Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T15:38:12.240Z Has data issue: false hasContentIssue false

Attitudes to aging in midlife are related to health conditions and mood

Published online by Cambridge University Press:  20 August 2014

Anna M. Thorpe*
Affiliation:
Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand
John F. Pearson
Affiliation:
Department of Population Health, University of Otago Christchurch, Christchurch, New Zealand
Philip J. Schluter
Affiliation:
School of Health Sciences, University of Canterbury, Christchurch, New Zealand; and School of Nursing and Midwifery, University of Queensland, Brisbane, Australia
Janet K. Spittlehouse
Affiliation:
Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand
Peter R. Joyce
Affiliation:
Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand
*
Correspondence should be addressed to: Anna Thorpe, Department of Psychological Medicine, University of Otago Christchurch, PO Box 4345, Christchurch 8140, New Zealand. Phone: +64-3-3786400; Fax: +64-3-3786540. Email: anna.thorpe@otago.ac.nz.
Get access

Abstract

Background:

Health is an important aspect of individuals’ lives as they age. The aim of this study was to examine the relationship of sociodemographic factors, diagnosed chronic health conditions, and current depression with attitudes to aging in midlife.

Methods:

A cross-sectional baseline analysis was conducted on the first 300 participants from the Canterbury Health, Ageing and Life Course study in New Zealand, a stratified randomized community longitudinal study of adults recruited between 49 and 51 years. Attitudes were measured using the Attitudes to Aging Questionnaire (AAQ) and analyzed with a range of prevalent diagnosed chronic conditions, current depression, and sociodemographic variables.

Results:

Individuals perceived their physical aging more negatively after a diagnosis of hypertension, arthritis or asthma. Diagnosed lifetime depression and anxiety, and current depression, showed strong relationships with attitudes to aging across domains. After controlling for sociodemographic factors and current depression, individuals with diagnosed hypertension, arthritis, asthma, lifetime depression or anxiety continued to report significantly more negative attitudes to aging. Current depression showed the strongest associations with attitudes to aging and mediated relationships of health on attitudes to aging.

Conclusions:

