{"title":"Supplemental Material for Postponing Old Age: Evidence for Historical Change Toward a Later Perceived Onset of Old Age","authors":"","doi":"10.1037/pag0000812.supp","DOIUrl":"https://doi.org/10.1037/pag0000812.supp","url":null,"abstract":"","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Age-Related Differences in Trait Affect: Establishing Measurement Invariance of the Positive and Negative Affect Schedule (PANAS)","authors":"","doi":"10.1037/pag0000810.supp","DOIUrl":"https://doi.org/10.1037/pag0000810.supp","url":null,"abstract":"","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Personality and 10-Year Personality Development Among Norwegians in Midlife—Do Retirement and Job Type Play a Role?","authors":"","doi":"10.1037/pag0000814.supp","DOIUrl":"https://doi.org/10.1037/pag0000814.supp","url":null,"abstract":"","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2023-11-16DOI: 10.1037/pag0000788
Amy L Jarvis, Stephanie Wong, Michael Weightman, Erica S Ghezzi, Rhianna L S Sharman, Hannah A D Keage
Emotional empathy is a congruent emotional response stemming from another's emotional state and has mixed evidence for its association with age. We sought to synthesize existing data to investigate cross-sectional changes in emotional empathy across adulthood using random-effects meta-analyses. Embase, APA PsycInfo, Medline, and Scopus databases were systematically searched until October 2022. Thirty-three studies assessed age categorically by comparing older (M = 68.42, SD = 4.95) with younger (M = 27.55, SD = 6.82) adults and demonstrated higher emotional empathy in older adults (g = 0.10, p = .039). Seven studies examined age continuously (18-100 years), resulting in a positive correlation with age (zr = .08, p = .033). Subgroup analyses identified age effects differed based on the emotional empathy measure but not on measure type (state vs. trait) or gender ratio (73% women and 27% men). Cross-sectional results indicate emotional empathy may increase across adulthood. These results clarify the previously mixed reports of typical emotional empathy functioning in later life. Age effects varying due to the emotional empathy measure examined indicate that these measures' convergent validity should be reexamined. Further research should employ older, population-based, non-western, educated, industrialized, rich, and democratic samples and longitudinal designs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Emotional empathy across adulthood: A meta-analytic review.","authors":"Amy L Jarvis, Stephanie Wong, Michael Weightman, Erica S Ghezzi, Rhianna L S Sharman, Hannah A D Keage","doi":"10.1037/pag0000788","DOIUrl":"10.1037/pag0000788","url":null,"abstract":"<p><p>Emotional empathy is a congruent emotional response stemming from another's emotional state and has mixed evidence for its association with age. We sought to synthesize existing data to investigate cross-sectional changes in emotional empathy across adulthood using random-effects meta-analyses. Embase, APA PsycInfo, Medline, and Scopus databases were systematically searched until October 2022. Thirty-three studies assessed age categorically by comparing older (<i>M</i> = 68.42, <i>SD</i> = 4.95) with younger (<i>M</i> = 27.55, <i>SD</i> = 6.82) adults and demonstrated higher emotional empathy in older adults (<i>g</i> = 0.10, <i>p</i> = .039). Seven studies examined age continuously (18-100 years), resulting in a positive correlation with age (<i>z<sub>r</sub></i> = .08, <i>p</i> = .033). Subgroup analyses identified age effects differed based on the emotional empathy measure but not on measure type (state vs. trait) or gender ratio (73% women and 27% men). Cross-sectional results indicate emotional empathy may increase across adulthood. These results clarify the previously mixed reports of typical emotional empathy functioning in later life. Age effects varying due to the emotional empathy measure examined indicate that these measures' convergent validity should be reexamined. Further research should employ older, population-based, non-western, educated, industrialized, rich, and democratic samples and longitudinal designs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2024-02-08DOI: 10.1037/pag0000792
Sarah Tomaszewski Farias, Fransia S De Leon, Brandon E Gavett, Evan Fletcher, Oanh L Meyer, Rachel A Whitmer, Charles DeCarli, Dan Mungas
Prior research has shown that some personality traits are associated with cognitive outcomes and may confirm risk or protection against cognitive decline. The present study expands on previous work to examine the association between a more comprehensive set of psychological characteristics and cognitive performance in a diverse cohort of older adults. We also examine whether controlling for brain atrophy influences the association between psychological characteristics and cognitive function. A total of 157 older adults completed a battery of psychological questionnaires (Openness to Experience, Conscientiousness, Agreeableness, Neuroticism, Extraversion, positive affect, negative affect-sadness, negative affect-anger, sense of purpose, loneliness, grit, and