Clinical characteristics of older male military veterans seeking treatment for erectile dysfunction

2010 ◽  
Vol 23 (1) ◽  
pp. 155-160 ◽  
Author(s):  
Sherry A. Beaudreau ◽  
Tiffany Rideaux ◽  
Robert A. Zeiss
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Age Differences ◽  
Military Veterans ◽  
Treatment Recommendations ◽  
Middle Aged ◽  
Middle Aged Adults ◽  
Middle Aged Male

ABSTRACTBackground: Male sexual dysfunction is a significant international public health issue affecting both middle-aged and older adults. To date, however, no studies have compared age differences in psychiatric issues, frequency of sexual activity and treatment recommendations between older and middle-aged male military Veterans seeking treatment for erectile dysfunction (ED) in the U.S.A.Methods: Data were collected between 1982 and 2003 at the Palo Alto Veterans Affairs Andrology Clinic. The 1,250 participants, aged 22 to 87 years (median = 63), completed a semi-structured interview. Using multiple linear regressions, we examined age differences in five domains: medical and endocrine risk factors; psychiatric and psychosocial risk factors; frequency of sexual behaviors; self-reported and objectively measured erectile function; and treatment recommendations.Results: Compared with middle-aged adults, older adults were more likely to present for ED treatment with medical risk factors and were more often recommended a vacuum pump treatment. Middle-aged male Veterans were more likely to experience psychiatric risk factors for ED and were more sexually active than older Veterans. Despite greater objective erectile ability in middle-aged adults, there were no age differences in maximum self-reported erectile functioning.Conclusions: These results provide some evidence of age-related characteristics and treatment needs of male patients seeking treatment for sexual dysfunction. We encourage health care professionals working with adults across the lifespan to consider ways to individualize psychoeducation and brief psychotherapy for the treatment of ED to the specific needs of the patient, which may vary between middle-aged and older cohorts of patients.

scholarly journals Age Differences in Positive Event Appraisals during COVID-19: Evidence from a Daily Diary Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 888-888
Author(s):  
Patrick Klaiber ◽  
Lydia Ong ◽  
Anita DeLongis ◽  
Nancy Sin
Keyword(s):  
Older Adults ◽  
Age Differences ◽  
Adult Development ◽  
Personal Responsibility ◽  
Community Dwelling ◽  
Diary Study ◽  
Middle Aged ◽  
Positive Events ◽  
Daily Diary Study ◽  
Middle Aged Adults

Abstract Multiple studies suggest that community-dwelling older adults are psychologically resilient in the face of the COVID-19 pandemic. Notably, during the initial weeks of the COVID-19 outbreak, older age was associated with engaging in more daily positive events (Klaiber et al., 2021, Journal of Gerontology: Psychological Sciences). We followed up on these findings by exploring age differences in positive event appraisals during the COVID-19 pandemic. During the 7-day diary study conducted between March and August 2020, 1036 participants (mean age = 45.95, SD = 16.04, range = 18-91) reported their positive events in nightly surveys. If at least one positive event occurred, participants rated their appraisals of the event on the following dimensions: importance, calmness, happiness, gratitude, personal responsibility, and control. Older adults (60 years+) rated their positive events to be more personally important and felt more calm and happy during these events, compared to younger (18-39 years) and middle-aged adults (40-59 years). Furthermore, older adults felt more grateful during positive events compared to younger but not middle-aged adults. There were no age differences in feelings of control or personal responsibility for positive events. These findings highlight the importance of daily positive events for older adults during a time of major stress. In line with theories on adult development, daily positive event processes in older adults are characterized by valuing positive and meaningful social connections, as well as a greater degree of positive event-specific emotions such as feeling calm, happy, and grateful.

scholarly journals Seeing the past through rose-colored glasses? Age differences in recounting a difficult memory

