Age-related differences in responses to thoughts of one's own death: mortality salience and judgments of moral transgressions

Two experiments explored age differences in response to reminders of death. Terror management research has shown that death reminders lead to increased adherence to and defense of one's cultural worldview. In Study 1, the effect of mortality salience (MS) on evaluations of moral transgressions made by younger and older adults was compared. Whereas younger adults showed the typical pattern of harsher judgments in response to MS, older adults did not. Study 2 compared younger and older adults' responses to both the typical MS induction and a more subtle death reminder. Whereas younger adults responded to both MS inductions with harsher evaluations, older adults made significantly less harsh evaluations after the subtle MS induction. Explanations for this developmental shift in responses to reminders of death are discussed.     

Executive Functioning and Gambling: Performance on the Trail Making Test is Associated with Gambling Problems in Older Adult Gamblers

ABSTRACT

Rates of gambling problems in older adults have risen with increased accessibility of gambling venues. One possible contributor to problem gambling among older adults is decreased self-control brought about by diminished executive functioning. Consistent with this possibility, Study 1 revealed that older adults recruited from gambling venues reported greater gambling problems if they also experienced deficits in executive functioning, measured via the Trail Making Test. Study 2 replicated this finding and demonstrated that problem gambling is associated with increased depression among older adults, mediated by increased financial distress. These studies provide support for the hypothesis that older adult gamblers who have executive functioning problems are also likely to have gambling problems.     

Age-related decline in executive function predicts better advice-giving in uncomfortable social contexts

Conventional wisdom suggests that older adults are more likely than young adults to speak their mind. Age-related executive function (EF) decline is believed to underlie this tendency by weakening older adults' capacity to inhibit responses. While age-related EF decline disrupts social and cognitive functioning in many domains, such degeneration may also carry the unforeseen benefit of improving communication in uncomfortable social contexts. We examined the performance of relatively low and high EF older adults and young adults on the socially distressing task of providing critical advice to a troubled obese teenager. Relative to higher EF older adults and younger adults, lower EF older adults were more open, provided more advice, and were seen as more empathic. Moreover, doctors specializing in obesity treatment rated lower EF older adults’ advice to the teen as having greater potential for prompting a lifestyle change. Our findings suggest a potential silver lining to age-related cognitive decline.     

Decisional strategy determines whether frame influences treatment preferences for medical decisions

Decision makers are influenced by the frame of information such that preferences vary depending on whether survival or mortality data are presented. Research is inconsistent as to whether and how age impacts framing effects. This paper presents two studies that used qualitative analyses of think-aloud protocols to understand how the type of information used in the decision making process varies by frame and age. In Study 1, 40 older adults, age 65 to 89, and 40 younger adults, age 18 to 24, responded to a hypothetical lung cancer scenario in a within-subject design. Participants received both a survival and mortality frame. Qualitative analyses revealed that two main decisional strategies were used by all participants: one strategy reflected a data-driven decisional process, whereas the other reflected an experience-driven process. Age predicted decisional strategy, with older adults less likely to use a data-driven strategy. Frame interacted with strategy to predict treatment choice; only those using a data-driven strategy demonstrated framing effects. In Study 2, 61 older adults, age 65 to 98, and 63 younger adults, age 18 to 30, responded to the same scenarios as in Study 1 in a between-subject design. The results of Study 1 were replicated, with age significantly predicting decisional strategy and frame interacting with strategy to predict treatment choice. Findings suggest that framing effects may be more related to decisional strategy than to age.     

Memory for general and specific value information in younger and older adults: Measuring the limits of strategic control

The ability to selectively remember important information is a critical function of memory. Although previous research has suggested that older adults are impaired in a variety of episodic memory tasks, recent work has demonstrated that older adults can selectively remember high-value information. In the present research, we examined how younger and older adults selectively remembered words with various assigned numeric point values, to see whether younger adults could remember more specific value information than could older adults. Both groups were equally good at recalling point values when recalling the range of high-value words, but younger adults outperformed older adults when recalling specific values. Although older adults were more likely to recognize negative value words, both groups exhibited control by not recalling negative value information. The findings suggest that although both groups retain high-value information, older adults rely more on gist-based encoding and retrieval operations, whereas younger adults are able to remember specific numeric value information.     