self-efficacy). Cognitive outcomes were measured across multiple domains: episodic memory, semantic memory, executive function, and spatial ability. Baseline brain (MRI) variables included gray matter, hippocampus, and total white matter hyperintensity volume. Parallel process, multilevel models yielded intercept (individual cognitive domain scores) and linear slope (global cognitive change) random effects for the cognitive outcomes. Positive affect (β = 0.013, SE = 0.005, p = .004) and Openness (β = 0.018, SE = 0.007, p = .009) were associated with less cognitive change, independent of baseline brain variables and covariates. Greater sadness predicted more cognitive decline when controlling for covariates, but not brain atrophy. A variety of psychological characteristics were associated with the cross-sectional measures of cognition. This study highlights the important impact of positive and negative affect on reducing or enhancing the risk of longitudinal cognitive decline. Such findings are especially important, given the available efficacious interventions that can improve affect. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Associations between personality and psychological characteristics and cognitive outcomes among older adults.","authors":"Sarah Tomaszewski Farias, Fransia S De Leon, Brandon E Gavett, Evan Fletcher, Oanh L Meyer, Rachel A Whitmer, Charles DeCarli, Dan Mungas","doi":"10.1037/pag0000792","DOIUrl":"10.1037/pag0000792","url":null,"abstract":"<p><p>Prior research has shown that some personality traits are associated with cognitive outcomes and may confirm risk or protection against cognitive decline. The present study expands on previous work to examine the association between a more comprehensive set of psychological characteristics and cognitive performance in a diverse cohort of older adults. We also examine whether controlling for brain atrophy influences the association between psychological characteristics and cognitive function. A total of 157 older adults completed a battery of psychological questionnaires (Openness to Experience, Conscientiousness, Agreeableness, Neuroticism, Extraversion, positive affect, negative affect-sadness, negative affect-anger, sense of purpose, loneliness, grit, and self-efficacy). Cognitive outcomes were measured across multiple domains: episodic memory, semantic memory, executive function, and spatial ability. Baseline brain (MRI) variables included gray matter, hippocampus, and total white matter hyperintensity volume. Parallel process, multilevel models yielded intercept (individual cognitive domain scores) and linear slope (global cognitive change) random effects for the cognitive outcomes. Positive affect (β = 0.013, SE = 0.005, <i>p</i> = .004) and Openness (β = 0.018, SE = 0.007, <i>p</i> = .009) were associated with less cognitive change, independent of baseline brain variables and covariates. Greater sadness predicted more cognitive decline when controlling for covariates, but not brain atrophy. A variety of psychological characteristics were associated with the cross-sectional measures of cognition. This study highlights the important impact of positive and negative affect on reducing or enhancing the risk of longitudinal cognitive decline. Such findings are especially important, given the available efficacious interventions that can improve affect. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2024-01-25DOI: 10.1037/pag0000797
Claire Marsh, Matthew T Crawford
Emotions elicited by personal event memories change over time such that negative affect fades more quickly than positive affect. This asymmetric fade is called the fading affect bias (FAB) and has been posited as a mechanism that helps promote a positive outlook on life. A similar bias toward positive information (i.e., the positivity effect) driven by greater emphasis on emotion regulation has been demonstrated in older adults. The current research uses two age-diverse community samples to examine the relationship between age and the strength of FAB. Participants recalled positive and negative event memories and rated the intensity of affect at the time of the event (i.e., retrospectively) and at the time of recollection. Participants of all ages exhibited a significant FAB, and crucially, the strength of the effect was positively associated with age. Age-based differences in psychological well-being and recalled event intensity had no influence on the relationship between age and FAB. The relationship was, however, related to greater personal importance placed on positive (but not negative) events. The findings are consistent with the socioemotional selectivity theory and suggest another mechanism through which emotion regulation is associated with aging to maintain a positive outlook on life. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
个人事件记忆所引发的情绪会随着时间的推移而发生变化,消极情绪的消退速度要快于积极情绪。这种不对称的消退被称为 "消退情绪偏差"(FAB),被认为是一种有助于促进积极人生观的机制。在老年人中,类似的偏向积极信息的现象(即积极效应)也被证明是由更加重视情绪调节所驱动的。目前的研究使用了两个不同年龄的社区样本来研究年龄与 FAB 强度之间的关系。参与者回忆积极和消极事件,并对事件发生时(即回顾时)和回忆时的情绪强度进行评分。所有年龄段的参与者都表现出明显的FAB效应,关键是这种效应的强度与年龄呈正相关。心理健康和回忆事件强度方面的年龄差异对年龄与 FAB 之间的关系没有影响。然而,这种关系与个人对积极事件(而非消极事件)的重视程度有关。研究结果与社会情感选择性理论相一致,并提出了另一种机制,通过这种机制,情绪调节与衰老有关,以保持积极的人生观。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
