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Biopsychosocial model
a view of development as a complex interaction of biological, psychological, and social processes
Biopsychosocial model’s application to aging
biological: genetics, physical changes associated with age, diseases
psychological: individual’s personality, cognitions, emotions as they pertain to development over time
social: context in which people live, historical influences, cultural background
Main principles of studying aging
Changes are continuous over the life span, only the survivors grow old, individuality matters, “normal” aging is different from disease
Continuity principle
changes that people experience in later adulthood build on experiences they had in earlier years
Survivor principle
people who live to old age are the ones who managed to avoid the many threats that could have caused their deaths at earlier ages
Principle of individuality
as people age, they become increasingly different from each other
Interindividual differences
differences between people
Intrainindividual differences
variations within the same person
Multidirectionality
development can proceed in multiple directions within the same person
Normal aging is different from disease principle
growing older doesn’t necessarily mean growing sicker
primary aging
normal changes over time that occur due to universal, intrinsic, and progressive alterations in the body’s systems; skin wrinkling
secondary aging
changes over time leading to impairment due to disease; skin cancer
tertiary aging
rapid loss of functions experienced at the very end of life
optimal aging
age related changes that represent improvements in an individual’s functioning
personal aging
changes that occur within the individual and the influence of time’s passage on the body’s structures and functions
social aging
effects of a person’s exposure to a changing environment; comparing individuals to their typical age based on societal expectations and roles
Ecological perspective
identifies multiple levels of the environment as they affect the individual’s development; chronosystem, microsystem, mesosystem, exosystem, mesosystem
Life course perspective
norms, roles, and attitudes about age have an impact on the shape of each person’s life; social clock and how people evaluate themselves according to life events at specific ages
Activity theory
active involvement in social roles promotes greater life satisfaction
disengagement theory
mutual withdrawal of the individual from society is a natural and beneficial process
continuity theory
older adult’s life satisfaction depends on the ability to maintain important role engagement
ageism
a set of beliefs, attitudes, social institutions, and acts that discriminate against individuals or groups based on their chronological age
Erickson’s Psychosocial theory
at key points in life, biological, psychological, and social changes influence the individual’s personality; critical periods to overcome and determine outcome
Piaget’s Cognitive-development theory
Schemas, or mental structures, develop and matures as children explore their environment; schema assimilation and accommodation
Identity process theory
when individuals experience age-related changes, they may respond with identity assimilation, identity accommodation, or identity balance; context of ageism
Selective Optimization with Compensation
adults attempt to preserve and maximize the abilities that are of central importance and put less effort into maintaining those that are not
Programmed aging theories
propose that aging and death are built into the hard-wiring of all organisms and therefore are part of the genetic code
Random error theories
assume that aging is an accidental by-product of other biological processes that could be potentially slowed down or even halted
Cross linking theory
aging causes damage and changes to collagen cells, which make up much of the body’s connective tissues
Free radical theory
aging is due to the formation of highly reactive unstable oxygen molecules produced when cells create energy
autoimmune theory
aging is due to faulty immune system functioning in which the immune system attacks the body’s own cells
Error Catastrophe theory
aging is due to mutations in the mitochondrial DNA, passed down from the mother
Longitudinal design
repeatedly collecting data from the same sample over a long period of time
Sequential research designs
involves a sequence of studies to tease apart variables of age, cohort, and time of testing
Cohort-sequential design
at least 2 cohorts are compared at 2 different ages
Time-sequential design
age is compared to time of testing
Cross-sectional design
compares factors of cohort and time of testing
Age related changes in skin
epidermis thins, discolored areas called “age spots",” moles, angiomas: elevations of small blood vessels on the surface
Age related changes in hair
naturally loses pigment due to inactive production of melanin, 75-80 all hair loses natural color
Age related changes in nails/teeth
nails grow slower and become thicker and more yellow, tooth wear occurs gradually through adulthood, 65- 17% of Americans have lost all natural teeth
Age related changes in body build
Height shortens due to loss of bone material in vertebrae, 50’s/60’s lose fat free mass (muscle)
Age related changes in endocrine system
Thyroid hormones influence metabolic rate, which begins to slow in middle age, cortisol decreases in adulthood but increases in 60’s
ADLs
tasks required for basic care; bathing, dressing, toileting, eating, transferring
IADLs
tasks required for successful day-to-day function; shopping, meal preparation, medication management, handling finances, appointments, driving
Social determinants of health
conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, quality of life outcomes, and risks
Health belief model
