Goal Pursuit, Goal Adjustment, and Pain in Middle-Aged Adults Aging With Physical Disability

2019 ◽  
Vol 31 (10_suppl) ◽  
pp. 214S-240S
Author(s):  
Anne Arewasikporn ◽  
Ann Marie Roepke ◽  
Aaron P. Turner ◽  
Kevin N. Alschuler ◽  
Rhonda M. Williams ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Physical Disability ◽  
Healthy Aging ◽  
Goal Pursuit ◽  
Well Being ◽  
Pain Interference ◽  
Middle Aged ◽  
Goal Adjustment ◽  
Cord Injury ◽  
Middle Aged Adults

Objective: Aging with physical disability disrupts one’s ability to achieve valued goals due to changes in symptoms and function. It is unclear how to cope optimally in this context. This study examined whether two possible strategies—tenacious goal pursuit (TGP) and flexible goal adjustment (FGA)—were associated with reduced pain interference and depressive symptoms and greater well-being, and protected against pain intensity, and FGA was more protective with increasing age and worse physical function. Method: Middle-aged adults with muscular dystrophy, multiple sclerosis, post-polio syndrome, or spinal cord injury ( N = 874; MAGE = 58.3 years, range = 46-68; MDISEASEDURATION = 26.2 years, range = 2-67) completed two questionnaires, a year apart. Results: TGP and FGA use was associated with greater well-being. FGA use predicted decreased depressive symptoms. Concurrent use of both predicted decreased pain interference. Discussion: Adults with disability employ a variety of goal management strategies. Findings support TGP and FGA as potential intervention targets for healthy aging with disabilities.

scholarly journals Creative Hobbies as a Protective Factor Against Stress During the COVID-19 Pandemic in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 14-14
Author(s):  
Sarah Israel ◽  
Darby Mackenstadt ◽  
Carolyn Adams-Price
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Perceived Stress ◽  
Protective Factor ◽  
Health Anxiety ◽  
Well Being ◽  
Middle Aged ◽  
Moderation Effect ◽  
Middle Aged Adults ◽  
High Degree

Abstract The COVID-19 pandemic dramatically impacted our way of life, leading to increased rates of anxiety and depression (Panchal et al., 2021). The implications may be worse for older adults who account for 80% of all COVID deaths (Freed et al., 2020). Meanwhile, prior to the pandemic, Adams-Price and colleagues (2018) found that creative hobby participation provided slightly different benefits for middle-aged and older adults. Specifically, evidence suggested that middle-aged adults may use their creative hobby more for stress relief than older adults. Using a sample of 239 women, aged 40 to 84 years old (M = 59.7), we examined whether the degree to which viewing one’s creative hobby as a component of one’s identity related to perceived stress, health anxiety, and depressive symptoms. In addition, we wanted to know whether these relationships were moderated by age. Single moderation models suggest that viewing one’s creative hobby as a part of their identity was related to higher health anxiety and reporting more depressive symptoms. In addition, age was related to reporting lower perceived stress, health anxiety, and depressive symptoms. Lastly, age provided a significant moderation effect to the relationship between degree of identity associated with one’s creative hobby and perceived stress such that middle-aged adults with a high degree of identification with their creative hobby reported the most perceived stress while older adults with a high degree of identification with their creative hobby reported the least perceived stress. Implications for older adult’s well-being and adaptiveness to the COVID-19 pandemic will be discussed.

The Role of Leisure Activities in the Relationship Between Marital Transition in Later Midlife and Psychological Well-Being Trajectories

2017 ◽  
Vol 86 (4) ◽  
pp. 327-346 ◽  
Author(s):  
Yi-Han Hu ◽  
Ching-Ju Chiu ◽  
Jen D. Wong ◽  
Dai-Chan Lin ◽  
Linda A. Wray
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Leisure Activities ◽  
Well Being ◽  
Religious Activities ◽  
Middle Aged ◽  
Psychological Well Being ◽  
Marital Transitions ◽  
Marital Transition ◽  
Middle Aged Adults

This study examined the levels and rates of changes in psychological well-being for middle-aged adults of different statuses or marital transitions. The moderating effects of different leisure activities were also tested. Longitudinal data on 1,270 persons aged 50 to 65 years at baseline from the Taiwan longitudinal study on aging were analyzed. Adults who were stably unmarried or unpartnered reported worse mental health at baseline, but their psychological well-being improved over time. The trajectory of depressive symptoms fluctuated markedly in adults who became widowed during our observation period. Engagement in physical, cognitive, or social activities was significantly associated with participants’ psychological well-being. Participation in religious activities was significantly associated with life satisfaction and decreased depressive symptoms for those undergoing bereavement. Findings from this study suggest that social and physical activities, among the four selected leisure activities, have the greatest association between decreasing depressive symptoms and increasing life satisfaction, respectively. Religious activities, in particular, may improve psychological well-being in bereaved middle-aged and older adults.