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 884-884
Author(s):  
Arya Jones ◽  
Stephanie Wilson ◽  
M Rosie Shrout ◽  
Janice Kiecolt-Glaser
Keyword(s):  
Older Adults ◽  
Cognitive Processing ◽  
Age Differences ◽  
Positive Emotion ◽  
Negative Emotion ◽  
Cardiovascular Responses ◽  
Middle Aged ◽  
Personal Memory ◽  
The Past ◽  
Middle Aged Adults

Abstract According to socioemotional aging theories, people better regulate their emotions in older age by reframing stressors and focusing on the positive aspects of difficult experiences. However, empirical results have been mixed. To address this gap, we examined age differences in the language use and cardiovascular reactivity of 188 adults (mean age=56, range=40-86) who relived an upsetting memory from their past. Consistent with theory, results revealed that older adults used significantly fewer negative emotion words and, among the negative emotions, marginally fewer words of anger, to describe their upsetting memory. Notably, however, there were no age differences in the expression of positive emotion or sadness. Controlling for education and cognitive function, greater expression of anger was associated with heightened systolic blood pressure (SBP) reactivity among older adults, not middle-aged individuals. Despite their expression of less negative emotion, older adults’ heart rate variability (HRV) dipped lower during disclosure than did middle-aged adults’. However, among those who used more positive emotion, sadness, and/or cognitive processing words, older adults no longer showed lower HRV than middle-aged participants. Overall, these results provide some evidence of positivity bias among older adults even when asked to recount a distressing personal memory, although this trend was not consistent for the expression of sadness or positive emotion. Further, cardiovascular responses appear more clearly tied to older adults’ level of engagement and emotional focus compared to their middle-aged counterparts’.

scholarly journals PERCEPTIONS OF PERPETRATORS OF AGEISM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S79-S79
Author(s):  
Alison L Chasteen ◽  
Michelle Horhota ◽  
Jessica Crumley-Branyon
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Age Differences ◽  
Age Group ◽  
Older Woman ◽  
Middle Aged ◽  
Time Interaction ◽  
Different Types ◽  
Middle Aged Adults ◽  
Main Effects

Abstract What are the consequences for perpetrators who engage in different types of ageism? We compared young (n=316), middle-aged (n=464), and older adults’ (n=273) perceptions of a perpetrator who engaged in an ageist action. Participants read a vignette about a pedestrian (the perpetrator) offering unwanted help to an older woman crossing the street. We manipulated the ageism type (benevolent or hostile), the reaction of the older target (acceptance, moderate confrontation or strong confrontation) and assessed the overall impression of the perpetrator. Main effects emerged for Ageism Type and Age Group. Overall, participants rated the perpetrator more positively in the benevolent condition compared to the hostile condition. Middle-aged and older adults rated the perpetrator more positively than young adults did. A Time x Confront interaction suggested that the perpetrator’s overall impression was not impacted when the target of the ageist act accepted the action or moderately confronted the perpetrator. In contrast, when the target confronted the perpetrator strongly, the overall impression of the perpetrator decreased. An Ageism Type x Age Group x Time interaction on overall impression also emerged. There were no age differences when the perpetrator committed a hostile act of ageism. In contrast, in the benevolent condition young and older adults perceived the perpetrator more negatively after the target’s reaction, whereas middle-aged adults did not adjust their impression. Taken together, these results suggest that young and older adults may be less accepting of benevolent ageism compared to middle-aged adults.

Constructing Success and Failure: Age Differences in Perceptions and Explanations of Success and Failure

1993 ◽  
Vol 37 (2) ◽  
pp. 105-118 ◽  
Author(s):  
Thomas O. Blank ◽  
Maurice J. Levesque
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Age Differences ◽  
Middle Aged ◽  
External Causes ◽  
Middle Aged Adults ◽  
Successes And Failures

Age differences in attributions for self-reported successes and failures in both important and daily situations were examined. Sixty-one young adults ( M age = 19.2), twenty-one middle-aged adults ( M age = 45), and fifteen older adults ( M age = 71.4) gave attributions and affects for self-chosen situations, which were classified as social or nonsocial. The attributions and affects were coded according to Blank's scheme with attributions dichotomized into internal and external, and stable and unstable [1]. Middle-aged and older adults were more likely than young adults to attribute failure to external causes and to describe more social than nonsocial situations. Consistent age differences in attributional stability were not found nor were there age differences in attributional internality for success outcomes.

