Development and evaluation of the positive psychology intervention for older adults

Although research suggests that positive psychology intervention can enhance subjective well-being and reduce depression, its effectiveness on older adults remains largely unknown. Therefore the present study aimed to develop and evaluate a custom-tailored positive psychology intervention program for older adults. The program offered nine-week group sessions to 74 older people recruited from district community centers and nursing homes in Hong Kong. The intervention program covers eight themes, including optimism, gratitude, savoring, happiness, curiosity, courage, altruism, and meaning of life. The participants consisted mostly of females aged between 63 and 105?years. One-group pre-test/post-test design was adopted to evaluate the effectiveness of the intervention on depression, life satisfaction, gratitude, and happiness. Results revealed that the intervention reduced the number of depressive symptoms and increased the levels of life satisfaction, gratitude, and happiness. Effectiveness of the intervention is discussed in relation to self-awareness, education, self-reinforcement, and sensitivity to age and culture.     

False memories for a robbery in young and older adults

The aim of the present study was to analyse memory performance in young and older adults based on a robbery scenario. The study examined free recall and the recognition of actions, people and details, as well as the Remember/Know/Guess judgements that accompanied recognition. Recognition was evaluated both immediately and 1 week later, although performance was not affected by the retention interval. In the free recall task, the older adults remembered less information than the younger adults but we found no differences between the two with regard to errors. Participants accepted more false actions, thus achieving higher recognition accuracy for people and details. They also categorized false alarms for actions more often as remember than as know or guess judgements. This pattern of results was more pronounced in the older adults, suggesting that aging is an important factor in false memories for events. Copyright © 2008 John Wiley & Sons, Ltd.     

Visual search for change in older adults

Previous research has demonstrated that younger adults are surprisingly poor at detecting substantial changes to visual scenes. Little is known, however, about age differences in this phenomenon. In the 2 experiments reported here, older adults were slower than younger adults in detecting changes to simple visual stimuli. This age difference was beyond what would be expected given known age-related changes in processing speed. Examination of eye movement behavior during the search for change suggested that age-related changes in the useful field of view and degree of cautiousness play a significant role. Speed of processing and 3 age-related eye movement behaviors explained 85% of the variance in change detection latency, eliminating the effect of age.     

Both young and older adults discount suggestions from older adults on a social memory test

In the present study, we examined the impacts of participant age and confederate age on social memory processes. During a collaborative recall phase, young and older adult participants were exposed to the erroneous memory reports of a young or an older adult confederate. On a subsequent individual recall test, young and older adult participants were equally likely to incorporate the confederates’ erroneous suggestions into their memory reports, suggesting that participant age had a minimal effect on social memory processes. However, confederate age did have a marked effect: Young adult participants were less likely to incorporate misleading suggestions from older adult confederates and less likely to report “remembering” items suggested by older adult confederates. Critically, older adult participants were also less likely to incorporate misleading information from fellow older adult confederates. Both young and older adult participants discounted older adult confederates’ contributions to a memory test.     

Evidence-based psychological treatments for insomnia in older adults

The review describes evidence-based psychological treatments (EBTs) for insomnia in older adults. Following coding procedures developed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology, two treatments were found to meet EBT criteria: sleep restriction-sleep compression therapy and multicomponent cognitive-behavioral therapy. One additional treatment (stimulus control therapy) partially met criteria, but further corroborating studies are needed. At the present time, there is insufficient evidence to consider other psychological treatments, including cognitive therapy, relaxation, and sleep hygiene education, as stand-alone interventions beneficial for treating insomnia in older adults. Additional research is also needed to examine the efficacy of alternative-complementary therapies, such as bright light therapy, exercise, and massage. This review highlights potential problems with using coding procedures proposed in the EBT coding manual when reviewing the existing insomnia literature. In particular, the classification of older adults as persons age 60 and older and the lack of rigorous consideration of medical comorbidities warrant discussion in the future.     

Interventions for caregivers of older and dependent adults: a review

Studies of intervention for caregivers of older and dependent relatives are reviewed. National (PortalMayores, Psicodoc, Psyke) and international (Ageline, Cochrane Library, Medline, Psycinfo) databases were searched for randomized studies, published from 1980 to 2004, that attempt to reduce emotional distress in caregivers. Most intervention studies focus on caregivers of dementia patients and these caregivers are usually females. Caregivers are not an easy group to access. Intervention objectives and contents vary widely and they are not always well defined. The reported effects are moderate. Studies achieve significant outcomes in reducing distress from behavioural problems, but it is difficult to improve depression levels. Psychotherapeutic interventions have shown moderate efficacy. To conclude, future intervention studies should determine the theoretical framework clearly, as well as the goals, and should use more extensive followup periods.     

Family therapy for older adults: a survey of professionals' attitudes

Faced with a limited number of referrals to a newly established family therapy team for older adults we conducted a survey of doctors', nurses' and social workers' views concerning the value and limitations of a family therapy approach to the problems of later life. The results suggested that, despite generally positive attitudes towards the idea of family therapy with older adults, there was a mixture of ignorance about the service in particular and the approach in general, as well as some reservation concerning the potential for change in the families of older adults. We describe some of the actions we took in the light of these findings.     

