ISPA-Instituto Universitário, 1149-041 Lisbon, Portugal
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11
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Kolovos E, Windsor TD. Does Awareness of Aging Matter? The Moderating Function of Awareness of Age-Related Change on the Relationships Between COVID-19 Disruption, Perceived Stress, and Affect. J Gerontol B Psychol Sci Soc Sci 2023; 78:1691-1699. [PMID: 37338812 PMCID: PMC10561889 DOI: 10.1093/geronb/gbad093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Indexed: 06/21/2023] Open
Abstract
OBJECTIVES How people reflect on their own age may influence their well-being in the face of disruptions associated with the coronavirus (COVID-19). Subjective aging was operationalized in terms of one's awareness of age-related change (AARC), specifically, the gains and losses associated with aging. We developed a measure assessing disruptions to daily life associated with the COVID-19 pandemic across 3 dimensions (i.e., Social and Lifestyle Disruption, Work and Health Disruption, and Others Contracting COVID-19). We hypothesized that COVID-19 disruption would be positively associated with both AARC-losses and AARC-gains. Greater COVID-19 disruption would also be associated with poorer psychosocial outcomes (higher perceived stress and negative affect [NA] and lower positive affect [PA]) and these associations would be stronger for those reporting greater AARC-losses and weaker for those reporting greater AARC-gains. METHODS Cross-sectional questionnaire data were collected from 263 participants from the United States (aged 40-83; mean age: 62.88 years, standard deviation = 9.00; 56.3% females). RESULTS After controlling for age, gender, education, employment, socioeconomic status, and physical functioning, greater Work and Health Disruption was associated with greater AARC-losses. Greater Social and Lifestyle Disruption was associated with both greater AARC-gains and AARC-losses. Moderation effects showed an exacerbating effect of AARC-losses on NA in the face of Work and Health Disruption and a protective effect of AARC-gains on PA in the context of Social and Lifestyle Disruption. DISCUSSION We extend research detailing antecedents of AARC and highlight the need for longitudinal research that considers the ever-changing nature of the pandemic.
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Affiliation(s)
- Elli Kolovos
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Tim D Windsor
- College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
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12
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Sabatini S, Ukoumunne OC, Ballard C, Collins R, Kim S, Corbett A, Aarsland D, Hampshire A, Brooker H, Clare L. What does feeling younger or older than one's chronological age mean to men and women? Qualitative and quantitative findings from the PROTECT study. Psychol Health 2023; 38:324-347. [PMID: 34353194 DOI: 10.1080/08870446.2021.1960989] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE We explored which factors are associated with subjective age (SA), i.e. feeling younger, the same as, or older than one's chronological age, and whether these factors differ between men and women and between two age sub-groups. DESIGN Cross-sectional study using qualitative and quantitative data for 1457 individuals (mean age= 67.2 years). MAIN OUTCOME MEASURES Participants reported how old they feel they are and provided comments in relation to their SA judgments. RESULTS By using content analysis participants' comments were assigned to 13 categories, grouped into three higher-order categories (antecedents of age-related thoughts, mental processes, and issues when measuring subjective age). SA may result from the interaction between factors that increase or decrease age-related thoughts and mental processes that individuals use to interpret age-related changes. Chi-squared tests show that individuals reporting an older SA are more likely to experience significant negative changes and to engage in negative age-related thoughts than individuals reporting an age-congruent SA or a younger SA. Women experience a more negative SA and more age-salient events than men. CONCLUSION Individuals reporting an older SA may benefit from interventions promoting adaptation to negative age-related changes. There is the need to eradicate negative societal views of older women.
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Affiliation(s)
- Serena Sabatini
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
| | - Obioha C Ukoumunne
- NIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, United Kingdom
| | - Clive Ballard
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
| | - Rachel Collins
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
| | - Sarang Kim
- Wicking Dementia Research & Education Centre, University of Tasmania, Hobart, Australia
| | - Anne Corbett
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
| | - Dag Aarsland
- Department of Medicine, Imperial College London, London, United Kingdom
| | - Adam Hampshire
- Department of Brain Sciences, Imperial College London, London, United Kingdom
| | - Helen Brooker
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom.,Ecog Pro Ltd, Bristol, United Kingdom
| | - Linda Clare
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom.,NIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, United Kingdom
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Xie D, Wang J, Huang F. The Role of Adverse Childhood Experiences in Multidimensional Nature of Subjective Age. J Gerontol B Psychol Sci Soc Sci 2023; 78:230-241. [PMID: 36208468 DOI: 10.1093/geronb/gbac160] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Age stereotypes and expectations about one's own aging commence in childhood, while most research focuses on predictive associations with midlife cognition and health outcomes in later life. This study instead aims to examine adverse childhood experiences (ACEs) contributing to multiple measures of subjective age (SA) among Chinese older adults and test whether these relationships differ by household registration (hukou). METHODS In a representative sample of Chinese older adults aged 60 and older from the 2018 China Longitudinal Aging and Social Survey (n = 7,815), ordinary least squares is used to examine the associations between ACEs and 3 facets of SA: felt age, look age, and self-defined aging standard. RESULTS Childhood starvation experience and limited health care access predict older felt age and look age, while parental death is associated with lower self-defined aging standard. Zooming in on hukou-specific associations shows that the dose-response relationship on older adults with rural hukou is particularly pronounced. DISCUSSION Findings provide empirical support for views of aging from a life-course perspective and highlight the enduring impact of ACEs for late-adulthood SA, as well as their differential influence on multiple indicators of SA. Interventions that focus on promoting health and development in childhood could potentially have effects beyond the childhood phase, and benefit for their positive aging attitude in later life.
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Affiliation(s)
- Donghong Xie
- Institute of Governance, Shandong University, Qingdao, China
| | - Jiwen Wang
- Research Center for Rural Economy, Ministry of Agriculture and Rural Affairs, Beijing, China
| | - Fan Huang
- School of Sociology and Population Studies, Renmin University of China, Beijing, China
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14
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Frechman E, Dietrich MS, Buck HG, Rhoten BA, Maxwell CA. Readiness to Plan for Aging and Frailty: Examining Contextual Factors. J Gerontol Nurs 2023; 49:27-35. [PMID: 36719659 DOI: 10.3928/00989134-20230106-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
As older adults live longer, individual and societal efforts must be directed toward strategies to promote healthy and successful aging. Planning for aging and frailty offers an opportunity for older adults to optimize their well-being and proactively prepare across their aging trajectory. The current study evaluated the relationship between contextual factors (functional status, frailty, health status, social support) that influence older adults' readiness to engage in planning in five domains of aging (communication, environmental, financial, physical care, cognitive) through the transtheoretical stages of change. Results showed that factors influencing active planning include older age, vulnerability, living situation, and social support. These results add to the discourse on future care planning through a comprehensive approach to planning across a life course perspective, while highlighting the importance of future research at individual and societal levels. Gerontological nurses are well-positioned to lead planning efforts for older adults that promote well-being, patient-centered care, and healthy aging. [Journal of Gerontological Nursing, 49(2), 27-35.].
