548 Predicting Perceived Functional Limitation in Midlife and Older Adulthood: The Role of Sleep and Perceived Control

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A216-A216
Author(s):  
Claire Williams ◽  
Sarah Ghose ◽  
Morgan Reid ◽  
Sahar Sabet ◽  
Ashley MacPherson ◽  
...  

Abstract Introduction Functional limitations become increasingly common and debilitating as individuals age, potentially impacting several facets of well-being. As such, it is important to understand malleable factors that may potentially impact functional limitation outcomes. Both sleep and perceived control have been linked to the development of functional limitation. The current study sought to clarify the unique contributions of both sleep quality and perceived control to functional limitation status in middle-aged and older adults. Methods Data from the second wave of the Midlife in the United States study were used for the current study. Participants included 527 participants (59.9% female, Mage=59.83 years, SD=9.75 years) who completed measures of functional limitation levels (Functional Status Questionnaire), subjective sleep quality (Pittsburg Sleep Quality Index), and perceived control (MIDI Sense of Control Scales). A hierarchical regression analysis was conducted to examine sleep quality and perceived control as predictors in a unique model for predicting functional limitation. Demographic variables of age, gender, and race were used as covariates in study analyses. Results The overall model predicted 19.0% of the variance in functional limitation levels. Sleep quality was significantly associated with self-reported functional limitation (β=-.27, p<.001) over and above perceived control (β=.20, p<.001). Specifically, findings indicate that worse sleep quality is associated with increased functional limitation, while higher levels of perceived control are associated with lower levels of functional limitation. Conclusion Though perceived control is known to be associated with functional limitation status, the present study suggests a unique effect of sleep quality on functional limitation even after accounting for perceived control. Due to the potential for negative effects of functional limitation in middle-aged to older adults, it is important to identify and target constructs for research and intervention related to the development of these limitations. Care models for individuals who report experiencing functional limitations may benefit from targeting sleep health and control beliefs in intervention and assessment. Support (if any):

2017 ◽  
Vol 40 (4) ◽  
pp. 365-387 ◽  
Author(s):  
Louise C. Hawkley ◽  
Masha Kocherginsky

A substantial portion of the older adult population suffers from frequent feelings of loneliness, but a large proportion remains relatively unscathed by loneliness. To date, research examining both protective and risk factors for loneliness has not included data from the United States. The present study used the first two waves of data from the National Social Life, Health, and Aging Project to examine sociodemographic, structural, and functional factors thought to be associated with loneliness in older adults. Functional limitations and low family support were associated with an increase in loneliness frequency (as were more strained friendships) and with transitioning from nonlonely to lonely status. Better self-rated health, higher levels of socializing frequency, and lower family strain were associated with transitioning from lonely to nonlonely status. Interventions that target these factors may be effective in preventing and reducing loneliness and its effects on health and well-being in older adults.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A301-A301
Author(s):  
Anthony Schmiedeler ◽  
Maggie Connell ◽  
Ashley Curtis

Abstract Introduction Research has found relationships between sleep quality and personality traits. Poor subjective sleep quality has been observed within individuals scoring high in Neuroticism and low in Conscientiousness. Personality traits have also been associated with cognitive functioning and the link being worse cognition and poor sleep quality is established. However, less is known regarding the role of cognitive functioning in the relationship between personality and sleep quality, particularly in aging populations. This study investigated whether subjective cognition acted as a mediator between individual personality traits and subjective sleep quality in middle-aged and older adults. Methods Middle-aged and older adults (N=269; Mage= 64.5, SD=7.8; 123 women/146 men) who were cognitively healthy completed an online survey through Qualtrics measuring demographics, personality (Big Five Inventory-10; BFI-10), self-reported sleep (Pittsburgh Sleep Quality Index; PSQI), and subjective everyday cognition (Cognitive Failures Questionnaire; CFQ). Separate mediation analyses using SPSS PROCESS macro [and testing for indirect effects using 5,000 bootstrapped samples and 95% Confidence Interval (CI) and controlling for conditional associations among all pathways] examined whether subjective everyday cognition (CFQ scores) mediated the relationship between different personality traits (BFI-10 Conscientiousness and Neuroticism scores) and self-reported sleep (PSQI-Total Score), controlling for age and sex. Results Neuroticism and PSQI-Total Score was partially mediated by CFQ. There was a significant association between Neuroticism and total PSQI (total effect=0.588, SE=0.110, p<0.001). There were positive associations between Neuroticism and CFQ (a-path effect=2.765, SE=0.383, p<0.001) and CFQ and PSQI (b-path effect=0.068, SE=0.017, p<0.001). The indirect effect was significant (effect=0.187, SE=0.054, 95% CI=0.088 to 0.301). There was no association between Conscientiousness and PSQI-Total Score (total effect=-0.123, SE=0.133, p=0.358), therefore mediation analysis (testing of CFQ as a mediator) was discontinued. Conclusion In middle-aged and older adults, subjective everyday cognition mediates the relationship between Neuroticism personality trait and self-reported sleep quality. Individuals scoring higher in Neuroticism report worse subjective sleep quality as their subjective cognitive failures increase. Findings underscore the interacting roles of personality and everyday cognition on perceived sleep. Clinicians should consider individual personality profiles (via personality assessments) and subjective everyday cognitive ratings for a better understanding of the factors impacting middle-aged and older adults’ sleep profiles. Support (if any):


