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1.
Group Process Intergroup Relat ; 24(2): 246-252, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33746563

RESUMO

In this article, we outline how the response to the coronavirus (COVID-19) pandemic has the potential to fundamentally change how we think and feel about our own age, and how we think and feel about other age groups. Specifically, we outline how discourse surrounding the pandemic has strengthened the homogeneous view of older adults as vulnerable, has socially stigmatized being an older adult, and has exacerbated hostile and benevolent expressions of ageism. We explore the impact of these changing dynamics on intergenerational cohesion and relations, and propose that understanding theories of ageism will be essential for how we handle future pandemics in order to reduce the potential negative impact of crises on individuals as well as on communities and societies.

2.
Am J Obstet Gynecol MFM ; 6(2): 101264, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38135219

RESUMO

BACKGROUND: Targeted programs aimed at improving maternal mental health, particularly among those exposed to social determinants of health, are increasingly critical since the onset of the COVID-19 pandemic, yet the impact of such programs is poorly understood. OBJECTIVE: This study aimed to evaluate the impact of a novel, language-concordant community-based program on perinatal mental health. STUDY DESIGN: We conducted a prospective cohort study of peripartum individuals referred to a new community-based intervention known as Helping Us Grow Stronger (HUGS/Abrazos). Participants received up to 4 remote sessions with a cognitive behavioral therapy trained social worker, up to 3 resource navigation sessions with a community health worker, and direct relief with a grocery gift card and care package. Before and after the program, participants completed validated survey instruments to assess mental health and social determinants of health. RESULTS: A total of 178 participants were assessed after program completion, including 133 who were assessed before and after the program. The cohort was composed of 62.9% Hispanic or Latinx participants with a mean age of 29.8 year (standard error of mean, 0.46). There were high rates of food insecurity (111/178; 62.4%), experiences of discrimination (119/178; 66.9%), and SARS-CoV-2 infection (105/178; 59.0%). The program was associated with statistically significant improvements in the Edinburgh Postnatal Depression scores (baseline [mean±standard error of mean], 8.44±0.55 vs 6.77±0.51 after program completion; P=.0001) and Perceived Stress Scale scores (baseline, 15.2±0.74 vs 14.0±0.71; P=.035). Participants exposed to stressors including food insecurity and experiences of discrimination had higher baseline depression, stress, and anxiety scores. Those with experiences of discrimination, food insecurity, and SARS-CoV-2 infection during pregnancy were more likely to have improvements in mental health scores postintervention. CONCLUSION: In this diverse urban cohort, a novel community-based intervention was associated with improvements in depressive symptoms, perceived stress, and anxiety, particularly among those with social determinants of health.


Assuntos
COVID-19 , Saúde Mental , Testes Psicológicos , Autorrelato , Feminino , Gravidez , Humanos , Adulto , Depressão/diagnóstico , Depressão/epidemiologia , Depressão/prevenção & controle , Estudos Prospectivos , Pandemias , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/prevenção & controle
3.
J Soc Issues ; 78(4): 860-882, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36711193

RESUMO

Intergenerational contact is crucial for promoting intergenerational harmony and reducing ageism. However, the COVID-19 pandemic has disrupted and changed the nature and frequency of intergenerational contact. In addition, research suggests that both ageism towards older adults and intergenerational threat regarding succession and consumption, have increased. Through the lens of the Temporally Integrated Model of Intergroup Contact and Threat (TIMICAT; Abrams & Eller, 2016), we explore the implications of these changing dynamics on ageism towards older adults during and beyond the COVID-19 pandemic. Our review reveals that research into intergenerational contact needs to articulate both the time course and salience of contact and threats before making predictions about their impacts on prejudice. The implications of understanding how contact and threat combine to affect ageism for policy and practice are discussed in relation to employment, education, and intergenerational contact programs. We highlight that policy makers play a key role in promoting intergenerational harmony through the reduction of narratives that inflame intergenerational tensions and threat.