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15
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Bíró A, Branyiczki R, Elek P. Time patterns of precautionary health behaviours during an easing phase of the COVID-19 pandemic in Europe. Eur J Ageing 2022; 19:837-848. [PMID: 34248455 PMCID: PMC8253241 DOI: 10.1007/s10433-021-00636-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2021] [Indexed: 01/26/2023] Open
Abstract
Using data from the COVID-19 questionnaire of the Survey of Health, Ageing and Retirement in Europe (SHARE), we investigate the time patterns of precautionary health behaviours of individuals aged 50 years and above during the summer of 2020, an easing phase of the COVID-19 pandemic in Europe. We also examine how these health behaviours differ by the presence of chronic conditions such as hypertension, high cholesterol level, heart disease, diabetes or chronic bronchitis, which can be considered as risk factors for COVID-19. Our results suggest that while on average, people became less precautious during the analysed time period, this is less so for those who are at higher risk. We also document large regional differences in precautionary health behaviours and show that higher-risk individuals are on average more cautious in all regions. We conclude that people adjusted their health behaviours in line with the generally understood risk of the COVID-19 disease. At the same time, our results also point out divergences in the level of willingness to take different precautionary steps.
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Affiliation(s)
- Anikó Bíró
- Centre for Economic and Regional Studies, Budapest, Hungary
| | | | - Péter Elek
- Centre for Economic and Regional Studies and Corvinus University of Budapest, Budapest, Hungary
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16
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Representation of Aging in Elementary School Textbooks in Iran. J Cross Cult Gerontol 2022; 37:393-406. [PMID: 36434472 DOI: 10.1007/s10823-022-09464-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2022] [Indexed: 11/26/2022]
Abstract
The attitude toward older adults is developed from childhood. School textbooks are one of the most important sources of shaping attitude in children. So, the present study aimed to analyze the visual and textual content of the aging concept in elementary school textbooks after the Irans's Islamic Revolution (1979). The method of the present study was content analysis, and 112 textbooks were reviewed. The analysis unit included 118 images and 91 subset of texts pertaining to aging concept. The results showed that aging concepts are classified into two positive and negative stereotypes categories. The positive stereotype included social interaction, authority and respect, wisdom, spirituality, positive traits, and independence. Social interaction was the most frequent of them. Negative stereotypes included abuse, negative personality traits, illness, and disability, of which the negative personality traits were the most frequent. In addition, the results suggested that 87.7% of the concepts of aging in the textbooks were positive. Although the positive stereotypes were more frequent in textbooks, the active older adults were presented in low-status jobs, and the ethnic minorities and older women were less considered. Accordingly, policymaking through the textbooks and from childhood is necessary for developing successful aging and decreasing ageism in society.
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17
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Abstract
OBJECTIVES Older people describe positive and negative age-related changes, but we do not know much about what contributes to make them aware of these changes. We used content analysis to categorize participants' written comments and explored the extent to which the identified categories mapped onto theoretical conceptualizations of influences on awareness of age-related change (AARC). DESIGN Cross-sectional observational study. PARTICIPANTS The study sample comprised 609 UK individuals aged 50 years or over (mean (SD) age = 67.9 (7.6) years), enrolled in the PROTECT study. MEASUREMENTS Between January and March 2019, participants provided demographic information, completed a questionnaire assessing awareness of age-related change (AARC-10 SF), and responded to an open-ended question asking them to comment on their responses. RESULTS While some of the emerging categories were in line with the existing conceptual framework of AARC (e.g. experiencing negative changes and attitudes toward aging), others were novel (e.g. engagement in purposeful activities or in activities that distract from age-related thoughts). Analysis revealed some of the thought processes involved in selecting responses to the questionnaire items, demonstrating different ways in which people make sense of specific items. CONCLUSIONS Results support the ability of the AARC questionnaire to capture perceived age-related changes in cognitive functioning, physical and mental health, and engagement in social activities and in healthy and adaptive behaviors. However, findings also suggest ways of enriching the theoretical conceptualization of how AARC develops and offer insights into interpretation of responses to measures of AARC.
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18
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Wilton-Harding B, Weber N, Windsor TD. Awareness of age-related gains and losses as moderators of daily stress reactivity in middle- and older-adulthood. Front Psychiatry 2022; 13:929657. [PMID: 36090357 PMCID: PMC9458888 DOI: 10.3389/fpsyt.2022.929657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 08/08/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives Associations between awareness of one's own aging and wellbeing have received increasing attention in the field of gerontology over the last decade. The current study examines how between-person differences and within-person fluctuations of awareness of age-related change (AARC) relate to daily negative affect and vitality. Of key interest was the extent to which fluctuations in AARC moderated reactivity to stressor exposure. We predicted that higher positive perceptions of aging (AARC-gains) would buffer the relationship between daily stressors and negative affect/vitality. Conversely, we expected that higher negative perceptions (AARC-losses) may exacerbate the relationship between daily stressors and the outcome variables. Methods Data were collected from a community-based sample of 152 Australian adults aged 53-86 (M = 69.18, SD = 5.73). For 10 consecutive days, participants completed surveys on their smartphones measuring daily stressors, AARC, and affect (positive and negative). Bayesian hierarchical linear models were used to examine whether AARC-gains and AARC-losses moderated within-person associations of daily stressors and affect (i.e., stress reactivity). Results At the between-person level, higher AARC-gains was associated with lower negative affect and higher vitality, whereas those reporting higher AARC-losses scored higher on negative affect and lower on vitality. Within-person variables revealed that on days when AARC-gains was higher and AARC-losses was lower, this corresponded with lower negative affect and higher vitality. There was no evidence in support of individual moderating effects of within-person AARC-losses or within-person AARC-gains on stress reactivity. A trend was evident in support of a three-way WP Stress severity × WP AARC-gains × WP AARC-losses interaction in the prediction of negative affect, indicating that on days when AARC-losses was higher, the association of stress severity with negative affect was weaker if AARC-gains was higher. Follow-up analyses modeling quadratic stress severity revealed a trend suggesting an interaction of within-person stress severity and within-person AARC-losses. Discussion Results indicate that both individual differences and short-term fluctuations in AARC are associated with daily negative affect and vitality. The results provided qualified support for a possible protective role of AARC-gains in the context of stress reactivity.
