Successful Aging

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Dilip V. Jeste - One of the best experts on this subject based on the ideXlab platform.

  • Successful Aging: Implications for Psychiatry
    FOCUS, 2013
    Co-Authors: Colin A. Depp, Averria Sirkin Martin, Dilip V. Jeste
    Abstract:

    There has been an expansion in initiatives and interventions to promote Successful Aging and to reduce disparities in attaining maximum healthy life expectancy, and there are a number of points of intersection between psychiatry and Successful Aging. This review highlights current literature on genetic, molecular, neurobiological, psychosocial, and social determinants of Successful Aging.

  • older adults perspectives on Successful Aging qualitative interviews
    American Journal of Geriatric Psychiatry, 2010
    Co-Authors: Jennifer Reichstadt, Colin A. Depp, Geetika Sengupta, Lawrence A Palinkas, Dilip V. Jeste
    Abstract:

    Objectives: Lay perceptions of “Successful Aging” are important for understanding this multifaceted construct and developing ways to assist older adults to age well. The purpose of this qualitative study was to obtain older adults' individual perspectives on what constitutes Successful Aging along with their views regarding activities and interventions to enhance its likelihood. Methods: Qualitative interviews were conducted with 22 community-dwelling adults older than 60 years. Participants were recruited from retirement communities, a low-income senior housing complex, and a continued learning center in San Diego County, CA. Interview transcripts were analyzed using a “Coding Consensus, Co-occurrence, and Comparison” grounded theory framework. Results: The mean age of participants was 80 years (range: 64–96 years), with 59% being women. Two primary themes were identified as key to Successful Aging, i.e., self-acceptance/self-contentment (with subthemes of realistic self-appraisal, a review of one's life, and focusing on the present) and engagement with life/self-growth (with subthemes of novel pursuits, giving to others, social interactions, and positive attitude). A balance between these two constructs seemed critical. A need for interventions that address support systems and personally tailored information to make informed decisions and enhance coping strategies were also emphasized. Conclusions: Older adults viewed Successful Aging as a balance between self-acceptance and self-contentedness on one hand and engagement with life and self-growth in later life on the other. This perspective supports the concept of wisdom as a major contributor to Successful Aging. Interventions to enhance Successful Aging may include those that promote productive and social engagement along with effective coping strategies.

  • Successful Aging: focus on cognitive and emotional health.
    Annual review of clinical psychology, 2010
    Co-Authors: Colin A. Depp, Ipsit V. Vahia, Dilip V. Jeste
    Abstract:

    We review the definitions, predictors, and biobehavioral determinants of Successful Aging, as well as the evidence for and mechanisms of underlying selected interventions to enhance cognitive and emotional health in older adults. Defining Successful Aging has proven difficult, with discrepancies seen among biomedical, psychological, and lay perspectives. Although consensus is lacking, a number of studies have examined the genetic, lifestyle, and social determinants of operationalized determinants of Successful Aging; qualitative examinations of the meaning of the construct have also been conducted. The determinants coincide with fundamental aspects of Aging. Recent clinical trials suggest that caloric restriction, physical activity, cognitive intervention, stress reduction, and social programs may enhance cognitive and emotional health in older people.

  • Successful Aging: From Phenotype to Genotype
    Biological psychiatry, 2007
    Co-Authors: Stephen J. Glatt, Colin A. Depp, Pamela Chayavichitsilp, Nicholas J. Schork, Dilip V. Jeste
    Abstract:

    Despite worldwide interest in the increasing human "healthspan," inadequate experimental attention has been dedicated to identifying genetic influences on Successful Aging beyond those that influence longevity alone. Although it is an under-studied topic, some promising leads have emerged from the existing genetic studies of Successful Aging. Here we describe the results of a systematic review of published family, twin, linkage, and association studies of Successful Aging that evaluated at least one other characteristic of healthy Aging in addition to longevity. We identified 29 studies that met our criteria. Although methodological inconsistencies in sampling and phenotypes were frequent, we found evidence for a substantial genetic contribution to Successful Aging, including several specific genes (APOE, GSTT1, IL6, IL10, PON1, and SIRT3) that are promising candidates for future molecular genetic research. In addition to reviewing this literature, we provide recommendations for advancing our understanding of the genetic basis of Successful Aging.

