Supplemental Material for 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

2021 ◽  
Author(s):  
Allyson Brothers ◽  
Anna E Kornadt ◽  
Abigail Nehrkorn-Bailey ◽  
Hans-Werner Wahl ◽  
Manfred Diehl

Abstract Objectives Although the evidence linking views on aging (VoA) with aging outcomes is robust, little is known about how different types of VoA may interact to influence such outcomes. Therefore, this study examined two types of VoA, age stereotypes (AS), representing general VoA, and self-perceptions of aging (SPA), representing personal VoA. We operationalized SPA in terms of awareness of age-related change (AARC), distinguishing between gain- and loss-related SPA (e.g., awareness of positive and negative age-related changes, respectively). Based on theoretical reasoning, we hypothesized that AS would be an antecedent of SPA, and that the effect of AS on physical and mental health would be mediated by SPA. Method A total of 819 German and U.S. adults aged 40–98 completed a survey on VoA, physical health, and mental health at baseline and 2.5 years later. Structural equation modeling with latent variables was used to examine the effects of Time 1 AS (predictor) and Time 2 gain- and loss-related SPA (mediators) on physical and mental health outcomes. Results As hypothesized, AS predicted later SPA. Loss-related SPA mediated the effect of AS on physical health; both gain- and loss-related SPA mediated the effect of AS on mental health. Discussion Congruent with theoretical assumptions, our findings provide empirical support for a directional pathway by which AS shape later SPA. We conclude that AS and SPA may affect physical health outcomes more strongly than mental health outcomes. Studies that assess both types of VoA are needed to illuminate the pathways by which VoA influence aging outcomes.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 588-588
Author(s):  
Allyson Brothers ◽  
Anna Kornadt ◽  
Abigail Nehrkorn-Bailey ◽  
Hans-Werner Wahl ◽  
Manfred Diehl

Abstract It remains unknown how distinct types of views on aging (VoA) are related to one another, and to aging outcomes. We used a latent-variable structural equation model to test the hypothesis that generalized views on aging (assessed as Age Stereotypes (AS)) would influence personal views on aging (assessed as Self-Perceptions of Aging (SPA)), which in-turn would influence later physical and mental health. Data came from a longitudinal survey on VoA (N= 537, MageT1 = 64.13, age rangeT1 = 40-98). As expected, SPA mediated the effect of AS on physical (loss-SPA: β = .23, p< .001; gain-SPA: β = .06, p< .001; R2 = .62) and mental health (loss-SPA: β = .13, p< .001; gain-SPA: β = .03, p< .01, ; R2 = .31). Congruent with theoretical assumptions, our findings provide empirical support for a directional pathway by which generalized views on aging affect health outcomes via personal views of aging.


Author(s):  
Ella Cohn-Schwartz ◽  
Dikla Segel-Karpas ◽  
Liat Ayalon

Abstract Objectives Adults’ perceptions of aging are known to affect their mental and physical health. However, not much is known about how perceptions of aging within the couple-unit affect each member of the unit. Therefore, the current study explores the effects of husbands’ and wives’ self-perceptions of aging (SPA) on each other’s physical and mental health, both directly and indirectly, through impacting each other’s SPA. Method The study used data from the Health and Retirement Study, focusing on couples aged 50 and older. Self-rated health and Center for Epidemiological Studies Depression scale (CES-D) were used as indicators of physical and mental health. SPA was measured using the “Attitudes toward aging” subscale of the “Philadelphia Geriatric Center Morale Scale.” An actor–partner interdependence mediation model was used to examine the effects of the 2008 SPA of couples on each other’s 2012 SPA and 2016 health. Results The SPA of both husbands and wives was associated with their own future mental and physical health in 2016, but not with that of their partner. However, their SPA was associated with their partner’s health indirectly, by influencing the SPA of the partner. That is, the SPA of both husbands and wives in 2008 impacted their partner’s SPA in 2012, which was subsequently related to that partner’s mental and physical health in 2016. Discussion Older couples can influence each other’s health indirectly, by affecting each other’s SPA. This indicates that adults’ SPA are interconnected, and thus, the entire couple-unit should be targeted to enhance positive SPA.


Author(s):  
Andrés Losada-Baltar ◽  
José Ángel Martínez-Huertas ◽  
Lucía Jiménez-Gonzalo ◽  
María del Sequeros Pedroso-Chaparro ◽  
Laura Gallego-Alberto ◽  
...  