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Affiliation(s)
| | - Nathan Weber
- College of Education, Psychology and Social Work, Flinders University, Adelaide, SA, Australia
| | - Tim D. Windsor
- College of Education, Psychology and Social Work, Flinders University, Adelaide, SA, Australia
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19
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Kaspar R, Wahl HW, Diehl M, Zank S. Subjective views of aging in very old age: Predictors of 2-year change in gains and losses. Psychol Aging 2022; 37:503-516. [PMID: 35467913 PMCID: PMC10026176 DOI: 10.1037/pag0000684] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This study examined trajectories of awareness of age-related change (AARC; Diehl & Wahl, 2010) across 2 years in a large representative sample of very old adults. We also examined the predictive role of health, functional status, cognitive functioning, and engagement with life for AARC change. The initial sample comprised 1,863 individuals aged 80 years or older. Of the 1,612 individuals recontacted 2 years later, 912 took part in the follow-up. Measures included the AARC-Short Form, assessing perceived AARC Gains and AARC Losses. Measures of multimorbidity and functional health, a cognitive screening test, and indicators of engagement with life (e.g., leisure activity) were examined as predictors of AARC change, using semi-cross-lagged fixed effects modeling. Higher overall levels of AARC Gains were observed compared to AARC Losses for all but respondents aged 90 years or older. Intra-individual levels of AARC Gains decreased significantly over the 2-year period, whereas a significant increase was found for AARC Losses. AARC Losses across time were predicted by loss of instrumental activities of daily living (IADL) independence, but not by change in multimorbidity, cognitive performance, or engagement with life. One indicator of engagement with life, reduced leisure activity, predicted smaller AARC Gains at wave 2. These results were robust in models controlling for potential reverse causation. These findings suggest that a significant increase in perceived AARC Losses appears to be an inherent characteristic of very old age. Very old age may be a stage in life in which changes in multimorbidity and cognitive performance no longer impact individuals' views on aging. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Roman Kaspar
- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health
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20
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Sabatini S, Siebert JS, Diehl M, Brothers A, Wahl HW. Identifying predictors of self-perceptions of aging based on a range of cognitive, physical, and mental health indicators: Twenty-year longitudinal findings from the ILSE study. Psychol Aging 2022; 37:486-502. [PMID: 34941356 PMCID: PMC10413976 DOI: 10.1037/pag0000668] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Research exploring whether health predicts self-perceptions of aging (SPA) has mostly focused on single predictors and has been hampered by short observational intervals. We examined whether 20-year changes in cognitive functioning, physical and mental health predict SPA. We used data of 103 German participants who remained of a sample of 500 participants born in 1930-1932 enrolled in the Interdisciplinary Longitudinal Study of Adult Development (ILSE) in 1993/1996 (mean age at fourth measurement wave = 82.5 years). Health indicators included six cognitive tests, objective and subjective physical health, and self-reported depression. We used a new and multidimensional (awareness of age-related gains and losses) and a well-established (attitudes toward own aging) measure of SPA. Linear regression analyses showed that, among the cognitive tests, decline in information processing speed (Digit Symbol) predicted less awareness of age-related gains and more awareness of age-related losses but not attitudes toward own aging. Decline in subjective but not objective physical health, predicted more awareness of age-related losses and negative attitudes toward own aging, but not awareness of age-related gains. Increase in depressive symptoms predicted more awareness of age-related losses and negative attitudes toward own aging, but not awareness of age-related gains. The size of associations suggests that objective cognitive decline has limited influence on older adults' SPA and, if so, only when the decline is related to mental slowing. Similarly, perceived physical and mental health, but not objective health, have a small-to-moderate influence on awareness of age-related losses and attitudes toward own aging. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Serena Sabatini
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
| | | | - Manfred Diehl
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, Colorado
| | - Allyson Brothers
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, Colorado
| | - Hans-Werner Wahl
- Institute of Psychology, Heidelberg University, Heidelberg, Germany
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21
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Wahl HW, Wettstein M, Tseng HY, Schlomann A, Schmidt L, Diehl M. Has the COVID-19 pandemic affected older adults' personal and general views on aging? Evidence for losses and gains. Dev Psychol 2022; 58:1188-1205. [PMID: 35311316 PMCID: PMC9682470 DOI: 10.1037/dev0001348] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The coronavirus disease (COVID-19) pandemic might have affected older adults' personal and general views on aging (VoA) because they were frequently, particularly during the early phase of the pandemic, portrayed as a homogeneous, vulnerable group in the media and in public debates. Also, their higher risk of severe COVID-19 disease progression as well as other pandemic-related stressors and restrictions might have impacted how older adults perceive their own aging. In this study, it was examined to which extent middle-aged and older adults' personal and general VoA changed due to the pandemic by distinguishing between normative age-graded change across multiple measurement occasions and potentially pandemic-specific history-graded change. Multiple VoA indicators (personal VoA: attitude toward own aging, subjective age, awareness of age-related change [gains and losses]; general VoA: domain-specific age stereotypes) of 423 German adults aged 40 years and older were assessed across three prepandemic measurement occasions (2012, 2015, and 2017) and one occasion after the pandemic's outbreak (summer 2020). Normative age-graded changes and pandemic-specific changes were estimated and compared using longitudinal multilevel regression analyses. Both perceived age-related gains and age-related losses decreased between 2012 and 2017, but increased thereafter between 2017 and 2020. Further, the overall change trend toward less positive attitude toward own aging slowed down from 2017 to 2020. There was also a slight trend toward younger subjective ages from 2017 to 2020. For most age stereotypes, pandemic-specific trends indicated a shift toward more negative stereotypes. These findings suggest that pandemic-specific changes in VoA are multidirectional, comprising perceptions of both losses and gains. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Affiliation(s)
- Hans-Werner Wahl
- Network Aging Research & Institute of Psychology, Heidelberg University, Heidelberg, Germany
- Department of Psychology, Heidelberg University, Heidelberg, Germany
| | - Markus Wettstein
- Network Aging Research & Institute of Psychology, Heidelberg University, Heidelberg, Germany
| | - Han-Yun Tseng
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, USA
| | - Anna Schlomann
- Network Aging Research & Institute of Psychology, Heidelberg University, Heidelberg, Germany
- Institute for Educational Sciences, Heidelberg University of Education, Heidelberg, Germany
| | - Laura Schmidt
- Department of Psychology, Heidelberg University, Heidelberg, Germany
| | - Manfred Diehl
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, USA
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22
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Moersdorf L, Freund AM, Daum MM. Spelling out some unaddressed conceptual and methodological challenges in empirical lifespan research. Acta Psychol (Amst) 2022; 226:103585. [PMID: 35427928 DOI: 10.1016/j.actpsy.2022.103585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 11/01/2022] Open
Abstract
The importance of taking a lifespan approach to describe and understand human development has long been acknowledged (e.g., Baltes, 1987). Nevertheless, theoretical or empirical research that actually encompasses the entire lifespan, that is, from early childhood to old age, is rare. This is not surprising given the challenges such an approach entails. Many of these challenges (e.g., establishing measurement invariance between age groups) have been addressed in the previous literature, but others have not yet been sufficiently considered. The main purpose of this article is to present several examples of such largely unaddressed conceptual and methodological challenges and reflect upon possible ways to address them. We discuss the usefulness of a lifespan approach and the generalization of the challenges to other research comparing different groups, such as gender, culture, or species.
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23
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Wettstein M, Kornadt AE, Wahl HW. Awareness of Age-Related Changes Among Middle-Aged and Older Adults: Longitudinal Trajectories, and the Role of Age Stereotypes and Personality Traits. Front Psychiatry 2022; 13:902909. [PMID: 35693951 PMCID: PMC9174521 DOI: 10.3389/fpsyt.2022.902909] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 04/26/2022] [Indexed: 12/03/2022] Open
Abstract
Awareness of Age-Related Change (AARC) describes to what extent people become aware of changes which they attribute to getting older. So far little is known regarding how different AARC dimensions change over time, to what extent these changes in different domains of AARC gains and losses are interrelated, and which predictors account for inter-individual differences in within-person longitudinal trajectories. Specifically, the extent to which individuals perceive age-related gains and losses might be shaped by their chronological age, their personality as well as by their general views on aging (i.e., their age stereotypes). We investigated changes in global and domain-specific AARC gains and losses over about five years in a sample of originally N = 423 participants aged 40 to 98 years at baseline. We analyzed the role of personality traits and age stereotypes for levels and changes of AARC, taking into account participants' age at baseline and controlling for gender, education, and subjective health. Based on longitudinal multilevel regression models, we observed mean-level declines in most AARC gain domains. In contrast, perceived general AARC losses, as well as AARC losses in health and physical functioning, in cognitive functioning and in social-cognitive/socio-emotional functioning remained, on average, stable over time. Baseline scores on AARC gains (global scale) were higher among individuals with higher neuroticism, openness, conscientiousness and more positive age stereotypes. Additionally, the association of higher neuroticism with higher AARC gain scores was stronger among individuals with more positive age stereotypes. Higher neuroticism and more negative age stereotypes also predicted higher baseline scores on AARC losses (global scale). At the same time, higher neuroticism was associated with a steeper decrease in AARC loss perceptions over time. Most of the intercorrelations within the intercepts and within the intra-individual trajectories of the different AARC domains were positive, but small in size. Our findings show the importance of considering trajectories of age-related gains and losses in parallel and across multiple developmental domains when investigating the subjective perception of the aging process. They also suggest that personality traits and general age stereotypes are related with individual experiences of aging.
