COVID-19 Pandemic-Related Stress and Subjective Well-Being Across Age: The Mediating Role of Social Resources.

Stress associated with the COVID-19 pandemic and the measures implemented to prevent its spread dramatically shifted our social networks, interactions, and contexts, all of which influence the assessment of one's subjective well-being (SWB). Drawing on data collected from 1,318 adults between April and May 2020, we used structural equation modeling to analyze the relationship between pandemic-related stress and SWB (life satisfaction, positive affect, negative affect), and examined how these relationships vary across age. Pandemic-related stress was associated with lower life satisfaction and higher negative affect. However, no evidence of age moderation emerged. Subsequent analysis examined different aspects of social resources as potential mediating variables. Loneliness fully mediated the relationship between stress and life satisfaction, while social support demonstrated evidence of partial mediation. Further, loneliness and social support partially mediated the relationship between stress and negative affect. Findings suggest that pandemic-related stress impacts SWB, and social resources help explain these impacts.

Mediators of the Relationship Between Adverse Childhood Experiences (ACEs) and Symptoms of Anxiety, Depression, and Suicidality among Adults.

Adverse childhood experiences (ACEs) are consistently found to be negatively associated with physical, psychological, and psychosocial well-being throughout the lifespan. While previous research has established risk factors and noxious outcomes arising post-ACEs, less attention has been given to factors such as resilience, perceived social support, and subjective well-being that may help explain the relationship between ACEs and psychopathology. Hence, the objectives of this study are to examine: (1) the relationships among ACEs and symptoms of anxiety, depression, and suicidality in adulthood, and (2) whether resilience, social support, and subjective well-being mediate the relationship between ACEs and psychopathological symptoms. Cross-sectional data on ACEs, psychological factors, potential mediating variables, and sociodemographic factors were collected from a community sample of adults aged 18-81 (N = 296) via an on-line survey. Endorsing ACEs was significantly and positively correlated with symptoms of anxiety, depression, and suicidality. Results of parallel mediation analyses showed that social support, negative affect, and life satisfaction statistically mediated the relationships between ACEs and psychopathological outcomes in adulthood. These results highlight the importance of identifying potential mediators of the ACEs-psychopathological symptoms relationship to aid in the development of screening and intervention practices that could bolster developmental outcomes following traumatic childhood experiences.

The Relationship Between Social Support and Subjective Cognitive Functioning Across Adulthood.

Subjective cognitive functioning (SCF) is the self-appraisal of one's objective cognition, including both perceived cognitive ability and perceived cognitive impairment. Research has demonstrated perceived subjective cognitive impairment to be an important precursor to objective cognitive declines associated with increased age. Although previous work has shown a consistent positive relationship between social support and objective cognition throughout adulthood, few studies have examined the relationship between social support and SCF. Participants (N = 1,877; age range: 18-99) from the Virginia Cognitive Aging Project completed assessments of multiple domains of SCF and social support. Results demonstrated a significant association between negative support interactions and poorer SCF, beyond the influence of sociodemographic, well-being, and health factors. Exploratory analyses indicated that the magnitude of the relationships between social support and SCF were generally the same across age. These findings suggest that negative interactions may adversely impact an individual's self-appraisals of cognition.

The temporal relationship between depressive symptoms and self-rated health across adulthood.

Objective: Depressive symptoms have been found to relate to diminished self-rated health (SRH), which is a reliable index of general health. Despite such associations, there is limited research examining the bidirectional temporal relationship between these variables. The current study is the first to investigate the longitudinal relationship between depressive symptoms and SRH utilizing a cross-lagged panel analysis in a sample that spans adulthood (ages 18-93).Method: Data from the Virginia Cognitive Aging Project were used to examine the temporal relationship between depressive symptoms and SRH in a cross-lagged panel analysis using structural equation modeling.Results: A bidirectional temporal relationship, which was not moderated by age, was established between depressive symptoms and SRH.Conclusion: This article is the first to demonstrate that depressive symptoms and SRH influence each other reciprocally over time across adulthood, even after controlling for relevant variables. Considering the ubiquity and ramifications of depressive symptoms among American adults, these results highlight the importance of investigating mechanisms that could elucidate the link between the variables in question.

Testing the Reserve Capacity Model: Does Race Moderate the Relationship Between Negative Emotions and Neurocognition?