  • Building blocks of Successful Aging: a focus group study of older adults' perceived contributors to Successful Aging.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2007
    Co-Authors: Jennifer Reichstadt, Colin A. Depp, Lawrence A Palinkas, Dilip V. Jeste
    Abstract:

    Objective The purpose of this study was to solicit the opinions of older adults about factors related to Successful Aging using focus group methods. Methods Twelve focus groups were conducted with an average of six individuals per group. Participants included 72 community-dwelling older adults (age range: 60–99 years) recruited primarily from retirement communities in San Diego County, California. Interview transcripts were analyzed using a grounded theory framework of "Coding Consensus, Co-occurrence, and Comparison." Results A total of 33 factors were identified, out of which four major themes emerged: attitude/adaptation, security/stability, health/wellness, and engagement/stimulation. Every focus group emphasized the need for a positive attitude, realistic perspective, and the ability to adapt to change. Security and stability encapsulated one's living environment, social support, and financial resources. General physical health and wellness were frequently mentioned, with mixed opinions on their necessity for Successful Aging. Finally, a sense of engagement, reflected in pursuit of continued stimulation, learning, feeling a sense of purpose in life, and being useful to others and to society, was considered a prominent aspect of Successful Aging. All four themes appeared to be interrelated such that engagement required a foundation of security and stability while positive attitude and adaptation strategies often compensated for impaired physical health. Conclusion Older adults place greater emphasis on psychosocial factors as being key to Successful Aging, with less emphasis on factors such as longevity, genetics, absence of disease/disability, function, and independence.

Bobby L. Jones - One of the best experts on this subject based on the ideXlab platform.

  • Multiple Trajectories of Successful Aging of Older and Younger Cohorts
    The Gerontologist, 2012
    Co-Authors: Hui Chuan Hsu, Bobby L. Jones
    Abstract:

    Purpose: The purpose of this study was to apply group-based trajectory analysis to identify multiple Successful Aging trajectories by multiple indicators and to examine the factors related to Successful Aging among the elderly population in Taiwan. Design and Methods: Nation-representative longitudinal data collected from 1993 to 2007 and consisting of 2 cohorts were used, and the trajectories of the following 6 Successful Aging indicators were analyzed: chronic diseases, physical function diffi culties, depressive symptoms, social support, social participation, and economic satisfaction. Results: Members of the cohorts fell into 4 groups: Successful Aging, usual Aging (the older cohort)/insecure Aging (the younger cohort), health declining, and care demanding. Successful Aging trajectories refl ected differences in selfrated health and life satisfaction. Implications: This study provides empirical fi ndings of the heterogeneity of Successful Aging trajectories in multidimensional indicators.

Rylee A. Dionigi - One of the best experts on this subject based on the ideXlab platform.

  • Testing a Model of Successful Aging in a Cohort of Masters Swimmers
    Journal of aging and physical activity, 2018
    Co-Authors: David Geard, Peter Reaburn, Amanda L. Rebar, Rylee A. Dionigi
    Abstract:

    Due to their high physical functioning, masters athletes are regularly proposed to exemplify Successful Aging. However, Successful Aging research on masters athletes has never been undertaken using a multidimensional Successful Aging model. To determine the best model for future Successful Aging research on masters athletes, we had masters swimmers (N = 169, M age = 57.4 years, 61% women) self-report subjective Successful Aging, and physical, psychological, cognitive, and social functioning. Using this data we tested one hypothesized and three alternative Successful Aging models. The hypothesized model fit the data best (-2LL = 2052.32, AIC = 1717) with physical (β = 0.31, SE = 0.11), psychological (β = 0.25, SE = 0.11), and social (β = 1.20, SE = 0.63) functioning factors significantly loading onto a higher order Successful Aging latent factor. Successful Aging should be conceptualized as a multidimensional phenomenon in future masters athlete research.

