[Successful Aging and social relations: selection and compensation in social contact behavior].

Abstract

The model of selective optimization with compensation (Baltes & Baltes 1989; 1990) offers a theoretical concept of successful aging, that aims at the adaptivity of older persons in the aging process. The present study proposes an empirical operationalization of the model within the domain of social contact behavior, and relates this to self-referent knowledge on daily activities. Older persons with multiple chronic diseases and those in generally good health are compared according to their self-referent knowledge on daily activities and social contact behavior. All participants in the study were socially integrated and well functioning. A total of 35 subjects (mean age = 74.4 years) kept a prestructured dairy about their social contacts for a period of six days. Knowledge on daily activities was assessed in a semi-structured interview. The interviews and diaries were content analyzed (inter-rater reliability estimated via Cohen's Kappa for the interview: M = 0.84; for the diaries: M = 0.93). Results show that the highly social integrated subjects with multiple chronic disease performed significantly better in selective and compensatory strategies than the subjects in good health. Selection was indicated by (a) less family contact and a smaller number of group encounters, (b) more emotional support exchange, and (c) more knowledge on maintenance of daily activities. Compensation was indicated by (d) more frequent use of the telephone and (e) greater knowledge of prosthetic resources. It is concluded that social integration and participation can be optimized through selective and compensatory strategies in the face of chronic diseases in old age.