4.
Front Psychol ; 12: 640567, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34194358

RESUMO

Test conditions eliciting negative stereotypes of aging among older adults can prompt age-based stereotype threat (ABST), which results in worse performance on cognitive and memory tests. Much of this research explores ABST as a phenomenon that impacts the performance of older adults. Little is known about the experience of ABST beyond performance settings and how it manifests in everyday contexts across different age groups. Gaps also remain in understanding the wider impacts of ABST, such as effects on task motivation and engagement. The current research addresses this by exploring the contexts in which age-based judgement, a theorized precursor to ABST, occurs across a wide age range of participants. The two studies in this paper present mixed-methods survey data for a total of 282 respondents aged 18-84 years. Study 1 presents a thematic analysis of open-ended responses to identify the stereotypes and settings that underpin perceived age-based judgement. The settings and stereotypes identified are discussed in relation to which contexts lend themselves to adverse ABST effects. Study 2 then asked respondents to rate the extent to which they experience threat-based concern within 12 contexts identified from Study 1. Results indicate differences in threat-based concerns between young, middle-aged and older adults for physical activity, driving, using public transport, using technology, in leadership and relating to the COVID-19 pandemic. The studies provide a foundation for future research to investigate (1) the motivational and behavioural consequences of threat-based concerns for younger adults' driving and leadership, and in the context of the pandemic; (2) cues to 'old' age stereotypes and threat-based concerns among late middle-aged adults within the workplace; (3) the role of broad stereotypes of 'incompetence' and being 'past-it' on middle-aged and older adults' engagement with technology and physical activity and (4) potential ABST effects resulting from stereotypes of older people as a burden and a problem in the context of a national crisis. Overall, this research extends our understanding of ABST by identifying further contexts and age groups that could be impacted by a wider range of ABST effects.

5.
Dev Psychol ; 56(5): 1029-1039, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32105118

RESUMO

Ageism is the most prevalent form of prejudice and is experienced by both older and younger people. Little is known about whether these experiences are interdependent or have common origins. We analyze data from 8,117 older (aged 70 and over) and 11,647 younger respondents (15-29 years) in representative samples from 29 countries in the European Social Survey. Using multilevel structural equation modeling, we test the hypothesis that older people are less likely, and younger people more likely, to suffer age discrimination if they live in a country with stronger structural support for older people. We also test the hypothesis that although stronger social norm against age discrimination reduce age discrimination suffered by older people it does not inhibit discrimination against younger people. These hypotheses are supported, and the results underline the neglected problem of ageism toward youth. Findings highlight that strategies for reducing age prejudice must address ageism as a multigenerational challenge, requiring attention to intergenerational cohesion and resource distribution between ages. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Etarismo/psicologia , Discriminação Social , Normas Sociais , Adolescente , Adulto , Idoso , Emprego , Europa (Continente) , Feminino , Humanos , Masculino , Pensões , Inquéritos e Questionários , Adulto Jovem
6.
Front Psychol ; 10: 688, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31057448

RESUMO

Previous research has examined the impact of stereotypes on outcomes such as career progression and hiring decisions. We present a novel approach to examine the role of stereotypes in predicting self-rated leadership potential across gender and age groups. This research sheds light on the impact of leadership-incongruent and detrimental stereotypes about one's gender and age, for women and older workers, on self-ratings of leadership potential. Across three studies (total N = 640), correlational and experimental evidence shows differential effects of stereotypes about women (vs. men) and older (vs. younger) people on self-ratings of their own leadership potential. Results suggest that both gender and age stereotypes affect older workers more than their younger counterparts (Study 1). Specifically, effects on self-rated leadership potential at the intersectional level show that endorsement of stereotypes has opposite effects on older women to younger men (Study 1). Furthermore, stereotyped workplace cultures impacted women's and older worker's perceptions of job fit (Studies 2 and 3), also extending to job appeal for older workers (Study 3). Results are discussed in terms of career implications for both women and older workers, with a particular focus on older women, whose intersecting identities are leadership stereotype-incongruent.

