Cognitive and Emotional Factors Influencing the Incorporation of Advice Into Decision Making Across the Adult Lifespan.

OBJECTIVES: The present study sought to investigate the influence of advice on decision making in older age, as well as the potential influence of depressive symptoms and age-related differences in the cognitively demanding emotion regulation on advice-taking. METHOD: A nonclinical sample (N = 156; 50% female; 47 young: M age = 29.87, standard deviation [SD] = 5.58; 54 middle-aged: M age = 50.91, SD = 7.13; 55 older: M age = 72.51, SD = 5.33) completed a judge-advisor task to measure degree of advice-taking, as well as measures of fluid intelligence, depressive symptoms, confidence, perceived advice accuracy, and emotion regulation. RESULTS: Age did not influence degree of advice-taking. Greater depressive symptoms were associated with more reliance on advice, but only among individuals who identified as emotion regulators. Interestingly, older age was associated with perceiving advice to be less accurate. DISCUSSION: The study contributes to the sparse literature on advice-taking in older age. Cognitive and emotional factors influence the degree to which advice is incorporated into decision making in consistent ways across the adult lifespan. A key difference is that older adults take as much advice as younger adults despite perceiving the advice to be less accurate.

Older adults' decision-making following bad advice.

There is minimal research investigating the influence of advice on decision-making in older age. The present study investigated the effect of different types of bad advice, relative to no advice, on young and older adults' decision-making in the Iowa Gambling Task (IGT). Fifty-four older adults and 59 young adults completed the IGT after receiving no advice, or advice to select from disadvantageous deck A (small, high-frequency losses), or disadvantageous deck B (larger, low-frequency losses). Corrugator EMG, memory and fluid intelligence were assessed. Averaged across advice conditions, older adults made more disadvantageous selections than young adults. There were no age-related differences in responding to bad advice, nor in corrugator activity in response to losses (i.e. frowning), or in learning to avoid deck A faster than deck B. Selecting from deck B was associated with reduced education among older adults, and reduced fluid intelligence among young adults. The data suggest that older adults make more disadvantageous decisions than young adults, and this is not exacerbated by bad advice. Both young and older adults are slower at learning to avoid choices resulting in low frequency relative to high-frequency losses, and this may be associated with individual differences in cognitive processing.

Influence of Age and Message Frame on COVID-19 Vaccination Willingness Early in the Pandemic.

Objective: This study examined whether age would moderate the association between a brief message frame intervention and COVID-19 vaccine willingness. Methods: Data were collected in Australia between 25 June and 5 July 2021. Participants (N = 187) aged 18-85 years had not yet received a dose of COVID-19 vaccine. After random assignment to a gain- or loss-framed message, participants reported COVID-19 vaccine willingness, general anti-vaccine attitudes, approach and avoidance motivation, and COVID-19 illness risk perception. Results: Message frame did not influence COVID-19 vaccine willingness. However, greater COVID-19 illness risk perception and older age increased the odds of Pfizer vaccine willingness, while lower avoidance motivation increased the odds of AstraZeneca vaccine willingness. Greater anti-vaccine ideology decreased the odds of willingness to receive either of the COVID-19 vaccines. Conclusions: A brief message frame intervention did not influence COVID-19 vaccine willingness across the adult lifespan.

Validating the interpersonal theory of suicide among older adultspre- and peri-COVID-19 pandemic.

