Well-being In Old Age Research Articles

Future time perspective: Dimensions of opportunities, life, and time are differentially associated with physical health, cognitive functioning, and well-being in old age

Objective: The present study investigated the multidimensional nature of the future time perspective scale and dimension-specific associations with measures of physical health, cognitive functioning, and well-being.Method: Using data from the Berlin Aging Study II (N = 1,038, M age = 71 years, range = 61–88 years, 52% women), different models of future time perspective were compared using confirmatory factor analyses, and the best-fitting model was then used to explore dimension-specific associations with physical health, cognitive functioning, and well-being measures.Results: A model of future time perspective composed of a focus on opportunities, a focus on life, and a focus on time was found to have the best fit. An extended focus on opportunities was associated with stronger grip strength, more accurate memory, as well as higher life satisfaction and positive affect. An extended focus on time was associated with less accurate memory, lower negative affect, and greater life satisfaction. A focus on life was unrelated to study measures.Discussion: Findings suggest that future time perspective is multidimensional and that these dimensions are differentially associated with physical health, cognitive functioning, and well-being in old age.

PSIHOLOŠKO, TELESNO I SOCIJALNO BLAGOSTANJE STARIH OSOBA NAKON GUBITKA SUPRUŽNIKA

Cilj ovog istraživanja je ispitivanje psihofizičkog i socijalnog blagostanja starih osoba nakon nedavnog gubitka supružnika. Istraživanje blagostanja starih ožalošćenih je sprovedeno poređenjem grupe tugujućih (64 ispitanika) i netugujućih starih osoba (104 ispitanika). Starost ispitanika obe grupe kretala se od 65 do 89 godina. Dobijeni rezultati potvrđuju postojanje značajnih razlika u nivou većine ispitivanih indikatora blagostanja. Razlike su uglavnom male do srednje veličine efekta. Stare osobe koje su u protekla dva do tri meseca izgubile supružnike ispoljavaju očekivano niže zadovoljstvo životom i niži doživljaj smisla života, kao i više vrednosti negativnog i niži stepen pozitivnog afekta u poređenju sa ispitanicima u bračnom odnosu. Dodatno, tugujuće osobe izveštavaju o većem doživljaju usamljenosti, uprkos snažnije percipiranoj dostupnosti instrumentalne podrške. Suprotno očekivanjima proisteklim iz nekih ranijih nalaza, razlike između tugujućih i netugujućih ispitanika nisu registrovane u pogledu stepena emocionalnog distresa i percipiranog zdravstvenog statusa. Takođe, ove dve grupe ispitanika se ne razlikuju po nivou rezilijentnosti i percipirane emocionalne podrške, dok se razlike pojavljuju u nivou funkcionalnog statusa. Tugujući ispitanici se pokazuju kao funkcionalno nezavisniji od netugujućih. Polne razlike u grupi tugujućih ispitanika utvrđene su samo u slučaju negativnog afekta, koji je u većoj meri zastupljen kod udovica. Uopšteno, dobijeni rezultati su u većem delu u skladu sa ranijim istraživanjima, ali delimično ukazuju i na izvesne specifičnosti koje moguće proističu iz nekih karakteristika tugovanja i starenja u našoj kulturi.

Living well in older age: what can we learn from the Japanese experience?

Japan has the most aged population in the world. Not only do people live longer in Japan, they also age better. While the ageing population reflects a success story driven by lifestyle factors and health promotion initiatives, it also results in challenges for policymakers, families and older people. Other countries with ageing population profiles, such as the UK, can learn from the Japanese experience. In this article, the authors focus on the potential of health promotion strategies, social connections and technology to enhance well-being in older age.

Everyday solitude, affective experiences, and well-being in old age: the role of culture versus immigration

Objectives: Being alone is often equated with loneliness. Yet, recent findings suggest that the objective state of being alone (i.e. solitude) can have both positive and negative connotations. The present research aimed to examine (1) affective experience in daily solitude; and (2) the association between everyday affect in solitude and well-being. Weexamined the distinct roles of culture and immigration in moderating these associations.Method: Using up to 35 daily life assessments of momentary affect, solitude, and emotional well-being in two samples (Canada and China), the study compared older adults who aged in place (local Caucasians in Vancouver, Canada and local Hong Kong Chinese in Hong Kong, China) and older adults of different cultural heritages who immigrated to Canada (immigrated Caucasians and immigrated East Asians).Results: We found that older adults of East Asian heritage experienced more positive and less negative affect when alone than did Caucasians. Reporting positive affect in solitude was more positively associated with well-being in older adults who had immigrated to Canada as compared to those who had aged in place.Conclusions:These findings speak to the unique effects of culture and immigration on the affective correlates of solitude and their associations with well-being in old age.