Clinical and Radiological Differences in Patients Following Traumatic SCI at Different Ages

2021 ◽  
Vol 23 (4) ◽  
pp. 305-314
Author(s):  
Thalia Saraiva Mendonça ◽  
Vitor Dias de Arruda Andrade ◽  
Pedro Nogarotto Cembraneli ◽  
Julia Brasileiro de Faria Cavalcante ◽  
André Salotto Rocha ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Young Adults ◽  
Compression Fracture ◽  
Facial Trauma ◽  
Traumatic Spinal Cord Injury ◽  
Elderly Adults ◽  
Middle Aged ◽  
Cord Injury ◽  
Middle Aged Adults

Background. Traumatic spinal cord injury (SCI) is a lesion that can affect several spinal structures, including the vertebrae, spinal cord, ligaments, and other adjacent parts of the spine. Traumatic spinal cord injury (SCI) can cause functional changes in patients of different ages. Material and methods. The study aims to determine whether there are social, clinical, and radiological differences between young, middle-aged, and elderly adults with SCI caused by a ground-level fall. This retrospective study analyzed the records of patients with a clinical diagnosis of SCI. It enrolled patients with traumatic spinal cord injury after a ground-level fall divided as follows: young aged adults 18–35 years of age (G1); middle-aged adults aged 36–60 years (G2); and elderly adults aged over 60 years (G3). Their clinical, social, and radiological variables were analyzed. Results. It is observed that low schooling level, being widowed, and being a homemaker were more frequently encountered among elderly adults, whereas being single was more common in middle-aged adults. The morphologic diagnosis of compression fracture and the associated injury of facial trauma occurred more frequently in elderly adults, with an increasing tendency with age. Conservative therapeutic management was most commonly encountered in elderly adults, compared to surgery from a posterior approach in middle-aged adults. Listhesis was better identified in middle-aged adults by computed tomography (CT). Spinal cord contusion and injury to the C1 vertebra were demonstrated in young adults by magnetic resonance imaging (MRI). Conclusions. 1. Elderly adults with low education level, widowed, and homemakers were more susceptible to SCI caused by a fall. 2. Single marital status was more frequently noted in young adults. 3. The most frequent clinical aspects were the morphological aspect of compression fracture and fa­cial trauma as an associated injury in elderly adults, with the occurrence of facial trauma increasing with age. 4. Conservative therapeutic management was more common in elderly adults than surgery from a po­sterior approach in middle-aged adults. 5. Re­garding the radiological aspects of CT, listhesis was better identified in middle-aged adults. Spi­nal cord contusions and C1 vertebra lesions were better identified in young adults by MRI.

Benefits of volunteerism for middle-aged and older adults: comparisons between types of volunteering activities

2021 ◽  
pp. 1-20
Author(s):  
Alfred H. K. Lam ◽  
Dannii Y. Yeung ◽  
Edwin K. H. Chung
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Cross Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Health And Wellbeing ◽  
Hand Grip ◽  
Middle Aged Adults ◽  
Main Effects

Abstract Volunteering is a popular activity among middle-aged and older adults as means to contribute to the society and to maintain personal health and wellbeing. While the benefits of volunteering have been well-documented in the current literature, it does not tend to distinguish between various types of volunteering activities. This cross-sectional study aims to compare the effects of instrumental (e.g. food preparation, fundraising) and cognitively demanding volunteering activities (e.g. befriending, mentoring) in a sample of 487 middle-aged and older Hong Kong Chinese adults. Participation in instrumental and cognitively demanding volunteering, life satisfaction, depressive symptoms, cognitive functioning and hand-grip strength were measured. The results of two-way between-subject robust analyses of variance demonstrated significant main effects of volunteering type and their interaction effect with age on life satisfaction and depressive symptoms. Comparisons among four volunteering groups (no volunteering, instrumental volunteering, cognitively demanding volunteering and both types) revealed that individuals engaging in instrumental volunteering exhibited lower life satisfaction and more depressive symptoms compared to those who engaged in cognitively demanding volunteering and those who did not volunteer at all. This detrimental pattern of instrumental volunteering was only seen in middle-aged adults, but not in older adults. Findings of this study revealed distinctive effects of two volunteering types, and provide valuable directions for designing future volunteering programmes.

scholarly journals Discordant Chronic Conditions and Depressive Symptoms: Longitudinal Associations Among Middle-Aged and Older Couples

2019 ◽  
Author(s):  
Courtney A Polenick ◽  
Kira S Birditt ◽  
Angela Turkelson ◽  
Benjamin C Bugajski ◽  
Helen C Kales
Keyword(s):  
Depressive Symptoms ◽  
Marital Quality ◽  
Chronic Conditions ◽  
Later Life ◽  
Well Being ◽  
Middle Aged ◽  
Older Couples ◽  
Individual Level ◽  
The Individual ◽  
Over Time

