Research shows how psychosocial factors can bring on rapid decline in health

Why do some older people experience a rapid decline in their physical and functional health while some of their peers remain healthy and active?

While your genes and overall physical health play a role, new research shows how psychosocial factors can also play an important role. Two studies report on this in the September issue of Psychology and Aging, a journal published by the American Psychological Association (APA).

In the first study, researchers at the University of Texas Medical Branch at Galveston found a link between positive emotions and the onset of frailty in 1,558 initially non-frail older Mexican Americans living in five southwestern states – Texas, California, Arizona, Colorado and New Mexico. This was the first study to examine frailty and the protective role of positive emotions in the largest minority population in the United States.

Study authors Glenn Ostir, Ph.D., Kenneth Ottenbacher, Ph.D., and Kyriakos Markides, Ph.D., followed the participants for seven years and assessed frailty by measuring the participants’ weight loss, exhaustion, walking speed and grip strength. Positive affect (positive emotions) was measured during the study period by asking the participants how often in the last week “I felt that I was just as good as other people,” “I felt hopeful about the future,” “I was happy,” and “I enjoyed life.”

The overall incidence of frailty increased almost eight percent during the seven-year follow-up period, but those who scored high on positive affect were significantly less likely to become frail. Each unit increase in baseline positive affect score was associated with a three percent decreased risk of frailty after adjusting for relevant risk factors.

The precise reason for this happening was beyond the scope of the current study, but the researchers speculate that positive emotions may directly affect health via chemical and neural responses involved in maintaining homeostatic balance. Or a more indirect process may be at work, according to the authors, with positive emotions affecting health by increasing a person’s intellectual, physical, psychological and social resources.

In the second study, researchers Thomas Hess, Ph.D., Joey Hinson, M.A., and Jill Statham, B.A., from North Carolina State University investigated how negative stereotypes about aging influences older adults’ memory. Their study involved 193 participants and two experiments, each with a younger (17 – 35 years old) and older (57 – 82 years old) group of adults. Participants were exposed to stereotype-related words in the context of another task (scrambled sentence, word judgment) in order to prime positive and negative stereotypes of aging. This involved either words reflecting negative stereotypes about aging (brittle, complaining, confused, cranky, feeble, forgot, senile, etc.) or words reflecting positive views of aging (accomplished, active, alert, dignified, distinguished, knowledgeable, successful, etc.)

Results show memory performance in older adults was lower when they were primed with negative stereotypes than when they were primed with positive stereotypes. In addition, age differences in memory between young and older adults were significantly reduced following a positive stereotype prime, with young and older adults performing at almost identical levels in some situations.

The study also provides evidence that older adults can control the effect of negative stereotype activation but only when the primes are relatively subtle. In contrast, when the stereotype primes are relatively blatant, memory performance tends to be negatively affected.

The results of this study add to a growing list of findings that implicate the importance of the social environment in how it affects older peoples’ memory performance, according to the authors. If older people are treated like they are competent, productive members of society, then they perform that way too.

Full text of both articles is available from the APA Public Affairs Office or at http://www.apa.org/journals/pag/press_releases/september_2004/pag193.html