Older Men's Lay Definitions of Successful Aging over Time: The Manitoba Follow-up Study

Abstract

The concept of “successful aging” has become widely accepted in gerontology, yet continues to have no common underlying definition. Researchers have increasingly looked to older individuals for their lay definitions of successful aging. The present analysis is based on responses to five questionnaires administered to surviving participants of the male Manitoba Follow-up Study cohort (www.mfus.ca) in 1996, 2000, 2002, 2004, and 2006 (n = 2,043 men were alive at a mean age of 78 years in 1996). One question on each survey asked: “What is YOUR definition of successful aging?” Applying content analysis to the 5,898 narratives received over the 11 years, we developed a coding system encompassing 21 main themes and 86 sub-themes defining successful aging. We quantitatively analyzed trends in prevalence of themes of successful aging prospectively over time. Our findings empirically support colleagues' past suggestions to shift from defining successful aging in primarily biomedical terms, by taking lay views into account.

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References

Andersen-Ranberg

Schroll

, & Jeune

(2001). Healthy centenarians do not exist, but autonomous centenarians do: A population-based study of morbidity among Danish centenarians. Journal of the American Geriatrics Society, 49, 900–908. doi: 10.1046/j.1532-5415.2001.49180.x

Bradburn

N. M.

(1969). The structure of psychological well-being. Chicago, IL: Aldine.

Christensen

, & Vaupel

J. W.

(1996). Determinants of longevity: Genetic, environmental and medical factors. Journal of Internal Medicine, 240, 333–341. doi: 10.1046/j.1365-2796.1996.d01-2853.x

Costa

P. T.

, & McCrae

R. R.

(1994). Stability and change in personality from adolescence through adulthood. In Halverson

C. F.

Kohnstamm

G. A.

, & Martin

R. P.

(Eds.), The developing structure of temperament and personality from infancy to adulthood (pp. 139–150). Hillsdale, NJ: Erlbaum.

Cutrona

C. E.

, & Russell

(1987). The provisions of social relationships and adaptation to stress. In Jones

W. H.

& Perlman

(Eds.), Advances in personal relationships (Vol. 1, pp. 37–67). Greenwich, CT: JAI Press.

Cutrona

C. E.

Russell

, & Rose

(1986). Social support and stress as determinants of psychological and physical health among the elderly. Psychology and Aging, 1, 47–54. doi: 10.1037/0882-7974.1.1.47

Buono

Dello M.

Urciuoli

, & De Leo

(1998). Quality of life and longevity: A study of centenarians. Age and Ageing, 27, 207–216. doi: 10.1093/ageing/27.2.207

Deshpande-Kamat

(2010). Health in very old age: The effects of personal, social, and community resources. Unpublished dissertation. Ames, IA: Iowa State University.

Diener

Suh

E. M.

Lucas

R. E.

, & Smith

H. L.

(1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302. doi: 10.1037/0033-2909.125.2.276

10.

Evert

Lawler

Bogan

, & Perls

(2003). Morbidity profiles of centenarians: Survivors, delayers, and escapers. Journals of Gerontology Series A: Biological and Medical Sciences, 58, 232–237. doi: 10.1093/gerona/58.3.M232

11.

Fillenbaum

G. G.

(1988). Multidimensional functional assessment of older adults: The Duke Older Americans Resources and Services Procedures. Hillsdale, NJ: Lawrence Erlbaum Associates.

12.

Franke

W. D.

Margrett

J. A.

Heinz

M. S.

, & Martin

(2012). Handgrip strength, positive affect, and perceived health are prospectively associated with fewer functional limitations among centenarians. International Journal of Aging and Human Development, 75, 351–363. (this issue)

13.

Fredrickson

B. L.

, & Losada

M. F.

(2005). Positive affect and complex dynamics of human flourishing. American Psychologist, 60, 678–686. doi: 10.1037/0003-066X.60.7.678

14.

Garasky

Martin

Margrett

J. A.

, & Cho

(2012). Understanding perceptions of economic status among centenarians. International Journal of Aging and Human Development, 75, 365–382. (this issue)

15.

García

E. L.

Banegas

J. R.

Pérez-Regadera

A. G.

Cabrera

R. H.

, & Rodriguez-Artalejo

(2005). Social network and health-related quality of life in older adults: A population-based study in Spain. Quality of Life Research, 14, 511–520. doi: 10.1007/s11136-004-5329-z

16.

Gondo

Hirose

Arai

Inagaki

Masui

Yamamura

(2006). Functional status of centenarians in Tokyo, Japan: Developing better phenotypes of exceptional longevity. Journals of Gerontology Series A: Biological and Medical Sciences, 61, 305–310.

17.

