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This document summarizes research on the effects of aging on life satisfaction in older adults. It discusses how previous research has found that health and life satisfaction generally decline with age, but some studies challenge this by finding that life satisfaction remains stable when factors like adaptation, social comparison, and cohort effects are considered. The document provides context on population aging and defines key terms. It also reviews literature on trajectories of physical and mental health in older adults and presents arguments that life satisfaction can be maintained through adaptation, social comparison, and when accounting for cohort differences.
This document summarizes research on the effects of aging on life satisfaction in older adults. It discusses how previous research has found that health and life satisfaction generally decline with age, but some studies challenge this by finding that life satisfaction remains stable when factors like adaptation, social comparison, and cohort effects are considered. The document provides context on population aging and defines key terms. It also reviews literature on trajectories of physical and mental health in older adults and presents arguments that life satisfaction can be maintained through adaptation, social comparison, and when accounting for cohort differences.
This document summarizes research on the effects of aging on life satisfaction in older adults. It discusses how previous research has found that health and life satisfaction generally decline with age, but some studies challenge this by finding that life satisfaction remains stable when factors like adaptation, social comparison, and cohort effects are considered. The document provides context on population aging and defines key terms. It also reviews literature on trajectories of physical and mental health in older adults and presents arguments that life satisfaction can be maintained through adaptation, social comparison, and when accounting for cohort differences.
Chuk Yan E. Wong University of Groningen Student Number: S2432765 Mentor Group number: 28 Mentor Names: Dr. C. Borg and B. Reichrath Date: 29-05-2014
Author Note Chuk Yan E. Wong, Psychology Bachelor, University of Groningen. I am grateful to my Academic Skill mentors, Dr. Charmaine Borg and Benedict Reichrath, for always willing to aid and support me in any manner with my attempt to obtain improved skills in formal academic writing. I would also like to thank them along with my Academic Skills group for nurturing an intellectually stimulating environment for this to take place. Particularly, I am to my fellow course mates Marcel Clarke and Lisa Pohl for objectively and critically evaluating my work with my best interests in mind. Email: c.y.e.wong@student.rug.nl OLD AGE DISSATISFACTION & SENILITY 2
Abstract Older adults are populating the world at an increasingly fast pace. They have shaped the world around them and now experience a new phase of life. Studies concluding that life satisfaction ultimately declines by aging and fatigue of the body are met with resistance, focusing on the contributing factors of life satisfaction. While these studies each cannot be completely disregarded, the likelihood of declining life satisfaction is accepted thus far. However, possibilities surface through the use of discovered contributing factors of life satisfaction that may allow increasingly older adults to live the rest of their lives with contentment.
Keywords: age effects, older adults, life satisfaction, factors
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The Effect of Health on Life Satisfaction of Older Adults: Context Due to the fruitful actions in the 20 th century, virtually all countries are facing an explosive aging progression growing much more rapidly than its younger counterparts. It is of utmost importance to provide for the very people who have contributed to our upbringing by observing their health and life satisfaction trajectories and to use that knowledge to their advantage. By informing and influencing public health sectors and policies, well-being and health can be promoted for those who have nurtured us into who we are today. In this way, the elderly can enter a new phase of life to live their final years in dignity and happiness. Previous Research and Thesis While available literature has been optimistic with regards to inevitable growing life dissatisfaction with age, this research area has been relatively small in the scientific community. Literature, such as the 50 great myths of psychology (Lillienfield, 2010), attempt to debunk prevailing beliefs surrounding increasing age-related dissatisfaction. Lillienfield opposes the certainty of debility and senility often associated with older adults with his main arguments involving media discrimination and internalization of negative stereotypes. While a range of empirical studies have shown support to this perspective, studies have yielded contrary and more sobering results. Consequently, this literature review will explore how declining health due to aging does not necessarily result in decreasing life satisfaction by noting various scientific studies.
