Biobehavioral Pathways Underlying Spousal Health Dynamics: Its Nature, Correlates, and Consequences

Marriage is a very special relationship that has a high potential to influence physical and mental health throughout the adult lifespan and into old age. In this viewpoint, we propose a model that outlines plausible biobehavioral pathways that may underlie previously established spousal interrelations in long-term health trajectories and discuss specific resources that may facilitate favorable outcomes for everyone involved. Specifically, we focus on spousal associations in physical activity as an important health behavior and in stress-related processes as a key daily-life mechanism, which both reveal effects that may accumulate over time to impact longer-term health outcomes. We also consider spousal resources such as collaborative problem solving and joint goals as psychological variables that characterize the dynamics within a given marriage. We conclude by discussing areas in theory and research that are ripe for further consideration and lay out target questions for future inquiry.Peer Reviewe

Lebenszufriedenheit am Ende des Lebens in Ost- und Westdeutschland: die DDR wirft einen langen Schatten

"Die meisten Menschen sind die meiste Zeit über glücklich" stellt in einer Zusammenfassung vieler empirischer Studien Biswas-Diener (2009) fest. Sogar nach einschneidenden Negativerlebnissen wie Arbeitslosigkeit oder dem Verlust des Partners passen sich die meisten Menschen recht schnell an die neuen Lebensumstände an und kehren zu ihrem Ausgangsniveau der Lebenszufriedenheit zurück; und diese ist für die meisten Menschen in westlichen Kulturen typischerweise eher positiv als negativ oder neutral (siehe z.B. Brickman/ Campbell 1971 sowie Diener u.a. 2006). In diesem Beitrag konzentrieren wir uns freilich auf eine Phase des Lebens, in der das eben gezeichnete positive Bild des Wohlbefindens nicht mehr gilt: die Lebenszeit unmittelbar vor dem Tod. Wir gehen hier speziell der Frage nach, ob die kumulativen Effekte, die im Laufe eines Lebens auftreten und den Prozess des Sterbens (mit)bestimmen, nach der bereits 20 Jahre zurückliegenden Vereinigung Deutschlands noch heute von den Lebensbedingungen in der DDR (mit)bestimmt werden.German unification, Selective mortality, differential aging, well-being, SOEP

Antecedent-Consequent Relations of Perceived Control to Health and Social Support: Longitudinal Evidence for Between-Domain Associations Across Adulthood

Objectives. To examine antecedent-consequent relations of perceived control to health and social support across adulthood and old age. Methods. We applied (multigroup) change score models to two waves of data collected 9 years apart from 6,210 participants of the Midlife in the United States survey (MIDUS, 24-75 years at baseline). We used composite measures of perceived control (personal mastery and constraints), health (chronic conditions, acute conditions, and functional limitations), and social support (support and strain associated with spouse/partner, family, and friends). Results. Analyses revealed evidence for direct and independent multidirectional accounts. Greater initial control predicted weaker declines in health and stronger increases in support. In turn, increases in control were predicted by better initial health and more support. Changes in control were also accompanied by concurrent changes in the other two domains, and relations involving control were larger in size than those between health and support. We found only small sociodemographic differences across age, gender, and education group. Discussion. We conclude that perceiving control may serve as both a precursor and an outcome of health and social support across the adult age range and suggest routes for further inquir

Between-Person Disparities in the Progression of Late-Life Well-Being

Throughout adulthood and old age, levels of well-being appear to remain relatively stable. In this chapter, we argue that focusing on a phase of life during which this positive picture does not necessarily prevail promises to help us better understand between-person disparities in the progression of late-life well-being. In a first step, we review empirical evidence from the German Socio-Economic Panel and other large-scale longitudinal data sets to demonstrate that ubiquitous reports of a "stability-despite-loss phenomenon" of well-being do not generalize into years of life immediately preceding death. Instead, mean-level representations of the end of life are characterized by a rapid deterioration in well-being. In a second step, we highlight the vast heterogeneity in how people experience the last years and consider the role of biopsychosocial individual difference factors to account for such disparities. The select factors reviewed here include socio-demographic characteristics, cognitive fitness, pathology, and disability. In a third step, we argue that macro-contextual factors such as the social, service, and physical characteristics of the communities and societies people are living and dying in also profoundly shape the nature and progression of individual late-life well-being. Our conceptual reasoning forecasts some of the insights that can be gained by pursuing this line of research, but also underscores the challenges researchers must deal with.Late-Life Well-Being, SOEP, BHPS, HRS

Social resource correlates of levels and time-to-death-related changes in late-life affect

Little is known regarding how well psychosocial resources that promote well-being continue to correlate with affect into very late life. We examined social resource correlates of levels and time-to-death related changes in affect balance (an index of affective positivity) over 19 years among 1,297 by now deceased participants (aged 69 to 103 at first assessment, M = 80 years; 36% women) from the Australian Longitudinal Study of Aging. A steeper decline in affect balance was evident over a time-to-death metric compared with chronological age. Separating time-varying social resource predictors into between- and within-person components revealed several associations with level of affect balance, controlling for age at death, gender, functional disability, and global cognition. Between-person associations revealed that individuals who were more satisfied with family, and more socially active, expressed greater positivity compared with those who were less satisfied, and less socially active. Within-person associations indicated that participants reported higher positivity on occasions when they were more socially active. In addition, lower affect balance was associated with more frequent contact with children. Our results suggest that social engagement and satisfying relationships confer benefits for affective well-being that are retained into late life. However, our findings do not provide evidence to indicate that social resources protect against terminal decline in well-being.Australian Research Council (DP0879152 and DP130100428; LP 0669272; LP 100200413), and the National Health and Medical Research Council (Project Grant 229922)