{"title":"Age is positively associated with fading affect bias: A cross-sectional comparison.","authors":"Claire Marsh, Matthew T Crawford","doi":"10.1037/pag0000797","DOIUrl":"10.1037/pag0000797","url":null,"abstract":"<p><p>Emotions elicited by personal event memories change over time such that negative affect fades more quickly than positive affect. This asymmetric fade is called the fading affect bias (FAB) and has been posited as a mechanism that helps promote a positive outlook on life. A similar bias toward positive information (i.e., the positivity effect) driven by greater emphasis on emotion regulation has been demonstrated in older adults. The current research uses two age-diverse community samples to examine the relationship between age and the strength of FAB. Participants recalled positive and negative event memories and rated the intensity of affect at the time of the event (i.e., retrospectively) and at the time of recollection. Participants of all ages exhibited a significant FAB, and crucially, the strength of the effect was positively associated with age. Age-based differences in psychological well-being and recalled event intensity had no influence on the relationship between age and FAB. The relationship was, however, related to greater personal importance placed on positive (but not negative) events. The findings are consistent with the socioemotional selectivity theory and suggest another mechanism through which emotion regulation is associated with aging to maintain a positive outlook on life. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The way older adults perceive their own aging processes influences their mental health, but we know little about how this occurs in a dyadic context, where spouses' perceptions and health are often intertwined. The present study sought to identify dyadic profiles of self-perceptions of aging (SPAs) in couples and examine how certain profiles are associated with each partner's mental health over time. A pooled sample of 3,850 heterosexual couples aged 50+ in the Health and Retirement Study (2012/2014) rated positive and negative SPAs and provided data on demographic characteristics, couple relationships, and health. We tracked these couples' depressive symptoms over 2 years (2014/2016). Latent profile analysis revealed five profiles of couples' SPAs: similarly positive (20%), similarly negative (6%), similarly average (38%), husband negative (20%), and wife negative (17%). Physical health and marital quality consistently differentiated couples in profile membership. Couples with similarly positive and similarly average SPAs reported the smallest increases in depressive symptoms over time, and couples with similarly negative SPAs fared worst in mental health. We observed interesting gender differences across profiles; husbands in the husband negative profile reported significantly greater increases in depressive symptoms than those in the wife negative profile. Yet, wives in these two profiles did not differ in their depressive symptoms over time, and they reported worse mental health than wives in the similarly positive and similarly average profiles. This study adds to the emerging literature that advocates for an interpersonal approach to SPAs and reveals risk and resilience in couples as they age together. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Dyadic profiles of couples' self-perceptions of aging: Implications for mental health.","authors":"Meng Huo, Kyungmin Kim","doi":"10.1037/pag0000801","DOIUrl":"10.1037/pag0000801","url":null,"abstract":"<p><p>The way older adults perceive their own aging processes influences their mental health, but we know little about how this occurs in a dyadic context, where spouses' perceptions and health are often intertwined. The present study sought to identify dyadic profiles of self-perceptions of aging (SPAs) in couples and examine how certain profiles are associated with each partner's mental health over time. A pooled sample of 3,850 heterosexual couples aged 50+ in the Health and Retirement Study (2012/2014) rated positive and negative SPAs and provided data on demographic characteristics, couple relationships, and health. We tracked these couples' depressive symptoms over 2 years (2014/2016). Latent profile analysis revealed five profiles of couples' SPAs: similarly positive (20%), similarly negative (6%), similarly average (38%), husband negative (20%), and wife negative (17%). Physical health and marital quality consistently differentiated couples in profile membership. Couples with similarly positive and similarly average SPAs reported the smallest increases in depressive symptoms over time, and couples with similarly negative SPAs fared worst in mental health. We observed interesting gender differences across profiles; husbands in the husband negative profile reported significantly greater increases in depressive symptoms than those in the wife negative profile. Yet, wives in these two profiles did not differ in their depressive symptoms over time, and they reported worse mental health than wives in the similarly positive and similarly average profiles. This study adds to the emerging literature that advocates for an interpersonal approach to SPAs and reveals risk and resilience in couples as they age together. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2024-01-25DOI: 10.1037/pag0000795