Physical and mental health are related to attitudes to aging. Most chronic conditions examined are significantly associated with attitudes toward aging in the physical change domain. Diagnosed lifetime depression and anxiety, and current depression, are negatively related across attitudinal domains. Individuals can feel positive about aging while experiencing poorer health, but this is more difficult in the presence of low mood.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ajzen, I. and Fishbein, M. (1977). Attitude-behavior relations: a theoretical analysis and review of empirical research. Psychological Bulletin, 84, 888918.Google Scholar
Ardagh, M. W. et al. (2011). The initial health-system response to the earthquake in Christchurch, New Zealand, in February, 2011. The Lancet, 379, 21092115. doi: http://dx.doi.org/10.1016/S0140-6736(12)60313-4.Google Scholar
Bryant, C., Bei, B., Gilson, K., Komiti, A., Jackson, H. and Judd, F. (2012). The relationship between attitudes to aging and physical and mental health in older adults. International Psychogeriatrics, 24, 16741683. doi:10.1017/S1041610212000774.Google Scholar
Chachamovich, E., Fleck, M., Laidlaw, K. and Power, M. (2008). Impact of major depression and subsyndromal symptoms on quality of life and attitudes toward aging in an international sample of older adults. The Gerontologist, 48, 593602. doi: 10.1093/geront/48.5.593.Google Scholar
Demakakos, P., Gjonca, E. and Nazroo, J. (2007). Age identity, age perceptions, and health–evidence from the English Longitudinal Study of ageing. Healthy Aging and Longevity, 1114, 279287. doi: 10.1196/annals.1396.021.Google Scholar
Dolan, P., Peasgood, T. and White, M. (2008). Do we really know what makes us happy? A review of the economic literature on the factors associated with subjective well-being. Journal of Economic Psychology, 29, 94122.Google Scholar
Kalfoss, M. H., Low, G. and Molzahn, A. E. (2010). Reliability and validity of the attitudes to ageing questionnaire for Canadian and Norwegian older adults. Scandinavian Journal of Caring Sciences, 24, 7585. doi: 10.1111/j.1471-6712.2010.00786.x.Google Scholar
Kunzmann, U., Little, T. D. and Smith, J. (2000). Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin aging study. Psychology and Aging, 15, 511526.CrossRefGoogle ScholarPubMed
Kuper, H. and Marmot, M. (2003). Intimations of mortality: perceived age of leaving middle age as a predictor of future health outcomes within the Whitehall II study. Age and Ageing, 32, 178184.CrossRefGoogle ScholarPubMed
Laidlaw, K., Power, M. J., Schmidt, S. and the WHOQOL-OLD Group. (2007). The attitudes to ageing questionnaire (AAQ): development and psychometric properties. International Journal of Geriatric Psychiatry, 22, 367379.CrossRefGoogle ScholarPubMed
Levy, B. R. and Myers, L. M. (2005). Relationship between respiratory mortality and self-perceptions of aging. Psychology and Health, 20, 553564.CrossRefGoogle Scholar
Levy, B. R., Slade, M. D. and Kasl, S. V. (2002). Longitudinal benefit of positive self-perceptions of aging on functional health. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57, 409417.Google Scholar
Low, G., Ross, C., Stickland, M., Wilson, D. and Wong, E. (2013). Perspectives of aging among persons living with chronic obstructive pulmonary disease. Western Journal of Nursing Research, 35, 884904.CrossRefGoogle Scholar
Lucas-Carrasco, R., Laidlaw, K., Gómez-Benito, J. and Power, M. J. (2013). Reliability and validity of the attitudes to ageing questionnaire (AAQ) in older people in Spain. International Psychogeriatrics, 25, 490499.Google Scholar
Lumley, T. (2010). Survey: analysis of complex survey samples. R package version 3.22–1.Google Scholar
Matthews, R., Lindner, H. and Collins, L. (2007). Attitudes towards ageing: a survey conducted by the Australian psychological society. InPsych: The Bulletin of the Australian Psychological Society, 29, 2225.Google Scholar
Ministry of Health (2008). A Portrait of Health: Key Results of the 2006/07 New Zealand Health Survey. Wellington: Ministry of Health.Google Scholar
Mojon-Azzi, S. and Sousa-Poza, A. (2011). Hypertension and life satisfaction: an analysis using data from the survey of health, ageing and retirement in Europe. Applied Economics Letters, 18, 183187. doi: 10.1080/13504850903508291.Google Scholar
Pruchno, R. A., Wilson-Genderson, M., Rose, M. and Cartwright, F. (2010). Successful aging: early influences and contemporary characteristics. Gerontologist, 50, 821833. doi:10.1093/geront/gnq041.CrossRefGoogle ScholarPubMed
Quinn, K. M., Laidlaw, K. and Murray, L. K. (2009). Older peoples’ attitudes to mental illness. Clinical Psychology and Psychotherapy, 16, 3345.CrossRefGoogle ScholarPubMed
Schluter, P. J. et al. (2013). Canterbury health, ageing and life course (CHALICE) study: rationale, design and methodology. New Zealand Medical Journal, 126, 115.Google Scholar
Sheehan, D. V. et al. (1998). The mini-international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 2233.Google Scholar
Shenkin, S. D., Laidlaw, K., Allerhand, M., Mead, G. E., Starr, J. M. and Deary, I. J. (2014). Life course influences of physical and cognitive function and personality on attitudes to aging in the Lothian birth cohort 1936. International Psychogeriatrics, 114. doi: 10.1017/S1041610214000301.CrossRefGoogle Scholar
Spittlehouse, J. K., Joyce, P. R., Vierck, E., Schluter, P. J. and Pearson, J. F. (2014). Ongoing adverse mental health impact of the earthquake sequence in Christchurch, New Zealand. Australian and New Zealand Journal of Psychiatry, 48, 756763.Google Scholar
Statistics New Zealand (2011). Estimating Local Populations After the 2010/11 Canterbury Earthquakes. Wellington: Statistics New Zealand. Available at: http://www.stats.govt.nz/browse_for_stats/population/estimates_and_projections/estimating-pop-after-chch-quakes-paper.aspx; last accessed 20 August, 2012.Google Scholar
Statistics New Zealand (2012). Regional Summary Tables by Regional Council. Wellington: Statistics New Zealand. Available at: http://www.stats.govt.nz/~/media/Statistics/Census/2006-reports/RegionalSummaryTables/Regional-Summary-Tables-Regional-Council.xls; last accessed 23 August, 2012.Google Scholar
Stephens, C., Alpass, F., Towers, A., Noone, J. and Stevenson, B. (2011). The effects of socio-economic inequalities of working life on health: implications for an ageing population. Kotuitui: New Zealand Journal of Social Sciences Online, 6, 7385. doi: 10.1080/1177083x.2011.614264.Google Scholar
Steptoe, A., Wardle, J. and Marmot, M. (2005). Positive affect and health-related neuroendocrine, cardiovascular, and inflammatory processes. Proceedings of the National Academy of Sciences, 102, 65086512. doi: 10.1073/pnas.0409174102.CrossRefGoogle ScholarPubMed
Trigg, R., Watts, S., Jones, R., Tod, A. and Elliman, R. (2012). Self-reported quality of life ratings of people with dementia: the role of attitudes to aging. International Psychogeriatrics, 24, 10851093. doi:10.1017/S1041610212000038.Google Scholar
Uotinen, V., Rantanen, T. and Suutama, T. (2005). Perceived age as a predictor of old age mortality: a 13-year prospective study. Age and Ageing, 34, 368372. doi: 10.1093/ageing/afi091.Google Scholar
Windsor, T. D. and Anstey, K. J. (2010). Age differences in psychosocial predictors of positive and negative affect: a longitudinal investigation of young, midlife, and older adults. Psychology and Aging, 2, 641.CrossRefGoogle Scholar