Social Interventions Targeting Social Relations Among Older People at Nursing Homes: A Qualitative Synthesized Systematic Review.

Social relations are part of the complex set of factors affecting health and well-being in old age. This systematic review seeks to uncover whether social interventions have an effect on social and health-related measures among nursing home residents. The authors screened PubMed, Scopus, and PsycINFO for relevant peer-reviewed literature. Interventions were included if (1) they focused primarily on social relations or related terms such as loneliness, social support, social isolation, social network, or being involuntarily alone either as the base theory of the intervention or as an outcome measure of the intervention; (2) they were implemented at nursing homes (or similar setting); (3) they had a narrative activity as its core (as opposed to dancing, gardening or other physical activity); (4) their participants met either physically or nonphysically, ie, via video-conference or the like; and if (5) they targeted residents at a nursing home. The authors systematically appraised the quality of the final selection of studies using the Mixed Methods Assessments Tool (MMAT) version 2011 and did a qualitative synthesis of the final study selection. A total of 10 studies were included. Reminiscence therapy was the most common intervention. Studies also included video-conference, cognitive, and support group interventions. All studies found the social interventions brought about positive trends on either/or the social and health-related measures included. Despite limited and very diverse evidence, our systematic review indicated a positive social and health-related potential of social interventions for older people living in nursing homes or similar institutions.

The relation of low cognitive abilities to low well-being in old age is attenuated in individuals with greater cognitive reserve and greater social capital accumulated over the life course

Objectives: The present study sets out to investigate the relation of cognitive abilities to well-being and its interplay with key life course proxies of cognitive reserve and social capital in a large sample of older adults.Method: Three thousand eighty older adults served as sample for the present study. Physical well-being (EuroQoL-5D questionnaire) and psychological well-being (Satisfaction with Life Scale) as well as cognitive performance in terms of verbal abilities (Mill Hill vocabulary scale), processing speed (Trail Making Test part A), and cognitive flexibility (Trail Making Test part B) were assessed. Participants reported information on education, occupation, cognitively stimulating leisure activities, the different languages regularly spoken as well as family and close friends.Results: Moderation analyses showed that the relation of cognitive performance to physical and psychological well-being was significantly attenuated in individuals with a higher cognitive level of the first job after education, a larger number of midlife and current cognitively stimulating leisure activities, a larger number of languages regularly spoken, a larger number of significant family members and friends, and more frequent contact with and more confidence in significant family members.Conclusion: Present data suggest that the relation of low cognitive abilities to low well-being in old age is attenuated in individuals with greater cognitive reserve and greater social capital accumulated over the life course.

Lifecourse and housing careers of childless and poor older Malaysians

AbstractSecure, affordable housing is strongly linked to wellbeing in older age. This paper reports on a study of childless and poor older Malaysians who are potentially a vulnerable group in relation to accumulating such housing resources for older age. Childless is defined as a person without biological, step or adopted children, and poverty is defined following the national guideline. The research explores the cumulative advantages and disadvantages over the lifecourse that may influence their routes to attaining, or failing to attain, secure and stable housing in older age. Semi-structured interviews with a purposive sample of 34 childless and poor older Malaysians in Kuala Lumpur, Malaysia, were analysed using a lifecourse perspective to identify the events/experiences that had shaped their housing arrangements in old age. Housing arrangements are hierarchical in structure and can be categorised into four types: home-ownership, public-rental, private-rental and informal housing arrangements. The capacity to afford secure housing (i.e. public rental or ownership) decreased with ill-health and reduced opportunities to work. Structural and policy factors such as eligibility for public housing had also contributed to shaping current housing arrangements. Family poverty, low levels of education and, consequently, reduced employment opportunities affected the ability to accumulate the financial resources needed to afford housing in older age. Some individual decisions and situational disadvantages also contributed to reductions in housing choice. From the social and cultural context, some participants with greater networks had more choices and advantages in the accumulation of housing resources. Initiatives to provide retirement entitlements for workers have not favoured those in low-level informal employment or have come too late to assist those who are now older people. In conclusion, more disadvantages than advantages were accumulated earlier in their life, impacting on their ability to have affordable, secure and stable housing in older age.

Effects of wisdom and religiosity on subjective well-being in old age and young adulthood: exploring the pathways through mastery and purpose in life.