2020 ◽  
Author(s):  
Nancy L Sin ◽  
Patrick Klaiber ◽  
Jin H Wen ◽  
Anita DeLongis

Abstract Background and Objectives The novel coronavirus disease 2019 (COVID-19) pandemic may have prompted more engagement in prosocial activities, such as volunteering and support transactions. The day-to-day affective and social implications of these activities for adults of different ages are unknown. The current study examined associations of daily prosocial activities with affective and social well-being, and whether these associations varied by age. Research Design and Methods Participants ages 18–91 in Canada and the United States (N = 1,028) completed surveys for 7 consecutive evenings about their daily experiences of COVID-19-related prosocial activities (formal volunteering, support provision, support receipt), positive and negative affect, and satisfaction with social activities and relationships. Analyses were conducted using multilevel modeling and accounted for a range of potential confounding factors (e.g., sociodemographics, work, family, caregiving, daily stressors). Results Older age predicted more frequent formal volunteering, as well as more support provision and support receipt due to COVID-19. In particular, middle-aged and older adults provided more emotional support than younger adults, middle-aged adults provided the most tangible support, and older adults received the most emotional support. All three types of prosocial activities were associated with higher positive affect and greater social satisfaction on days when they occurred. Providing COVID-19-related support further predicted lower same-day negative affect. Age did not significantly moderate these associations. Discussion and Implications Older age was related to more frequent engagement in prosocial activities during the COVID-19 crisis. These activities were associated with improved daily affective and social well-being for adults of all ages.


SLEEP ◽  
2014 ◽  
Vol 37 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Matthew R. Cribbet ◽  
McKenzie Carlisle ◽  
Richard M. Cawthon ◽  
Bert N. Uchino ◽  
Paula G. Williams ◽  
...  

Author(s):  
Matthias Lühr ◽  
Maria K. Pavlova ◽  
Maike Luhmann

AbstractWe investigated whether higher internal control beliefs (perceived control, political efficacy) and improved social relationships (lower loneliness, social support availability) mediated the associations between nonpolitical and political volunteering and subjective well-being (SWB; life satisfaction, emotional well-being). Moreover, we examined whether these effects differed between nonpolitical and political volunteering and across age groups. We conducted longitudinal multilevel regression analyses of data from the German Socio-Economic Panel (1985–2016) in younger (14–29, n = 7,547), middle-aged (40–50, n = 6,437), and older (65–75, n = 3,736) adults (see preregistration at https://osf.io/qk6mu). Significant effects on SWB emerged mainly in older adults who reported higher life satisfaction on occasions with more frequent nonpolitical volunteering than usual but lower life satisfaction on occasions with more frequent political volunteering. The negative effect of political volunteering was mediated by higher loneliness. In younger and middle-aged adults, mixed effects of nonpolitical and political volunteering on the mediating variables and no significant effects on SWB emerged. We discuss methodological, contextual, and life-stage explanations of our findings.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A262-A263
Author(s):  
Sadhika Jagannathan ◽  
Mikayla Rodgers ◽  
Christina S McCrae ◽  
Mary Beth Miller ◽  
Ashley Curtis

Abstract Introduction COVID-19 is an infectious respiratory illness that was declared a pandemic in March 2020. During the course of COVID-19, studies have demonstrated worsening sleep quality and anxiety. No studies have examined age-related and sex-specific associations between COVID-19 anxiety and sleep in aging populations. We examined associations between COVID-19 anxiety and sleep, and evaluated age and sex as moderators, in middle-aged/older adults. Methods Two hundred and seventy-seven middle-aged/older adults aged 50+ (Mage=64.68, SD=7.83; 44% women) living in the United States who were cognitively healthy (no cognitive impairment/dementia/neurological disorders) completed an online Qualtrics survey in July/August 2020 measuring sleep (Pittsburgh Sleep Quality Index; PSQI) and COVID-19 anxiety (Coronavirus Anxiety Scale; CAS). Multiple regressions examined whether CAS was independently associated with or interacted with age or sex in its associations with PSQI total score/subscores (sleep quality, sleep duration, sleep efficiency, daytime dysfunction), controlling for age, education, number of medical conditions, sleep/pain medication use, and COVID-19 status. Results CAS interacted with age (B=-.008, SE=.003 p=.02, R-squared=.02), not sex (p=.31), in its association with sleep duration. Higher CAS was associated with shorter sleep duration in oldest-older adults (~73 years old; B=.12, SE=.05, p=.01) and younger-older adults (~65 years old; B=.07, SE=.03, p=.02), not middle-aged adults (~57 years old, p=.47). CAS interacted with age (B=.01, SE=.004, p=.02), not sex (p=.56), in its association with sleep efficiency. Higher CAS was associated with worse sleep efficiency in oldest-older adults (B=.14, SE=.05, p=.009) and younger-older adults (B=.08, SE=.04, p=.03), not middle-aged adults (p=.60). Higher CAS was associated with greater daytime dysfunction (B=.26, SE=.07, p<.001) and higher PSQI total score (B=.82, SE=.33, p=.01), and did not interact with age or sex (ps>.05). Conclusion Increased COVID-19 anxiety is associated with several aspects of worse sleep (shorter sleep duration, sleep efficiency) in older adults but not middle-aged adults. Generally, in middle-aged/older adults, higher COVID-19 anxiety is associated with worse daytime dysfunction and overall sleep quality. Sex does not moderate these associations. Increased COVID-19 morbidity and mortality in aging populations may translate to increased anxiety and subsequent sleep disruptions. Interventions aimed at mitigating negative pandemic-related psychological and sleep outcomes may be particularly relevant for older adults. Support (if any):