OBJECTIVES: Global suicide rates are highest among older adults, and especially older men, yet proximal predictors of suicidal ideation in older age remain poorly understood. This study tested the Interpersonal Theory of Suicide in older men and women by investigating whether perceived burdensomeness and thwarted belongingness and/or their interaction are proximal predictors of suicidal ideation before versus during the global COVID-19 pandemic. METHODS: The sample (N = 208) included healthy community-dwelling older Australian persons surveyed face-to-face pre-pandemic (n = 102), or online peri-pandemic (n = 106). Depression, social interaction, social satisfaction, thwarted belongingness, and perceived burdensomeness were assessed as predictors of suicidal ideation. RESULTS: Perceived burdensomeness was a more proximal predictor of suicidal ideation among older adults than depression or thwarted belongingness. Suicidal ideation and perceived burdensomeness were higher in men than women, but sex did not moderate the influence of perceived burdensomeness, thwarted belongingness or social satisfaction on suicidal desire. The interaction between perceived burdensomeness and thwarted belongingness predicted more additional variance in suicidal ideation in the older persons surveyed during the COVID-19 pandemic relative to those surveyed before the pandemic. CONCLUSION: Suicidal ideation among older persons peri-pandemic is discussed, and recommendations are made for age-specific suicide prevention strategies.

Introduction to the special issue on prosociality in adult development and aging: Advancing theory within a multilevel framework.

Prosociality refers to a broad set of behavioral, motivational, cognitive, affective, and social processes that contribute to, and/or are focused on, the welfare of others. This overview summarizes 10 articles included in the special issue on this topic. In discussing this research relative to existing theories, we situate this work within Penner et al.'s (Annual Review of Psychology, 56, 2005, 365-392) multilevel framework that recognizes distinct yet integrated levels of analysis to characterize micro- (i.e., intraindividual), meso- (i.e., interpersonal), and macro- (i.e., sociocultural and organizational contexts) level effects. While there is some evidence for lifespan continuity in prosocial dispositions at the micro level, the influences of long-term learning and socialization processes at the meso and macro levels are likely to be maximized in older age. Aside from formal voluteering, the adult lifespan development of prosociality has only recently received attention, especially with respect to influences beyond the micro level. This special issue encompasses research examining developmental change and stability in prosociality that collectively cuts across levels of analysis to inform theories in both adult development and aging and prosociality more generally. We propose future directions that take an integrative approach to understanding the development of prosociality by considering interactions among micro, meso, and macro levels. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A Systematic Review and Meta-Analysis of Subjective Age and the Association With Cognition, Subjective Well-Being, and Depression.

OBJECTIVES: A systematic review and meta-analysis were conducted to quantify the degree to which subjective age is associated with cognition, subjective well-being, and depression. METHOD: A systematic search was performed in three electronic social scientific databases, PsycINFO, Scopus, and Web of Science in May 2018. A manual forward and backward citation search of articles meeting the criteria for inclusion, including a mean participant age of 40+ years, was conducted in November 2019. Twenty-four independent data sets were included in the meta-analysis. RESULTS: Overall, a younger subjective age was related to enhanced subjective well-being and cognitive performance, and reduced depressive symptoms (r = .18). This association was stronger among collectivist (r = .24) than individualist (r = .16) cultures. Mean chronological age across samples (ranging from 55 to 83 years), type of subjective age scoring, and gender did not influence the strength of the overall association. Further analysis revealed that subjective age was individually associated with depressive symptoms (r = .20), subjective well-being (r = .17), and cognition (r = .14), and none had a stronger association with subjective age than the other. DISCUSSION: The results indicate a small yet significant association between subjective age and important developmental outcomes.

The effect of attentional bias modification training on food intake in overweight and obese women.

This study modified food attentional biases via computerized attentional bias modification training and examined the effects on food intake. Overweight women were randomly allocated to (1) direct attention away from food ("attentional-training"), (2) direct attention at random to food or neutral ("placebo"), or (3) no training ("control"). Individuals then completed a taste test. Those in the attentional-training consumed on average 600 kJ less of total food compared to the placebo. Those in the attentional-training had a reduction in food attentional bias compared to the placebo group, when controlling for executive function. Attentional-training seems to reduce high-calorie intake in overweight women.

Effects of Age on Emotion Regulation, Emotional Empathy, and Prosocial Behavior.