Abstract Objectives To longitudinally analyze the correlates of loneliness and psychological distress in people exposed to the coronavirus disease 2019 (COVID-19) lockdown, exploring the effects of age and self-perceptions of aging (SPA). Methods A longitudinal follow-up of 1,549 participants was carried out at four different time points during the lockdown in Spain. Questions about the risk of COVID-19, age, SPA, family and personal resources, loneliness, and psychological distress were measured. Results Changes in loneliness showed a linear longitudinal trajectory through time, but changes in psychological distress showed a U-shaped relationship with time. Age was a relevant predictor of differences in distress, with older people reporting less psychological distress. Change in both dependent variables was related to change in different predictors like family and personal variables and also to negative SPA. Discussion In a stressful situation such as the COVID-19 pandemic, older adults may be more resilient to adverse mental health outcomes by using more adaptive resources that strengthen their resilience. Support is provided for the importance of stereotyped views of the aging process that, independently of chronological age, may put people at risk of suffering adverse mental health outcomes such as loneliness and psychological distress in times of crisis.


Author(s):  
Gerben J. Westerhof ◽  
Susanne Wurm

Aging is often associated with inevitable biological decline. Yet research suggests that subjective aging—the views that people have about their own age and aging—contributes to how long and healthy lives they will have. Subjective age and self-perceptions of aging are the two most studied aspects of subjective aging. Both have somewhat different theoretical origins, but they can be measured reliably. A total of 41 studies have been conducted that examined the longitudinal health effects of subjective age and self-perceptions of aging. Across a wide range of health indicators, these studies provide evidence for the longitudinal relation of subjective aging with health and longevity. Three pathways might explain this relation: physiological, behavioral, and psychological pathways. The evidence for behavioral pathways, particularly for health behaviors, is strongest, whereas only a few studies have examined physiological pathways. Studies focusing on psychological pathways have included a variety of mechanisms, ranging from control and developmental regulation to mental health. Given the increase in the number of older people worldwide, even a small positive change in subjective aging might come with a considerable societal impact in terms of health gains.


2003 ◽  
Vol 24 (6) ◽  
pp. 811-838 ◽  
Author(s):  
Zheng Wu ◽  
Margaret J. Penning ◽  
Michael S. Pollard ◽  
Randy Hart

Using data from the 1994-95 (Canadian) National Population Health Survey (6,494 women, 5,368 men), we investigated the impact of cohabitation on a range of physical and mental health indicators, controlling for self-selection into cohabitation and other relevant factors. Uncontrolled results indicate that the physical and mental health of cohabitors tends to fall between that of the married and the divorced/separated, widowed, and single/never married. However, when other factors are controlled, health differences between cohabitors and the currently married become nonsignificant. Self-selection, into cohabitation and into marriage, initially appears to play a significant role in accounting for variations in health, but with controls added to the models, selection mostly becomes nonsignificant. We concluded that self-selection at most may explain a small proportion of the variation in health but that protection effects are more likely to explain the positive health advantages of marriage and cohabitation.


2021 ◽  
Vol 28 (5) ◽  
pp. 3900-3917 ◽  
Author(s):  
Cassidy Bradley ◽  
Gabriela Ilie ◽  
Cody MacDonald ◽  
Lia Massoeurs ◽  
Jasmine Dang Cam-Tu ◽  
...  

Prostate cancer (PCa) patients and survivors are at high risk of mental health illness. Here, we examined the contribution of treatment regret, mental and physical health indicators to the social/family, emotional, functional and spiritual well-being of PCa survivors. The study assessed 367 men with a history of PCa residing in the Maritimes Canada who were surveyed between 2017 and 2021. The outcomes were social/family, emotional, functional and spiritual well-being (FACT-P,FACIT-Sp). Predictor variables included urinary, bowel and sexual function (UCLA-PCI), physical and mental health (SF-12), and treatment regret. Logistic regression analyses were controlled for age, income, and survivorship time. Poor social/family, emotional, functional and spiritual well-being was identified among 54.4%, 26.5%, 49.9% and 63.8% of the men in the sample. Men who reported treatment regret had 3.62, 5.58, or 4.63 higher odds of poor social/family, emotional, and functional well-being, respectively. Men with low household income had 3.77 times higher odds for poor social/ well-being. Good mental health was a protective factor for poor social/family, emotional, functional, or spiritual well-being. Better physical and sexual health were protective factors for poor functional well-being. Seeking to promote PCa patients’ autonomy in treatment decisions and recognizing this process’ vulnerability in health care contexts is warranted.


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