OBJECTIVE: To test whether race moderates the relationship between negative emotions and neurocognition by applying the reserve capacity model within a large sample that spans adulthood. METHOD: The study sample (N = 1,020) consisted of community-dwelling adults between 18 and 84 years of age who were drawn from the Virginia Cognitive Aging Project. Demographic variables were used to match a sample of Black participants to a sample of White participants. Race was examined as a moderator of the relationship between negative emotions (i.e., depressive symptoms, trait anxiety, and the negative affect subscale from the Positive and Negative Affect Schedule) and neurocognitive variables (episodic memory, reasoning, spatial visualization, and processing speed) with multiple-group structural equation modeling. RESULTS: After accounting for sociodemographic variables, depressive symptoms were negatively associated with processing speed in both groups, and with worse reasoning in the White subsample. Negative affect was associated with lower reasoning performance in both groups and with lower spatial visualization in the White subsample. Trait anxiety was not significantly associated with the neurocognitive constructs in either group. Multigroup structural equation models showed that the magnitudes of the associations were not different between the Black and White subsamples. Thus, race did not moderate the relationships between depressive symptoms, trait anxiety, and negative affect with neurocognition. CONCLUSIONS: Negative emotions are associated with lower performance on different neurocognitive tasks, but race does not moderate these relationships. Future research should examine perceived discrimination or other psychosocial variables when examining the relationships among negative emotions and neurocognition.

Staying in the loop: Quality of family-paid caregiver communication and influences on resident mental health in long-term care.

BACKGROUND: Considerable research has examined communication dynamics among family members and staff in nursing homes (NHs) and has demonstrated that better communication is associated with more optimal mental health outcomes in both family caregivers and paid caregivers. However, the literature on how communication dynamics influence mental health in long-term care residents is limited and it has yet to be determined how communication impacts residents across care contexts, such as assisted living facilities (ALFs). The purpose of this study is to examine family caregivers' perceptions of communication with paid caregivers and its influence on long-term care resident outcomes and to compare how results differ across care settings (NHs vs. ALFs). METHODS: Data were drawn from a subsample of the National Health and Aging Trends Study (NHATS) and the National Study on Caregiving (NSOC). The sample consisted of 142 NHATS participants residing in long-term care (n = 93 ALF residents; n = 49 NH residents) with an eligible family caregiver who participated in the NSOC. Family caregivers' perceived quality of communication was assessed via questions regarding the frequency, availability, and helpfulness of communication with paid caregivers. Resident mental health was assessed via measures of positive and negative affect, depressive symptoms, and anxiety. RESULTS: Across the total sample, greater availability of communication between paid and family caregivers was associated with lower depressive symptoms and negative affect in residents. When examining how these relationships varied across care settings, communication was a stronger predictor of fewer depressive symptoms among residents in ALF settings. CONCLUSIONS: Study findings provide insights into how interpersonal dynamics between family and paid caregivers influence resident mental health and underscore the importance of enhanced communication among all members of the primary care team, that is, paid caregivers, residents, and their family members.

Does Neurocognition Predict Subjective Well-Being?

Greater subjective well-being (SWB) is associated with a myriad of positive outcomes across adulthood. While several studies have demonstrated a relationship between cognition and SWB, the current study extends previous work by examining the relationship between neurocognition and SWB across age and time. Data were drawn from 3,856 individuals between the ages of 18-99 years who participated in the Virginia Cognitive Aging Project, a prospective study of cognition in community dwelling adults. Participants completed a battery of neurocognitive tasks (assessing spatial visualization, episodic memory, reasoning, processing speed, and vocabulary) and measures assessing SWB (life satisfaction, positive affect, and negative affect). Results indicated that spatial visualization, episodic memory, and processing speed predicted life satisfaction only in specific age groups, but the magnitude of the coefficients were not significantly different between the groups, providing limited evidence of age moderation. Vocabulary was negatively associated with positive affect for all age groups. The temporal relationships between neurocognition and SWB were generally non-significant, and age did not moderate this relationship. Within the broader context of neurocognition, this study provides evidence that the relationship between neurocognition and SWB cross-sectionally may be partially age dependent for one facet of SWB, and the temporal relationship may be minimal.

Which variables moderate the relationship between depressive symptoms and global neurocognition across adulthood?