7.
Dev Psychol ; 54(1): 167-180, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29058935

RESUMO

Ageism is recognized as a significant obstacle to older people's well-being, but age discrimination against younger people has attracted less attention. We investigate levels of perceived age discrimination across early to late adulthood, using data from the European Social Survey (ESS), collected in 29 countries (N = 56,272). We test for approximate measurement invariance across countries. We use local structural equation modeling as well as moderated nonlinear factor analysis to test for measurement invariance across age as a continuous variable. Using models that account for the moderate degree of noninvariance, we find that younger people report experiencing the highest levels of age discrimination. We also find that national context substantially affects levels of ageism experienced among older respondents. The evidence highlights that more research is needed to address ageism in youth and across the life span, not just old adulthood. It also highlights the need to consider factors that differently contribute to forms of ageism experienced by people at different life stages and ages. (PsycINFO Database Record


Assuntos
Etarismo , Envelhecimento/psicologia , Percepção , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Comparação Transcultural , Europa (Continente) , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dinâmica não Linear , Inquéritos e Questionários , Adulto Jovem
8.
J Community Appl Soc Psychol ; 27(1): 65-82, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28184149

RESUMO

Caring is a positive social act, but can it result in negative attitudes towards those cared for, and towards others from their wider social group? Based on intergroup contact theory, we tested whether care workers' (CWs) positive and negative contact with old-age care home residents (CHRs) predicts prejudiced attitudes towards that group, and whether this generalises to other older people. Fifty-six CWs were surveyed about their positive and negative contact with CHRs and their blatant and subtle attitudes (humanness attributions) towards CHRs and older adults. We tested indirect paths from contact with CHRs to attitudes towards older adults via attitudes towards CHRs. Results showed that neither positive nor negative contact generalised blatant ageism. However, the effect of negative, but not positive, contact on the denial of humanness to CHRs generalised to subtle ageism towards older adults. This evidence has practical implications for management of CWs' work experiences and theoretical implications, suggesting that negative contact with a subgroup generalises the attribution of humanness to superordinate groups. Because it is difficult to identify and challenge subtle prejudices such as dehumanisation, it may be especially important to reduce negative contact. © 2016 The Authors. Journal of Community & Applied Social Psychology Published by John Wiley & Sons Ltd.

9.
Acta Crystallogr E Crystallogr Commun ; 73(Pt 7): 936-940, 2017 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-28775855

RESUMO

The first FeIII atom in the solvated title compound, [Fe2Cl4O(C26H28N4)]·CHCl3, adopts a distorted six-coordinate octa-hedral geometry. It is coordinated by one chloride ligand, four N atoms from the (1R,2R)-N,N'-bis-[(quinolin-2-yl)methyl]cyclo-hexane-1,2-di-amine ligand, and a bridging oxido ligand attached to the second FeIII atom, which is also bonded to three chloride ions. A very weak intra-molecular N-H⋯Cl hydrogen bond occurs. In the crystal, the coordination complexes stack in columns, and a grouping of six such columns create channels, which are populated by disordered chloro-form solvent mol-ecules. Although the Fe-Cl bond lengths for the two metal atoms are comparable to the mean Fe-Cl bond lengths as derived from the Cambridge Structural Database, the Fe-O bond lengths are notably shorter. The solvent chloro-form mol-ecule exhibits 'flip' disorder of the C-H moiety in a 0.544 (3):0.456 (3) ratio. The only directional inter-action noted is a weak C-H⋯Cl hydrogen bond.

10.
J Soc Issues ; 72(1): 105-121, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27635102

RESUMO

Across the world, people are required, or want, to work until an increasingly old age. But how might prospective employers view job applicants who have skills and qualities that they associate with older adults? This article draws on social role theory, age stereotypes and research on hiring biases, and reports three studies using age-diverse North American participants. These studies reveal that: (1) positive older age stereotype characteristics are viewed less favorably as criteria for job hire, (2) even when the job role is low-status, a younger stereotype profile tends to be preferred, and (3) an older stereotype profile is only considered hirable when the role is explicitly cast as subordinate to that of a candidate with a younger age profile. Implications for age-positive selection procedures and ways to reduce the impact of implicit age biases are discussed.