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Affiliation(s)
- Markus Wettstein
- Department of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Psychology, Heidelberg University, Heidelberg, Germany
| | - Anna E. Kornadt
- Department of Cognitive and Behavioral Sciences, University of Luxembourg, Luxembourg, Luxembourg
| | - Hans-Werner Wahl
- Department of Psychology, Heidelberg University, Heidelberg, Germany
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24
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Hoffmann C, Kornadt AE. A Chip Off the Old Block? The Relationship of Family Factors and Young Adults' Views on Aging. Front Psychol 2022; 13:808386. [PMID: 35250740 PMCID: PMC8894590 DOI: 10.3389/fpsyg.2022.808386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 01/04/2022] [Indexed: 11/29/2022] Open
Abstract
Views on aging (VoA), such as self-perceptions of aging or age stereotypes are generated in early childhood and continue to develop throughout the entire lifespan. The ideas a person has about their own aging and aging in general influence their behavior toward older persons as well as their own actual aging, which is why VoA are already important in adolescence and young adulthood. The current study investigates VoA of young adults in different domains (continued growth, physical decline, social loss) and how different family aspects are related to VoA. From February to March 2021, N = 305 young adults [aged 18-30 years, M age(SD) = 22.20 (2.60)] participated in an online survey, in which, in addition to sociodemographic variables and family aspects (contact with grandparents, family age climate, i.e., the frequency and valence of talking about age in the family), self-perceptions of aging, age stereotypes, and the young adults' ratings of their parents' VoA were assessed. The results of stepwise regression analyses predicting the young adults' VoA, revealed significant associations between the quality of contact with grandparents and the self-perceptions of aging of young adults. However, the frequency of contact was neither related to young adults' self-perceptions of aging nor age stereotypes. Grandparents' health status emerged as a significant moderator between the relationship of contact quality and the young adults' self-perceptions of aging as continued growth and physical decline. Family climate was also found to be significantly related to young adults' self-perceptions of aging. Similarities regarding VoA within the family were demonstrated, based on proxy report from the respondents. The results underline the importance of family aspects for the development of VoA in young adulthood, and the significance of interventions targeting these factors to combat ageism.
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Affiliation(s)
| | - Anna E. Kornadt
- Department of Behavioral and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
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25
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Rupprecht FS, Sabatini S, Diehl M, Gerstorf D, Kaspar R, Schilling OK, Wahl HW. Awareness of age-related change in the context of major life events. Front Psychiatry 2022; 13:954048. [PMID: 36386972 PMCID: PMC9650375 DOI: 10.3389/fpsyt.2022.954048] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 10/07/2022] [Indexed: 11/27/2022] Open
Abstract
Although gains and losses are an integral part of human development, the experience of change and readjustment that often comes with major life events may be particularly influential for an individual's subjective aging experience and awareness of age-related change (AARC). Thus, this study focused on the role of life events in the domains of family and health for an individual's awareness of age-related gains and losses. Specifically, we differentiated between the experience of specific life events (e.g., entering a new romantic relationship; hospital stay) and the cumulative experience of multiple life events. Furthermore, we differentiated between life events experienced at an expected time in life and life events experienced relatively early or relatively late compared to established social norms. Data came from the Innovation Sample of the German Socio-Economic Panel (SOEP-IS) and consisted of 1,612 participants aged 16 to 93 years (M = 54.1; SD = 18.2). Life events were assessed annually and retrospectively for the last 2 years. Propensity score matching provided evidence for an association of specific family life events and a higher awareness of age-related gains, as well as specific health life events and a higher awareness of age-related losses. Results furthermore indicated that the cumulative experience of family life events was associated with a higher awareness of age-related gains. Conversely, the cumulative experience of health events was associated with higher awareness of both age-related losses and age-related gains. Moreover, it was not only life events happening at an expected age, but also those happening relatively early and particularly those happening late in life, which were associated with AARC. In summary, life events and the change they may bring seem to be reflected in individuals' awareness of age-related losses and awareness of age-related gains.
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Affiliation(s)
- Fiona S Rupprecht
- Department of Developmental and Educational Psychology, University of Vienna, Vienna, Austria
| | - Serena Sabatini
- Università della Svizzera Italiana, Faculty of Biomedical Sciences, Lugano, Switzerland
| | - Manfred Diehl
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO, United States
| | - Denis Gerstorf
- Institute for Psychology, Humboldt University of Berlin, Berlin, Germany
| | - Roman Kaspar
- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, Cologne, Germany
| | - Oliver K Schilling
- Psychological Institute, Ruprecht-Karls University Heidelberg, Heidelberg, Germany
| | - Hans-Werner Wahl
- Psychological Institute, Ruprecht-Karls University Heidelberg, Heidelberg, Germany
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26
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Wettstein M, Werner-Wahl H, Spuling SM. Nine-year changes in self-reported problems with vision and hearing among older adults: do subjective age views matter? Aging Ment Health 2021; 25:2200-2212. [PMID: 32985229 DOI: 10.1080/13607863.2020.1822290] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVES So far, little is known about linkages between subjective age views and long-term changes in vision and hearing. METHOD We examined the predictive role of two key measures of subjective age views (attitude toward own aging [ATOA]; aging-related cognitions comprising continuous growth, social loss, and physical decline) for changes in self-reported problems with vision and hearing over a period of up to 9 years. A subsample of the German Ageing Survey was used, consisting of 2,499 older adults. RESULTS Controlling for socio-demographic characteristics, self-rated health, and depressive symptoms, we found that with increasing age, more favorable ATOA scores, as well as higher scores on continuous growth and lower scores on physical decline, were associated with fewer self-reported vision problems at baseline. With advancing age, more favorable ATOA scores were also related with fewer hearing problems at baseline. However, among individuals with an older baseline age, more favorable ATOA scores were associated with a steeper increase in vision problems. Higher scores on continuous growth were related with less increase in hearing problems, independent of age. CONCLUSION Our findings suggest that subjective age views predict individuals' self-reported vision and hearing problems.
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Affiliation(s)
| | - Hans- Werner-Wahl
- Department of Psychological Ageing Research, Institute of Psychology, Heidelberg University, Heidelberg, Germany
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27
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Blawert A, Schäfer SK, Wurm S. Associations of Agency and Communion With Domain-Specific Self-Perceptions of Aging: A Cross-Sectional Study In Old-Old Adults in Poor Health. Int J Aging Hum Dev 2021; 95:245-262. [PMID: 34658260 PMCID: PMC9289974 DOI: 10.1177/00914150211050874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
A large body of research indicates that self-perceptions of aging (SPA) play an important role for health in later life. Hence, more research on SPA and correlates is needed, especially in old age and poor health, where negative SPA tend to prevail. Recent studies identified personality as an important correlate of SPA in young-old and relatively healthy samples. Thus, we investigated cross-sectional associations of agency and communion with two SPA domains in a sample of old-old adults in poor health (n = 154; Mage = 81.55, SD = 4.56, 58.4% women). In multiple regression analyses, agency and communion were associated with SPA related to ongoing development beyond health. In contrast, only health as a covariate was significantly associated with SPA related to physical losses. Thus, personality may be a resource associated with gain-related SPA, at least for those in poor health and old age.