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Overview This report will explore different scientific papers that have produced results supporting and opposing the inevitability of declining life satisfaction by age effects of older adults. The trajectory of health and life satisfaction will first be introduced and provide a basis to build opposing and supporting arguments upon. Operational Definitions Many terms and concepts regarding this topic can easily be nebulously and loosely interpreted by readers. Thus, the operationalization of various keywords referred and repeated throughout this review is necessary for clarity and understanding. As the main focus of this report lies in effects of aging on life satisfaction in older adults, the following terms are elaborated upon: Older Adults: This report will concede to the United Nations concordance that at age 60 and above, old age is considered. By encompassing a large age range, the change in life satisfaction can be more easily related to age effects. Life Satisfaction: Life satisfaction is constituted by the cognition of an individuals subjective holistic evaluation of their lives (Alaphilippe, Bailly, Herv, Gana, Joulain, Saada & Trouillet, 2013). Health: Two types of individual health are referred to: physical and subjective health. Physical health refers to an individuals objective physical well-being. It can be classified by the presence of illness and longevity. Conversely, subjective health regards the overall subjective impression of their physical well-being. (Alaphilippe et al., 2013) OLD AGE DISSATISFACTION & SENILITY 5
Trajectory Observations of Health at Old Age Emphasized as the central elements of successful aging and quality of life, Gerstorf, Infurna, Morack, and Ram (2013) explore the changes in both subjective and objective health across the life span. Their findings suggest the decline of physical health throughout adulthood with increasingly steeper decrements at old age. This may be a result of the simultaneous aging of the various body systems and organs toiled for the entire life period. Previous studies upon related physical health trajectories corroborates with these findings. Physical health has shown no strong direct effect on life satisfaction in older adults. However, physical health affects the subjective health of an individual via the functional health of the body. (Gwozdz & Sousa-Poza, 2009) Subjective health has a more direct and greater effect on life satisfaction than physical health. For example, in the Berlin Study, 500 individuals 70 years and older, were tested to analyze the relation between health status and life satisfaction. The study yielded results where perceived health was a much more effective predictor of life satisfaction than physical health. (Gwozdz & Sousa-Poza, 2009) (Brose, Lindenberger, Lovdn, Schmiedek, Tesch-Rmer, & Wolff, 2012). Perceptions of mental and subjective health remain relatively stable across the ages with significant decreases towards the very end of life as regulatory structures break down. The relative stability of perceived health can be attributed to the role of adaptation and increasing perspective at old age. This will further be explained in later sections of this paper. OLD AGE DISSATISFACTION & SENILITY 6
Supporting Arguments Downward Comparisons with Negative Stereotypes With the myriad and commonly known negative stereotypes of the elderly, a study by Pinquart (2002) indicates that negative stereotypes can serve as a baseline for downward comparison by older adults. Self perceptions became more positive after confronting negative age related stereotypes while perceptions of their peers worsened. Pinquart suggests that the comparison of oneself with these stereotypes allows individuals to become aware of their positive circumstances. Thus, negative stereotypes become a source of positive self-perception. Such attitudes ultimately contribute to improved feelings directed towards positive subjective health leading to increased and maintained life satisfaction. Adaptation Growing older often leads to the immediate and rapid prospect of the loss of activity and independence. Jopp and Rotts findings (2006) emphasize the importance of adaptation in improving and sustaining life satisfaction in older adults. Their study deduces that self-reference beliefs and attitudes towards life satisfaction levels were greater than any other resources (i.e. social relations, extraversion, and job training). According to Jopp and Rott (2006) older adults possessing optimistic attitudes were able to relinquish control to accept necessary life changes and adapt suitably to their growing age. This acceptance resulted in higher life satisfaction compared to other participants. Adaptation has been said to be useful among older adults as it balances the expectations held by individuals and the realities faced that contribute to life satisfaction. Thus, across the transition from young to older adulthood, different factors are given more weight to life OLD AGE DISSATISFACTION & SENILITY 7