12.
Psychol Aging ; 31(7): 699-710, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27831711

RESUMO

Psychological theories of aging highlight the importance of social context. However, very little research has distinguished empirically between older people's perception of how others in their social context perceive them (personal meta-perceptions) and the shared perceptions in society (societal meta-perceptions). Drawing on theories of intergroup relations and stereotyping and using a multilevel perspective, this article examines how well older people's perceptions of age discrimination (PAD) are predicted by (a) older people's personal meta-perceptions, (b) societal meta-perceptions, and (c) social norms of intolerance toward age prejudice. Aging meta-perceptions are differentiated into the cognitive and affective components of ageism. Multilevel analyses of data from the European Social Survey (Nover 70 years of age = 8,123, 29 countries; European Social Survey (ESS) Round 4 Data, 2008) confirmed that older people's personal meta-perceptions of negative age stereotypes and specific intergroup emotions (pity, envy, contempt) are associated with higher PAD. However, at the societal-level, only paternalistic meta-perceptions were consistently associated with greater PAD. The results show that a few meta-perceptions operate only as a psychological phenomenon in explaining PAD, some carry consonant, and others carry contrasting effects at the societal-level of analysis. This evidence extends previous research on aging meta-perceptions by showing that both the content of meta-perceptions and the level of analysis at which they are assessed make distinct contributions to PAD. Moreover, social norms of intolerance of age prejudice have a larger statistical effect than societal meta-perceptions. Social interventions would benefit from considering these differential findings. (PsycINFO Database Record


Assuntos
Etarismo/psicologia , Envelhecimento/psicologia , Metacognição , Normas Sociais , Percepção Social , Teoria da Mente , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino
13.
Psychol Aging ; 30(1): 180-193, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25621742

RESUMO

Stereotype threat effects arise when an individual feels at risk of confirming a negative stereotype about their group and consequently underperforms on stereotype relevant tasks (Steele, 2010). Among older people, underperformance across cognitive and physical tasks is hypothesized to result from age-based stereotype threat (ABST) because of negative age-stereotypes regarding older adults' competence. The present review and meta-analyses examine 22 published and 10 unpublished articles, including 82 effect sizes (N = 3882) investigating ABST on older people's (Mage = 69.5) performance. The analysis revealed a significant small-to-medium effect of ABST (d = .28) and important moderators of the effect size. Specifically, older adults are more vulnerable to ABST when (a) stereotype-based rather than fact-based manipulations are used (d = .52); (b) when performance is tested using cognitive measures (d = .36); and (c) occurs reliably when the dependent variable is measured proximally to the manipulation. The review raises important theoretical and methodological issues, and areas for future research.


Assuntos
Envelhecimento/psicologia , Estereotipagem , Idoso , Idoso de 80 Anos ou mais , Cognição/fisiologia , Feminino , Humanos , Masculino
14.
J Gerontol B Psychol Sci Soc Sci ; 70(6): 901-12, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24898030

RESUMO

OBJECTIVES: The relative income hypothesis predicts poorer health in societies with greater income inequality. This article examines whether the psychosocial factors of perceived age discrimination and (lack of) social capital may help explain the adverse effect of inequality on older people's health. METHODS: Self-rated health, perceived age discrimination, and social capital were assessed in the 2008/9 European Social Survey (European Social Survey Round 4 Data, 2008). The Gini coefficient was used to represent national inequalities in income in each of the 28 European Social Survey countries. Mediation analyses (within a multilevel structural equation modeling paradigm) on a subsample of respondents over 70 years of age (N = 7,819) were used to examine whether perceived age discrimination mediates the negative effect of income inequality on older people's self-rated health. RESULTS: Perceived age discrimination fully mediated the associations between income inequality and self-rated health. When social capital was included into the model, only age discrimination remained a significant mediator and predictor of self-rated health. DISCUSSION: Concrete instances of age discrimination in unequal societies are an important psychosocial stressor for older people. Awareness that the perception of ageism can be an important stressor and affect older patient's self-reported health has important implications for the way health practitioners understand and treat the sources of patient's health problems in later life.


Assuntos
Etarismo , Autoavaliação Diagnóstica , Renda , Percepção , Capital Social , Idoso , Europa (Continente) , Feminino , Humanos , Masculino , Fatores Socioeconômicos
15.
Psychol Health ; 30(6): 699-714, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25000364

RESUMO

OBJECTIVE: It has been suggested that the extent to which older adults identify with 'old-age' is associated with greater subjective ill-health. Based on social identity theory, we hypothesise that the societal social status of older people should moderate this relationship, such that the effect of age-identification on subjective health should be stronger in countries in which older people have lower social status. DESIGN AND MAIN OUTCOME MEASURES: Subjective health, age identification and the perceived status of people over 70 were assessed in a subsample of older respondents (N = 6185) of the 2008/2009 European Social Survey. We examined whether country-level differences in the perceived status of older adults moderated the effect of age identification on subjective ill-health. RESULTS: 20% of the total variance in older people's subjective ill-health was due to country differences. The hypothesised cross-level interaction was significant in that the negative association between old age identification and subjective health was stronger in countries where the social status of older people is perceived to be lower. CONCLUSION: The results provide an important insight into being ascribed a higher social status is likely to have a protective function for older people.