Abstract Objectives Individuals often manage chronic conditions in middle and later life that may diminish well-being. Little is known, however, about discordant conditions (i.e., two or more conditions with competing self-management requirements) among older couples and their links to depressive symptoms. We considered discordant conditions at both the individual level and the couple level (i.e., between spouses), along with their long-term implications for depressive symptoms. Methods The U.S. sample included 1,116 middle-aged and older couples drawn from five waves (2006–2014) of the Health and Retirement Study. Longitudinal actor-partner interdependence models evaluated whether individual-level and couple-level discordant chronic health conditions were concurrently linked to depressive symptoms, and whether these associations became stronger over time. Models controlled for age, minority status, education, prior wave depressive symptoms, and each partner’s baseline report of negative marital quality and number of chronic conditions in each wave. Results Wives and husbands reported significantly greater depressive symptoms when they had individual-level discordant conditions about 2 years after baseline, and these links intensified over time. Beyond this association, husbands had significantly greater depressive symptoms when there were couple-level discordant conditions. Discussion Individual-level and couple-level discordant conditions may have lasting implications for depressive symptoms during midlife and older adulthood.

scholarly journals Cross-Sectional Examination of Musculoskeletal Pain and Physical Function in a Racially and Socioeconomically Diverse Sample of Adults

2020 ◽  
Author(s):  
Angie L Sardina ◽  
Alyssa A Gamaldo ◽  
Ross Andel ◽  
Shanthi Johnson ◽  
Tamara A Baker ◽  
...  
Keyword(s):  
Physical Function ◽  
Physical Performance ◽  
Musculoskeletal Pain ◽  
Performance Measures ◽  
Healthy Aging ◽  
Functional Limitation ◽  
Future Research ◽  
Middle Aged ◽  
Cross Sectional ◽  
Middle Aged Adults

Abstract Background Musculoskeletal pain alters physiological function, which may be evidenced as early as middle age. Previous research has concluded that middle-aged adults are a high-risk group for musculoskeletal pain and report functional limitations similar to older adults. However, few studies have examined the relationships between musculoskeletal pain and physical function, using objective performance measures in a sample of racially and socioeconomically diverse adults. Thus, this study examined musculoskeletal pain in relation to physical function in middle-aged (30–64 years) White and Black adults and investigated whether the relationship varied by sociodemographic characteristics. Methods This cross-sectional examination incorporated data from the Healthy Aging in Neighborhoods of Diversity across the Life-Span Study. Participants (n = 875) completed measures of musculoskeletal pain and objective measures of physical performance (ie, lower and upper body strength, balance, and gait abnormalities). Physical performance measures were standardized to derive a global measure of physical function as the dependent variable. Results Approximately, 59% of participants identified at least 1 pain sites (n = 518). Multivariable regression analyses identified significant relationships between greater musculoskeletal pain and poorer physical function (β = −0.07, p = .031), in mid midlife (β = −0.04, p = .041; age 40–54) and late midlife (β = −0.05, p = .027; age 55–64). Conclusions This study observed that musculoskeletal pain was associated with poorer physical function within a diverse group of middle-aged adults. Future research should longitudinally explore whether chronic musculoskeletal pain identified at younger ages is associated with greater risk for functional limitation and dependence in later life.

scholarly journals KNOWLEDGE OF AGING, NEGATIVE AGE BIAS, AND POSITIVE AGE BIAS: AGE GROUP DIFFERENCES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S80-S81
Author(s):  
Grace Caskie ◽  
Anastasia E Canell ◽  
Hannah M Bashian
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Well Being ◽  
Total Sample ◽  
Group Differences ◽  
Age Group ◽  
Middle Aged ◽  
Age Bias ◽  
Negative Beliefs ◽  
Middle Aged Adults

Abstract Attitudes towards aging include both positive and negative beliefs about older adults (Iverson et al., 2017; Palmore, 1999). Palmore’s (1998) Facts on Aging Quiz, a widely used assessment of knowledge about aging, also identifies common societal misconceptions about aging. Findings regarding age group differences in attitudes toward aging are mixed (Bodner et al., 2012; Cherry & Palmore, 2008; Rupp et al., 2005). The current study compared knowledge of aging, negative age bias, and positive age bias between young adults (18-35 years, n=268) and middle-aged adults (40-55 years; n=277). Middle-aged adults reported significantly greater average knowledge of aging than young adults (p=.019), although both groups had relatively low knowledge (MA: M=13.0, YA: M=12.2). Middle-aged adults also showed significantly less negative age bias (p<.001) and significantly more positive age bias than young adults (p=.026). Although the total sample was significantly more likely to be incorrect than correct on 23 of the 25 facts (p<.001), young adults were significantly more likely than middle-aged adults (p<.001) to respond incorrectly for only 2 of 25 facts. Both facts reflected greater negative age bias among young adults than middle-aged adults. These facts concerned older adults’ ability to work as effectively as young adults (fact 9) and frequency of depression in older adults (fact 13). Results demonstrate that age bias is not limited to young adults and may continue through midlife, though negative age bias in particular may be lower for individuals approaching older adulthood, which could have implications for their psychological and physical well-being.

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