Haley

S. M.

Jette

A. M.

Coster

W. J.

Kooyoomijian

J. T.

Levenson

Heeren

(2002). Late life function and disability instrument: II. Development and evaluation of the function component. Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 57A, 217–222. doi: 10.1093/gerona/57.4.M217

18.

Hitt

Young-Xu

Silver

, & Perls

(1999). Centenarians: The older you get, the healthier you have been. Lancet, 354, 652. doi: 10.1016/S0140-6736(99)01987-X

19.

Jang

Poon

L. W.

, & Martin

(2004). Individual differences in the effects of disease and disability on depressive symptoms: The role of age and subjective health. International Journal of Aging and Human Development, 59, 125–137. doi: 10.2190/RT1W-2HD7-KG5X-K1FB

20.

Jette

A. M.

Haley

S. M.

Coster

W. J.

Kooyoomjian

J. T.

Levenson

Heeren

(2002). Late life function and disability instrument: I. Development and evaluation of the disability component. Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 57, M209–M216. doi: 10.1093/gerona/57.4.M209

21.

Margrett

J. A.

Hsieh

W.-H.

Heinz

, & Martin

(2011). Group and intraindividual change over time in centenarians' mental status: Implications for assessment. Manuscript submitted for publication.

22.

Martin

(1997). An interview with Ursula M. Lehr. World Psychology, 3, 399–413.

23.

Martin

(2002). Individual and social resources predicting well-being and functioning in the later years: Conceptual models, research and practice. Ageing International, 27, 3–29. doi: 10.1007/s12126-002-1000-6

24.

Martin

Bishop

Poon

L. W.

, & Johnson

M. A.

(2006). The influence of personality and health behaviors on fatigue in late and very late life. Journal of Gerontology: Psychological Sciences, 61B, P161–P166.

25.

Martin

da Rosa

Margrett

J. A.

Garasky

, & Franke

(2011). Stability and change in affect among centenarians. Manuscript submitted for publication.

26.

Martin

da Rosa

Siegler

I. C.

Davey

MacDonald

, & Poon

L. W.

(2006). Personality and longevity: Findings from the Georgia Centenarian Study. Age, 28, 343–352. doi: 10.1007/s11357-006-9022-8

27.

Martin

Poon

L. W.

Kim

, & Johnson

M. A.

(1996). Social and psychological resources of the oldest old. Experimental Aging Research, 22, 121–139. doi: 10.1080/03610739608254002

28.

Martin

Rott

Kerns

M. D.

Poon

L. W.

, & Johnson

M. A.

(2000). Predictors of depressive symptoms in centenarians. In Martin

Rott

Ch.

Hagberg

, & Morgan

(Eds.), Centenarians: Autonomy versus dependence in the oldest old (pp. 91–104). New York: Springer.

29.

Margrett

Martin

Woodard

Miller

L. S.

MacDonald

Baenziger

(2010). Depression among centenarians and the oldest old: Contributions of cognition and personality. Gerontology, 56, 93–99. doi: 10.1159/000272018

30.

McCrae

R. R.

, & Costa

P. T.

(1987). Validation of the five-factor model of personality across instruments and observers. Journal of Personality and Social Psychology, 52, 81–90. doi: 10.1037/0022-3514.52.1.81

31.

McCrae

R. R.

, & Costa

P. T.

(1997). Personality trait structure as a human universal. American Psychologist, 52, 509–516. doi: 10.1037/0003-066X.52.5.509

32.

Miller

L. S.

Mitchell

M. B.

Woodard

J. L.

Davey

Martin

, & Poon, L. W. and for the Georgia Centenarian Study. (2010). Cognitive performance in the oldest old: Norms from the Georgia Centenarian Study. Aging, Neuropsychology and Cognition, 17, 575–590. doi: 10.1080/13825585.2010.481355

33.

Moos

R. H.

Cronkite

R. C.

Billings

A. G.

, & Finney

J. W.

(1985). Health and Daily Living Form Manual. Palo Alto, CA: Stanford University Medical Center.

34.

National Institute on Aging. (2009). NIA Panel on the characterization of participants in studies of exceptional survival in humans. Retrieved from http://www.nia.nih.gov/ResearchInformation/ConferencesAndMeetings/NIAPanel.htm

35.

Oeppen

, & Vaupel

J. W.

(2002). Broken limits to life expectancy. Science, 296, 1029–1031. doi: 10.1126/science.1069675

36.

Perls

, & Terry

(2003). Understanding the determinants of exceptional longevity. Annals of Internal Medicine, 139, 445–449.

37.

Piedmont

R. L.

, & Weinstein

H. P.

(1993). A psychometric evaluation of the new NEO-PIR facet scales for agreeableness and vonscientiousness. Journal of Personality Assessment, 60, 302–318. doi: 10.1207/s15327752jpa6002_8

38.

Pfeiffer

(1975). Short portable mental status questionnaire for assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23, 433–441.

39.