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Affiliation(s)
- Anne Blawert
- Department for Prevention Research and Social Medicine, Institute for Community Medicine, 60634University Medicine Greifswald, Greifswald, Germany
| | - Sarah K Schäfer
- Department for Prevention Research and Social Medicine, Institute for Community Medicine, 60634University Medicine Greifswald, Greifswald, Germany
| | - Susanne Wurm
- Department for Prevention Research and Social Medicine, Institute for Community Medicine, 60634University Medicine Greifswald, Greifswald, Germany
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Petashnick JR, Shrira A, Hoffman Y, Palgi Y, Kavé G, Shmotkin D. Subjective Age and Late-Life Functional Status: Mediating and Moderating Effects. J Gerontol B Psychol Sci Soc Sci 2021; 77:61-70. [PMID: 34608493 DOI: 10.1093/geronb/gbab181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES The present study examined the longitudinal relationships between subjective age (SA) and future functional status in later life, via depressive symptoms. Additionally, we assessed the role of subjective nearness to death (SNtD) as a potential moderator within these pathways. METHODS Older adults (average age 81.14 at T1) were interviewed once a year for three consecutive years (N=224 at T1, N=178 at T2, and N=164 at T3), Participants reported their SA, SNtD, depressive symptoms, and functional status. Additionally, grip strength was employed as an objective measure of functional status. RESULTS Data analysis revealed distinct pathways leading from T1 SA to T3 functional status through T2 depressive symptoms. Moreover, T1 SNtD was found to significantly moderate most of these indirect pathways, so that the mediation model of T1 SA-T2 depressive symptoms-T3 functional status was mostly significant among those who felt closer to death. DISCUSSION The findings contribute to our understanding of the underlying mechanism through which SA predicts long-term functioning sequelae by underscoring the indirect effect of depressive symptoms. They further indicate the importance of gauging the effects of SNtD on these longitudinal relationships. Present results may further contribute to establishing an integrative model for predicting long-term functional outcomes based on older adults' earlier subjective views of aging.
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Affiliation(s)
- Joel R Petashnick
- The Interdisciplinary Department for Social Sciences, Bar-Ilan University, Ramat-Gan, Israel
| | - Amit Shrira
- The Interdisciplinary Department for Social Sciences, Bar-Ilan University, Ramat-Gan, Israel
| | - Yaakov Hoffman
- The Interdisciplinary Department for Social Sciences, Bar-Ilan University, Ramat-Gan, Israel
| | - Yuval Palgi
- Department of Gerontology, University of Haifa, Haifa, Israel
| | - Gitit Kavé
- Department of Education and Psychology, The Open University, Ra'anana, Israel
| | - Dov Shmotkin
- School of Psychological Sciences and Herczeg Institute on Aging, Tel Aviv University, Tel Aviv, Israel
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29
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Kaspar R, Wahl HW, Diehl M. Awareness of Age-Related Change as a Behavioral Determinant of Survival Time in Very Old Age. Front Psychol 2021; 12:727560. [PMID: 34650486 PMCID: PMC8505719 DOI: 10.3389/fpsyg.2021.727560] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 09/07/2021] [Indexed: 11/29/2022] Open
Abstract
Although research on the association between subjective views of aging (VOA) and survival is scarce, more negative VOA have been found to be associated with increased all-cause mortality, even after controlling for possible confounders. Longitudinal studies on the predictive association of VOA with survival in individuals aged 80 years or older are, however, very limited. Thus, the aim of this study was to link adults' awareness of age-related change (AARC), a multidimensional measure of adults' subjective VOA, to survival time across a 3.5-year observation interval in advanced old age. To put the AARC construct in context, the study also considered related psychosocial concepts (i.e., perceived control and appraisal of life) essential for coping with late-life challenges as potential behavioral predictors of longevity. Data came from a representative panel study that included persons living in community and institutional settings. A total of 1,863 interviews were conducted at wave 1. This study used meta-data from wave 2 fieldwork 2 years after the initial assessment and death records obtained during panel maintenance after 3.5 years to estimate determinants of survival. Results showed that loss-related VOA indicated increased risk to survival, whereas gain-related VOA were predictive of longer survival. Both perceived age-related losses and perceived age-related gains exerted a significant independent effect on late-life mortality over and above socio-demographic background characteristics, perceived control, engagement with life, as well as health status. These findings suggest that the multidimensional examination of very old adults' VOA may help to better understand successful longevity in the Fourth Age.
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Affiliation(s)
- Roman Kaspar
- Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health, University of Cologne, Cologne, Germany
| | - Hans-Werner Wahl
- Network Aging Research of Heidelberg University, Heidelberg, Germany
| | - Manfred Diehl
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, CO, United States
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One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18189704. [PMID: 34574626 PMCID: PMC8468842 DOI: 10.3390/ijerph18189704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 09/11/2021] [Accepted: 09/13/2021] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to investigate one-year changes and differences in changes in activities of daily living (ADL), usability, a history of falls, concerns about falling, and self-rated health across five housing adaptation (HA) client profiles identified previously using a cluster analysis approach: older adults with low level of disability (n = 59); older adults with medium/high level of disability (n = 26); adults with low level of disability (n = 10); adults with high level of disability (n = 8); and older adults with medium level of disability including at least moderate cognitive impairment (n = 5). Comparisons between the five profiles include secondary analyses aggregating those with low level of disability and those with medium/high level of disability. Changes within the client profiles demonstrate a complex pattern of improvements and declines, depending on outcome, with no profile showing consistent improvement or decline across all outcomes. The risks of deterioration over one year were the highest among those with cognitive impairments at baseline, but no recommendation of prioritization decisions based on baseline profiles can be made. Instead, it seems that all HA clients, independently of baseline profile, are at risk of increasing disability over time and require follow-up evaluations regularly.
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31
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Rothermund K, Klusmann V, Zacher H. Age Discrimination in the Context of Motivation and Healthy Aging. J Gerontol B Psychol Sci Soc Sci 2021; 76:S167-S180. [PMID: 34515776 DOI: 10.1093/geronb/gbab081] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Indexed: 11/13/2022] Open
Abstract
Age discrimination can undermine older people's motivation to stay engaged with their lives and poses a major challenge to healthy aging. In this article, we review research on age discrimination in different life domains, including health and work. Motivation and health constitute potential antecedents as well as outcomes of age discrimination, with reduced motivation and impaired health increasing the likelihood of becoming a victim of age discrimination, but also resulting from age discrimination. Furthermore, high levels of motivation and health can also serve as buffers against the negative effects of age discrimination. Based on our literature review, we discuss possible strategies aimed at reducing age discrimination. Understanding and combating age discrimination can foster older people's motivation to participate in meaningful activities and promote healthy aging.
