scholarly journals Psychological Impacts and Implications of Aging During a Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Joseph Mikels ◽  
Laura Carstensen ◽  
Susan Charles

Abstract Despite numerous losses associated with advanced age, older adults typically fare better than their younger counterparts in terms of psychological well-being. However, the COVID-19 pandemic has disproportionately threatened the physical and mental well-being of older adults. How have older versus younger adults been doing? The goal of our symposium is to shed light on this question though presentations of intriguing research findings regarding the psychological impacts of the pandemic on older adults. Stone and Mak will describe their work examining momentary changes in affect, activities, locations, and social interactions over time during the first several months of the pandemic for older individuals. Mikels and colleagues will report on completed and ongoing work illuminating the complex ways in which certain older adults have been faring well during the pandemic, whereas others not so much, with attention to underlying factors. Jeste will discuss a diverse line of research that has examined the relationships between loneliness, social isolation, and compassion in older adults before and during the pandemic. Chi and Carstensen will report on completed and ongoing research that links work and prosocial behavior to wellbeing with consideration of associated age differences. Collectively, these presentations will describe the complex and multifaceted psychological impact that the COVID-19 pandemic has had on older individuals, revealing the multiple ways in which they are resilient as well as vulnerable.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S357-S358
Author(s):  
Katherine Bridges

Abstract The 2018 AARP Brain Health and Mental Well-Being Survey reveals Millennials (age 22 to 37) have the highest level of stress while those in the Silent/Greatest Generation (over 73) have the lowest. Adults in their 50s and beyond have higher average mental well-being scores compared to younger adults. On a scale of mental well-being with an average score of 52, the average well-being for those age 18-39 is about 50, compared to about 54 for those 60 and older. This presentation will highlight generational difference in mental well-being and will examine community difference for older adults particularly those who reside in metropolitan areas compared to non-metropolitan areas.


2020 ◽  
Vol 8 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Shervin Assari

Introduction: Although income is among the major social determinants of mental health of middle-aged and older individuals, socially marginalized groups gain less health from their income and other socioeconomic status (SES) resources compared to socially privileged groups. This pattern is called marginalization-related diminished returns (MDRs). Most of the existing knowledge on MDRs, however, has been derived from studies that have defined marginalization based on race, ethnicity, or sexual orientation. As a result, very limited information exists on whether similar MDRs can be observed for middle-aged and older immigrants or not. Building on the MDRs framework, this study compared a national sample of immigrants and non-immigrants for the effects of income on the mental well-being of middle-aged and older adults in the United States. Methods: This is a cross-sectional study. The 2015 National Health Interview Survey (NHIS) enrolled 14149 middle-aged and older individuals who were either immigrants (n=1977; 14.0%) or non-immigrants (n=12166; 86.0%). The independent variable (IV) was income that was treated as a continuous variable. The dependent variable was mental well-being, also treated as a continuous variable. Age, gender, race, ethnicity, education, marital status, employment, self-rated health, obesity, and region were confounders. Immigration (nativity status) was the moderator. Logistic regression was applied for data analysis. Results: High income was associated with higher odds of good mental well-being in middle-aged and older adults. However, immigration showed a significant statistical interaction with income, which was suggestive of a smaller protective effect of high income on mental well-being for immigrant than non-immigrant middle-aged and older adults. Conclusion: In line with MDRs, the association between income and mental well-being is weaker for immigrant than non-immigrant middle-aged and older adults. There is a need to help high income immigrants secure health outcomes similar to those of non-immigrants. Such changes may require bold and innovative economic, public, and social policies that help immigrants more effectively translate their income and socioeconomic resources into tangible outcomes such as mental well-being.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 948-948
Author(s):  
Meng-Hsuan Yu ◽  
Shiau-Fang Chao