Representational momentum in older adults

Humans have a tendency to perceive motion even in static images that simply “imply” movement. This tendency is so strong that our memory for actions depicted in static images is distorted in the direction of implied motion - a phenomenon known as representational momentum (RM). In the present study, we created an RM display depicting a pattern of implied (clockwise) rotation of a rectangle. Young adults viewers’ memory of the final position of the test rectangle was biased in the direction of continuing rotation, but older adults did not show a similar memory bias. We discuss several possible explanations for this group difference, but argue that the failure of older adults to shown an RM effect most likely reflects age-related changes in areas of the brain involved in processing real and implied motion.     

老年人群的韵律感知

老龄化导致听觉系统、认知功能有所衰退。老年人群的言语理解能力减弱, 韵律信息解析存在困难。老年人对重音、语调、语速等语言韵律感知能力退化, 对情感韵律的加工也出现问题, 特别是消极情绪韵律加工减退较快。老年疾病进一步加深韵律加工难度, 韵律感知呈现出与特定疾病的相关性。未来研究需考察不同语言背景老年人群的韵律感知表现与机制、复杂交流环境的影响、韵律感知障碍对老年疾病的预测、韵律感知的早期干预与复健等问题。     

Relational integration in older adults

Reasoning requires making inferences based on information gleaned from a set of relations. The relational complexity of a problem increases with the number of relations that must be considered simultaneously to make a correct inference. Previous work (Viskontas, Morrison, Holyoak, Hummel, & Knowlton, ) has shown that older adults have difficulty integrating multiple relations during analogical reasoning, especially when required to inhibit irrelevant information. We report two experiments that examined the ability to integrate multiple relations in younger, middle-aged, and older adults performing two other reasoning tasks. These tasks systematically varied relational complexity, and required either inductive reasoning (a version of the Raven's Matrices Task) or transitive inference. Our results show that as people age they have increasing difficulty in solving problems that require them to integrate multiple relations. This difficulty may stem from a decrease in working memory capacity.     

Visuomotor binding in older adults

Action integration is the process through which actions performed on a stimulus and perceptual aspects of the stimulus become bound as a unitary object. This process appears to be controlled by the dopaminergic system in the prefrontal cortex, an area that is known to decrease in volume and dopamine functioning in older adults. Although the decline should lead to reduced action integration in older adults, we found equivalent integration in both young and older adults. This indicates that older adults may be able to compensate for their dopaminergic deficiencies by activating additional neural networks that are not used by young adults.     

Memory for a dialectical and a nondialectical prose passage in young and older adults

Age differences in adults' processing of a dialectical or nondialectical prose passage were explored. Twenty young and 20 older adults read a dialectical or mechanistic passage and were tested for free recall and recognition after a 30-min delay (filled with vocabulary and paradigm belief scale). Older (vs. young) adults had significantly lower formistic and mechanistic scores and showed greater relative preference for relativistic and dialectical beliefs (paradigm scale). There were no age differences in amount of free recall or number of correct responses (hits) on recognition, but older adults produced more spontaneous dialectical distortions in recall of the mechanistic passage and more paradigm-congruent false alarms on recognition. There was also a move from absolute toward dialectical thinking on the paradigm scale and, among males, on the recognition measure. Dialectical scores (paradigm scale) were positively correlated, and mechanistic scores negatively correlated, with number of dialectical distortions on free recall (mechanistic passage), while dialectical scores were positively correlated with number of dialectical false alarms (dialectical passage).     

Contextual Design for driving: Developing a trip-planning tool for older adults

Independent living depends on mobility, and mobility depends on driving, particularly for people 65 years and older. The longer older adults can safely drive, the longer they can independently run errands, shop, exercise, and maintain social networks. Age-related decline of perceptual, motor, and cognitive abilities can undermine the mobility and driving safety of older drivers. Data from driving simulators, on-road tests, surveys, and crash reports describe the driving safety and mobility challenges of older adults, but these methods offer a limited view of these challenges and fail to indicate design solutions. Contextual Design—a combination of Contextual Inquiry interviews, model building, and affinity diagrams—offers a complementary approach to uncover challenges that older adult drivers’ experience. For two weeks, 39 drivers age 65 and above, had their vehicles instrumented to collect driving and video data. Applying Contextual Design to these data showed that older drivers in urban and rural settings faced different mobility challenges and adopted various strategies to mitigate risk: older drivers often involved their spouse or passenger in the driving task, avoided certain driving maneuvers such as left turns, avoided unfamiliar or poorly lit roads at night, and planned trips to avoid risky driving situations. Ridesharing and trip planning emerged as important strategies to improve the safety and mobility of older drivers. Ridesharing could serve as a potential solution to prolong mobility; however, factors such as wait time, scheduling conflicts, costs, and trust were concerns for older drivers. A paper prototype was developed to validate the driving challenges faced by older drivers, and guide the development of a customized web-based trip-planning tool. The trip-planning tool could help older drivers make safer route choices by offering routes with fewer driving challenges, thereby enhancing their driving safety, mobility, and independence.     