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Affiliation(s)
| | - Verena Klusmann
- University of Konstanz, Germany.,University of Hamburg, Germany
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32
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Kornadt AE, Albert I, Hoffmann M, Murdock E, Nell J. Perceived Ageism During the Covid-19-Crisis Is Longitudinally Related to Subjective Perceptions of Aging. Front Public Health 2021; 9:679711. [PMID: 34327186 PMCID: PMC8313802 DOI: 10.3389/fpubh.2021.679711] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 06/21/2021] [Indexed: 11/13/2022] Open
Abstract
Ageism in media and society has increased sharply during the Covid-19-crisis, with expected negative consequences for the health and well-being of older adults. The current study investigates whether perceived ageism during the crisis longitudinally affects how people perceive their own aging. In June 2020, N = 611 older adults from Luxembourg [aged 60–98 years, Mage(SD) = 69.92(6.97)] participated in a survey on their perception of the crisis. In October 2020, N = 523 participated in a second measurement occasion. Participants reported on perceived ageism during the crisis in different domains, their self-perceptions of aging and subjective age. In latent longitudinal regression models, we predicted views on aging at T2 with perceived ageism at T1, while controlling for baseline views on aging and covariates. Perceived ageism at T1 increased self-perceptions of aging as social loss and yielded a trend for physical decline, while there were no effects on subjective age and self-perceptions of aging as continued growth. Views on aging are powerful predictors of well-being and health outcomes in later life. Our data suggest that being the target of ageism during the crisis negatively affects older adults' self-perceptions of aging and this impact may be felt beyond the current crisis.
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Affiliation(s)
- Anna E Kornadt
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Isabelle Albert
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | | | - Elke Murdock
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Josepha Nell
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
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33
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Kornadt AE, Albert I, Hoffmann M, Murdock E, Nell J. Ageism and older people's health and well-being during the Covid-19-pandemic: the moderating role of subjective aging. Eur J Ageing 2021; 18:173-184. [PMID: 33948107 PMCID: PMC8085090 DOI: 10.1007/s10433-021-00624-8] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/16/2021] [Indexed: 01/25/2023] Open
Abstract
In the Covid-19 pandemic, being older means being in a special focus: Probabilities for severe infections and mortality rise with increasing age and protective measures for this population group have been increased. This was accompanied by public discourse that portrayed older adults stereotypically as vulnerable and frail but also highlighted the hardships younger people have to endure to protect them. Given the possibly detrimental effects of ageism on individuals and societies, we were interested in older adults' perception of ageism in the Corona-crisis and its relation to their health and well-being. Furthermore, we were interested in subjective aging variables as moderators in the ageism-health relationship. In June 2020, N = 611 independently living people aged 60 + from the Grand Duchy of Luxembourg were recruited via a survey research institute and interviewed online or by phone. They reported on perceived ageism in different contexts, their life satisfaction, subjective health, subjective age and self-perceptions of aging. Depending on context, ageism was perceived by around 20% of participants, and overall negatively related to subjective health and life satisfaction after the onset of the pandemic. Moderated hierarchical regressions showed that a younger subjective age buffered the negative effect of ageism on subjective health, while perceiving aging as social loss increased its effect on life satisfaction. We discuss the importance of addressing and reducing ageism (not only) in times of crisis and the consequences for individuals and societies.
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Affiliation(s)
- Anna E. Kornadt
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, 11, Porte des Sciences, 4366 Esch-sur-Alzette, Luxembourg
| | - Isabelle Albert
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, 11, Porte des Sciences, 4366 Esch-sur-Alzette, Luxembourg
| | | | - Elke Murdock
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, 11, Porte des Sciences, 4366 Esch-sur-Alzette, Luxembourg
| | - Josepha Nell
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, 11, Porte des Sciences, 4366 Esch-sur-Alzette, Luxembourg
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34
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Palgi Y, Shrira A, Neupert SD. Views on Aging and Health: A Multidimensional and Multitemporal Perspective. J Gerontol B Psychol Sci Soc Sci 2021; 76:821-824. [PMID: 33782685 DOI: 10.1093/geronb/gbab026] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Affiliation(s)
- Yuval Palgi
- Department of Gerontology, The University of Haifa, Israel
| | - Amit Shrira
- Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat Gan, Israel
| | - Shevaun D Neupert
- Department of Psychology, North Carolina State University, Raleigh, USA
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35
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Adaptation to Athletic Retirement and Perceptions About Aging: A Qualitative Study of Retired Olympic Athletes. J Aging Phys Act 2021; 29:828-842. [PMID: 33652415 DOI: 10.1123/japa.2020-0270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 10/22/2020] [Accepted: 11/24/2020] [Indexed: 11/18/2022]
Abstract
Self-perceptions about aging have implications for health and well-being; however, less is known about how these perceptions influence adaptation to major life transitions. The goal of this study was to examine how high-performance athletes' perceptions about aging influenced their adaptation to athletic retirement. In-depth interviews conducted with 24 retired Olympic athletes using thematic analysis yielded three key themes: (a) perceptions about aging influenced participants' postretirement exercise habits, (b) perceptions about aging motivated participants to engage in civic activities, and (c) participants who lacked formative perceptions about aging associated their athletic retirement with their own lost sense of purpose. These findings provide evidence that perceptions about aging influence athletes' adaptation to retirement by directing their subsequent engagement in postretirement activities. Furthermore, this research highlights theoretical implications for the literature regarding embodied processes, retirement transitions, role models, and adaptation to new physical states.
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36
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Kessler EM, Grünewald L, Schäfer T. Depressed Older Patients with Death Wishes: Experimental Evidence for Psychotherapists' Age and Health Bias. Clin Gerontol 2021; 44:154-159. [PMID: 33275085 DOI: 10.1080/07317115.2020.1856265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objectives: When psychotherapists encounter an older patient with depression and death wishes, especially when burdened by physical illness, they may be subject to judgmental biases. This study investigates how this group of patients with highest suicide risk may experience discrimination both on age and health status. Methods: Using a 2 × 2 [chronological age x physical health status] vignette design, psychotherapists (N = 147) were randomly presented with one of the four variants of a case describing a patient with depression and death wishes (i.e., 78 years old + poor physical health; 78 years old + normal physical health; 48 years old + poor physical health; 48 years old + normal physical health). Afterward, participants' attitudes toward the case were assessed. Results: In case of the hypothetical patient's old age and poor health status, participants did not underestimate the pathological significance of his death wishes, but nevertheless showed less optimistic treatment attitudes and less confidence in psychotherapeutic treatment. Conclusions: Psychotherapists' age bias and health bias may serve as two potentially fatal factors influencing the provision of mental health services. Clinical Implications: Psychotherapists may contribute to better mental health-care provision of older adults with depression and the prevention of late-life suicide by increasing awareness of their age and health bias.