OBJECTIVES: The degree to which older adults experience emotional empathy and show subsequent prosocial behavior versus experience personal distress in response to another's distress remains unclear. METHOD: Young (n = 40; 17-29 years) and older (n = 39; 61-82 years) adults watched videos of individuals expressing pain or no pain. Pain mimicry was recorded using facial electromyography. Participants were then asked if they would spend the remaining time helping the experimenter. Self-reported tendency to suppress or reappraise emotion was assessed, as well as trait and state emotional empathy and personal distress. RESULTS: Pain mimicry was associated with reduced trait suppression in older adults. In both age groups, greater emotional empathy, averaged across video condition, was associated with increased helping. In addition, relative to young adults, older adults reported more personal distress and emotional reactivity in response to the videos but were just as willing to help. They also put more effort into helping. DISCUSSION: These findings contribute to clarification of mixed previous evidence regarding the experience of emotional empathy in young versus older adulthood. We discuss the importance of considering additional subcomponents of empathy such as emotion regulation, while also accounting for the relevance of the empathy induction to each age group.

Schema in older adults: does the schema mode model apply?

BACKGROUND: The relevance of schema theory to psychopathology, in particular personality disorder, in younger adults is established. Investigations into the relevance of schema theory to older adults, however, is highly limited. AIMS: To consider the relationship of schema modes to psychopathology in older adults and establish whether maladaptive schema modes are associated with unmet needs and that this relationship is mediated by the healthy adult mode of responding in this population. METHOD: One hundred and four older adults were recruited from an established database. Participants completed questionnaires assessing psychopathology, schema modes (YAMI: Young-Atkinson Mode Inventory) and basic psychological needs (BPNS: Basic Psychological Needs Scale - autonomy, competence and relatedness). Ninety-four responses were included after applying exclusion criteria. RESULTS: The healthy adult schema mode was found to be associated with reduced psychopathology, and maladaptive child modes (angry and vulnerable child) to increased psychopathology. The healthy adult schema mode mediated the relationship between maladaptive child modes and needs satisfaction. CONCLUSIONS: As predicted by schema theory, the presence of one of the maladaptive child modes makes it difficult for an older individual to have their needs met, but the presence of healthy adult mode works to support this process.

A systematic review and meta-analysis of age-related differences in trust.

This systematic review and meta-analysis quantifies the magnitude and breadth of age-related differences in trust. Thirty-eight independent data sets met criteria for inclusion. Overall, there was a moderate effect of age group on trust (g = 0.22), whereby older adults were more trusting than young adults. Three additional meta-analyses assessed age-related differences in trust in response to varying degrees of trustworthiness. This revealed that older adults were more trusting than young adults in response to neutral (g = 0.31) and negative (g = 0.33), but not positive (g = 0.15), indicators of trustworthiness. The effect of age group on trust in response to positive and neutral cues was moderated by type of trust (financial vs. nonfinancial) and type of responding (self-report vs. behavioral). Older adults were more trusting than young adults in response to positive and neutral indicators of trustworthiness when trust was expressed nonfinancially, but not financially. There was also an age-related increase in self-reported, but not behavioral, trust in response to neutral cues. Older adults were more trusting than young adults in response to negative indicators of trustworthiness regardless of the type of trust or type of responding. The reliability of information about trustworthiness did not moderate any of the effects of age group on trust. Implications of these findings and directions for future research are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Empathy for others' pain is disrupted at the neurophysiological level in schizophrenia.

