scholarly journals Within-person associations among self-perceptions of memory, depressive symptoms, and activity participation in older adults

2020 ◽  
Author(s):  
Nikki L Hill ◽  
Jacqueline Mogle ◽  
Sakshi Bhargava ◽  
Emily Bratlee-Whitaker ◽  
Rachel K Wion ◽  
...  

Abstract Background and Objectives Self-perceptions of memory problems may impact older adults’ mood as well as their activity participation, thereby negatively affecting health and well-being. We examined within-person associations among self-reported memory, depressive symptoms, as well as physical, social, and cognitive activity participation in older adults without cognitive impairment. Research Design and Methods Samples were drawn from the Einstein Aging Study (EAS), National Health and Aging Trends Study (NHATS), Rush Memory and Aging Project (MAP), and Minority Aging Research Study (MARS), with over 8,000 participants (65+ years) included across datasets. In a series of coordinated analyses, multilevel structural equation modeling was used to examine within-person relationships over periods of up to 20 years. Results Across EAS, NHATS, and MAP/MARS samples, we found that older adults’ self-perceptions of memory did not directly co-vary with activity participation over time. However, we did find an indirect association in NHATS such that within-person changes in depressive symptoms were associated with changes in self-reported memory, and these contributed to lower physical as well as social activity participation. Discussion and Implications Older adults’ activity participation is important for health, but maximizing engagement requires understanding potentially impeding factors. We found some evidence that as self-perceptions of memory change over time, associated depressive symptoms may contribute to lower activity participation. Inconsistent findings across data sets, however, suggest future research is needed to understand individual characteristics that may influence these relationships.

2021 ◽  
pp. 1-14
Author(s):  
Nikki L. Hill ◽  
Sakshi Bhargava ◽  
Emily Bratlee-Whitaker ◽  
Jennifer R. Turner ◽  
Monique J. Brown ◽  
...  

Background: Subjective cognitive decline (SCD) may be an early indicator of cognitive impairment, but depressive symptoms can confound this relationship. Associations may be influenced by differences between individuals (i.e., between-persons) or how each individual changes in their experiences over time (i.e., within-persons). Objective: We examined depressive symptoms as a mediator of the between- and within-person associations of SCD and objective memory in older adults. Methods: Coordinated analyses were conducted across four datasets drawn from large longitudinal studies. Samples (range: n = 1,889 to n = 15,841) included participants 65 years of age or older with no dementia at baseline. We used multilevel structural equation modeling to examine the mediation of SCD and objective memory through depressive symptoms, as well as direct relationships among SCD, objective memory, and depressive symptoms. Results: Older adults who were more likely to report SCD had lower objective memory on average (between-person associations), and depressive symptoms partially mediated this relationship in three of four datasets. However, changes in depressive symptoms did not mediate the relationship between reports of SCD and declines in objective memory in three of four datasets (within-person associations). Conclusion: Individual differences in depressive symptoms, and not changes in an individual’s depressive symptoms over time, partially explain the link between SCD and objective memory. Older adults with SCD and depressive symptoms may be at greater risk for poor cognitive outcomes. Future research should explore how perceived changes in memory affect other aspects of psychological well-being, and how these relationships influence cognitive decline and Alzheimer’s disease risk.


2004 ◽  
Vol 20 (4) ◽  
pp. 262-274 ◽  
Author(s):  
Manuel de Gracia Blanco ◽  
Josep Garre Olmo ◽  
María Marcó Arbonès ◽  
Pilar Monreal Bosch

Summary: Self-concept is a construct consisting of a group of specific self-perceptions that are hierarchically organized. Age-associated changes of self-concept are related to the individual's perception of the changes occurring throughout the aging process. The authors examined external validity and internal consistency of an instrument that has been developed to assess self-concept in older adults and examined self-concept's characteristics in two different contexts. Results confirm the multidimensionality of the scale and show a satisfactory external validity, indicating good discriminatory capacity. Findings support the hypothesis that older people who live in a nursing home have a poor self-esteem, self-concept, and psychological well-being and have a greater presence of depressive symptoms than people who live in their own home.


2009 ◽  
Vol 30 (5) ◽  
pp. 670-687 ◽  
Author(s):  
Regina M. Bures ◽  
Tanya Koropeckyj-Cox ◽  
Michael Loree

Prior research has examined whether parenthood is associated with higher levels of well-being among older adults, but definitions of parental status have varied. The authors examine links between parental status and depressive symptoms among older adults, comparing biological and social definitions of parenthood. The study finds few differences between biological and social parenthood but substantial variation in the relationship between parental status and depressive symptoms by gender and marital status. Biologically and socially childless adults had the lowest predicted levels of depression across all marital status groups. Widowed men averaged higher levels of depression than other men. For women, the highest predicted levels of depressive symptoms were observed among never-married biological parents and formerly married women who had outlived their children. Increased sampling of less common parental subgroups and diverse kinship relations to allow for more precise classifications and the consideration of joint marital—parental statuses in future research.