  • Masters Athletes: Exemplars of Successful Aging?
    Journal of aging and physical activity, 2017
    Co-Authors: David Geard, Peter Reaburn, Amanda L. Rebar, Rylee A. Dionigi
    Abstract:

    Global population Aging has raised academic interest in Successful Aging to a public policy priority. Currently there is no consensus regarding the definition of Successful Aging. However, a synthesis of research shows Successful Aging can be defined as a late-life process of change characterized by high physical, psychological, cognitive, and social functioning. Masters athletes systematically train for, and compete in, organized forms of team and individual sport specifically designed for older adults. Masters athletes are often proposed as exemplars of Successful Aging. However, their Aging status has never been examined using a comprehensive multidimensional Successful Aging definition. Here, we examine the Successful Aging literature, propose a Successful Aging definition based on this literature, present evidence which suggests masters athletes could be considered exemplars of Successful Aging according to the proposed definition, and list future experimental research directions.

Colin A. Depp - One of the best experts on this subject based on the ideXlab platform.

  • Successful Aging: Implications for Psychiatry
    FOCUS, 2013
    Co-Authors: Colin A. Depp, Averria Sirkin Martin, Dilip V. Jeste
    Abstract:

    There has been an expansion in initiatives and interventions to promote Successful Aging and to reduce disparities in attaining maximum healthy life expectancy, and there are a number of points of intersection between psychiatry and Successful Aging. This review highlights current literature on genetic, molecular, neurobiological, psychosocial, and social determinants of Successful Aging.

  • older adults perspectives on Successful Aging qualitative interviews
    American Journal of Geriatric Psychiatry, 2010
    Co-Authors: Jennifer Reichstadt, Colin A. Depp, Geetika Sengupta, Lawrence A Palinkas, Dilip V. Jeste
    Abstract:

    Objectives: Lay perceptions of “Successful Aging” are important for understanding this multifaceted construct and developing ways to assist older adults to age well. The purpose of this qualitative study was to obtain older adults' individual perspectives on what constitutes Successful Aging along with their views regarding activities and interventions to enhance its likelihood. Methods: Qualitative interviews were conducted with 22 community-dwelling adults older than 60 years. Participants were recruited from retirement communities, a low-income senior housing complex, and a continued learning center in San Diego County, CA. Interview transcripts were analyzed using a “Coding Consensus, Co-occurrence, and Comparison” grounded theory framework. Results: The mean age of participants was 80 years (range: 64–96 years), with 59% being women. Two primary themes were identified as key to Successful Aging, i.e., self-acceptance/self-contentment (with subthemes of realistic self-appraisal, a review of one's life, and focusing on the present) and engagement with life/self-growth (with subthemes of novel pursuits, giving to others, social interactions, and positive attitude). A balance between these two constructs seemed critical. A need for interventions that address support systems and personally tailored information to make informed decisions and enhance coping strategies were also emphasized. Conclusions: Older adults viewed Successful Aging as a balance between self-acceptance and self-contentedness on one hand and engagement with life and self-growth in later life on the other. This perspective supports the concept of wisdom as a major contributor to Successful Aging. Interventions to enhance Successful Aging may include those that promote productive and social engagement along with effective coping strategies.

  • Successful Aging: focus on cognitive and emotional health.
    Annual review of clinical psychology, 2010
    Co-Authors: Colin A. Depp, Ipsit V. Vahia, Dilip V. Jeste
    Abstract:

    We review the definitions, predictors, and biobehavioral determinants of Successful Aging, as well as the evidence for and mechanisms of underlying selected interventions to enhance cognitive and emotional health in older adults. Defining Successful Aging has proven difficult, with discrepancies seen among biomedical, psychological, and lay perspectives. Although consensus is lacking, a number of studies have examined the genetic, lifestyle, and social determinants of operationalized determinants of Successful Aging; qualitative examinations of the meaning of the construct have also been conducted. The determinants coincide with fundamental aspects of Aging. Recent clinical trials suggest that caloric restriction, physical activity, cognitive intervention, stress reduction, and social programs may enhance cognitive and emotional health in older people.