OBJECTIVE: Previous research has shown that empathy for pain is disrupted at the neural level in people with schizophrenia. However, many of these studies have failed to assess key background contextual variables that have previously been linked to neurophysiological responding. Moreover, no study to date has examined the potential influence of schizotypal characteristics on neurophysiological responding in non-clinical individuals. METHODS: People with schizophrenia (N = 17) were compared to demographically matched controls (N = 19) on an event-related potential (ERP) empathy for pain paradigm. The control group also completed a measure of schizotypal personality traits. RESULTS: People with schizophrenia exhibited atypical neural responding at early, emotion-sharing (frontal N110), and late, cognitive (central late positive potential [LPP]) processing stages of pain empathy, relative to controls. In the control group, positive schizotypy traits were significantly negatively related to reduced ERP amplitude in the late, cognitive (central LPP) processing stage of empathy. CONCLUSIONS: These data cross-validate previous studies that have shown that schizophrenia is associated with atypicalities in bottom-up automatic resonance processes that likely contribute to empathic and socio-emotional processing deficits, and indicate that these findings cannot be easily attributed to background contextual differences between the two groups. The results also point to a potential relationship between positive schizotypal characteristics and neurophysiological responding. Implications for simulation theories of empathy and social functioning in schizophrenia are discussed. PRACTITIONER POINTS: Empathic processing has been consistently linked to well-being and mental health in many groups, including people with schizophrenia. Previous research has shown that, relative to controls, people with schizophrenia exhibit abnormalities in their neurophysiological empathic response, but in these prior studies, the two groups also differed in a number of potentially important background contextual variables. The current study shows that, when closely matched on background contextual variables, abnormal neural responding is still evident. These data suggest that empathy for pain is disrupted at the neurophysiological level in schizophrenia.

A role for affectivity in rapid facial mimicry: An electromyographic study.

Emotional expressions evoke rapid facial reactions in the perceiver that are consistent with the valence of the observed expression. We aimed to investigate whether this robust facial reaction is purely a motor matching response or instead represents underlying affective processes. Participants' (N = 60) corrugator supercilii and zygomaticus major muscle activity was quantified using facial electromyography (EMG) while they viewed three sets of images; (i) upright happy and angry facial expressions, (ii) inverted happy and angry facial expressions, and (iii) sad and happy eyes and mouth expressions. Participants displayed patterns of EMG responding that were consistent with the affective valence of the emotional expression, as opposed to merely matching the observed stimuli (i.e. a motor matching response). Using a novel methodological approach, these findings provide evidence for the contention that affective processing underlies rapid facial mimicry reactions.

Young Schema Questionnaire - Short Form Version 3 (YSQ-S3): Preliminary validation in older adults.

OBJECTIVES: The aim of the current study was to establish the reliability and validity of one of the most used schema questionnaires, Young Schema Questionnaire Short Form Version 3 (YSQ-S3) in older adults. METHOD: 104 participants aged 60-84 years were recruited. They were administered a battery of questionnaires, including the YSQ-S3, Young-Atkinson Mode Inventory (YAMI), Germans (Personality) Screener, the Geriatric Depression Scale (GDS), The Geriatric Anxiety Inventory (GAI) and the Basic Psychological Needs Scale (BPNS). The YSQ-S3 was completed a second time by 83 participants a median of 12 days later. RESULTS: Satisfactory internal consistency reliability was found for 13 of the 18 early maladaptive schemas (EMS) of the YSQ-S3. Test-retest reliability was satisfactory for 17 of 18 EMS. Convergent validity was evident from significant correlations between the EMS of the YSQ-S3 and the vulnerable child and angry child schema modes from the YAMI. Congruent validity was evident from correlations of the majority of the EMS with the GDS, the GAI, German's (Personality) Screener and the BPNS measure. CONCLUSIONS: By and large the YSQ-S3 demonstrates internal and test re-test reliability in as well as congruent and convergent validity, in older adults. This suggests the YSQ-S3 may be of use in work establishing the utility of schema therapy in this population, and that schema therapy with older people warrants further exploration. Notwithstanding this some re-development of some EMS items appears to be required for the YSQ-S3 to be more relevant to older people.

Age-Related Preservation of Trust Following Minor Transgressions.