Assuntos
Envelhecimento/psicologia , Autoavaliação Diagnóstica , Classe Social , Identificação Social , Idoso , Idoso de 80 Anos ou mais , Europa (Continente) , Feminino , Humanos , Masculino
16.
J Gerontol B Psychol Sci Soc Sci ; 70(4): 650-60, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24942971

RESUMO

OBJECTIVES: To test and expand upon modernization theory's account of subjective social status (SSS) of older people in society. It was hypothesized that perceptions of older people's social status should be higher in more modernized countries and that the proportion of older people in employment should moderate the relationship between modernization and SSS of older people. METHODS: Data were from the "Experiences and Expressions of Ageism" module in the fourth round of the European Social Survey. The sample analyzed included 45,706 individuals from 25 countries in the European region. Multilevel modeling was used to test the hypotheses. RESULTS: The SSS of older people (aged 70 years and older) was perceived to be higher in countries with very high levels of modernization and in countries with a higher proportion of older people in employment. The positive association between modernization and SSS of older people was stronger within countries with a lower proportion of older people in employment. DISCUSSION: The proportion of older people who are employed is an important factor that is related to perceptions of the social status of older people in less modern societies. The individual and societal implications are discussed, specifically in relation to policies promoting active aging.


Assuntos
Envelhecimento , Países Desenvolvidos/estatística & dados numéricos , Emprego/estatística & dados numéricos , Pensões/estatística & dados numéricos , Classe Social , Adulto , Idoso , Idoso de 80 Anos ou mais , Comparação Transcultural , Europa (Continente) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
17.
Addiction ; 109(6): 913-21, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24450782

RESUMO

AIMS: To investigate the impact of alcohol consumption on risk decisions taken both individually and while part of a four- to six-person ad-hoc group. DESIGN: A 2 (alcohol: consuming versus not consuming alcohol) × 2 (decision: individual, group) mixed-model design; decision was a repeated measure. The dependent variable was risk preference, measured using choice dilemmas. SETTING: Opportunity sampling in campus bars and a music event at a campus-based university in the United Kingdom. PARTICIPANTS: A total of 101 individuals were recruited from groups of four to six people who either were or were not consuming alcohol. MEASUREMENTS: Participants privately opted for a level of risk in response to a choice dilemma and then, as a group, responded to a second choice dilemma. The choice dilemmas asked participants the level of accident risk at which they would recommend someone could drive while intoxicated. FINDINGS: Five three-level multi-level models were specified in the software program HLM 7. Decisions made in groups were less risky than those made individually (B = -0.73, P < 0.001). Individual alcohol consumers opted for higher risk than non-consumers (B = 1.27, P = 0.025). A significant alcohol × decision interaction (B = -2.79, P = 0.001) showed that individual consumers privately opted for higher risk than non-consumers, whereas risk judgements made in groups of either consumers or non-consumers were lower. Decisions made by groups of consumers were less risky than those made by groups of non-consumers (B = 1.23, P < 0.001). CONCLUSIONS: Moderate alcohol consumption appears to produce a propensity among individuals towards increased risk-taking in deciding to drive while intoxicated, which can be mitigated by group monitoring processes within small (four- to six-person) groups.


Assuntos
Consumo de Bebidas Alcoólicas/psicologia , Tomada de Decisões , Processos Grupais , Segurança , Facilitação Social , Acidentes de Trânsito/prevenção & controle , Acidentes de Trânsito/psicologia , Adolescente , Adulto , Intoxicação Alcoólica/prevenção & controle , Intoxicação Alcoólica/psicologia , Condução de Veículo/psicologia , Comportamento de Escolha , Inglaterra , Feminino , Estrutura de Grupo , Humanos , Masculino , Reforço Social , Assunção de Riscos , Estudos de Amostragem , Adulto Jovem
18.
J Gerontol B Psychol Sci Soc Sci ; 69(6): 920-9, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24567313