The current study examined moderators of the relationship between depressive symptoms and global neurocognition in a large non-clinical community-dwelling sample spanning adulthood. Participants comprised 5,430 individuals between the ages of 18-99 years drawn from the Virginia Cognitive Aging Project. Depressive symptoms were measured via the Center for Epidemiologic Studies-Depression scale and neurocognition was operationalized as a composite variable comprising episodic memory, spatial visualization, processing speed, and reasoning tasks. Moderator variables included physical activity, cognitive activity, education, emotional stability, and openness. Hierarchical regressions were used to examine the influence of depressive symptoms and the moderators on neurocognition. Depressive symptoms significantly predicted neurocognition. Cognitive activity, years of education, and emotional stability moderated the depression-neurocognition relationship by buffering the impact of depressive symptoms on neurocognition. Cognitive activity engagement and level of education may function as a protective influence on those with higher levels of depressive symptoms, while emotional stability may be protective for individuals with lower levels of depressive symptoms. No differences in moderation were found across three age groups representing younger, middle, and older adults. Post-hoc analyses showed years of education and openness as moderators in a subsample excluding individuals with potentially clinically meaningful levels of depressive symptoms.

Use of Home Care Services Reduces Care-Related Strain in Long-Distance Caregivers.

BACKGROUND AND OBJECTIVES: Prior work examining the role of older adult home care service use in alleviating strain in family caregivers has resulted in contradictory findings. However, prior research has been entirely limited to caregivers who live within close geographical proximity to their care recipients. Long-distance caregivers are a unique caregiving subgroup that has remained understudied. Guided by the stress process model, this study examined if the association between primary caregiving stressors (the care recipient's functional and cognitive status) and secondary stressors (perceived role strains related to work and to other family responsibilities) in long-distance caregivers was mediated by the care recipient's utilization of home care services. RESEARCH DESIGN AND METHODS: The sample included 166 long-distance caregivers in the United States who provide and manage care to a community-dwelling care recipient living 2 or more hours away. Participants reported on their care recipient's cognitive and functional status, perceived interference of caregiving with work and other family responsibilities, and the care recipient's use of home care services. RESULTS: Path analyses show that home care use by the care recipient fully mediated the association between care recipients' functional impairment and caregiver strains (work and family). Furthermore, home care use partially mediated the effects of care recipients' cognitive impairment on caregiver strains. DISCUSSION AND IMPLICATIONS: Results indicate that the care recipient's home care service utilization may serve as a protective factor against care-related strain in long-distance caregivers. These findings can be used to inform intervention efforts focused on a family-centered care approach that can be specifically tailored to long-distance caregivers.

Do Feelings and Knowledge About Aging Predict Ageism?

Experiencing ageism has been shown to negatively impact older adults. This study investigated predictors of ageism to examine which are most important in accounting for ageist attitudes. Participants (N = 419) between the ages of 18 and 86 completed an online survey assessing ageism and several predictors of ageism. Higher levels of anxiety about aging, lower levels of knowledge of aging, and less frequent and lower quality of contact with older adults uniquely predicted ageism beyond the influence of demographic and well-being factors. Anxiety about aging fully mediated the relationship between death anxiety and ageism, and the relationship between attitudes toward own aging and ageism. Moderation analyses showed that knowledge of aging buffered the impact of anxiety about aging on ageism such that low knowledge of aging and high anxiety about aging were particularly impactful in predicting ageism in younger adults, as compared with older adults.

Measurement Invariance and Developmental Trajectories of Multidimensional Self-Perceptions of Aging in Middle-Aged and Older Adults.

OBJECTIVES: This study examined the measurement invariance and longitudinal trajectories of multidimensional self-perceptions of aging (SPA) and factors that predict between-person variability in the level and change of SPA in middle-aged and older adults. METHOD: Data were drawn from the German Ageing Survey spanning four waves, covering a 15-year period. Multidimensional SPA was assessed with the Personal Experience of Aging Scale, consisting of three dimensions, physical decline, social loss, and continuous growth. RESULTS: The measurement invariance models across age groups (middle-aged versus older adults) and across time showed a good fit after allowing one item to vary at metric and/or scalar levels. Growth curve models showed only minor declining trajectories in two of the three dimensions of SPA, social loss and continuous growth dimensions, toward more negative views. Participants with poor resources in general were more likely to have negative SPA across all three dimensions. The protective effect of having a spouse was observed on only the social dimension of SPA, supporting a domain-specific effect of having a spouse. DISCUSSION: The study demonstrates the usefulness of a multidimensional understanding of SPA and recognizes the need for identifying different factors that may promote positive perceptions on aging in different dimensions of life.