Human behavioral momentum in a sample of older adults.

Behavioral momentum, the persistence of behavior under altered environmental contingencies, is derived from Newtonian physics and operant psychology. It has relevance to behavior analysis in terms of shaping strong behaviors and ensuring effective relapse prevention strategies in behavior modification and therapy. The authors investigated whether changing the operant schedule contingencies affects the responses of older humans to different stimuli when reinforcement density is systematically manipulated. Fifteen older adults participated in a computer study in which each of 2 keys in a baseline condition was associated with the same schedule of reinforcement and multiple variable intervals; the only difference was that 1 reinforcer was 10 times larger than the other. After 6 sessions, the authors changed the contingency schedule to either an extinction condition, a variable-time schedule, or a different variable-interval schedule, to assess how participants' responses persisted when reinforcement contingencies were systematically changed. The results were consistent with the predictions of behavioral momentum. The participants not only biased their responses in favor of the more densely reinforcing key, but when contingencies changed, they showed significantly biased responses. Results supported the conclusion that healthy older adults allocate their behaviors in a manner very sensitive to training stimuli conditions; consistent with the basic principles of behavioral momentum, they show a degree of resistance to change in their behaviors when the behavioral contingencies are altered.     

Correlates of subjective health in older adults: a meta-analysis

Age-associated changes of subjective health and associations of subjective health with physical health, functional health, and mental health were meta-analyzed in older adults (M age > 60 years). An age-associated decline of subjective health, which was stronger in old-old samples than in young-old samples, was found. Subjective health was correlated with the indicators of objective health, but the association with physical health was stronger than with functional health. Correlations of subjective health with physical health and functional health were lower in the old-old than in the young-old samples, whereas associations of subjective health with mental health were stronger in older samples. Furthermore, the size of the association between subjective and objective health varied by the method of assessment of objective health, showing highest associations with symptom checklists and results of medical examinations due to strict protocols.     

Toward a better understanding of loneliness in community-dwelling older adults

The purpose of this interpretive phenomenological study was to explore the meaning of loneliness in community-dwelling older adults and to understand their daily practices in coping with loneliness. The sample consisted of 8 women and 4 men. Interviews were conducted with the 12 participants utilizing several tools, including 3 separate interview guides and the UCLA Loneliness Scale, Version 3 (Russell, 1996). A critical finding was that many participants experienced loneliness as a result of disrupted meaningful engagement, due to age-related changes, as well as other losses, including death of spouse, retirement, and giving up the car. Two paradigm cases and themes representing the loneliness and coping experience emerged. Participant coping practices with loneliness included reaching out to others, helping those in need, and seeking companionship with pets. Many older adults are at risk for loneliness because of declining health and other age-related losses that prevent them from remaining engaged in meaningful relationships. Health care professionals can screen for loneliness to identify those at risk and can intervene to help older adults maintain connections. Recommendations for those caring for lonely older adults include active listening, vision and hearing screenings, transportation needs, pet therapy, volunteering, and engagement in social activities.     

Social relevance enhances memory for impressions in older adults

Previous research has demonstrated that older adults have difficulty retrieving contextual material over items alone. Recent research suggests this deficit can be reduced by adding emotional context, allowing for the possibility that memory for social impressions may show less age-related decline than memory for other types of contextual information. Two studies investigated how orienting to social or self-relevant aspects of information contributed to the learning and retrieval of impressions in young and older adults. Participants encoded impressions of others in conditions varying in the use of self-reference (Experiment 1) and interpersonal meaningfulness (Experiment 2), and completed memory tasks requiring the retrieval of specific traits. For both experiments, age groups remembered similar numbers of impressions. In Experiment 1 using more self-relevant encoding contexts increased memory for impressions over orienting to stimuli in a non-social way, regardless of age. In Experiment 2 older adults had enhanced memory for impressions presented in an interpersonally meaningful relative to a personally irrelevant way, whereas young adults were unaffected by this manipulation. The results provide evidence that increasing social relevance ameliorates age differences in memory for impressions, and enhances older adults’ ability to successfully retrieve contextual information.     

Relational frameworks for recall in young and older adults

Recent research indicates the presence of an age-related visual processing deficit, for which the elderly may attempt to compensate through the use of relational information. This hypothesis was tested, using the category superiority effect as a model system. In studies of young adults, the category superiority effect has been shown to be confined to relatively abstract stimulus materials, such as verbal items, and to be absent for pictures. However, it was predicted that a category superiority effect would be present in elderly adults both for verbal and for pictorial stimuli, since the elderly would be expected to utilize category information to compensate for imagerie deficits. This prediction was confirmed, consistent with the hypothesis advanced above. It was further suggested that the establishment of a prior framework for recall, based on relational information, would reduce this effect significantly. This prediction was also confirmed. This research was supported by Grant AGI 1605, National Institute on Aging, and by a grant from the School of Natural Sciences, California State University, Fresno.