A quota sample design was used, stratified by age group, sex, and nation of residency, to collect cross-sectional survey data of 111 older adults (age range 62-99 years, M = 77.20, SD = 8.98) and 100 young adults (age range 21-30 years, M = 24.05, SD = 2.69) from Canada and the United States. Face-to-face interviews were conducted to administer the survey. All measures consisted of validated scales and items. Multi-group path analysis confirmed that mastery and purpose in life partially mediated the association between wisdom and well-being. Religiosity offered an alternative pathway to well-being, also partially through a greater sense of mastery and purpose in life. Wisdom was statistically more strongly related to mastery among older adults, whereas the association between mastery and purpose in life was statistically stronger among young adults. The mediated pathways from wisdom and religiosity to well-being did not differ by nation of residency. These results highlight the importance of internal strengths for subjective well-being among both young and older adults and add confidence to the generalizability of the mediated path model for North America.

Non-contributory pension programs and frailty of older adults: Evidence from Mexico.

Non-contributory pension programs in the developing world seek to provide older adults with an income that may improve their health and wellbeing in old age by enabling access to health care and better nutrition. There is no previous evidence of the effects of non-contributory pensions on frailty, a comprehensive measure of health and well-being of the oldest old. We aimed to estimate the effects of non-contributory pension programs on frailty of older adults in the state of Yucatan, Mexico. We use rich panel data, including objective markers and self-reported assessments of health and well-being, for 944 adults at least 70 years of age in two communities of Yucatan, Mexico. The first wave was collected in 2008; the second wave was collected in 2010, 18 months after implementation of a monthly state pension in one community and 12 months after a federal pension paid every two months in the other. We found the state pension led to a statistically significant decrease in the severity of frailty for women, but the federal pension was associated with an increase. We found no statistically significant change in the frailty index for men in either community. Among explanations for these findings are monthly payments being more likely to be spent on health care, medicines, and more regular food expenditures, enabling women who previously lacked independent means of support to increase their longer-term health. The federal program paid every two months led to irregular patterns of food expenditure and increased ownership of durable goods but had no effects on health care utilization, subsequently leading to deterioration in longer-term health for women.

Participatory art in residential aged care: A visual and interpretative phenomenological analysis of older residents’ engagement with tapestry weaving

ABSTRACTAs a creative occupation, craft making is increasingly recognised for its therapeutic health benefits and positive impact on quality of life. Unfortunately, many older people in aged care have limited opportunities to engage in meaningful creative occupations, with research reporting residents are bored by the limited and stereotypical leisure pursuits. Using participatory design approaches (co-design and co-creation), this longitudinal participatory art research explored residents’ experience of actively participating in craft production. In this study, a professional tapestry artist moved her practice into an Australian aged care home for 6 months to invite residents to collaborate in designing and weaving a large tapestry based on the ‘meaning of home’. Using interpretative phenomenological analysis in combination with researcher reflections and a visual essay, we describe how three residents experienced the project in different ways: gradually, partially and fully engaged, experiencing ‘flow’ through weaving. Two superordinate themes emerged (creative anticipation and the connecting loom), with researcher-produced photographs visually conveying, comparing and contrasting how these three residents experienced the participatory art project. These findings highlight the link between a creative occupation, such as tapestry weaving, and cognitive, physical, creative and emotional well-being in old age for these aged care residents.

Relationship between hand grip strength and endurance and postural stability in active and sedentary older women

Physical activity, muscle strength and the ability to maintain postural stability (PS) are important for well-being in old age. Therefore, the first aim of this study was to assess the contractile abilities of the hand muscles (CAHM) in physically active (PA) and sedentary (SED) older women. The second aim was to examine the relationship between CAHM and PS indicators in older women. The sample of 75 women (aged 65–86 years), was divided into PA and SED group. Differences in CAHM, namely rate of force development and muscular endurance, were confirmed in favor of PA group, whereas, no differences were found between PA and SED group regarding maximum force. Moreover, CAHM were moderately associated with PS indicators. Obtained results could open space for designing routine tests that might serve as a potential prescreening analysis, which could indicate early risk factors for falls along with other age related health issues.

Permanence in the labour market and life satisfaction in old age.

Population aging is a global trend that has drawn attention to policies to encourage a productive life and delayed retirement. Thus, it is necessary to expand our understanding of the effects of work on health indicators and well-being in old age. The purpose of this study was to determine the association of permanency in the labor market with sociodemographic and medical factors and life satisfaction in elders. We used the database from Study FIBRA-RJ including elderly (aged > 65) clients of a private health care plan who resided in northern districts of the municipality of Rio de Janeiro. Among the 626 participants, 82 (13,1%) maintained paid jobs. Multiple logistic regression showed that the odds of remaining working among the elderly were higher for men; and those with 9 years of studies or more, and those with high income; and those with no disabling clinical conditions and with higher satisfaction with life. This study confirms that work activities in old age are associated with better social and physical health conditions. Moreover, we observed that the maintenance of work activities was associated with higher life satisfaction, independent of socioeconomic and clinical characteristics in old age.