Long-Term Antecedents and Outcomes of Perceived Control

Perceived control plays an important role in shaping development throughout adulthood and old age. Using data from the adult lifespan sample of the national German Socio-Economic Panel (SOEP; N > 10,000, covering 25 years of measurement), we explored long-term antecedents, correlates, and outcomes of perceived control and examined if associations differ with age. Targeting correlates and antecedents of control, findings indicated that higher concurrent levels of social participation, life satisfaction, and self-rated health as well as more positive changes in social participation over the preceding 11 years were each predictive of between-person differences in perceived control. Targeting health outcomes of control, survival analyses revealed that perceived control predicted 14-year hazard rates for disability (n = 996 became disabled) and mortality (n = 1,382 died). The effect for mortality, but not for disability, was independent of socio-demographic and psychosocial factors. Overall, we found very limited support for age-differential associations. Our results provide further impetus to thoroughly examine processes involved in antecedent-consequent relations among perceived control, facets of social life, well-being, and health.Control, lifespan development, disability, mortality, psychosocial

Where People Live and Die Makes a Difference: Individual and Geographic Disparities in Well-Being Progression at the End of Life

Lifespan psychological research has long been interested in the contextual embeddedness of individual development. To examine if and how regional factors relate to between-person disparities in the progression of late-life well-being, we applied three-level growth curve models to 24-year longitudinal data from deceased participants of the German Socio-Economic Panel Study (N = 3,427; age at death: 18 to 101 years). Results indicate steep declines in well-being with impending death, with some 8% of the between-person differences in both level and decline of well-being reflecting between-county differences. Exploratory analyses revealed that individuals living and dying in less affluent counties reported lower late-life well-being, controlling for key individual predictors including age at death, gender, education, and household income. The regional factors examined did not directly relate to well-being change, but were found to moderate (e.g., amplify) the disparities in change attributed to individual factors. Our results suggest that resource-poor counties provide relatively less fertile grounds for successful aging until the end of life and may serve to exacerbate disparities. We conclude that examinations of how individual and residential characteristics interact can further our understanding of individual psychological outcomes and suggest routes for future inquiry.Neighborhoods, Selective mortality, successful aging, differential aging, psychosocial factors, well-being, longitudinal methods

Linking Possible Selves and Behavior: Do Domain-Specific Hopes and Fears Translate Into Daily Activities in Very Old Age?

We used time-sampling information from a subsample of the Berlin Aging Study (N = 83; M = 81.1 years) to investigate the link between possible selves in three domains (health, everyday cognition, and social relations) and performance of daily activities. In the domains of health and social relations, hoped-for selves were associated with higher probabilities of performing daily activities in those domains. There were no associations in the cognitive domain or between feared selves and activities. Individuals who engaged in hope-related activities reported concurrent higher positive affect and subsequently had a higher probability of survival over a 10-year period. These findings speak to important associations between beliefs about possible selves and activities in advanced old age and the value of considering associations between microlevel and macrolevel indicators of successful agin

Long-Term Dynamics of Voluntary Engagement

Prior research has suggested three explanations why levels of voluntary engagement rise and fall over time within societies. A social structural explanation considers individual resources crucial for engagement and argues that a redistribution of those resources may bring about changes in engagement. A cohort-based explanation considers socialisation and experiences in formative years as crucial for the uptake of engagement. Finally, a period-based explanation considers extraordinary events, external shocks, and crises to be crucial for engagement. So far, these explanations have mainly been tested separately and little is known about the relative strength of each of the proposed factors. Using data from a large German household panel survey that assessed engagement almost annually across four decades, we found that most social structural factors (e.g., education, employment, income) maintained their predictive effects for engagement, irrespective of cohort or period. The only notable exception was that the gender gap observed has narrowed substantially across periods and cohorts. Moreover, cohort effects were rendered almost negligible once we factored in periods. Taken together, our results suggest that individual characteristics and extraordinary events are the main factors influencing voluntary engagement rather than shared societal experiences of cohorts.Peer Reviewe

Late-Life Decline in Well-Being across Adulthood in Germany, the UK, and the US: Something Is Seriously Wrong at the End of Life

Throughout adulthood and old age, levels of well-being appear to remain relatively stable. However, evidence is emerging that late in life well-being declines considerably. Using long-term longitudinal data of deceased participants in national samples from Germany, the UK, and the US, we examine how long this period lasts. In all three nations and across the adult age range, well-being was relatively stable over age, but declined rapidly with impending death. Articulating notions of terminal decline associated with impending death, we identified prototypical transition points in each study between three and five years prior to death, after which normative rates of decline steepened by a factor of three or more. The findings suggest that mortality-related mechanisms drive late-life changes in well-being and highlight the need for further refinement of psychological concepts about how and when late-life declines in psychosocial functioning prototypically begin.Selective mortality, successful aging, differential aging, psychosocial factors, well-being, multiphase growth model