2017 ◽  
Vol 38 (1) ◽  
pp. 137-152 ◽  
Author(s):  
Jennifer L. Smith ◽  
Agnieszka A. Hanni

Savoring is the ability to be mindful of positive experiences and to be aware of and regulate positive feelings about these experiences. Previous research has found that savoring interventions can be effective at improving well-being of younger adults, but findings have not been extended to older populations. This pilot study examined the effects of a 1-week savoring intervention on older adults’ psychological resilience and well-being (i.e., depressive symptoms and happiness). Participants, 111 adults ages 60 or over, completed measures of resilience, depressive symptoms, and happiness pre- and postintervention as well as 1 month and 3 months after the intervention. Analyses revealed that participants who completed the savoring intervention with high fidelity also reported improvements in resilience, depressive symptoms, and happiness over time. These findings suggest that the savoring intervention has the potential to enhance older adults’ resilience and psychological well-being.


2020 ◽  
Author(s):  
Meng Huo ◽  
Lisa M Soederberg Miller ◽  
Kyungmin Kim ◽  
Siwei Liu

Abstract Background and Objectives Scholars argue that volunteering enhances social, physical, and cognitive activities that are increasingly valued as people age, which in turn improves older adults’ well-being via a host of psychosocial and neurobiological mechanisms. This study explicitly tested older adults’ self-perceptions of aging as a mechanism underlying the mental health benefits of volunteering. Research Design and Methods Using 2-wave data from the Health and Retirement Study (2008/2010 for Wave 1 and 2012/2014 for Wave 2), we analyzed reports from a pooled sample of older adults aged 65 or older (N = 9,017). Participants reported on demographic characteristics, volunteer work (did not volunteer, 1–99 h/year, 100+ h/year), self-perceptions of aging, and depressive symptoms. We estimated an autoregressive cross-lagged panel model. Results Volunteering for 100 h or more per year was associated with older adults’ more positive and less negative self-perceptions of aging in the subsequent wave (i.e., 4 years later), which in turn predicted fewer depressive symptoms. Discussion and Implications This study suggests the promising role of volunteering in shaping older adults’ self-perceptions of aging on a sustained basis and refines our understanding of the benefits volunteering brings. Findings shed light on future interventions aimed at improving older adults’ adjustment to age-related changes and lessening ageism in society.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 227-228
Author(s):  
Rotem Arieli ◽  
Joseph Kim ◽  
Peter Martin

Abstract Past research has not addressed how domain-specific “health” personality traits are associated with resilience and well-being. The purpose of this study was to determine pathways from health personality to perceived health, mediated by resilience. Data included 3,907 participants, 65 and older, collected by a large provider of Medicare Supplemental Health Insurance. The Health Personality Assessment (health neuroticism, health extraversion, health openness, health agreeableness, and health conscientiousness), Brief Resilience Scale, and perceived health were measured. Structural equation modeling and bootstrap mediation were conducted in Mplus. The hypothesized model resulted in a marginal fit, so direct paths from health openness and health conscientiousness to perceived health were added, resulting in an improved fit, χ2(192)=1660.96, RMSEA=.04, CFI=.95; χ2∆(2)=403.99, p<.001. Health neuroticism and health extraversion negatively predicted perceived health, fully mediated by resilience, β=-.11, p<.001, and β=-.01, p<.05, suggesting that people anxious about their health or that talk about their health had significantly lower levels of resilience. Resilience positively predicted perceived health, indicating that more resilient people reported better health. Higher levels of health openness predicted significantly lower levels of perceived health, β=-.19, p<.001. Greater levels of health conscientiousness predicted better perceived health, β=.20, p<.001, and resilience in-turn positively related to perceived health, β=.08, p<.001. Health personality and resilience explained 25.3% of variance in perceived health. This study exemplifies the importance of health personality and resilience in predicting perceived health for older adults. Future research should examine interventions focused on health personality increasing resilience, as older adults with higher resilience reported significantly better health.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 927-927
Author(s):  
Emily Kinkade ◽  
Heather Fuller

Abstract The negative impacts of stress on older adults’ well-being are well documented, and social integration is posited as protective against such detrimental effects. Previous research illustrates the stress-buffering effect of social relationships on both physical and mental health, such as depressive symptoms, in older adults. The purpose of this study was to expand on prior findings by investigating the longitudinal stress-buffering effect of various dimensions of social integration on depressive symptoms among an older sample. Four waves of data were drawn from the Social Integration and Aging Study, including 416 older adults (ages 60-100). Subscales of the Social Integration in Later Life Scale measuring frequency and satisfaction with social ties and community interaction were used to assess distinct dimensions of social integration. Multilevel modeling demonstrated that two facets of social integration—satisfaction with social ties and frequency of community interaction—moderated the relationship between perceived stress and trajectories of depressive symptoms over time. Participants who reported high levels of stress reported fewer depressive symptoms if they had high satisfaction with social ties and high frequency of community involvement. Interestingly, frequency of contact with social ties and satisfaction with community interaction did not similarly buffer negative effects for depressive symptoms. These findings indicate the value of remaining actively engaged in the community and maintaining meaningful relationships as older adults age. Future research should investigate programs to foster relationships and engagement between older adults and their communities, with particular consideration of populations at a greater risk for isolation.