Kara M Hoover, Dillon H Murphy, Catherine D Middlebrooks, Alan D Castel
We often encounter more information than we can remember, making it critical that we are selective in what we remember. Being selective about which information we consolidate into our long-term memory becomes even more important when there is insufficient time to encode and retrieve information. We investigated whether older and younger adults differ in how time constraints, whether at encoding (Experiment 1) or retrieval (Experiment 2), affect their ability to be selective when remembering important information that they need to recall later. In Experiment 1, we found that younger and older adults exhibited similar selectivity, and the participants remained selective when rushed at encoding. In Experiment 2, older adults maintained their selectivity when given insufficient time at retrieval, but younger adults' selectivity was increased when given limited recall time. Altogether, the present experiments provide new support for negligible, and in some cases, even beneficial, effects of time constraints on older and younger adults' ability to selectively encode and retrieve the most valuable information. These findings may provide insight into a mechanism that allows older adults to use their long-term memory efficiently, despite age-related cognitive declines, even when faced with constraining encoding and retrieval situations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"The effect of time constraints on value-directed long-term memory in younger and older adults.","authors":"Kara M Hoover, Dillon H Murphy, Catherine D Middlebrooks, Alan D Castel","doi":"10.1037/pag0000795","DOIUrl":"10.1037/pag0000795","url":null,"abstract":"<p><p>We often encounter more information than we can remember, making it critical that we are selective in what we remember. Being selective about which information we consolidate into our long-term memory becomes even more important when there is insufficient time to encode and retrieve information. We investigated whether older and younger adults differ in how time constraints, whether at encoding (Experiment 1) or retrieval (Experiment 2), affect their ability to be selective when remembering important information that they need to recall later. In Experiment 1, we found that younger and older adults exhibited similar selectivity, and the participants remained selective when rushed at encoding. In Experiment 2, older adults maintained their selectivity when given insufficient time at retrieval, but younger adults' selectivity was increased when given limited recall time. Altogether, the present experiments provide new support for negligible, and in some cases, even beneficial, effects of time constraints on older and younger adults' ability to selectively encode and retrieve the most valuable information. These findings may provide insight into a mechanism that allows older adults to use their long-term memory efficiently, despite age-related cognitive declines, even when faced with constraining encoding and retrieval situations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10932845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2023-08-31DOI: 10.1037/pag0000773
Maverick E Smith, Lester C Loschky, Heather R Bailey
People spontaneously segment continuous ongoing actions into sequences of events. Prior research found that gaze similarity and pupil dilation increase at event boundaries and that older adults segment more idiosyncratically than do young adults. We used eye tracking to explore age-related differences in gaze similarity (i.e., the extent to which individuals look at the same places at the same time as others) and pupil dilation at event boundaries. Older and young adults watched naturalistic videos of actors performing everyday activities while we tracked their eye movements. Afterward, they segmented the videos into subevents. Replicating prior work, we found that pupil size and gaze similarity increased at event boundaries. Thus, there were fewer individual differences in eye position at boundaries. We also found that young adults had higher gaze similarity than older adults throughout an entire video and at event boundaries. This study is the first to show that age-related differences in how people parse continuous everyday activities into events may be partially explained by individual differences in gaze patterns. Those who segment less normatively may do so because they fixate less normative regions. Results have implications for future interventions designed to improve encoding in older adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Eye movements and event segmentation: Eye movements reveal age-related differences in event model updating.","authors":"Maverick E Smith, Lester C Loschky, Heather R