More Power to the Executive? A Preliminary Test of CBT Plus Executive Skills Training for Treatment of Late-Life GAD

One hypothesized reason for the lower rates of cognitive behavior therapy (CBT) response among older as compared to younger anxiety patients is that they are more likely to show age-related deficits in executive skills, which are complex cognitive skills involved in the regulation of negative affect. Following an 8-week baseline period, this pilot study tested CBT augmented with an executive skills training program, Attention Process Training II (Sohlberg et al., 2001, Sohlberg and Mateer, 2001) against standard CBT in a small sample of 8 older adults with generalized anxiety disorder (comorbidity allowed) and low scores on executive skills tests. Those who received the augmented version (CBT/APT) evidenced more improvement on executive skills and a weekly process measure of worry than those who received CBT. All of the participants in CBT/APT, as compared to half the participants in CBT, met criteria for response, and more in CBT/APT met criteria for high endstate functioning at posttreatment and follow-up. It may be fruitful to test the intervention in a larger sample, and to continue to investigate the role of executive skills in CBT outcome and anxiety treatment.     

Planning and realization of complex intentions in traumatic brain injury and normal aging

The realization of delayed intentions (i.e., prospective memory) is a highly complex process composed of four phases: intention formation, retention, re-instantiation, and execution. The aim of this study was to investigate if executive functioning impairments are related to problems in the formation, re-instantiation, and execution of a delayed complex intention. In this context, it was another aim of the study to investigate the executive functioning hypothesis of cognitive aging in prospective memory performance. It was, therefore, explored if age-related prospective memory decline leads to similar decrements in the process of prospective remembering as executive functioning-related decline in young patients with traumatic brain injury. A group of patients with traumatic brain injury with retrospective memory within normal limits but impaired executive functions, a group of healthy older and a group of healthy younger adults completed a complex prospective memory task that allows for the separate assessment of the four phases of the prospective memory process. All groups showed a similarly high performance in the intention retention phase, whereas the patients with deficits in executive functioning and the older participants performed worse than the healthy young participants in the intention formation, re-instantiation and execution phases. The importance of executive functioning for prospective remembering in traumatic brain injury and normal aging is discussed.     

Age differences in executive functioning across the lifespan: the role of verbalization in task preparation

Age-related changes in executive functioning across the lifespan were assessed in children (mean age=9.4 years), younger adults (mean age=21.5 years), and older adults (mean age=65.3 years). Executive functioning was investigated with a task-switching paradigm that permits the separation of two control components: to select and to switch between task sets. The specific aims of this study were (a) to determine developmental functions in both control components across the lifespan; and (b) to examine whether age-related changes in these components are influenced by verbal prompts during task preparation. The results revealed an inverted u-shaped developmental function for the ability to select between task sets but not for the ability to switch between task sets. In contrast to younger adults and children, older adults generally benefited from verbalizations during task preparation. Children, but not older adults, showed a facilitation of task execution when verbal prompts were task-compatible. Conversely, older adults, but not children, showed stronger interference when verbal prompts are task-incompatible. Our findings suggest that inner speech in an important modulator of developmental changes in executive functioning across the lifespan.     

Age,working memory,and the Tower of London task

The current study explores the role of three components of working memory in age differences in an executive task, the Tower of London (TOL). The TOL task is sensitive to frontal lobe damage, and is widely used to measure planning ability. Dual tasks were used to test the involvement of the phonological loop (articulatory suppression), visuospatial buffer (pattern tapping), and central executive (random generation) in age effects on the TOL. Older adults showed greater reliance than young on domain-specific verbal and spatial memory components in performing the TOL. In terms of executive function, qualitatively different interference patterns were seen in young and old participants. However, the validity of using random generation tasks to assess executive function in older populations can be questioned. For older participants, performing the TOL loads all components of working memory, whereas for the younger participants the TOL more specifically loads executive functioning.     