Objectives: This study assesses age-related differences in the weighting and integration of appearance and behavior cues to trustworthiness. The aim is to assess whether it becomes more difficult with age to detect a cheater in disguise. Method: Young and older adults invested real money in a repeated trust game with trustees who varied on facial expression (smiling, neutral, angry) and return rate (high, low). Trustees were also rated for trustworthiness pre- and post-trust game. Results: Young and older adults learned to disregard appearances to invest more in trustees providing high relative to low returns. Both groups also updated ratings of trustworthiness from pre- to post-trust game in the direction of behavior that was incongruent with appearance. Notably, young (but not older) adults updated ratings of smiling trustees with a high return rate (i.e., returned money on 8 of 10 investments) to reflect reduced trustworthiness in line with the 2 instances of cheating from those trustees. Discussion: The findings show that there are no age-related differences in the way that obvious cheating in disguise is punished with reduced trustworthiness ratings. However, older adults are less vigilant to more subtle cheating in disguise, or are more forgiving of transgressions perceived as minor.

Validation of the Emotion Regulation Questionnaire in older community-dwelling adults.

OBJECTIVE: To examine the psychometric properties of the Emotion Regulation Questionnaire (ERQ) among a sample of older community-dwelling males and females and to also assess gender differences in the association between emotion regulation and positive and negative affect. METHOD: The ERQ and the Positive and Negative Affect Schedule-10 were administered to 252 older adults (age range 60-89 years; 48.4% female). RESULTS: The two ERQ subscales, reappraisal and suppression, were internally consistent. Reappraisal was positively correlated with positive affect among both genders, and negatively correlated with negative affect among older women only. Suppression was positively correlated with negative affect among older men only and unrelated to positive affect for both genders. Confirmatory factor analysis showed that a two-factor solution fits the data from both genders. CONCLUSION: The results provide evidence to support the ERQ for use with older adults, while identifying clinically important gender differences in the associations between emotion regulation tendencies and affect in older age. PRACTITIONER POINTS: Reliability and validity of the 10-item Emotion Regulation Questionnaire is supported for use among older adults. Suppression positively correlated with negative affect among older men but not older women. Reappraisal negatively correlated with negative affect among older women but not men. The current data from a community-dwelling population may not generalize to older adults with clinical disorders.

Intact spontaneous emotional expressivity to non-facial but not facial stimuli in schizophrenia: An electromyographic study.

Emotional stimuli, such as facial expressions, reliably evoke rapid, spontaneous and covert facial reactions in the perceiver that reflect the affective valence of the observed stimulus. These physiological reactions have been linked to a variety of social cognitive processes known to be disrupted in schizophrenia, such as emotion recognition and affective empathy. Moreover, individuals with schizophrenia exhibit atypical rapid facial reactions when observing emotional expressions. The current study aimed to determine if the disruption in schizophrenia is specific to facial expressions, or instead reflects more generalised emotional or motor impairments in the elicitation of this rapid facial response. Here we quantified activity in the corrugator supercilii and zygomaticus major muscle regions using electromyography while individuals with schizophrenia (n = 24) and controls (n = 21) viewed images of facial and non-facial emotional stimuli. The results indicate that schizophrenia is marked by a disruption in rapid facial responding to facial expressions, but intact responding to non-facial emotional stimuli. This dissociation between the processing of facial and non-facial emotional stimuli points to the need for a greater understanding of the degree to which facial emotion processing impairments contribute to disruptions in mimetic responding in this population.

Systematic review and meta-analysis of age-related differences in instructed emotion regulation success.

The process model of emotion regulation (ER) is based on stages in the emotion generative process at which regulation may occur. This meta-analysis examines age-related differences in the subjective, behavioral, and physiological outcomes of instructed ER strategies that may be initiated after an emotional event has occurred; attentional deployment, cognitive change, and response modulation. Within-process strategy, stimulus type, and valence were also tested as potential moderators of the effect of age on ER. A systematic search of the literature identified 156 relevant comparisons from 11 studies. Few age-related differences were found. In our analysis of the subjective outcome of response modulation strategies, young adults used expressive enhancement successfully (g = 0.48), but not expressive suppression (g = 0.04). Response modulation strategies had a small positive effect among older adults, and enhancement vs suppression did not moderate this success (g = 0.31 and g = 0.10, respectively). Young adults effectively used response modulation to regulate subjective emotion in response to pictures (g = 0.41) but not films (g = 0.01). Older adults were able to regulate in response to both pictures (g = 0.26) and films (g = 0.11). Interestingly, both age groups effectively used detached reappraisal, but not positive reappraisal to regulate emotional behavior. We conclude that, in line with well-established theories of socioemotional aging, there is a lack of evidence for age differences in the effects of instructed ER strategies, with some moderators suggesting more consistent effectiveness for older compared to younger adults.

