FJ

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Introduction

  • Welcome to week two lecture two in the Psychology of Aging.

  • Topic: Biopsychosocial changes in aging, focusing on neurobiological and physical changes across the adult lifespan.

  • Acknowledgment of traditional owners of Australia and their culture.

Aging Population

  • significant demographic shift in Australia:

    • ~16% of the population (around 3.9 million people) are 65 years or older (Australian Bureau of Statistics)

    • increased need for assistance in older populations:

      • 4 times greater cognitive/emotional assistance need for those 85+ compared to 65-84

Importance of Studying Psychology of Aging

  • understanding developmental changes in longer life spans is essential

  • aging is dynamic; the trajectory of development is expanding as lifespans increase

  • aim to enhance positive experiences of aging and optimize interventions

Perceptions of Aging — What Even is Old?

  • recognizing varied cultural perspectives on aging

  • the perception of ageing has changed over time — some people don’t know who steve irwin is?!

  • stages of adult life — shift in what is age is

    • early adulthood: 18-30

    • middle adulthood: 40-mid 60

    • older adulthood: mid 60+

      • young old: 65-74

      • old-old: 75-84

      • oldest old: 85+

Jared Diamond's TED Talk

  • discusses societal perspectives on aging, contrasting traditional and modern societies

    • traditional societies often honor elderly individuals and keep them within families

    • variations in treatment of elderly across different societies

    • discusses potential usefulness of elderly and the wisdom they can offer

Cultural Factors in Aging

  • consider how are physical changes associated with ageing viewed across different cultures

  • eastern cultures often hold older adults in higher regard than western cultures — surrounds the concept of collectivism

    • contradictory research found varied perspectives and cultural attitudes towards aging

Neurobiological Changes Across the Adult Lifespan

  • brain development in early adulthood

    • “your frontal lobe finishes developing at 25”tierney & nelson 2009, maturation of the prefrontal cortex is accomplished in early adulthood

      • increased myelination of axons improves neural impulse speed

      • development of the prefrontal cortex helps accomplish executive functions that tie in with decision making and planning

  • aging effects on the brain:

    • as we get older the higher the risk of neurodegenerative diseases

      • cerebral atrophy (loss of neurons and connections), widening of sulci, increased ventricular size—affecting cognitive functions

    • brain volume decreases about 5% per decade after age 40, with accelerated decline post-70.

      • decline of brain regions don’t do it at the same time

    • specific areas like the frontal lobe and hippocampus shrink more than other areas of the brain

    • occipital & parietal lobes — no significant age-related volume change

  • neurotransmitter changes:

    • decrease in neurotransmitter synthesis due to reduced metabolic activity in enzymes that affect mood, sleep, and cognitive functions.

    • key neurotransmitters affected:

      • decrease in acetylcholine leads to memory decline

      • dopamine — regulate synaptic plasticity and neurogenesis

        • decrease leads to cognitive and motor decline—parkinson’s disease

      • norepinephrine — regulate synaptic plasticity and neurogenesis

        • decrease leads to alertness and sleep pattern changes

      • serotonin

        • serotonin and brain-derived neurotrophic factor levels decrease with ageing—we have a reduced ability to learn as we age

        • decrease leads to mood changes

  • acceleration of ageing and neurodegenerative diseases are linked to reactive oxygen species

    • leads to damages to the mitochondria — less energy production

  • changes to the cerebrovascular system results in decreased blood flow to the brain

  • morphological changes in neurons (dendrites & axons) — linked to cognitive decline and behavioural change

    • dendrites shorten in length + synapses reduce = speed of neuronal transmission decreases

Physical Health Changes With Aging

  • common physical changes include:

    • decline in eyesight and skin elasticity; wrinkles and gray hair appear — collagen production

    • reduction in physical activity — and fine motor skills

    • reduction in bone mass and muscle mass; increased body fat

    • higher susceptibility to infections and diseases (diabetes, heart disease, arthritis)

  • activity Levels:

    • physical activity typically declines, influenced by self-perception and societal stereotypes

  • vicious cycle of health:

    • decrease in physical health leads to less physical activity, further exacerbating health issues

    • diseases and conditions related to decline in physical health

      • diabetes

      • cardiovascular disease

      • hypertension

      • arthritis

      • osteoporosis

Increased Incidence of Falls

  • falls are significant risks, particularly for those 65+, accounted for:

    • 42% of injury hospitalizations

    • 40% of injury deaths

  • cognitive impairment increases the risk of falling

  • relationship between self-efficacy and self-esteem highlight that an individual’s perception of falling translates onto their functional ability and outcomes

    • lower fear = better functional outcomes (more likely physically fit)

Impact on Health Systems

  • increased aging population leads to:

    • higher demand for healthcare services and costs

    • understanding biopsychosocial changes is necessary for optimizing aging and developing interventions