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Affiliation(s)
- Eva-Marie Kessler
- MSB Medical School Berlin, Private university in Berlin , Berlin, Germany
| | - Lisa Grünewald
- MSB Medical School Berlin, Private university in Berlin , Berlin, Germany
| | - Thomas Schäfer
- MSB Medical School Berlin, Private university in Berlin , Berlin, Germany
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37
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Diehl M, Wettstein M, Spuling SM, Wurm S. Age-related change in self-perceptions of aging: Longitudinal trajectories and predictors of change. Psychol Aging 2021; 36:344-359. [PMID: 33539148 DOI: 10.1037/pag0000585] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Using data from the German Ageing Survey (Deutscher Alterssurvey, DEAS; N = 4,712), this study examined age-related change in three dimensions of self-perceptions of aging (SPA): perceptions of physical losses, social losses, and ongoing development. Participants ranged in age from 40 to 85 years at study entry (1996, 2002, or 2008) and were followed for up to 21 years. Time-invariant, context-specific and time-varying, person-specific predictors of the observed age-related changes were examined. Findings from longitudinal multilevel regression analyses showed significant nonlinear age-related change for all three dimensions. Specifically, starting at about age 65, participants showed age-related increases in perceptions of physical and social losses, with increases getting steeper in old age. Starting at about age 55, participants reported increasingly fewer perceptions related to ongoing development. The decline in perceptions of ongoing development also became increasingly steeper after age 70. Region of residence was a significant context-specific predictor of the intercepts of the three SPA dimensions. Health-related variables (i.e., number of chronic diseases, self-rated health), affective well-being (i.e., positive and negative affect), and measures of social integration (i.e., loneliness) were significant person-specific predictors. Health-related variables had their strongest association with perceptions of physical losses, whereas negative affect and loneliness had their strongest association with perceptions of social losses. Positive affect had its strongest association with perceptions of ongoing development. This study is the first one to describe age-related change trajectories in multiple dimensions of SPA and significant predictors of these change trajectories. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
- Manfred Diehl
- Department of Human Development and Family Studies, Colorado State University
| | | | | | - Susanne Wurm
- Department Social Medicine and Prevention, Institute for Community Medicine, University Medicine
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38
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Montepare JM. Erratum: Publisher Correction to: An exploration of subjective age, actual age, age awareness, and engagement in everyday. Eur J Ageing 2020; 17:489-497. [PMID: 33381002 PMCID: PMC7752939 DOI: 10.1007/s10433-020-00580-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
[This corrects the article DOI: 10.1007/s10433-019-00534-w.].
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Affiliation(s)
- Joann M. Montepare
- RoseMary B. Fuss Center for Research on Aging and Intergenerational Studies, Lasell University, 1844 Commonwealth Avenue, Newton, MA 02466 USA
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39
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Affiliation(s)
- Verena Klusmann
- Department of Psychology, Psychological Assessment and Health Psychology, University of Konstanz, Constance, Germany
- Department of Psychology and Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Anna E. Kornadt
- Department of Behavioural and Cognitive Sciences, Université du Luxembourg, Esch-sur-Alzette, Luxembourg
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Abstract
Perceptions of age and perceptions of health have each been found to predict future health and well-being, yet surprisingly, studies typically focused on one or the other. Studies on perceived age suggested that its effects on longevity may be mediated by perceived health. Within each of these lines of research, the constructs have not been consistently operationalized, making it difficult to generalize across studies. We aimed to investigate the associations of different measures of perceptions of age and of health with one another and with longevity. Data collected at baseline from the 851 participants of the Rutgers Aging and Health longitudinal study (mean age 73) included perceptions of age and health, each assessed with four different single-item measures, sociodemographic, and health measures. Mortality was followed-up for 10 years. All four health perceptions and two of the age perceptions (Age-group identity and nearness-to-death) were associated with survival time. Age and health perceptions had similar independent effects in models that included measures of both types, controlling for demographics and chronic conditions, though not after controlling for age. In contrast with our hypothesis, health perceptions did not mediate the association between age perceptions and mortality. Findings regarding health perceptions were generally consistent across measures, whereas age perception measures differed in their associations with various outcomes, indicating that they assess different subjective age constructs. The findings correspond with proposed explanations for the predictive effect of age and health perceptions and support the significant though weaker independent effects of age perceptions compared with health perceptions.
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Affiliation(s)
- Yael Benyamini
- Bob Shapell School of Social Work, Tel Aviv University, 6997801 Tel Aviv, Israel
| | - Edith Burns
- Department of Medicine, Hofstra Northwell School of Medicine, Manhasset, NY 11030 USA
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41
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Spuling SM, Klusmann V, Bowen CE, Kornadt AE, Kessler EM. The uniqueness of subjective ageing: convergent and discriminant validity. Eur J Ageing 2020; 17:445-455. [PMID: 33380998 PMCID: PMC7752926 DOI: 10.1007/s10433-019-00529-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
Although a large body of research has demonstrated the predictive power of subjective ageing for several decisive developmental outcomes, there remains some controversy about whether subjective ageing truly represents a unique construct. Thus, information about the convergent and discriminant validity of different approaches to measuring subjective ageing is still critically needed. Using data from the 2014 wave of the German Ageing Survey, we examined how three established subjective ageing measures (subjective age, global attitude toward own ageing, multidimensional ageing-related cognitions) were inter-related as well as distinct from general dispositions (optimism, self-efficacy) and well-being (negative affect, depressive symptoms, self-rated health). Using correlational and multivariate regression analysis, we found that the three subjective ageing measures were significantly inter-related (r = |.09| to |.30|), and that each measure was distinct from general dispositions and well-being. The overlap with dispositional and well-being measures was lowest for subjective age and highest for global attitudes towards own ageing. The correlation between global attitudes towards own ageing and optimism was particularly striking. Despite the high convergent validity of the different dimensions of ageing cognitions, we nevertheless observed stronger associations between specific dimensions of ageing cognitions with negative affect and self-rated health. We conclude that researchers should be aware of the multidimensional nature of subjective ageing. Furthermore, subjective age appears to be a highly aggregated construct and future work is needed to clarify its correlates and reference points.
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Affiliation(s)
- Svenja M. Spuling
- German Centre of Gerontology (DZA), Manfred-von-Richthofen-Str. 2, 12101 Berlin, Germany
| | - Verena Klusmann
- Department of Psychology, Psychological Assessment and Health Psychology, University of Konstanz, P.O. Box 47, 78457 Constance, Germany
- Department of Psychology and Human Movement Science, Public Health, University of Hamburg, Mollerstr. 10, 20148 Hamburg, Germany
| | | | - Anna E. Kornadt
- Fakultät für Psychologie und Sportwissenschaft, Differentielle Psychologie und Psychologische Diagnostik, Bielefeld University, Universitätsstraße 25, 33615 Bielefeld, Germany
| | - Eva-Marie Kessler
- Department of Psychology, Geropsychology, MSB Medical School Berlin, Calandrellistraße 1-9, 12447 Berlin, Germany
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42
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Klusmann V, Notthoff N, Beyer AK, Blawert A, Gabrian M. The assessment of views on ageing: a review of self-report measures and innovative extensions. Eur J Ageing 2020; 17:403-433. [PMID: 33376461 PMCID: PMC7752934 DOI: 10.1007/s10433-020-00556-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
This is a review of existing self-report measures for assessing views on ageing. It provides an overview of instruments, for which basic psychometric properties are available and describes them according to the purposes for which they are suitable. Literature search resulted in the inclusion of 89 instruments which were categorised along eight dimensions. The majority of measures focus on explicit cognitions about people's own age and ageing or other (older) people. A substantial amount of tools account for the multidimensionality and multidirectionality of views on ageing, i.e. the idea that ageing is accompanied by both gains and losses in several different domains. To some extent, measures reflect that ageing is a long-term process and that views on ageing are malleable, rather than just stable traits. Cluster analysis revealed heterogeneity in instruments regarding the dimensions of Ecosystem, Balance, Stability, Dynamics, and Complexity. It becomes apparent, however, that approaches to measure views on ageing should be extended to more specifically target the implicit level as well as affective, physiological, and behavioural manifestations. Additionally, means for capturing views on ageing on the societal level and tools with a distinct time reference are needed. This is particularly important when one wants to account for the lifelong dynamics of views on ageing.