satisfaction to cope with the inevitable age effects (Berg, Hassing, Mcclearn, & Johansson, 2006). As a result, older adults are able to construct a positive meaning in life even under suboptimal health conditions. Cohort Effects In addition to agentic factors to sustain life satisfaction, among even the most highly regarded experimental designs, the question of generalizability has been raised. Individuals belonging to a certain cohort are bonded by time or historical life experiences. The current older generation has faced many major historical events that may contribute to a resulting increased dissatisfaction cohort effect observed in studies. These experiences cannot be compared to the experiences of the current society in their own progressive aging. For example, women in the 1900s encountered numerous restrictions that the current generation does not encounter to an equal degree. In recent history, the food, diet, and physical activities can even be claimed to be vastly different from those of today. However, Gwozds and Sousa-Pozas (2010) study focused on the life satisfaction among the oldest of old German citizens and cohort effects were controlled. Yet, relatively constant levels of life satisfaction across the life span were still observed. This observation provides some support to the degree of generalization of experiments regarding life satisfaction despite using different cohorts. Opposing Arguments Internalization and Identification with Negative Stereotypes On a related note, Hertzog, Blanchard-Fields, and Stein (2002) conducted a study where outcomes are in contrast with Pinquarts (2002) results. While Pinquart focused on older adults OLD AGE DISSATISFACTION & SENILITY 8
reactions of distinction away from negative stereotypes, they explore the reactions in an opposing direction where stereotypes serve as a baseline for self-fulfilling prophecies even when subliminally exposed. Hetzog et al. (2002) randomly assigned participants into 3 groups. Each group was exposed to either a positive, negative, or neutral subliminal age stereotype. The participants took part in a memory task before and after the priming took place. Results showed that memory performance was undermined when exposed to negative primes. However, priming a positive age stereotype did not show a significant increase in older adults memory performance. This can lead to implications where older adults are more susceptible to identifying themselves with negative stereotypes regarding impotence and senility. Older adults may become easily subjected to these stereotypes that can have an immediate effect on physical and mental competencies. Aspects related to life satisfaction such as self-perspective, self-efficacy, and self-esteem, can easily be diminished by the internalization of these stereotypes. Yet, such evidence does not completely contradict what was theorized by Pinquart. Pinquart was indeed open to such a conclusion by accounting for the possibility of self- consistency effects. Older adults originally viewing themselves in a negative light are more salient to information consistent with self-views. This ultimately allows rumination and reflection upon the negative valence of stereotypes. As a result, personality and ones susceptibility to transient self-views contributes to the suppleness of life satisfaction in old age. The Limits of Adaptation The role of adaptation in successful and satisfactory aging has already been discussed as essential to the adjustment of expectations and thus, fulfillment of older adults. Nonetheless, OLD AGE DISSATISFACTION & SENILITY 9
even this has its limitations in time depending on appropriate body functioning. The functionality of regulatory and resiliency resources responsible for such adaptation also becomes aged along the years. As a result, this elucidates the trajectory observation where adults around the age of 70 are often observed to experience a significant decline in life satisfaction (Gerstorf et al., 2013). Cognitive resources, namely adaptive resources, approach lower limits of functionality and have a direct impact on life satisfaction. Limitations of Supporting Studies The aforementioned and related studies in this review, while giving substantial light to the maintenance of life satisfaction, possess common factors in the experimental designs that give rise to limitations of the arrived conclusions. One of which, concerns the cultural bias regarding the majority of the studies in old age. As mentioned before, the study of old age covers a small range in the scientific world of research and the study of life satisfaction