Predictors of mental health literacy in older people.

OBJECTIVES: Older adults exhibit poorer mental health literacy than younger adults, including less accuracy at identifying symptoms of mental disorders, and endorsing fewer sources of treatment for a mental disorder. The current study's intention was to determine if the executive component of cognition is associated with mental health literacy in older adults, when controlling for other established predictors (sex, age, education, and proximity to someone with a mental disorder). METHOD: The sample included 85 cognitively healthy adults aged 60 and over. Participants completed the Mini-Addenbrooke's Cognitive Examination III, the Trail Making Test, a Phonemic Verbal Fluency Test, and the Mental Health Literacy Scale. RESULTS: A multiple regression indicated that age and mental health proximity significantly and uniquely predicted total mental health literacy (Age: ß = -0.22, t = -2.04, p < 0.05; Proximity: ß = 0.31, t = 2.78, p < 0.01). Older age predicted poorer PTSD mental health literacy (ß = -0.31, t = -2.90, p < 0.01). CONCLUSION: In neurologically healthy older adults, level of executive function did not contribute to mental health literacy. Older adults in closer proximity to someone with a mental disorder were more likely to have better mental health literacy, a finding that has the potential to inform mental health education and promotion strategies in this population.

The age-related positivity effect in electronic gambling.

BACKGROUND: Older adults are increasingly spending time and money playing electronic gambling machines (EGMs). The current study assessed whether the age-related positivity effect influences responding to various EGM outcomes, including wins and losses of equivalent magnitude and frequency. We also explored cognitive mechanisms potentially underpinning the positivity effect. METHODS: We recorded the skin conductance response (SCR) of healthy older and younger adults while they played for wins, losses, and fake wins (losses disguised as wins). After every win and fake win, participants were forced to choose red or black to either double their win or lose it. They also provided ratings of enjoyment and excitement, estimated number of wins and losses, and completed measures of cognitive function. RESULTS: Young and older adults demonstrated larger SCRs to wins relative to losses. When these wins and losses were of equivalent magnitude and frequency following a double-or-nothing scenario, only older adults responded more to a win than a loss. There were no age group differences in excitement and enjoyment, but older adults were more accurate than young adults in their recall of wins and losses. CONCLUSION: During EGM play, young and older adults demonstrate similar patterns on autonomic arousal. However, young adults' responding suggests generalized excitement, whereas older adults respond more to the prospect of financial gain.

Age invariance in rapid facial affective reactions to emotionally valenced stimuli.

It has been suggested that an age-related positivity effect may only occur in the context of explicit information processing, but it is unclear whether this bias extends to the processing of rapid facial reactions. In addition, most studies that have looked for evidence of age-related implicit positivity have used attentional (as opposed to sensory) unawareness paradigms, or used broad-based indicators of attentional awareness that do not speak to the nature of the affective response. In the present study, younger and older adults were therefore asked to view non-facial images presented supraliminally (i.e., consciously) as well as outside of sensory awareness (i.e., subliminally) while their facial reactions were indexed using electromyography. The results indicated that both younger and older adults exhibited rapid facial reactions congruent with the emotional valence of non-facial images in both supraliminal and subliminal conditions. Relative to young, older adults did not respond with greater zygomaticus (cheek) activity to positive stimuli or reduced corrugator (brow) activity to negative stimuli in either condition. These data show that rapid facial reactions to emotional stimuli are intact in late adulthood, even in response to stimuli that activate more automatic and implicit forms of emotion processing. However, there is no evidence for any age-related positivity bias in these behavioral responses.