Bailey","doi":"10.1037/pag0000773","DOIUrl":"10.1037/pag0000773","url":null,"abstract":"<p><p>People spontaneously segment continuous ongoing actions into sequences of events. Prior research found that gaze similarity and pupil dilation increase at event boundaries and that older adults segment more idiosyncratically than do young adults. We used eye tracking to explore age-related differences in gaze similarity (i.e., the extent to which individuals look at the same places at the same time as others) and pupil dilation at event boundaries. Older and young adults watched naturalistic videos of actors performing everyday activities while we tracked their eye movements. Afterward, they segmented the videos into subevents. Replicating prior work, we found that pupil size and gaze similarity increased at event boundaries. Thus, there were fewer individual differences in eye position at boundaries. We also found that young adults had higher gaze similarity than older adults throughout an entire video and at event boundaries. This study is the first to show that age-related differences in how people parse continuous everyday activities into events may be partially explained by individual differences in gaze patterns. Those who segment less normatively may do so because they fixate less normative regions. Results have implications for future interventions designed to improve encoding in older adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01Epub Date: 2024-02-01DOI: 10.1037/pag0000794
Robert Reinecke, Sarah Vilpert, Gian Domenico Borasio, Ralf J Jox, Jürgen Maurer
Individuals often wait until the last moment to plan their end-of-life (EOL) care. Yet, decision-making capacity decreases with age, which could compromise engagement in and the effectiveness of advance care planning (ACP). Little is known about the association between cognitive abilities and the steps involved in the multifaceted process of ACP in older adults. The present study aims to better understand the association of global cognitive competence with engagement in ACP in a nationally representative sample of older adults in Switzerland. Global cognitive competence was measured via verbal fluency, immediate and delayed memory, basic calculation skills, and temporal orientation. Engagement in ACP included approving advance directives, having discussed EOL preferences, having a living will, and having a health care proxy. We analyzed data of 1,936 respondents aged 55+ from a paper-and-pencil questionnaire that was administered as part of Wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe in Switzerland using logistic regression models. Respondents with reduced global cognitive competence are less likely to have discussed their EOL preferences with others and to have a living will. Our results also indicate an interaction between age and cognition with respect to having a living will. Individuals with lower global cognitive competence in the oldest age group-adults aged 75 and older-are less likely to have a living will. Our findings highlight that low global cognitive competence can be seen as a barrier to engagement in ACP, particularly among adults 75 years and older. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
{"title":"Cognitive abilities and engagement in advance care planning among older adults: Results of a Swiss populational study.","authors":"Robert Reinecke, Sarah Vilpert, Gian Domenico Borasio, Ralf J Jox, Jürgen Maurer","doi":"10.1037/pag0000794","DOIUrl":"10.1037/pag0000794","url":null,"abstract":"<p><p>Individuals often wait until the last moment to plan their end-of-life (EOL) care. Yet, decision-making capacity decreases with age, which could compromise engagement in and the effectiveness of advance care planning (ACP). Little is known about the association between cognitive abilities and the steps involved in the multifaceted process of ACP in older adults. The present study aims to better understand the association of global cognitive competence with engagement in ACP in a nationally representative sample of older adults in Switzerland. Global cognitive competence was measured via verbal fluency, immediate and delayed memory, basic calculation skills, and temporal orientation. Engagement in ACP included approving advance directives, having discussed EOL preferences, having a living will, and having a health care proxy. We analyzed data of 1,936 respondents aged 55+ from a paper-and-pencil questionnaire that was administered as part of Wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe in Switzerland using logistic regression models. Respondents with reduced global cognitive competence are less likely to have discussed their EOL preferences with others and to have a living will. Our results also indicate an interaction between age and cognition with respect to having a living will. Individuals with lower global cognitive competence in the oldest age group-adults aged 75 and older-are less likely to have a living will. Our findings highlight that low global cognitive competence can be seen as a barrier to engagement in ACP, particularly among adults 75 years and older. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}