A Two-Factor Model of Successful Aging

Pruchno, Rachel; Wilson‐Genderson, Maureen; Cartwright, Francine

doi:10.1093/geronb/gbq051

Cited by 193 publications

(183 citation statements)

References 33 publications

Supporting

Mentioning

162

Contrasting

Unclassified

Order By: Relevance

“…Previous SA theorists have advocated the inclusion of both subjective and objective components (Bowling and Iliffe, 2006;Pruchno et al, 2010;Cosco et al, 2014b) in SA models. The current model is firmly rooted in the literature including components that have been deemed to be important to older adults and researchers.…”

Section: Discussionmentioning

confidence: 99%

Validation of an a priori, index model of successful aging in a population-based cohort study: the successful aging index

Cosco

Stephan²,

Brayne

2015

Int. Psychogeriatr.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Validation of an a priori, index model of successful aging in a population-based cohort study: the successful aging index

Cosco

Stephan²,

Brayne

2015

Int. Psychogeriatr.

View full text Add to dashboard Cite

show abstract

“…Recent dialogues within optimal aging perspectives argue that both objective and subjective components are required to capture the multidimensionality of mental health in successful and healthy aging (Pruchno, Wilson-Genderson, & Cartwright, 2010), a critical aspect of health equity. Objective measures assess the presence of mental illness symptomatology, including depressive symptoms.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…Mental health, the absence of mental illness and the presence of psychological well-being, is integral to successful aging (Westerhof & Keyes, 2010), and as such can be described as a desired positive outcome of the HEPM-progress toward achieving health equity. Recent dialogues within optimal aging perspectives argue that both objective and subjective components are required to capture the multidimensionality of mental health in successful and healthy aging (Pruchno, Wilson-Genderson, & Cartwright, 2010), a critical aspect of health equity. Objective measures assess the presence of mental illness symptomatology, including depressive symptoms.…”

mentioning

confidence: 99%

Prior Military Service, Identity Stigma, and Mental Health Among Transgender Older Adults

Hoy-Ellis

Shiu

Sullivan

et al. 2017

GERONT

View full text Add to dashboard Cite

Purpose of the Study: Converging evidence from large community-based samples, Internet studies, and Veterans Health Administration data suggest that transgender adults have high rates of U.S. military service. However, little is known about the role of prior military service in their mental health later in life, particularly in relation to identity stigma. In this article, we examine relationships between prior military service, identity stigma, and mental health among transgender older adults. Design and Methods: We used a subsample of transgender older adults (n = 183) from the 2014 survey of Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS). We employed weighted multivariate linear models to evaluate the relationships between psychological health-related quality of life (HRQOL), depressive symptomatology (Center for Epidemiological Studies Depression Scale [CES-D] scores), identity stigma, and prior military service, controlling for background characteristics. Results: Identity stigma was significantly related with higher depressive symptomatology and lower psychological HRQOL. Having a history of prior military service significantly predicted lower depressive symptomatology and higher psychological HRQOL. The relationships between psychological HRQOL, identity stigma, and prior military service were largely explained by depressive symptomatology. Prior military service significantly attenuated the relationship between identity stigma and depressive symptomatology. Implications: By identifying the role of military service in the mental health of transgender older adults, this study provides insights into how prior military service may contribute to resilience and positive mental health outcomes. Directions for future research are discussed.Keywords: Veterans, Gender identity, Resilience, Depression, Quality of life Estimating the prevalence of current and former U.S. service members who self-identify as transgender is challenging, yet important to understanding of the effects of military service in this population. The Veterans Health Administration indicates the prevalence of diagnosed gender dysphoria is five times that of prevalence estimates in the general population (Blosnich et al., 2013). Gates and Herman (2014) propose that there are more than 15,000 transgender adults currently serving in the U.S. military. The RAND Report commissioned by the U.S. Department of Defense suggests that of the more than 2.1 million active duty and reserve military personnel, between 2,150 (0.1%) and 10,790 (0.5%) are transgender (Schaefer et al., 2016). Due to the rapidly increasing aging population and the high The Gerontologist cite as : Gerontologist, 2017, Vol. 57, No. S1, S63-S71 doi:10.1093 proportion of veterans among older Americans (more than 50%; Hardy & Reyes, 2016), the number of transgender older adults with a history of military service is likely substantially increasing. In a national community-based survey, 41% of transgender older adults reported having previously serv...

show abstract

“…While people may be reluctant to label themselves as being "unsuccessful" and may adopt different frames of mind in the exercise, the measure would be of little practical or theoretical value if almost everyone rates himself or herself the same way. Pruchno et al (2010), however, argued that both objective (or researcher-defined) and subjective criteria should be incorporated into measuring successful aging, and their structural equation model showed a high correlation between objective and subjective successful aging at the latent variable level (r = 0.65). Another approach is to ask lay people to define the contours of successful aging.…”

Section: Defining Successful Aging: the Need To Distinguish Pathways mentioning

confidence: 99%

Defining successful aging: the need to distinguish pathways from outcomes

Cheng¹

2013

Int. Psychogeriatr.

View full text Add to dashboard Cite

Motivated by a vision for a “new gerontology” that focuses on optimal functioning rather than losses and declines, Rowe and Kahn (1987) argued that many of the age-related declines that define usual aging are due to modifiable factors such as diet, exercise, personal habits such as smoking, and psychosocial factors. Thus, individuals may engage in lifestyle modifications to avoid diseases and, consequently, enhance their chance of aging well. Three domains of outcomes were said to jointly define successful aging: (a) low probability of disease and disease-related disability, (b) high cognitive and physical functioning, and (c) engagement with life (namely in the form of social connectedness and productive activities; Rowe and Kahn, 1997). All three criteria are meant to be relative (i.e. without absolute thresholds), although subsequent studies tend to adopt a threshold approach (see Depp and Jeste, 2006). The three criteria are somewhat hierarchical, in that avoiding diseases (and associated risk factors) makes high physical and cognitive functioning possible, which in turn enables the individual to engage in social and productive activities (Rowe and Kahn, 1997). However, remaining free of disease/disability and maintaining high physical and cognitive functioning are less likely as one ages, whereas participation in social and even productive activities may not be affected until significant physical and cognitive declines have occurred (McLaughlin et al., 2010; Yaffe et al., 2010; Hsu and Jones, 2012).

show abstract

A Two-Factor Model of Successful Aging

Abstract: Results add rigor to the measurement of a construct that has intrigued philosophers and scientists for hundreds of years, providing the empirical foundation on which to build research about successful aging.

Cited by 193 publications

References 33 publications

Validation of an a priori, index model of successful aging in a population-based cohort study: the successful aging index

Validation of an a priori, index model of successful aging in a population-based cohort study: the successful aging index

Prior Military Service, Identity Stigma, and Mental Health Among Transgender Older Adults

Defining successful aging: the need to distinguish pathways from outcomes

Contact Info

Product

Resources

About