Abstract Participating in meaningful activities has been proven beneficial to the well-being of disabled older adults. However, social distancing policies and restrictions on public activities have been implemented since the outbreak of COVID-19 at the beginning of 2020 in Taiwan. These restrictions not only prevent older individuals from performing meaningful activities but also have actual impacts on their daily life. This study aims to elucidate the intervening role of meanings of life activities on the relationship between functional status and COVID-19 disruptions. Data were collected from a sample of 526 community-dwelling older adults with disabilities in Taiwan between April and July, 2020. Utilizing Multiple Regression Analysis, the research findings were as follows. First, participants with better functional status experienced more COVID-19 related disruptions to their daily routine. In the meantime, they also valued their life activities as more meaningful than those with worse functional status. Second, higher levels of meanings in performing life activities also positively related to COVID-19 disruptions. Third, meanings of life activities fully mediated the relationship between functional status and COVID-19 disruptions. That is, disabled older individuals with better functional status may experience more COVID-19 related disruptions because their accessibility to meaningful activities was limited. Since preventive approaches to control the spread are necessary during COVID-19 epidemic, efforts should be made to sustain meaningful life activities participation among disabled older adults. Based on the findings of this study, this would be especially critical to the well-being of more capable older individuals with disabilities during the pandemic.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 626-627
Author(s):  
Jeremy Hamm ◽  
Carsten Wrosch ◽  
Meaghan Barlow ◽  
Ute Kunzmann

Abstract Using two studies, we examined the late life prevalence and health consequences of discrete positive emotions posited to motivate rest and recovery (calmness) or pursuit of novelty and stimulation (excitement). Study 1 assessed the salience of these discrete emotions in older adults (n=73, Mage=73) relative to younger adults (n=73, Mage=23) over a one-week period. Multilevel models showed that older (vs. younger) adults reported higher calmness and lower excitement. Study 2 examined the longitudinal health consequences of calmness and excitement in old age (n=336, Mage=75), as moderated by perceived control. Multilevel growth models showed that calmness, but not excitement, buffered against 10-year declines in psychological well-being (perceived stress, depressive symptoms) and physical health (physical symptoms, chronic conditions) for older adults with low perceived control. Results suggest that positive emotions with disparate motivational functions become more (calmness) or less (excitement) salient and have diverging implications for health in old age.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 456-457
Author(s):  
Hannah Wolfe ◽  
Derek Isaacowitz

Abstract Self-reported emotional well-being tends to increase with age (Charles & Carstensen, 2007), but evidence for age differences in emotion regulation strategies is mixed (Livingstone & Isaacowitz, 2019), and the strategy of acceptance, in particular, is relatively understudied. Acceptance involves the deliberate decision to not alter a situation or one’s emotional response to it, and older adults report greater use of general acceptance (Shallcross, Ford, Floerke, & Mauss, 2013). Yet, no current scale distinguishes between situational and emotional acceptance; general acceptance is typically measured using a subscale of the Kentucky Inventory of Mindfulness Skills (KIMS; Baer, Smith, & Allen, 2004), which assesses judgments of emotions and thoughts. Therefore, a 6-item measure of situational acceptance was developed and administered to 24 younger adults (age 18-25) and 30 older adults (age 55+) on Amazon Mechanical Turk, along with the KIMS accepting subscale and Mindful Attention Awareness Scale (MAAS; Brown & Ryan, 2003). The situational acceptance scale achieved good reliability (α=.721) and significantly correlated with the MAAS (r= .301, p=.027) and KIMS (r= .466, p<.001). Older adults tended to rate themselves as significantly higher on situational acceptance (M=29.83, SD=5.17) than younger adults (M=25.13, SD=5.72; t=-3.171, p=.003), and this pattern held for the MAAS and KIMS. These results confirm prior work suggesting older adults engage in acceptance more often than younger adults and expand this finding to situational, not just emotional, acceptance. Furthermore, skills related to mindfulness and acceptance appear to greatly overlap and may increase over the lifespan.


2018 ◽  
Vol 60 (3) ◽  
pp. 385-395 ◽  
Author(s):  
Pariya L Fazeli ◽  
Jessica L Montoya ◽  
Chastity N McDavid ◽  
David J Moore

Abstract Background and Objective As HIV-infected (HIV+) individuals age, there is a need to understand successful aging (SA) from the patient perspective. This study compared SA definitions between HIV+ and HIV-uninfected (HIV−) older adults and then examined correlates of SA categories. Research Design and Methods Ninety-three HIV+ and 46 HIV− older (aged 50+) adults provided brief definitions of SA, which was examined using content analysis. We then compared the frequency of SA categories by serostatus and examined the correlates of SA categories within both groups. Results Seven SA categories emerged: General Health, Cognitive Health & Ability, Physical/Biological Health & Ability, Social Relationships, Attitudes, Psychological, & Emotional Well-Being, Proactive & Engaged Lifestyle, and Independence. While no significant differences emerged, HIV− older adults were more likely to report General Health and the subcategory of Longevity/Survival, while HIV+ older adults were more likely to report subcategories of Enjoying Life & Fulfillment and Maintaining Balance. Few demographic correlates of SA categories emerged. Mood and HIV characteristics were not associated with SA categories. In both groups, those without neurocognitive impairment were significantly more likely to endorse General Health than those with neurocognitive impairment. Discussion and Implications HIV+ and HIV− older individuals may generally perceive SA similarly, and their definitions parallel with existing models of SA. Yet, living with a chronic illness may cause HIV+ older adults to place greater value on quality of life and life satisfaction than physical health and chronological age. Observational and intervention studies may use similar approaches in evaluating and maximizing SA.


