Testing bidirectionality in associations of Awareness of Age-Related gains and losses with physical, mental, and cognitive functioning across 1 year: the role of age

The bidirectionality between self-perceptions of aging and health-related outcomes may depend on age group. Therefore, we tested such bidirectionality among individuals in late midlife (50-64 years), young-old age (65-74 years), and old-old age (75+ years), taking advantage of the construct of Aware...

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Hauptverfasser: Sabatini, Serena (VerfasserIn) , Wahl, Hans-Werner (VerfasserIn) , Diehl, Manfred (VerfasserIn) , Clare, Linda (VerfasserIn) , Ballard, Clive (VerfasserIn) , Brooker, Helen (VerfasserIn) , Corbett, Anne (VerfasserIn) , Hampshire, Adam (VerfasserIn) , Stephan, Blossom C M (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: December 2023
In: The journals of gerontology. Series B, Psychological sciences, social sciences
Year: 2023, Jahrgang: 78, Heft: 12, Pages: 2026-2036
ISSN:1758-5368
DOI:10.1093/geronb/gbad150
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/geronb/gbad150
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Verfasserangaben:Serena Salbatini, PhD, Hans-Werner Wahl, PhD, Manfred Diehl, PhD, Linda Clare, PhD, Clive Ballard, MD, Helen Brooker, BSc, Anne Corbett, PhD, Adam Hampshire, PhD, and Blossom C.M. Stephan PhD

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520 |a The bidirectionality between self-perceptions of aging and health-related outcomes may depend on age group. Therefore, we tested such bidirectionality among individuals in late midlife (50-64 years), young-old age (65-74 years), and old-old age (75+ years), taking advantage of the construct of Awareness of Age-Related Change (AARC) and its 2-dimensionality in terms of AARC-gains and AARC-losses. Various conceptualizations of physical, mental, and cognitive functioning were used as outcomes.Data from 2 measurement occasions (2019 and 2020) from the UK PROTECT study for individuals in late midlife (N = 2,385), young-old age (N = 2,430), and old-old age (N = 539) were used. Data on self-reported functional difficulties, depression, anxiety, and performance on four computerized cognitive tasks (i.e., verbal reasoning, paired associate learning, self-ordered search, and digit span) providing a score for verbal reasoning and a score for working memory were analyzed using cross-lagged panel models.Across all 3 age groups, the bidirectional associations of AARC-gains with indicators of functioning were not significant, whereas higher AARC-losses significantly predicted slightly greater functional difficulties and higher depression and anxiety levels. Higher AARC-losses predicted slightly poorer Verbal Reasoning only in old-old age and poorer Working Memory predicted slightly higher AARC-losses only in young-old age. The remaining associations of AARC-losses with cognitive tasks were not statistically significant.In accordance with previous research targeting other indicators of self-perceptions of aging, this study supported a stronger impact of AARC-losses on indicators of physical functioning and mental health than vice versa from midlife to old-old age. 
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