Differences in cognitive performance between informal caregivers and non-caregivers.

Extensive literature exists documenting the relationship between stress and cognition. Caregiving for an individual with Alzheimer's disease can be aunique and chronic stress experience due to the increasing dependency of the care-recipient as the disease progresses. The current study examines the relationship between stress and cognitive performance in 47 dementia caregivers compared to 47 noncaregiver control participants matched on age, gender, and education. Participants completed measures assessing stress (measured via the Perceived Stress Scale) and seven domains of cognition including episodic memory, working memory, executive functioning, attention, visuospatial processing, processing speed, and implicit memory. Results showed that caregivers had poorer performance than non-caregivers on certain measures of episodic memory, working memory, and executive functioning; while no significant differences were observed on measures of attention, visuospatial processing, processing speed, or implicit memory. In addition, when controlling for general stress, caregiver performance on measures of processing speed and visuospatial processing was also poorer than non-caregivers. By controlling for levels of general stress that may not be related to caregiving, these results show that differences in cognitive performance are unlikely to be explained by general stress alone.

The COVID-19 Pandemic and Psychosocial Outcomes Across Age Through the Stress and Coping Framework.

BACKGROUND AND OBJECTIVES: The emergence of the Coronavirus Disease 2019 (COVID-19) and the measures implemented to curb its spread may have deleterious effects on mental health. Older adults may be at increased risk for adverse psychosocial outcomes because opportunities to remain socially connected have diminished. Research is needed to better understand the impact of pandemic-related stress on mental health. The purpose of this study is 3-fold: (a) to examine the influences of COVID-19 pandemic-related stress on depression, anxiety, and loneliness; (b) to assess the mediating role of coping style and social support; and (c) to investigate whether these relationships vary across age. RESEARCH DESIGN AND METHODS: Participants (N = 1,318) aged 18-92 years completed an online survey assessing pandemic-related stress, mental health, social support, coping, and their experiences with social distancing, during the initial implementation of social distancing measures in the United States. RESULTS: Social support and coping style were found to relate to psychosocial outcomes. Avoidant coping was the strongest mediator of the relationship between pandemic-related stress and psychosocial outcomes, particularly depression. Avoidant coping more strongly mediated the relationship between stress and depression in younger adults compared to older adults. DISCUSSION AND IMPLICATIONS: Results were consistent with the stress and coping framework and recent work highlighting older adults' resilience during the COVID-19 pandemic. Findings highlight the associations between positive coping behaviors and psychosocial well-being and indicate that older adults may use unique adaptive mechanisms to preserve well-being during the COVID-19 pandemic.

Do depressive symptoms and subjective well-being influence the valence or visual perspective of autobiographical memories in young adults?

The present study examines predictors of autobiographical memory valence and visual perspective. Participants (N = 144) between the ages of 18-35 years completed an online survey assessing depressive symptoms, and different aspects of subjective well-being (i.e., life satisfaction, positive affect, and negative affect). Participants retrieved six autobiographical memories cued via positive, negative, and neutral words and completed a questionnaire assessing characteristics of the memories, including memory valence and visual perspective. Using structural equation modelling, we found that the valence of neutral cued memories were significantly negatively associated with depressive symptoms and negative affect, and significantly positively associated with life satisfaction, even after controlling for current mood. Depressive symptoms were generally not significantly related to visual perspective. These results support previous findings that depressive symptoms and well-being are related to differences in memory characteristics but suggest that some of the relationships may be less robust when examined in a non-clinical sample.

Examining processing speed as a predictor of subjective well-being across age and time in the German Aging Survey.

The purpose of the current study was to examine the associations between cognition, measured via the Digit Symbol Substitution Task, and subjective well-being (measured using the Satisfaction with Life Scale and the Positive and Negative Affect scale) in a community-based sample of middle-aged and older adults. Specifically, we examined both the cross-sectional and the longitudinal relationships between processing speed and subjective well-being. Data are from participants between 40-85 years-old (at baseline) who participated in the German Aging Survey across four waves. Results showed that processing speed was a weak but consistent predictor of positive affect, while age was associated with decreases in negative affect and positive affect, and increases in life satisfaction cross-sectionally. Conversely, cross-lagged panel analyses showed that the temporal relationship between processing speed and positive affect was close to zero, and non-significant. The results of this study shed additional light on the relationship between subjective well-being and cognition.