RESUMO

OBJECTIVES: Despite age-related changes or declines in circumstances, health or income, many older people are able to maintain subjective well-being (SWB) in later life. This is known as the paradox of well-being. To date, much research has focused on either individual- (e.g., age, health, and income) or country-level (e.g., national wealth, inequality) differences in SWB. The present research investigates how these levels combine, and whether the paradox of well-being persists across different economic contexts. METHOD: This research uses the 2008-2009 European Social Survey to test the multilevel hypothesis that economic circumstances, reflected by a country's Gross Domestic Product (GDP), affect the paradox of well-being, that is, the relationship between age and SWB. Analyses also account for other relevant psychological, individual, and country differences. Possible avenues by which GDP affects SWB are also explored. RESULTS: The multilevel analysis revealed that GDP disproportionally affects the SWB of older people relative to younger people, and that the paradox of well-being is only observed in countries with higher GDP. DISCUSSION: The findings clarify the relationship between age and SWB by demonstrating that the paradox of well-being is conditional on the economic context. Implications for individual- and country-level strategies for successful aging are discussed.


Assuntos
Produto Interno Bruto/estatística & dados numéricos , Satisfação Pessoal , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Europa (Continente)/etnologia , Feminino , Humanos , Israel/etnologia , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Turquia/etnologia , Adulto Jovem
19.
J Gerontol B Psychol Sci Soc Sci ; 68(1): 23-30, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22512994

RESUMO

OBJECTIVES: In this research, we investigate whether social comparison with younger people can result in either a stereotype-based threat or boost in older people's performance. METHODS: Study 1 used nationally representative data to establish domains of performance in which older people are either stereotypically disadvantaged or advantaged relative to younger people. Study 2 was an experiment to test how a potentially threatening versus control versus enhancing comparison with younger people would affect performance in negatively and positively stereotyped task domains. RESULTS: As predicted, compared with the control condition, stereotype threat caused performance decrements in both task domains. This effect was partially mediated by anxiety. Moreover, the enhancing social comparison boosted performance, but only on a crossword task, a task on which older people's abilities are favorably stereotyped. DISCUSSION: The research demonstrates that a threatening comparison can result in underperformance by older people both in negatively and positively self-stereotyped task domains. It also demonstrates that social comparison with younger people can enhance older people's performance in a positively stereotyped task domain. The implications for creating circumstances likely to enable older people to achieve their full potential are discussed.


Assuntos
Envelhecimento/psicologia , Ansiedade/psicologia , Cognição/fisiologia , Relações Interpessoais , Estereotipagem , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Entrevista Psicológica , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Identificação Social , Inquéritos e Questionários , Adulto Jovem
20.
BMJ Open ; 2(3)2012.
Artigo em Inglês | MEDLINE | ID: mdl-22619267

RESUMO

OBJECTIVE: To assess how age-related social comparisons, which are likely to arise inadvertently or deliberately during assessments, may affect older people's performance on tests that are used to assess their needs and capability. DESIGN: The study randomly assigned participants to a comparison with younger people or a no comparison condition and assessed hand grip strength and persistence. Gender, education, type of residence, arthritis and age were also recorded. SETTING: Age UK centres and senior's lunches in the South of England. PARTICIPANTS: An opportunity sample of 56 adults, with a mean age of 82.25 years. MAIN OUTCOMES MEASURES: Hand grip strength measured using a manual hand dynamometer and persistence of grip measured using a stopwatch. RESULTS: Comparison caused significantly worse performance measured by both strength (comparison =6.85 kg, 95% CI 4.19 kg to 9.5 kg, control group =11.07 kg, 95% CI 8.47 kg to 13.68 kg, OR =0.51, p=0.027) and persistence (comparison =8.36 s, 95% CI 5.44 s to 11.29 s; control group =12.57 s, 95% CI 9.7 s to 15.45 s, OR =0.49, p=0.045). These effects remained significant after accounting for differences in arthritis, gender, education and adjusting for population age norms. CONCLUSIONS: Due to the potential for age comparisons and negative stereotype activation during assessment of older people, such assessments may underestimate physical capability by up to 50%. Because age comparisons are endemic, this means that assessment tests may sometimes seriously underestimate older people's capacity and prognosis, which has implications for the way healthcare professionals treat them in terms of autonomy and dependency.

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