Testing Bidirectionality in Associations of Awareness of Age-Related Gains and Losses With Physical, Mental, and Cognitive Functioning Across 1 Year: The Role of Age.

Causal pathway Health Mood Self-perceptions of aging Subjective aging

Journal

The journals of gerontology. Series B, Psychological sciences and social sciences
ISSN: 1758-5368
Titre abrégé: J Gerontol B Psychol Sci Soc Sci
Pays: United States
ID NLM: 9508483

Informations de publication

Date de publication:
06 12 2023
Historique:
received: 03 02 2023
medline: 11 12 2023
pubmed: 6 10 2023
entrez: 6 10 2023
Statut: ppublish

Résumé

The bidirectionality between self-perceptions of aging and health-related outcomes may depend on age group. Therefore, we tested such bidirectionality among individuals in late midlife (50-64 years), young-old age (65-74 years), and old-old age (75+ years), taking advantage of the construct of Awareness of Age-Related Change (AARC) and its 2-dimensionality in terms of AARC-gains and AARC-losses. Various conceptualizations of physical, mental, and cognitive functioning were used as outcomes. Data from 2 measurement occasions (2019 and 2020) from the UK PROTECT study for individuals in late midlife (N = 2,385), young-old age (N = 2,430), and old-old age (N = 539) were used. Data on self-reported functional difficulties, depression, anxiety, and performance on four computerized cognitive tasks (i.e., verbal reasoning, paired associate learning, self-ordered search, and digit span) providing a score for verbal reasoning and a score for working memory were analyzed using cross-lagged panel models. Across all 3 age groups, the bidirectional associations of AARC-gains with indicators of functioning were not significant, whereas higher AARC-losses significantly predicted slightly greater functional difficulties and higher depression and anxiety levels. Higher AARC-losses predicted slightly poorer Verbal Reasoning only in old-old age and poorer Working Memory predicted slightly higher AARC-losses only in young-old age. The remaining associations of AARC-losses with cognitive tasks were not statistically significant. In accordance with previous research targeting other indicators of self-perceptions of aging, this study supported a stronger impact of AARC-losses on indicators of physical functioning and mental health than vice versa from midlife to old-old age.

Identifiants

pubmed: 37801677
pii: 7294221
doi: 10.1093/geronb/gbad150
pmc: PMC10699739
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2026-2036

Subventions

Organisme : Economic and Social Research Council
ID : ES/X007766/1

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America.

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Auteurs

Serena Sabatini (S)

School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK.

Hans-Werner Wahl (HW)

Institute of Psychology, Heidelberg University, Heidelberg, Germany.

Manfred Diehl (M)

Department of Human Development and Family Studies, Colorado State University, Forth Collins, Colorado, USA.

Linda Clare (L)

Medical School, University of Exeter, Exeter, UK.

Clive Ballard (C)

Medical School, University of Exeter, Exeter, UK.

Helen Brooker (H)

Medical School, University of Exeter, Exeter, UK.
Ecog Pro Ltd, Bristol, UK.

Anne Corbett (A)

Medical School, University of Exeter, Exeter, UK.

Adam Hampshire (A)

Social, Genetic, and Developmental Psychiatry Centre, King's College London, London, UK.

Blossom C M Stephan (BCM)

School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK.
Faculty of Health Sciences, Curtin enAble Institute, Curtin University, Bentley, Australia.

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Classifications MeSH