Executive functioning in normal aging: a study of action planning using the Zoo Map Test

A particularly important aspect of executive functioning involves the ability to form and carry out complex plans, that is to say planning. This study aimed to investigate planning in 18 older and 16 younger normal participants using an ecological planning subtask derived from the Behavioural Assessment of the Dysexecutive Syndrome test battery, the "Zoo Map Test." There are two trials. The first trial consists of a "high demand" version of the subtask in which the participants must plan in advance the order in which they will visit designated locations in a zoo (formulation level). In the second, or "low demand" version, the participant is simply required to follow a concrete externally imposed strategy to reach the locations to visit (execution level). The two-way ANOVAs mainly showed more difficulties in elderly adults than in younger adults, more difficulties in formulation level than in execution level, and lastly a greater difference between formulation and execution in older participants than in younger adults. These results suggest that elderly participants have some problems developing logical strategies whereas they are able to execute complex predetermined plans.     

A bilingual advantage for episodic memory in older adults

The ability to remember events—referred to as episodic memory—is typically subject to decline in older adulthood. Episodic memory decline has been attributed in part to less successful executive functioning, which may hinder an older adult's ability to implement controlled encoding and retrieval processes. Since bilingual older adults often show more successful executive functioning than monolinguals, they may be better able to maintain episodic memory. To examine this hypothesis, we compared bilingual and monolingual older adults on a picture scene recall task (assessing episodic memory) and a Simon task (assessing executive functioning). Bilinguals exhibited better episodic memory than their monolingual peers, recalling significantly more items overall. Within the bilingual group, earlier second language acquisition and more years speaking two languages were associated with better recall. Bilinguals also demonstrated higher executive functioning, and there was evidence that level of executive functioning was related to memory performance. Results indicate that extensive practice controlling two languages may benefit episodic memory in older adults.     

Age-related differences and complexity of ongoing activities in time- and event-based prospective memory

Aging is presumed to disrupt self-initiated processing, and a time-based prospective memory task (i.e., action to be performed at a particular time) entails more self-initiated activities than an event-based prospective memory task (i.e., action to be performed to a critical event). Accordingly, older participants are predicted to be particularly bad in a time-based prospective memory task. However, the prediction is not always confirmed. Self-initiated activities entail central executive functioning. We therefore predicted the age deficit to emerge more clearly when the performance on the ongoing task also involved more central executive functioning. Time-based prospective memory among older adults collapsed when the complexity of the ongoing task increased. However, an age deficit was also obtained when the pacing of the event-based prospective memory task was high because of the general slowing of functioning by older adults.     

Social knowledge and goal-based influences on social information processing in adulthood

Effective social functioning is reflected in the ability to accurately characterize other people and then use this information in the service of social goals. To examine this type of social functioning, the authors conducted two studies that investigated potential influences of social experience and chronic socioemotional goals on adults' social judgments in an impression formation task. In line with a social expertise framework, middle-aged and older adults were more sensitive to trait-diagnostic behavioral information than were younger adults. Relative to younger adults, older adults paid more attention to negative than to positive information when it related to morality traits. Increasing the salience of the social context, and presumably activating socioemotional goals, did not alter this pattern of performance. In contrast, when more global social evaluations were examined (e.g., suitability as a social partner), older adults were less likely than younger or middle-aged adults to adjust their evaluations in response to situational goals. Consistent with a heightened focus on socioemotional goals, older adults' judgments were more consistently influenced by their attributions of traits that would likely impact the affective outcomes associated with interpersonal interactions. The results demonstrate the interaction between social knowledge, situational social goals, and chronic socioemotional goals in determining age differences in social information processing.     

Resolving conflicting social categories: the role of age-related executive ability

We investigated the effect of age-related decline in executive ability on the application of emergent features to incongruent social category conjunctions (e.g., male midwife). When forming an impression of an incongruent conjunction, older adults used more emergent attributes (attributes associated exclusively with the category conjunction and not the constituents), relative to younger adults. Moreover, this relationship was mediated by a reduction in inhibitory ability (measured using a Stroop task) and processing speed (measured using a Digit Symbol Substitution Test, DSST). These findings are consistent with the notion that executive ability is pivotal in understanding social functioning in older adults. We discuss the implications of these findings for the continuing development of models outlining the processes and stages involved in perceiving social category conjunctions.     