Promoting Well-Being in Old Age: The Psychological Benefits of Two Training Programs of Adapted Physical Activity.

In the last few decades, the relationship between physical conditions and mental health has increasingly attracted the interest of researchers and professionals across disciplines. This relationship is especially relevant in old age, as the challenges posed by aging at various levels represent crucial concerns for policy makers. Due to the remarkable increase in life expectancy across countries, sustainable prevention strategies are needed to help individuals preserve psychophysical well-being in old age. In particular, the regular practice of a moderately intense physical activity is recommended by the World Health Organization to enhance balance, prevent falls, strengthen muscles, and promote psychophysical well-being. Daily physical exercise represents a beneficial and low-cost strategy, easily accessible to the general population and potentially customizable to specific needs through brief training programs. Based on these premises, the present research aimed at longitudinally evaluating mental well-being among 58 Italian people aged 67–85, who were involved in two Adapted Physical Activity (APA) training programs. Inclusion criteria for participation comprised high autonomy levels in daily activities, no cognitive impairment, sedentary habits or only occasional performance of moderate physical activity. Based on physical and functional assessment, 39 participants joined a program of adapted motor activity (PoliFit; Study 1), while 19 participants attended a variant program specifically designed for people with osteoporosis (OsteoFit; Study 2). Well-being dimensions were assessed through the Mental Health Continuum-Short Form, the Emotion Regulation Questionnaire and the Satisfaction with Life Scale. Physical functioning were evaluated before and after the programs through the Short Physical Performance Battery and the Handgrip Dynamometer Jamar Test. Findings highlighted that, besides physical benefits, participants reported significantly more adaptive emotion regulation strategies after both training programs; in addition, participants attending OsteoFit reported significantly higher levels of emotional well-being. Results suggest the potential of moderate physical activity in promoting mental health, emphasizing the additional role of training programs as cost-effective opportunities for elderly people to socialize and improve emotional functioning. Overall, the findings support the view of old age as a stage of competence development and adaptive adjustment, rather than a phase of mere psychophysical decline.

Prevalence of and factors associated with successful aging in Brazilian older adults: Frailty in Brazilian older people Study (FIBRA RJ).

We aimed to estimate the factors associated with the biomedical dimension of successful aging (SA) and its prevalence in older Brazilian individuals. The conceptual framework for this approach relies on the considerable variation in the biophysiological effects of aging and the need to understand the factors that influence this process. Data from a total of 845 older adults were analyzed. SA operationalization included the following criteria: good physical and cognitive performance, absence of disabilities, and good health conditions. Descriptive analyses were used to estimate the prevalence of SA, and the factors associated with SA were assessed using multivariate logistic regressions. The overall prevalence of SA was 25%, and the associated factors were the absence of (OR 10.5, 95% CI 5.2-21.1) or fewer than two physical morbidities (OR,3.5, 95% CI 2.1-5.9), body mass index in the overweight range (OR 1.8, 95% CI 1.02-3.3), absence of depression (OR ,2.1, 95% CI 1.07 = 4.1), high levels of physical activity (OR 1.88, 95% CI 1.14-3.2), high levels of social participation (OR 2.07, 95% CI 1.16-3.4) and younger age (65-74 years, OR 4.27, 95% CI 1.79-10.1; 75-84 years, OR 2.7, 95% CI 1.18-6.41). A small proportion of older adults met the criteria defining successful aging. Despite the great impact of biological determinants, modifiable social and lifestyle factors predicted successful aging in this population, suggesting that health promotion targeting behavioral changes might lead to tangible benefits for health and well-being in old age. Geriatr Gerontol Int 2018; 18: 1280-1285.

Spirituality in old age as dynamic aging task

A multitude of studies have demonstrated a positive effect of spirituality for dealing with difficult situations in life; however, specific studies on spirituality in older age are exceptionally rare within the German gerontological research landscape. The theory of gerotranscendence by Tornstam indicates that spirituality is of particular importance for maintaining life satisfaction especially in older age, due to a change in perspective. This study looked into the research questions of how spirituality is presented in the oldest old (80 years and older) in Germany and to what extent its characteristics are specific to older age. Problem-centered interviews were conducted with 20 oldest old subjects and evaluated using qualitative content analysis. Spirituality in itself is not specific to very old age. Its shaping, however, as an existential process of transformation and redefinition, is specific in the oldest old due to their socialization and biographical experiences over the life course impregnated by processes of subjectification and individualization. In addition, its relation to existential questions gains increasing relevance and priority in very old age in an affective, reflective and performative dimension, and the answers change between fragility and continuity. As a heterogeneous (intermediate) result of experiences over the life course against the background of socialization and individual existential interpretation of "Self" and "World", spirituality in the oldest old should be perceived in this diverse and dynamic manner in research and practice, in order to foster well-being in old age.