  • Successful Aging: From Phenotype to Genotype
    Biological psychiatry, 2007
    Co-Authors: Stephen J. Glatt, Colin A. Depp, Pamela Chayavichitsilp, Nicholas J. Schork, Dilip V. Jeste
    Abstract:

    Despite worldwide interest in the increasing human "healthspan," inadequate experimental attention has been dedicated to identifying genetic influences on Successful Aging beyond those that influence longevity alone. Although it is an under-studied topic, some promising leads have emerged from the existing genetic studies of Successful Aging. Here we describe the results of a systematic review of published family, twin, linkage, and association studies of Successful Aging that evaluated at least one other characteristic of healthy Aging in addition to longevity. We identified 29 studies that met our criteria. Although methodological inconsistencies in sampling and phenotypes were frequent, we found evidence for a substantial genetic contribution to Successful Aging, including several specific genes (APOE, GSTT1, IL6, IL10, PON1, and SIRT3) that are promising candidates for future molecular genetic research. In addition to reviewing this literature, we provide recommendations for advancing our understanding of the genetic basis of Successful Aging.

  • Building blocks of Successful Aging: a focus group study of older adults' perceived contributors to Successful Aging.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2007
    Co-Authors: Jennifer Reichstadt, Colin A. Depp, Lawrence A Palinkas, Dilip V. Jeste
    Abstract:

    Objective The purpose of this study was to solicit the opinions of older adults about factors related to Successful Aging using focus group methods. Methods Twelve focus groups were conducted with an average of six individuals per group. Participants included 72 community-dwelling older adults (age range: 60–99 years) recruited primarily from retirement communities in San Diego County, California. Interview transcripts were analyzed using a grounded theory framework of "Coding Consensus, Co-occurrence, and Comparison." Results A total of 33 factors were identified, out of which four major themes emerged: attitude/adaptation, security/stability, health/wellness, and engagement/stimulation. Every focus group emphasized the need for a positive attitude, realistic perspective, and the ability to adapt to change. Security and stability encapsulated one's living environment, social support, and financial resources. General physical health and wellness were frequently mentioned, with mixed opinions on their necessity for Successful Aging. Finally, a sense of engagement, reflected in pursuit of continued stimulation, learning, feeling a sense of purpose in life, and being useful to others and to society, was considered a prominent aspect of Successful Aging. All four themes appeared to be interrelated such that engagement required a foundation of security and stability while positive attitude and adaptation strategies often compensated for impaired physical health. Conclusion Older adults place greater emphasis on psychosocial factors as being key to Successful Aging, with less emphasis on factors such as longevity, genetics, absence of disease/disability, function, and independence.

Hui Chuan Hsu - One of the best experts on this subject based on the ideXlab platform.

  • Multiple Trajectories of Successful Aging of Older and Younger Cohorts
    The Gerontologist, 2012
    Co-Authors: Hui Chuan Hsu, Bobby L. Jones
    Abstract:

    Purpose: The purpose of this study was to apply group-based trajectory analysis to identify multiple Successful Aging trajectories by multiple indicators and to examine the factors related to Successful Aging among the elderly population in Taiwan. Design and Methods: Nation-representative longitudinal data collected from 1993 to 2007 and consisting of 2 cohorts were used, and the trajectories of the following 6 Successful Aging indicators were analyzed: chronic diseases, physical function diffi culties, depressive symptoms, social support, social participation, and economic satisfaction. Results: Members of the cohorts fell into 4 groups: Successful Aging, usual Aging (the older cohort)/insecure Aging (the younger cohort), health declining, and care demanding. Successful Aging trajectories refl ected differences in selfrated health and life satisfaction. Implications: This study provides empirical fi ndings of the heterogeneity of Successful Aging trajectories in multidimensional indicators.