Longitudinal effects of subjective aging on health and longevity: An updated meta-analysis.

This article updates and extends an earlier meta-analysis (Westerhof et al., 2014) on the longitudinal effects of subjective aging (SA) on health outcomes. A systematic search in different databases (APA PsycInfo, PubMed, Web of Science, and Scopus) resulted in 99 articles, reporting on 107 studies. Participants: Studies had a median sample size of 1,863 adults with a median age of 66 years. A randomized effect meta-analysis showed a significant, small effect (likelihood ratio = 1.347; 95% confidence interval [1.300, 1.396]; p < .001), similar in magnitude to the previous meta-analysis of 19 studies. Although the results showed high heterogeneity in the longitudinal link between SA and health outcomes, there were no differences in effects according to chronological age of participants, welfare state status (more or less developed social security system), length of follow-up, type of health-related outcome, or quality of the study. Effects were stronger for multiitem measures of self-perceptions of aging than for the frequently used single-item measures assessing subjective age, especially for indicators of physical health. Based on this meta-analysis, building on five times more studies than the 2014 review, we consider the associations of measures of SA with health and longevity across time as robust, albeit small in size. Future research should concentrate on the clarification of pathways mediating the relation between SA and health outcomes, as well as potential bidirectional effects. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Autobiographical Memory in Healthy Aging: a Decade-long Longitudinal Study.

Autobiographic memory (AM) - which is generally considered to be the most advanced human memory system - is subject to a myriad of psychological and neurobiological factors. We, therefore, examined AM longitudinally during the transition from midlife to young-old age and from young-old to old age in two birth cohorts (born 1930-1932 and 1950-1952) hence starting at age 55.14 ± 0.94 vs. 73.85 ± 0.96, respectively. Participants (n = 239) of the Interdisciplinary Longitudinal Study on Adult Development and Aging were recruited of whom 166 could be reexamined after 9 ± 0.9 years. AM was investigated for three periods of life using an established semi-structured interview; potential cognitive decline was assessed on a broad test battery. All subjects stayed cognitively healthy. Analysis of variance with repeated measures revealed age-related semantization effects with a significantly lower number of specific and thereby a higher number of general AMs exclusively from young-old to old age. This effect did not coincide with cognitive decline. In the follow-up period, a significant decrease of event-related details was significantly more pronounced in the young-old than in the old cohort and details were better recalled by the young than the old cohort. At baseline, this difference was significant for the recent past only but involved all periods at follow-up. According to our findings, AM changes in healthy aging accelerate during the transition from young-old to old age and may herald other cognitive deficits. Additionally, these AM changes in cognitively healthy subjects point at an economic process of adaptation.

Identifying predictors of self-perceptions of aging based on a range of cognitive, physical, and mental health indicators: Twenty-year longitudinal findings from the ILSE study.

Research exploring whether health predicts self-perceptions of aging (SPA) has mostly focused on single predictors and has been hampered by short observational intervals. We examined whether 20-year changes in cognitive functioning, physical and mental health predict SPA. We used data of 103 German participants who remained of a sample of 500 participants born in 1930-1932 enrolled in the Interdisciplinary Longitudinal Study of Adult Development (ILSE) in 1993/1996 (mean age at fourth measurement wave = 82.5 years). Health indicators included six cognitive tests, objective and subjective physical health, and self-reported depression. We used a new and multidimensional (awareness of age-related gains and losses) and a well-established (attitudes toward own aging) measure of SPA. Linear regression analyses showed that, among the cognitive tests, decline in information processing speed (Digit Symbol) predicted less awareness of age-related gains and more awareness of age-related losses but not attitudes toward own aging. Decline in subjective but not objective physical health, predicted more awareness of age-related losses and negative attitudes toward own aging, but not awareness of age-related gains. Increase in depressive symptoms predicted more awareness of age-related losses and negative attitudes toward own aging, but not awareness of age-related gains. The size of associations suggests that objective cognitive decline has limited influence on older adults' SPA and, if so, only when the decline is related to mental slowing. Similarly, perceived physical and mental health, but not objective health, have a small-to-moderate influence on awareness of age-related losses and attitudes toward own aging. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Longitudinal Within-Person Associations Between Quality of Social Relations, Structure of Social Relations, and Cognitive Functioning in Older Age.

OBJECTIVES: Individuals' social connections and interpersonal experiences can both shape and be shaped by cognitive functioning. This study examines longitudinal within-person associations between quality of social relations, structure of social relations, and cognitive functioning in older age. METHODS: We examined 16-year longitudinal data (3 waves) from 497 older adults (M = 66.07 years, SD = 0.83, range = 64-68 years) from the Interdisciplinary Longitudinal Study of Adult Development and Aging. Quality of social relations was measured by scales on perceived emotional support, instrumental support, and social integration. Structure of social relations was measured by self-reported number of leisure time partner types, indicating social network diversity. Cognitive functioning was assessed as a latent construct consisting of five cognitive tests (i.e., Information, Similarities, Letter Fluency, Picture Completion, Block Design). We used a random intercept cross-lagged panel model in the analysis. RESULTS: At the within-person level, prior quality of social relations, but not structure of social relations, was positively associated with subsequent cognitive functioning. Moreover, prior cognitive functioning was positively associated with subsequent structure of social relations, but not with quality of social relations. DISCUSSION: Quality of social relations is a protective factor of cognitive aging. Additionally, responding to prior lower cognitive functioning, social network diversity reduced, but quality of social relations did not seem to change. Overall, this study suggested that social relations and cognitive functioning mutually influence each other, but different aspects of social relations (i.e., quality, structure) might have different directional associations with cognitive functioning.

The role of perceived work environment and work activities in midlife cognitive change.

Previous research documented positive associations between cognitively stimulating work and levels of cognitive performance, while longitudinal associations are less clear. We used 20-year longitudinal data from the Interdisciplinary Longitudinal Study of Adult Development and Aging (ILSE) to examine the role of perceived work environment (autonomy, innovation, social integration, and stress) and work activities derived from an occupational database (related to information, to people, and manual activities) for trajectories of cognitive abilities (processing speed, fluid and crystallized intelligence). We used data from 374 participants in the ILSE midlife cohort (born 1950-52) who were working at baseline and had valid observations on work characteristics and control variables including education, gender, region (former East vs. West Germany), and personal income (mean age at baseline = 44 years, SD = 1, 44% women). Cognitively stimulating perceived work environments (higher levels of autonomy and innovation), higher levels of work activities related to information and people, and lower levels of manual activity at baseline were related to higher initial levels of cognitive ability. Higher work stress was related to higher baseline fluid ability. These associations were largely not independent of control variables. Higher social integration at work was related to less steep increase in crystallized intelligence and higher work stress was related to less decline in processing speed. In sum, our findings were more in line with selection rather than with enrichment effects, with the caveat that our findings rely on work variables taken at baseline. We discuss potential mechanisms underlying these findings. (PsycInfo Database Record (c) 2020 APA, all rights reserved).