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Affiliation(s)
- Verena Klusmann
- Department of Psychology, Psychological Assessment & Health Psychology, University of Konstanz, Box 47, 78457 Constance, Germany
- Department of Psychology and Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Nanna Notthoff
- Faculty of Sport Science, Leipzig University, Leipzig, Germany
| | | | - Anne Blawert
- Department of Social Medicine and Prevention, Institute of Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Martina Gabrian
- DFG Scientific Network Images of Aging, Constance/Frankfurt, Germany
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Wurm S, Wiest M, Wolff JK, Beyer AK, Spuling SM. Changes in views on aging in later adulthood: the role of cardiovascular events. Eur J Ageing 2020; 17:457-467. [PMID: 33380999 PMCID: PMC7752931 DOI: 10.1007/s10433-019-00547-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
A number of longitudinal studies have pointed to the long-term impact of different views on aging (VoA) on health in later life, whereas the reverse relationship has rarely been examined. Serious cardiovascular events such as myocardial infarction or stroke are life-threatening events which might in turn lead to changes in VoA. The present longitudinal study examined the effect of a cardiovascular event (CVE) on VoA over a three-year period using pooled data from three waves of the German Ageing Survey (2008, 2011, 2014, age range: 40-95 years). In order to account for alternative explanations for changes in VoA, individuals without CVE (n = 200) were matched to individuals who experienced a CVE (n = 202) using a propensity score matching procedure. Compared to individuals without CVE, individuals who experienced a CVE showed adverse changes in three VoA indicators (self-perceptions of aging as associated with physical losses/with ongoing development; subjective age). These results suggest that CVE can in fact change how individuals view their own aging. According to previous studies, this can lead to future health changes and thus become a health-related downward spiral. Health promotion programs could, therefore, profit by adding specific VoA interventions for individuals who experienced a CVE.
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Affiliation(s)
- Susanne Wurm
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475 Greifswald, Germany
| | - Maja Wiest
- Freie Universität Berlin, Habelschwerdter Allee 45, 14195 Berlin, Germany
| | - Julia K. Wolff
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17475 Greifswald, Germany
- IGES Institute Berlin, Friedrichstraße 180, 10117 Berlin, Germany
| | - Ann-Kristin Beyer
- Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Svenja M. Spuling
- German Centre of Gerontology (DZA), Manfred-von-Richthofen-Str. 2, 12101 Berlin, Germany
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Affiliation(s)
- Eva-Marie Kessler
- Department of Psychology, MSB Medical School Berlin, 14197 Berlin, Germany
| | - Catherine E Bowen
- Department of Psychology, MSB Medical School Berlin, 14197 Berlin, Germany
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45
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Montepare JM. An exploration of subjective age, actual age, age awareness, and engagement in everyday behaviors. Eur J Ageing 2020; 17:299-307. [PMID: 32904859 PMCID: PMC7459006 DOI: 10.1007/s10433-019-00534-w] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Considerable research has documented relationships between subjective age and consequential outcomes such as life satisfaction, daily stress, health, and even mortality. Less is known about associations between the age people perceive themselves to be and everyday behaviors that may serve as the paths to broader life outcomes. To begin to fill this gap, this study explored the frequency with which 196 US adults aged 55-87 years engaged in behaviors reflecting nine behavioral domains. Respondents also answered questions about their subjective age, age awareness, and actual age. Results showed that whereas actual age predicted engagement in some behaviors (e.g., retirement activities), subjective age predicted engagement in most others (e.g., personal, social, grooming, body-focused, trend activities), and age awareness predicted participation in yet others (e.g., medical activities). The present findings provide insights both about age-related everyday behaviors, and the ways that several perceptions of age are differentially linked to their occurrence.
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Affiliation(s)
- Joann M. Montepare
- RoseMary B. Fuss Center for Research on Aging and Intergenerational Studies, Lasell University, 1844 Commonwealth Avenue, Newton, MA 02466 USA
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46
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Smith J, Larkina M. Early-life Health as a Lifelong Precursor of Self-Related Views of Aging in Later Life. J Gerontol B Psychol Sci Soc Sci 2020; 76:894-899. [PMID: 32861218 PMCID: PMC8063672 DOI: 10.1093/geronb/gbaa141] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Indexed: 11/13/2022] Open
Abstract
Objectives Age stereotypes and expectations about one’s own aging commence in childhood but most research focuses on predictive associations with midlife health behaviors, later-life chronic conditions, biomarkers, and longevity. Surprisingly little is known about the role of poor childhood health in these associations. This study aims to fill this gap. Methods Using data from the Health and Retirement Study (HRS: N = 5,773, aged 50–98), we investigated whether diagnosed chronic illness before age 16 and self-rated childhood health predict late-life self-perceptions of aging (SPA) and proportional subjective age discrepancy (PSAD). We conducted multivariate multiple regression analysis (MMRA) to determine the joint and partial effects of the two indicators of childhood health. Models included controls for childhood family financial status as well as late-life self-rated health, chronic illnesses, memory status, and demographic covariates (age, gender, race/ethnicity, marital status, socioeconomic status) in 2016. Results Over and above all covariates and the covariation of the two views of one’s own aging, the MMRA models revealed that the number of childhood chronic illnesses predicted SPA but not for PSAD. Self-rated childhood health predicted both SPA and PSAD in the unadjusted models, but not in the adjusted models. Discussion This study provides new insight into potential early-life precursors of self-evaluations of aging. In particular, childhood diagnoses of chronic illness enhance negative SPA up to 50 years later. Non-normative experiences related to poor health in childhood are lifelong foundations for socioeconomic status, health, and for self-related beliefs about age and aging.
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Affiliation(s)
- Jacqui Smith
- Institute for Social Research, University of Michigan, Ann Arbor
| | - Marina Larkina
- Institute for Social Research, University of Michigan, Ann Arbor
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Blawert A, Wurm S. Shifting self-perceptions of ageing: differential effects of value priorities on self-perceptions of ageing beyond age stereotypes. Eur J Ageing 2020; 18:257-267. [PMID: 34220405 PMCID: PMC8217379 DOI: 10.1007/s10433-020-00578-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Self-perceptions of ageing (SPA) are important predictors of health in later life. However, research on antecedents of SPA other than age stereotypes is scarce. To address this gap, this study investigates the impact of personal value priorities beyond age stereotypes on SPA. Can values as the motivational basis of attitudes and evaluations predict gain- and loss-related SPA? To answer this question, we conducted multiple regression analyses of longitudinal data from two waves (2008, 2011) of the German Ageing Survey (DEAS; N = 6089, age range in 2008: 40–93 years). Gain- and loss-related SPA as well as age stereotypes were assessed with two AgeCog scales and personal values with the 21-item Portrait Values Questionnaire. Results indicate that value priorities relate to SPA longitudinally in domain-specific ways: People with a value priority of openness to change and self-transcendence reported more gain-related SPA at follow-up, whereas those who prioritized conservation reported less gain-related SPA. In the domain of loss-related SPA, those people with a value priority of self-enhancement reported more and those prioritizing self-transcendence reported less loss-related SPA at follow-up. These results complement and extend recent findings on the role of personality for SPA. They suggest that whether people focus on the gains or losses that occur with age, whether they perceive ageing as a threat or chance, is not only shaped by their age stereotypes, but also by what they find important—their values.
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Affiliation(s)
- Anne Blawert
- Department of Preventive Research and Social Medicine, Institute of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany
| | - Susanne Wurm
- Department of Preventive Research and Social Medicine, Institute of Community Medicine, University Medicine Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany
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