Pierce

G. R.

Lakey

Sarason

I. G.

Sarason

B. R.

, & Joseph

H. J.

(Eds.). (1997). Personality and social support processes: A conceptual overview. In Sourcebook of social support and personality. New York: Plenum Series.

40.

Poon

L. W.

Martin

Bishop

Cho

da Rosa

Deshpande

(2010). Understanding centenarians' psychosocial dynamics and their contributions to health and quality of life. In Willcox

D. C.

Willcox

, & Franceschi

(Guest Eds.), Current gerontology and geriatrics research (Special Issue). Online journal: Article ID 680657, 13 pages, doi:10.1155/2010/680657

41.

Quinn

M. E.

Johnson

M. A.

Poon

L. W.

, & Martin

(1999). Psychosocial correlates of subjective health in sexagenarians, octogenarians, and centenarians. Issues in Mental Health Nursing, 20, 151–171. doi: 10.1080/016128499248727

42.

Randall

Martin

MacDonald

, & Poon

L. W.

(2010). Social resources and longevity: Findings from the Georgia Centenarian Study. Gerontology, 56, 106–111. doi: 10.1159/000272026

43.

Russell

D. W.

(1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66, 20–40. doi: 10.1207/s15327752jpa6601_2

44.

Russell

, & Cutrona

C. E.

(1991). Social support, stress, and depressive symptoms among the elderly: A test of a process model. Psychology and Aging, 6, 190–201. doi: 10.1037/0882-7974.6.2.190

45.

Ryff

C. D.

(1989). Beyond Ponce de Leon and life satisfaction: New directions in the quest of successful aging. The International Journal of Behavioral Development, 12, 35–55. doi: 10.1177/016502548901200102

46.

Ryff

C. D.

, & Heidrich

S. M.

(1997). Experience and well-being: Explorations on domain of life and how they matter. International Journal of Behavioral Development, 20, 193–206. doi: 10.1080/016502597385289

47.

Ryff

C. D.

, & Keyes

C. L. M.

(1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–727. doi: 10.1037/0022-3514.69.4.719

48.

Satariano

W. A.

(2006). Epidemiology of aging: An ecological approach. Sudbury, MA: Jones & Bartlett Publishers.

49.

Siegler

I. C.

Welsh

K. A.

Dawson

D. V.

Fillenbaum

G. G.

Earl

N. L.

Kaplan

E. B.

(1991). Ratings of personality change in patients evaluated for memory disorders. Alzheimer's Disease and Associated Disorders, 5, 240–250. doi: 10.1097/00002093199100540-00003

50.

Smets

E. M. A.

Garssen

Bonke

, & de Haes

J. C. J. M.

(1995). The Multidimensional Fatigue Inventory (MFI). Psychometric quality of an instrument to assess fatigue. Journal of Psychosomatic Research, 39, 315–325. doi: 10.1016/0022-3999(94)00125-O

51.

Stacey

C. A.

, & Gatz

M. A.

(1991). Cross-sectional age differences and longitudinal change on the Bradburn Affect Balance Scale. Journal of Gerontology: Psychological Sciences, 45, P76–P78.

52.

Strauss

M. E.

Pasupathi

, & Chatterjee

(1993). Concordance between observers in descriptions of personality change in Alzheimer's disease. Psychology and Aging, 8, 475–480. doi: 10.1037/0882-7974.8.4.475

53.

Takayama

Hirose

Arai

Gondo

Shimizu

Ebihara

(2007). Morbidity of Tokyo-area centenarians and its relationship to functional status. Journals of Gerontology Series A: Biological and Medical Sciences, 62, 774–782.

54.

Vaupel

, & Kistowki

(2005). Broken limits to life expectancy. Ageing Horizons, 3, 3–17.

55.

Vellas

Guigoz

Baumgartner

Garry

P. J.

Lauque

, & Albarede

J. L.

(2000). Relationships between nutritional markers and the Mini-Nutritional Assessment in 155 older persons. Journal of the American Geriatrics Society, 48, 1300–1309.

56.

Weiss

(1974). The provisions of social relationships. In Rubin

(Ed.), Doing unto others (pp. 17–26). Englewood Cliffs, NJ: Prentice Hall.

57.

Wolber

Romaniuk

Easteman

, & Robinson

(1983). Validity of the short portable mental status questionnaire with elderly psychiatric-patients. Gerontologist, 23, 170–170.

58.

Wolber

Romaniuk

Easteman

, & Robinson

(1984). Validity of the Short Portable Mental Status Questionnaire with elderly psychiatric-patients. Journal of Consulting and Clinical Psychology, 52, 712–713. doi: 10.1037/0022-006X.52.4.712

59.

Yesavage

J. A.

(1983). Development and validation of a Geriatric Depression Screening Scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49. doi: 10.1016/0022-3956(82)90033-4