2009 ◽  
Vol 38 (5) ◽  
pp. 531-537 ◽  
Author(s):  
A. Schwingel ◽  
M. M. Niti ◽  
C. Tang ◽  
T. P. Ng

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Rikki M Tanner ◽  
Daichi Shimbo ◽  
Samantha Seals ◽  
Gbenga Ogedegbe ◽  
Paul Muntner

In the US, antihypertensive medication treatment decisions are primarily based on blood pressure (BP) measurements obtained in the clinic setting. The optimal systolic BP (SBP) goal for adults ≥60 years is controversial and a large difference between clinic and out-of-clinic daytime BP, a white-coat effect, may be present in older individuals. We estimated the white-coat effect and calculated the percentage of untreated and treated adults <60 and ≥60 years with elevated clinic BP (defined as SBP/diastolic BP [DBP] ≥140/90 mmHg), but non-elevated out-of-clinic daytime BP (“daytime BP”, defined as SBP/DBP <135/85 mmHg) among 257 African-American participants in the Jackson Heart Study with at least 10 daytime ambulatory BP measurements. For the overall population, the white-coat effect for SBP was 12.2 mmHg (95% confidence interval [CI]: 9.2-15.1) in older adults and 8.4 mmHg (95% CI: 5.7-11.1) in younger adults (p=0.06). After multivariable (MV) adjustment, this difference was 1.3 mmHg. Among those without diabetes or chronic kidney disease (CKD), the white coat effect for SBP was 15.2 mmHg (95% CI: 10.1-20.2) and 8.6 mmHg (95% CI: 5.0-12.3) for older and younger adults, respectively (p=0.04). After MV adjustment, this difference was 5.9 mmHg. Also, SBP ≥150 mmHg versus <150 mm Hg was associated with a larger white-coat effect in the overall population after MV adjustment. Among those without CKD or diabetes, older age and SBP ≥150 mmHg were associated with a larger white-coat effect after MV adjustment. Among younger and older participants with elevated clinic BP, the prevalence of non-elevated daytime BP was 34% (95% CI: 26%-44%) and 32% (95% CI: 24%-40%), respectively (p=0.64), in the overall population and 35% (95% CI: 24%-48%) and 43% (95% CI: 31%-56%), respectively, for those without CKD or diabetes (p=0.37). In conclusion, a large white-coat effect was present among older adults. These data suggest a role for ambulatory blood pressure monitoring in preventing potential over-treatment for hypertension among older adults.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S839-S839
Author(s):  
Li Chu ◽  
Helene H Fung

Abstract Curiosity is commonly defined as “the desire for new information and experience.” While curiosity has been associated with numerous positive outcomes (e.g., improved well-being, better cognitive performance and longer life expectancy, some studies suggested that curiosity declined with age. However, very few studies actually attempt to examine why curiosity may be lower among older adults. Moreover, scholars disagreed on “why” people feel curious. According to the dual process theory (Spielberger & Starr, 1994), curiosity is induced by optimal level of uncertainty and anxiety with the desire to reduce these aversive feelings. However, the personal growth facilitation model (Kashdan, Rose, & Fincham, 2002) posits that people are curious intrinsically for one’s own growth, which is associated with positive affects. Therefore, the present study aims to examine age differences in the affective profile of feeling curious by comparing the momentary affective experience of curiosity between younger and older adults. In this study, we conducted a 2-week time-sampling study with 78 younger adults (age 19-29) and 79 older adults (age 60-85) from Hong Kong. Multilevel modeling analyses demonstrated a positive relationship between curiosity and positive emotions for both younger (β=.29, p&lt;.01) and older adults (β=.70, p&lt;.01). Interestingly, anxiousness was positively associated with younger adults’ curiosity (β=.09, p=.01) but not for older adults (β=.06, p=.29). Our study supported both theories, but suggested that one may be more dominant among older adults. These findings have important implications for future interventions to reduce anxiousness to encourage older adults to keep an open-minded attitude towards novelties.


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