Effects of body mass index and education on verbal and nonverbal memory

We previously reported that higher education protects against executive dysfunction related to higher body mass index (BMI) in younger, but not older, adults. We now extend the previous analyses to verbal and nonverbal memory. Fifty-nine healthy, dementia-free community-dwelling adults ranging in age from 18 to 81 years completed the Hopkins Verbal Learning Test – Revised (HVLT-R) and the Brief Visuospatial Memory Test – Revised (BVMT-R). Self-reported years of education served as a proxy for cognitive reserve. We found that more highly educated individuals maintained their BVMT-R immediate recall performance across the range of BMI, but in less educated individuals, higher BMI was associated with worse performance. Our findings suggest that education may play a protective role against BMI-related nonverbal learning deficits, similar to previous reports for verbal memory and executive functioning. Results highlight the importance of considering educational background when determining the risk for BMI-related cognitive impairment in clinical settings.     

No evidence of age-related increases in unconscious plagiarism during free recall

In three experiments younger and older participants took part in a group generation task prior to a delayed recall task. In each, participants were required to recall the items that they had generated, avoiding plagiarism errors. All studies showed the same pattern: older adults did not plagiarise their partners any more than younger adults did. However, older adults were more likely than younger adults to intrude with entirely novel items not previously generated by anyone. These findings stand in opposition to the single previous demonstration of age-related increases in plagiarism during recall.     

No evidence of age-related increases in unconscious plagiarism during free recall

In three experiments younger and older participants took part in a group generation task prior to a delayed recall task. In each, participants were required to recall the items that they had generated, avoiding plagiarism errors. All studies showed the same pattern: older adults did not plagiarise their partners any more than younger adults did. However, older adults were more likely than younger adults to intrude with entirely novel items not previously generated by anyone. These findings stand in opposition to the single previous demonstration of age-related increases in plagiarism during recall.     

Childhood-Onset Multiple Sclerosis and Mood Disorders: A Case Study

Multiple Sclerosis (MS) is rare in children. Little research exists regarding emotional and behavioral disorders in childhood-onset MS, despite the occurrence of such problems in adults with MS. This paper describes the cognitive and behavioral characteristics of a boy diagnosed with MS at age 9 and mood disorder at age 10. He displayed no cognitive or behavioral problems prior to the onset of physical symptoms of MS. Three years after diagnosis, this child showed persistent problems with speed of processing, visual-motor skills, and parent and teacher-reported executive functioning. In addition, he had difficulties with emotional lability, behavioral disinhibition, depression, and social interaction. As with adults, children with MS may be at increased risk for mood disorder compared to their peers. Mood disorders in children with MS are likely to be multiply determined, although the specific causal mechanisms are unknown.     

Age related differences in metacognitive control: role of executive functioning

To examine whether aging affects metacognitive control, elderly and young adults carried out a readiness-recall task, in which subjects monitor their own learning procedure, allowing strategy manipulation (study time and rehearsal) to be measured. Age differences were observed in metamemory control performance. Younger adults were found to be better at adjusting study time and rehearsal to the task. Moreover, to determine whether age-related differences in strategy manipulation may mediate age-related differences in memory performance, performance on the readiness-recall task was compared to performance on an experimenter-paced task. Results indicated that younger adults recalled significantly more words in the readiness-recall task than in the experimenter test. This was not the case for older adults. Furthermore, a hierarchical regression analysis revealed that age-related differences in strategy manipulation mediate some age-related differences in memory performance. Our aim was also to determine whether metacognitive control is related to executive functions. Thus, all participants were administered standard neuropsychological tests used to assess executive functioning. Significant partial correlation appeared between metamemory control and executive functioning. Finally, a hierarchical regression analysis indicated that age-related decline in metamemory control may be largely the result of executive limitations associated with aging.     

Older,wiser, and happier? Comparing older adults’ and college students’ self-defining memories

The present study compared self-defining memories in adults 50 years of age and older to the self-defining memories of college students. Findings are largely congruent with previous memory and ageing research, but shed additional light on how personal memories are employed to achieve a sense of identity and continuity in older adults. Older adults’ self-defining memories, compared to those of younger adults, were more positive in emotional tone, more summarised and less detailed, and more likely to contain integrative meaning. The implications of these findings for assessing normative personal memory in older adults are discussed along with more general observations about narrative identity in older adulthood.