explains preventative health behaviors and screening according to 6 factors; Perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self efficacy
Theory of planned behavior
intentions are the most direct predictions of behavior; intentions are shaped by an individual’s attitudes towards the behavior, subjective norms, and perceived behavioral control
Transtheoretical model
views health behavior change as a dynamic process that occurs in stages, from precontemplation to contemplation, preparation, action, maintenance, and termination
hypertension
chronically elevated blood pressure
atherosclerosis
arteries become severely narrowed, reducing their width, and limiting the circulation of blood
myocardial infarction
an acute condition in which the blood supply to the heart muscle is severely reduced or blocked
coronary artery disease
accumulation of plaque in arteries supplying the heart
heart failure
the heart is unable to pump enough blood to meet the needs of the body’s other organs
cancer
a disease where cell mutations occur, forming a malignant tumor that can invade and spread to other parts of the body
developmental changes in how medications work
time needed for medications to enter bloodstream may increase with age, older adults have the highest risk of adverse drug affects
information processing model
uses a computer metaphor to explain how people process stimuli; input (sensory memory), attention (working memory), encode/retrieve (long term memory)
inhibitory loss
older adults may have difficulty inhibiting/filtering out the processing of irrelevant information
diffusion
increased reaction time reflects a desire to collect more evidence before selecting a response compared to younger individuals
processing speed
the time it takes to respond to simple, time limited cognitive tasks; declines with age associated with white matter loss
sensory memory
brief retention of sensory information in the moment
long-term memory
the ability to remember extensive amounts of information from long periods; age related decline
semantic memory
learning and remembering the meaning of words and concepts that are not tied to specific occurrences of events in time; generally preserved
episodic memory
conscious recollection of information from a specific event or point in time; age related decline
autobiographical memory
type of episodic memory, involves remembering information and events from our own life
prospective memory
remembering to perform a planned action in the future; age related decline
working memory
the active processes and structures involved in holding information in mind
rehearsal
the process by which information is held in working memory
implicit memory
retrieval of information without conscious or intentional recollection
explicit memory
intentional and conscious remembering of information that is learned at a specific point in time; declines with age
encoding
the spontaneous use of strategies during the learning of new information; declines with age
delirium
disturbance in attention and awareness, disturbance in cognition, develops quickly, change from baseline, fluctuates in severity
Mild NCD
modest decline from previous level of functioning in one or more cognitive domains, does not interfere in everyday activities, not better explained by another mental disorder
Major NCD
significant decline from the previous level of functioning in one or more cognitive domains, interferes in everyday activities, substantial impairment in cognitive performance
executive functioning
higher order cognitive functions; planning and organizing, regulating behavior, abstract thinking, emotional regulation, decision making
expression
to convey thoughts or meaning
comprehension
to understand communication from others
expressive language
fluency (phonemic and semantic), naming- object recognition word finding
receptive language
repetition, comprehension, reading
language and aging
maintain knowledge of words and comprehension, verbal fluency tends to decline in late life
crystalized intelligence
acquired knowledge through education and life experience; ability to retrieve knowledge, improves across adulthood
fluid intelligence
being aware of complex relationships; problem solving ability; allows you to think flexibly and make inferences, declines in older adulthood
creative intelligence
imagination and innovation
emotional intelligence
street smarts, emotional regulation, empathy
Cattel-Horn-Carrol model of intelligence
a proposal that there is a three tier structure to intelligence
berlin wisdom paradigm
understand many contexts of life and that they change over time, acknowledge differences in values and life priorities, knowing facts and how things work, acknowledge other’s perspectives, recognizes limitations of one’s own knowledge
remote memory
involves the recall of information from the distant past
flashbulb memory
the recall of important and distinctive events that stand out from other memories of past events
procedural memory
recall of the actions involved in particular tasks
attention
the ability to focus or concentrate on a portion of experience while ignoring other features of that experience, to be able to shift that focus as demanded by the situation, and to be able to coordinate information from multiple sources
general slowing hypothesis
the increase in reaction time reflects a general decline of information processing speed within the nervous system of the aging individual, leading to a loss of efficiency
age-complexity theory
through a slowing of central processes in the nervous system, older adults perform progressively more poorly as tasks become more complex and their processing resources are stretched more to their limit
attentional resources theory
attention as a process reflecting the allocation of cognitive resources
type 2 diabetes
defect in metabolizing glucose
risk factors of chronic disease
sedentary lifestyle, smoking, alcohol use, unhealthy diets