scholarly journals Factors associated with sarcopenia screened by finger-circle test among middle-aged and older adults: a population-based multisite cross-sectional survey in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daiki Watanabe ◽  
Tsukasa Yoshida ◽  
Takashi Nakagata ◽  
Naomi Sawada ◽  
Yosuke Yamada ◽  
...  
Keyword(s):  
Older Adults ◽  
Smoking Status ◽  
Multiple Logistic Regression Analysis ◽  
Population Based ◽  
Middle Aged ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mail Surveys ◽  
Osaka Prefecture ◽  
Middle Aged Adults

AbstractBackgroundPrevious epidemiological studies have demonstrated the prevalence and relationship of various factors associated with sarcopenia in older adults; however, few have examined the status of sarcopenia in middle-aged adults. In this study, we aimed to, 1) evaluate the validity of the finger-circle test, which is potentially a useful screening tool for sarcopenia, and 2) determine the prevalence and factors associated with sarcopenia in middle-aged and older adults.MethodsWe conducted face-to-face surveys of 525 adults, who were aged 40–91 years and resided in Settsu City, Osaka Prefecture, Japan to evaluate the validity of finger-circle test. The finger-circle test evaluated calf circumference by referring to an illustration printed on the survey form. The area under the receiver operating characteristic curves (AUROC) was plotted to evaluate the validity of the finger-circle test for screening sarcopenia and compared to that evaluated by skeletal muscle mass index (SMI) measured using bioimpedance. We also conducted multisite population-based cross-sectional anonymous mail surveys of 9337 adults, who were aged 40–97 years and resided in Settsu and Hannan Cities, Osaka Prefecture, Japan. Participants were selected through stratified random sampling by sex and age in the elementary school zones of their respective cities. We performed multiple logistic regression analysis to explore associations between characteristics and prevalence of sarcopenia.ResultsSarcopenia, defined by SMI, was moderately predicted by a finger-circle test response showing that the subject’s calf was smaller than their finger-circle (AUROC: 0.729, < 65 years; 0.653, ≥65 years); such subjects were considered to have sarcopenia. In mail surveys, prevalence of sarcopenia screened by finger-circle test was higher in older subjects (approximately 16%) than in middle-aged subjects (approximately 8–9%). In a multiple regression model, the factors associated with sarcopenia were age, body mass index, smoking status, self-reported health, and number of meals in all the participants.ConclusionsSarcopenia, screened by the finger-circle test, was present not only among older adults but also among middle-aged adults. These results may provide useful indications for developing public health programs, not only for the prevention, but especially for the management of sarcopenia.Trial registrationUMIN000036880, registered prospectively May 29, 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042027

Educational Differences in Self-Rated Health Trends Among Middle-Aged and Older Adults Living Alone, 1972–2018

2022 ◽  
pp. 089826432110527
Author(s):  
Esther O. Lamidi
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Living Alone ◽  
Middle Aged ◽  
Older Americans ◽  
Health Trends ◽  
Self Rated Health ◽  
Educational Differences ◽  
Middle Aged Adults

Objectives: This study examines educational differences in living alone and in self-rated health trends among middle-aged and older adults. Methods: We used logistic regression to analyze data from the 1972–2018 National Health Interview Survey ( n = 795,239 aged 40–64; n = 357,974 aged 65–84). Results: Between 1972–1974 and 2015–2018, living alone became more prevalent, particularly among men and at lower levels of education. Self-rated health trends varied by living arrangement and education. We found self-rated health declines among middle-aged adults having no college degree and living alone, but trends in self-rated health were mostly stable or even improved among middle-aged adults living with others. Among older adults, self-rated health improved over time, but for the least-educated older Americans living alone, the probability of reporting fair or poor health increased between 1972–1974 and 2015–2018. Discussion: The findings suggest growing disparities by social class, in living arrangements and in self-rated health.

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