2018 ◽  
Vol 75 (4) ◽  
pp. 783-791 ◽  
Author(s):  
Nikki L Hill ◽  
Jacqueline Mogle ◽  
Sakshi Bhargava ◽  
Emily Whitaker ◽  
Iris Bhang ◽  
...  

Abstract Objective To test whether race (specifically Black or White) moderates the relationship between memory complaints and depressive symptoms in cognitively normal older adults, and if these relationships vary by memory complaint characteristics. Methods Data from Black (n = 551) and White (n = 1,158) cognitively intact participants (Mage = 77.1, SD = 7.5; 76.6% female) in the Minority Aging Research Study and the Rush Memory and Aging Project were used. Participants completed annual clinical evaluations, including the Center for Epidemiologic Studies Depression scale and two memory complaint questions, over periods of up to 18 years. Ordinal mixed effects models were used to examine within-person relationships between memory complaints and depressive symptoms over time, as well as whether race moderated these associations. Results Reports of greater memory change over time were associated with more depressive symptoms for both Black and White older adults. However, reports of greater frequency of memory problems were related to depressive symptoms for Black older adults only. Conclusion Findings suggest differential associations between memory complaints and depressive symptoms in cognitively normal Black and White older adults and call for future research to examine the influence of race and related factors on memory complaints and depressive symptoms.


Author(s):  
Eva Kahana ◽  
Tirth R Bhatta ◽  
Boaz Kahana ◽  
Nirmala Lekhak

Abstract Objectives Existing scholarship in social gerontology has paid relatively little attention to broader loving emotions, such as compassionate and altruistic love, as potentially meaningful mechanisms for improving later-life psychological well-being outside a family framework. Method Drawing from a 3-wave longitudinal survey of community-dwelling older residents (n = 334) of Miami, Florida, we utilized generalized estimating equation models to examine the influence of changes in compassionate love (i.e., feeling love toward other persons and experiencing love from others) on depressive symptoms over time. We also explored cross-sectional relationship between compassionate love and positive and negative affects. Results An increase in the feeling of being loved (β = −0.77, p < .001) and feeling love for others (β = −0.78, p < .001) led to a decline in odds of reporting greater levels of depressive symptoms over time. The odds of reporting higher level of positive affect were significantly greater for older adults who reported feeling loved by others (β = .63, p < .001) and expressed love for other people (β = 0.43, p < .05). Older adults who felt loved and expressed love for other people, respectively, had 0.71 and 0.54-point lower ordered log odds of reporting higher negative affect than those who reported lower levels of love. The statistically significant impact of feeling loved on all well-being outcomes was maintained even after adjustment for altruistic attitudes and emotional support. Except for depressive symptoms, such adjustments explained the positive influence of love for others on well-being outcomes. Discussion Our findings underscore the powerful influence of both receiving and giving loving emotions for the maintenance of later-life psychological well-being.


Gerontology ◽  
2019 ◽  
Vol 65 (3) ◽  
pp. 253-274 ◽  
Author(s):  
Karen I. Fredriksen Goldsen ◽  
Sarah Jen ◽  
Anna Muraco

Background: LGBTQ* (lesbian, gay, bisexual, trans, and queer) older adults are demographically diverse and growing populations. In an earlier 25-year review of the literature on sexual orientation and aging, we identified four waves of research that addressed dispelling negative stereotypes, psychosocial adjustment to aging, identity development, and social and community-based support in the lives of LGBTQ older adults. Objectives: The current review was designed to develop an evidence base for the field of LGBTQ aging as well as to assess the strengths and limitations of the existing research and to articulate a blueprint for future research. Methods: Using a life course framework, we applied a systematic narrative analysis of research on LGBTQ aging. The review included 66 empirical peer-reviewed journal articles (2009–2016) focusing on LGBTQ adults aged 50 years and older, as well as age-based comparisons (50 years and older with those younger). Results: A recent wave of research on the health and well-being of LGBTQ older adults was identified. Since the prior review, the field has grown rapidly. Several findings were salient, including the increas­ed application of theory (with critical theories most often used) and more varied research designs and methods. While ­existing life course theory provided a structure for the investigation of the social dimensions of LGBTQ aging, it was limited in its attention to intersectionality and the psychological, behavioral, and biological work emerging in the field. There were few studies addressing the oldest in these ­communities, bisexuals, gender non-binary older adults, intersex, ­older adults of color, and those living in poverty. ­Conclusions: The Iridescent Life Course framework highlights the interplay of light and environment, creating dynamic and fluid colors as perceived from different angles and perspectives over time. Such an approach incorporates both queering and trans-forming the life course, capturing intersectionality, fluidity over time, and the psychological, behavioral, and biological as well as social dimensions of LGBTQ aging. Work is needed that investigates trauma, differing configurations of risks and resources over the life course, inequities and opportunities in representation and capital as LGBTQ adults age, and greater attention to subgroups that remain largely invisible in existing research. More depth than breadth is imperative for the field, and multilevel, longitudinal, and global initiatives are needed.


Sign in / Sign up

Export Citation Format

Share Document