Examining Gender Differences in Neurocognitive Functioning Across Adulthood.

OBJECTIVE: Previous research has shown that women have an advantage on verbal episodic memory and processing speed tasks, while men show an advantage on spatial ability measures. Previous work has also found differences in cognition across age. The current study examines gender differences in neurocognitive functioning across adulthood, whether age moderates this effect, and whether these differences remain consistent with practice across multiple testing sessions. METHOD: Data from the Virginia Cognitive Aging Project were used, which included participants between the ages of 18 and 99 years (N = 5125). Participants completed measures assessing five cognitive domains: episodic memory, processing speed, reasoning, spatial visualization, and vocabulary. RESULTS: Results showed that gender was significantly related to memory, speed, and spatial visualization, but not to vocabulary or reasoning. Results of invariance analyses across men and women provided evidence of configural and metric invariance, along with partial scalar invariance. Additionally, there was little evidence that age or practice influenced the gender effect on neurocognition. CONCLUSIONS: Consistent with the previous research, these results suggest that there is a female advantage in episodic memory and processing speed, and a male advantage in spatial visualization. Gender was shown to influence cognition similarly across adulthood. Furthermore, the influence of gender remained the same across three sessions, which is consistent with the previous work that has shown that training does not differentially impact performance on spatial ability measures for females compared to males.

Investigating the Relations Among Different Measures of False Memory.

Researchers have used the term false memory to describe various memory errors, including the incorporation of erroneous information into a memory, misremembering a word presented as a picture, and the construction of a detailed memory of an event that did not occur. Whether such diverse manifestations of false memory are assessing the same construct has not been evaluated. The purpose of this study is to examine the relations among a set of variables that have been used in the literature to measure false memory. The sample consisted of 112 college students who completed four false memory measures, including the commonly used Deese-Roediger-McDermott (DRM) and the misinformation tasks. Zero-order correlations indicated that there are little to no associations between false memories in the DRM and the misinformation tasks, as well as the other false memory tasks. A confirmatory factor analysis of the DRM and misinformation variables further suggested that the false memory variables share little variance in common and may not be represented by a unitary factor. Thus, the results of the current study suggest that tasks intended to measure false memory may be measuring different types of memory errors.

Physical Health Mediates the Relationship between Psychological Well-Being and Engagement in Exercise across Age in a German Sample.

The prevalence of chronic illness among middle-aged and older adults is increasing worldwide as the population continues to age. One way to prevent the continued increase and subsequent negative outcomes of chronic illness is to increase the number of individuals who engage in exercise. Thus, it is important to examine which factors predict engagement in exercise in middle-aged and older adults. As a result, the current study examined the relationship between physical health, psychological well-being, and engagement in exercise in a sample of middle-aged and older German adults. We found that increased age was associated with less frequent engagement in exercise. We also found that physical health mediated the relationship between psychological well-being and engagement in exercise. Finally, we found that age did not moderate the relationship between subjective well-being and engagement in exercise, suggesting that the role of physical health as a mediator was similar in older adults compared to middle-aged adults. These findings have important implications for interventions seeking to promote exercise among adults.

Leisure Activity Engagement and Positive Affect Partially Mediate the Relationship Between Positive Views on Aging and Physical Health.

OBJECTIVES.: To examine leisure activity engagement and positive affect as potential mediators for the relationships between positive views on aging (PVA) and two health outcomes: subjective health and physical limitations. METHOD.: Data from 5,194 participants from the German Ageing Survey (aged 40-91 years) were used to examine relationships between PVA to subjective health (assessed by self-rated health and perceived health change from past) and physical limitations (assessed via self-reported limitations on 10 activities). Leisure activity engagement and positive affect were examined as potential mediators in latent variable path analyses. Age moderation among these relationships was also examined. RESULTS.: Leisure activity engagement and positive affect separately and jointly served to partially mediate the relationships between PVA and the health outcomes. When entered as joint mediators, positive affect no longer significantly predicted physical limitations, indicating a shared variance with leisure activity engagement. Age moderated the relationship between PVA and physical limitations; the relationship was stronger among older adults than among middle-aged adults. DISCUSSION.: Leisure activity engagement and positive affect were shown to help explain the relationship between PVA and health, but differently for different health constructs and also among middle-aged and older adults. Findings provide further insight into ways in which PVA influence health.