Self‐perceptions of aging mediate the longitudinal relationship of hopelessness and depressive symptoms

Gum, Amber M.; Ayalon, Liat

doi:10.1002/gps.4826

Cited by 20 publications

(12 citation statements)

References 62 publications

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“…The second largest HANC subgroup accounted for an average 14% in both samples. Older adults in the HANC subgroup had the highest level of Chronic‐Timeline and ER beyond depressive symptoms, supporting the previously identified link between negative SPA and depression using the variable‐centred method 16,50 . Consistent ageing awareness or ageing beliefs were found to be maladaptive and associated with increased depressive symptoms.…”

Section: Discussionsupporting

confidence: 79%

“…Depression is one of the most important mental health concerns; approximately 22.3% of older adults in China have been reported as having depressive symptoms 14 . Several studies revealed that SPA directly or indirectly predicted the onset and persistence of depressive symptoms 15,16 . For example, the odds of belonging to the depressed ageing group rose by 17% because of a one‐unit increase in negative SPA 17 .…”

Section: Introductionmentioning

confidence: 99%

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Latent profile analysis of self‐perceptions of ageing among Chinese community‐dwelling older adults

et al. 2021

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Background Self‐perceptions of ageing (SPA) is an important predictor for physical and mental health of older adults in successful ageing. SPA is mainly studied from negative or positive perspectives using variable‐centred methodologies. The aim of the current study was to explore distinct profiles of SPA among Chinese community‐dwelling older adults using a person‐centred method and validate the SPA profiles by examining associations with psychological outcomes. Methods Participants aged 65 and over were randomly divided into test and validation samples (n = 451, respectively). SPA was measured by the Brief Ageing Perceptions Questionnaire using latent profile analysis. Results Three SPA profiles were identified. One adaptive subgroup was designated as ‘Low ageing awareness and high positive control’ (LAPC, 84.7% and 75% in both samples, respectively). Two maladaptive SPA subgroups were designated as ‘Low positive consequences and control’ (LPCC, 3.9% and 8.2% in both samples, respectively), and ‘High ageing awareness and negative control’ (HANC, 11.4% and 16.8% in both samples, respectively). Similar to negative/positive SPA, the HANC and LAPC subgroups showed the highest and lowest levels of depressive symptoms and cognitive decline. Low cognitive function was found in the LPCC subgroup. Conclusions These findings highlight the heterogeneity of older adults' SPA. SPA profiles may aid community healthcare providers in China to identify individuals with high risk of maladaptive SPA and to tailor targeted interventions for psychological health in later life. Distinct SPA profiles require different interventions targeting negative or positive control or both aspects. More positive control strategies might be beneficial for cognitive functioning in older adults from the LPCC subgroup.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Latent profile analysis of self‐perceptions of ageing among Chinese community‐dwelling older adults

et al. 2021

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“…In the mental-illness domain (outside of work environments), 95.5% of the 44 studies and 93.2% of the 88 associations found evidence of ageism influencing psychiatric conditions. The most frequently examined condition, depressive symptoms, showed evidence that ageism was associated with onset and lifetime depression, as well as increases in depressive symptoms over time [69][70][71][72][73][74][75][76][77][78][79][80][81][82][83]. Reflecting a hopeful finding in this area, researchers found that when older persons resisted negative age stereotypes, they were less likely to experience suicidal ideation, anxiety, and PTSD in a nationally representative sample of American veterans [84].…”

Section: Impact Of Ageism On Health Of Older Persons: Individual Levelmentioning

confidence: 99%

Global reach of ageism on older persons’ health: A systematic review

et al. 2020

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Objective Although there is anecdotal evidence of ageism occurring at both the structural level (in which societal institutions reinforce systematic bias against older persons) and individual level (in which older persons take in the negative views of aging of their culture), previous systematic reviews have not examined how both levels simultaneously influence health. Thus, the impact of ageism may be underestimated. We hypothesized that a comprehensive systematic review would reveal that these ageism levels adversely impact the health of older persons across geography, health outcomes, and time. Method A literature search was performed using 14 databases with no restrictions on region, language, and publication type. The systematic search yielded 13,691 papers for screening, 638 for full review, and 422 studies for analyses. Sensitivity analyses that adjusted for sample size and study quality were conducted using standardized tools. The study protocol is registered (PROSPERO CRD42018090857). Results Ageism led to significantly worse health outcomes in 95.5% of the studies and 74.0% of the 1,159 ageism-health associations examined. The studies reported ageism effects in all 45 countries, 11 health domains, and 25 years studied, with the prevalence of significant findings increasing over time (p < .0001). A greater prevalence of significant ageism-health findings was found in less-developed countries than more-developed countries (p = .0002). Older persons who were less educated were particularly likely to experience adverse health effects of ageism. Evidence of ageism was found across the age, sex, and race/ethnicity of the targeters (i.e., persons perpetrating ageism).

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“…Prior research also suggests variations in control beliefs and age perceptions by race/ethnicity (Assari, 2017;Ayalon, 2018). We controlled for education because having more years of schooling is related to lower negative SPA and more sense of control (Gum & Ayalon, 2018;Mitchell et al, 2018). We also adjusted for self-rated health because better health is associated with more positive perceptions of aging (Beyer et al, 2015) and a higher sense of control (Lachman & Firth, 2004).…”

Section: Sociodemographic Informationmentioning

confidence: 99%

Self-Perceptions of Aging and Control of Life in Late Adulthood: Between-Person and Within-Person Associations

Luo

Chui

2020

J Aging Health

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Objectives: This study aimed to examine the longitudinal relationship between two central concepts in aging research—self-perceptions of aging (SPA) and perceived control of life (COL). Method: The data came from three measurement points over a 9-year period in the Health and Retirement Study (HRS). A random intercepts cross-lagged panel model (RI-CLPM) was estimated. Results: The covariations between SPA and COL across 9 years were evident at both the between-person level and the within-person within-time level. The results revealed a reciprocal relationship between SPA and COL: Higher than usual negative SPA predicted within-person decreases in COL 4 years later, and lower than usual COL predicted future within-person increases in negative SPA. Furthermore, SPA were found to have a somewhat larger effect on COL than the corresponding influence of COL on SPA. Discussion: This study enriches the stereotype embodiment theory and the practice by documenting a reciprocal interrelationship between SPA and COL.

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Self‐perceptions of aging mediate the longitudinal relationship of hopelessness and depressive symptoms

Cited by 20 publications

References 62 publications

Latent profile analysis of self‐perceptions of ageing among Chinese community‐dwelling older adults

Latent profile analysis of self‐perceptions of ageing among Chinese community‐dwelling older adults

Global reach of ageism on older persons’ health: A systematic review

Self-Perceptions of Aging and Control of Life in Late Adulthood: Between-Person and Within-Person Associations

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