in old age covers an even smaller area. Many studies that have been published and used in this literature review take place in the Western World and often cease to account for cultural differences. Hence, it is suggestible that the conclusions deduced from these studies have a possibility to solely apply in their respective cultures and not embody older adults in the entirety of the world. Moreover, a common observation based on the studies used in the literature review revealed the commonly prevailing number of women trumping over the number of men in the sample of participants. Berg et al. (2006) have remarked on the possibility of a gender difference in their sample between the patterns of variables associated with life satisfaction. This may support a fundamental difference in genders that points to a slight, yet different, trajectory in life satisfaction worth inspecting. OLD AGE DISSATISFACTION & SENILITY 10
On another note, in many scenarios, the participants were also filtered by physical and cognitive capacities to be eligible to participate in the experiments. This again brings challenges to the generalizability of experiments with the arising issue of self-selection. Omitting and selecting participants may seem to be most effective in the practicalities of conducting a study in older adults, yet it conjures a breach in understanding the subject as a whole and arouses skepticism towards conclusions based on current-day findings. Discussion The major points that have been discussed support the decline of life satisfaction accompanied by the decline of subjective and functional health, especially in the face of internalized negative stereotypes. The effect of such is revealed to be strongest when entering very old age. While this seems to be a common result in most studies in life satisfaction, there have also been studies conducted that have explored elements that can possibly stifle such steep declines. By focusing on the maintenance and improvement of subjective health, life satisfaction seems to have potential to be maintained even in the face of failing physical health. Whether it is done by explorative elements promoting adaptation or prospects of intervention improving self- esteem; further research should be conducted to investigate such possibilities. However, such investigations face many challenges with regards to generalizibility of findings. By encountering the final years of life, older adults are confronted with the inevitability of death. In itself, such a frightening event with its prospect of finality can easily lead to the dismissal of the positive elements of events that bind life together, including those that give self- respect. While difficult, research can make it possible to contribute to not only our loved ones, but our own final years in the future. With this, we can accompany those who have helped us in our lives through the lasts steps of the journey with contentment and dignity. OLD AGE DISSATISFACTION & SENILITY 11
References Berg, A. I., Hassing, L. B., McClearn, G. E., & Johansson, B. (2006). What Matters For Life Satisfaction In The Oldest-old? Aging & Mental Health, 10(3), 257-264. Retrieved March 14, 2014, from the PsycInfo database. Gana, K., Bailly, N., Saada, Y., Joulain, M., Trouillet, R., Herv, C., et al. (2013). Relationship between life satisfaction and physical health in older adults: A longitudinal test of cross- lagged and simultaneous effects. Health Psychology, 32(8), 896-904. Retrieved March 14, 2014, from the PsycInfo database. Gwozdz, W., & Sousa-Poza, A. (2010). Ageing, Health and Life Satisfaction of the Oldest Old: An Analysis for Germany . Social Indicators Research, 97(3), 397-417. Retrieved March 14, 2014, from the PsycInfo database. Jopp, D., & Rott, C. (2006). Adaptation in Very Old Age: Exploring the Role of Resources, Beliefs, and Attitudes for Centenarians' Happiness. Psychology and Aging, 21(2), 266- 280. Retrieved February 9, 2014, from the PsycInfo database. Lilienfeld, S. O. (2010). 50 great myths of popular psychology: shattering widespread misconceptions about human behavior. Chichester, West Sussex: Wiley-Blackwell. Morack, J., Infurna, F. J., Ram, N., & Gerstorf, D. (2013). Trajectories and personality correlates of change in perceptions of physical and mental health across adulthood and old age. International Journal of Behavioral Development, 37(6), 475-484. Retrieved March 18, 2014, from the PsycInfo database. Pinquart, M. (2002). Good News About The Effects Of Bad Old-Age Stereotypes. Experimental Aging Research, 28(3), 317-336. Retrieved February 9, 2014, from the PsycInfo database. OLD AGE DISSATISFACTION & SENILITY 12
Stein, R., Blanchard-Fields, F., & Hertzog, C. (2002). The Effects of Age-Stereotype Priming on the Memory Performance of Older Adults. Experimental Aging Research, 28(2), 169- 181.