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 913-913
Author(s):  
Yen Chen ◽  
Carole Holahan ◽  
Charles Holahan

Abstract Positive attitudes toward aging have been associated with better functional health (Bryant et al., 2012; Levy, Slade, & Kasl, 2002; Sargent-Cox, Anstey, & Luszcz, 2012). The current study examined the mediational role of regular leisure-time physical activity (LTPA) in this association among middle-aged and older adults. Participants were 2,209 adults ranging in age from 40 to 75 at baseline (M = 56.19; 51.2% women) from the second and the third waves of the Survey of Midlife Development in the United States (MIDUS). The mediation model was tested in Mplus 7.4. The model tested the direct association and indirect association through LTPA of attitudes toward aging in MIDUS 2 with functional limitations in MIDUS 3 ten years later. Attitudes toward aging were measured as a latent variable with two indicators (subjective age and future health expectancies). Age, sex, race/ethnicity, education, marital status, and number of chronic conditions were included as covariates. Individuals with more positive attitudes toward aging reported less functional limitations ten years later (β = -.43, p < .001). Further, more positive attitudes toward aging related to higher levels of LTPA (β = .20, p < .001), which in turn predicted less functional limitations ten years later (β = -.10, p < .01). The indirect effect of attitudes toward aging on functional limitations through LTPA was statistically significant (indirect effect = -.02, p < .01). Positive attitudes toward aging operating through higher levels of LTPA may play an important role in functional health among middle-aged and older individuals.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S126-S127
Author(s):  
Shinae Choi ◽  
Genevieve Smith

Abstract Older workers are engaging in “phased retirement” in which they transition from full-time working status to part-time working and eventually retire at a later age. This study investigated whether phased retirement was financially and psychologically beneficial for middle-aged and older adults in the United States. The current study examined data on financial and psychological well-being and retirement transitions (i.e., immediate retirement and phased retirement) from the Health and Retirement Study (HRS) at two time points, four years apart. We analyzed 5,106 middle-aged and older adults from the 2010 and 2014 waves of the HRS data set using chi-square and one-way analysis of variance tests. Our results showed that 66.8% of respondents remained full-time working, while 12.7% of respondents chose phased retirement and 15.2% of respondents jumped straight into retirement. Our findings suggest that phased retirement is beneficial for older Americans financially and psychologically. Specifically, the level of total household financial wealth was significantly higher for those who chose phased retirement than immediate retirees from workforce. In terms of psychological perspectives, immediate retirees experienced more depressive symptoms than those who chose phased retirement. Our findings could help individuals and households to be better equipped when preparing for retirement. Our findings could also provide a basis for further research into phased retirement and its impact on well-being in middle-aged and older Americans. Furthermore, policymakers could be better informed about retirement trends and create policies based on our findings to better help older individuals and households be financially and psychologically prepared for retirement.


2019 ◽  
Vol 32 (9) ◽  
pp. 1042-1051
Author(s):  
Ickpyo Hong ◽  
Loree Pryor ◽  
Rebeca Wong ◽  
Kenneth J. Ottenbacher ◽  
Timothy A. Reistetter

Objective: The association of family and social factors with the level of functional limitations was examined across the United States, Mexico, and Korea. Method: Participants included adults from the 2012 Health and Retirement Study ( n = 10,017), Mexican Health and Aging Study ( n = 6,367), and Korean Longitudinal Study of Aging ( n = 4,134). A common functional limitation scale was created based on Rasch analysis with a higher score indicating better physical function. Results: The American older adults (3.65 logits) had better physical function compared with Mexican (2.81 logits) and Korean older adults (1.92 logits). There were different associations of family and social factors with functional limitations across the three countries. Discussion: The American older adults demonstrated less functional limitation compared with Mexican and Korean older adults at the population level. The findings indicate the need to interpret carefully the individual family and social factors associated with functional limitations within the unique context of each country.


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