"Like Every Normal Person?!" The Paradoxical Effect of Aging With Schizophrenia.

Studies on aging with schizophrenia have focused mainly on the adversities of aging with mental illness. The present study, however, examined the subjective experience of well-being among individuals with schizophrenia. Taking a phenomenological reflective life-world approach, in-depth, semistructured interviews with 18 aging individuals with schizophrenia were thematically analyzed. Four main themes emerged: (a) "I love the pills . . . they are very helpful": A balanced course of the illness as a basis for well-being in old age; (b) "I'm going to have my own exhibition at the museum": Self-fulfillment as promoting well-being; (c) "It's just like a family here": Experiencing a sense of belonging; and (d) "I live like everyone else": Aging as an opportunity for normalization. Alongside hardship, the participants perceived old age as a "window of opportunity," enabling the fulfillment of lifelong desires for a social life, acceptance, and a satisfying occupation. Implications regarding interventions with this unique population are discussed.

Early and Midlife Predictors of Wisdom and Subjective Well-Being in Old Age.

We explored whether wisdom and well-being in old age are the result of early personality traits related to personality growth or personality adjustment, respectively, or successful human development as outlined by Erikson's stage theory and the life course paradigm. Structural equation models were applied to analyze 60-year longitudinal data of 98 white male Harvard graduates born between 1915 and 1924. Different sets of judges rated the men's childhood and adolescence, early adult personality, and midlife generativity. Items measuring wisdom and well-being in old age were self-assessed. Although wisdom and subjective well-being at age 80 were positively correlated, early life predictors differed. Openness to experiences in early adulthood predicted wisdom 60 years later, whereas greater emotional stability and extraversion predicted subjective well-being. Additionally, old age wisdom could be traced back to psychosocial growth throughout life, facilitated by a supportive childhood, adolescent competence, emotional stability in early adulthood, and generativity at midlife. Personality traits indicative of personality adjustment or growth differentially predict late-life well-being and wisdom. Yet a balance between personality adjustment and growth, aided by social support and competence during the formative years, might be required to promote wisdom development throughout life.

Evidence for the Domains Supporting the Construct of Intrinsic Capacity.

Healthy ageing can be defined as "the process of developing and maintaining the functional ability that enables wellbeing in older age". Functional ability (i.e., the health-related attributes that enable people to be and to do what they have reason to value) is determined by intrinsic capacity (i.e., the composite of all the physical and mental capacities of an individual), the environment (i.e., all the factors in the extrinsic world that form the context of an individual's life), and the interactions between the two. This innovative model recently proposed by the World Health Organization has the potential to substantially modify the way in which clinical practice is currently conducted, shifting from disease-centered toward function-centered paradigms. By overcoming the multiple limitations affecting the construct of disease, this novel framework may allow the worldwide dissemination of a more proactive and function-based approach toward achieving optimal health status. In order to facilitate the translation of the current theoretical model into practice, it is important to identify the inner nature of its constituting constructs. In this article, we consider intrinsic capacity. Using the International Classification of Functioning, Disability and Health (ICF) framework as background and taking into account available evidence, five domains (i.e., locomotion, vitality, cognition, psychological, sensory) are identified as pivotal for capturing the individual's intrinsic capacity (and therefore also reserves) and, through this, pave the way for its objective measurement.

Stability and change in subjective well-being in old age

Stability and change in subjective well-being in old age

Early-life correlates of later-life well-being: Evidence from the Wisconsin Longitudinal Study

We here use data from the Wisconsin Longitudinal Study (WLS) to provide one of the first analyses of the distal (early-life) and proximal (later-life) correlates of older-life subjective well-being. Unusually, we have two distinct measures of the latter: happiness and eudaimonia. Even after controlling for proximal covariates, outcomes at age 18 (IQ score, parental income and parental education) remain good predictors of well-being over 50 years later. In terms of the proximal covariates, mental health and social participation are the strongest predictors of both measures of well-being in older age. However, there are notable differences in the other correlates of happiness and eudaimonia. As such, well-being policy will depend to an extent on which measure is preferred.