Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-30T04:53:18.451Z Has data issue: false hasContentIssue false

Age and physical functioning

from Psychology, health and illness

Published online by Cambridge University Press:  18 December 2014

Gail M. Williamson
Affiliation:
University of Georgia
David R. Shaffer
Affiliation:
University of Georgia
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
Get access

Summary

Over the life span, the human body increasingly functions less efficiently. Skin wrinkles and sags; hair thins and turns grey; muscle mass and strength are more difficult to maintain; joints deteriorate; aerobic capacity and cardiac output decrease; the immune system becomes less responsive; visual and auditory acuity decline – and this is just a partial list. Faced with these changes, it is not surprising that many people dread growing old because they believe ageing portends losses in functional capacities and the enjoyable aspects of life. This chapter highlights the demographic realities of an ageing population, debunks some of the myths about age and physical functioning and summarizes research on the factors that promote successful ageing.

There is no doubt that the population of many western countries is ‘greying’. Average life expectancy in the US in 1900 was 47 years; today, it is closer to 76 years. Over two-thirds of people now live to at least age 65 (a three-fold increase from 1900). Furthermore, the fastest growing segment of the population is in the category over age 85 – 4% in 1900 to more than 10% today (e.g. US Department of Health and Human Services [DHHS], 1992; Volz, 2000).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abend, T. A. & Williamson, G. M. (2002). Feeling attractive in the wake of breast cancer: optimism matters, and so do interpersonal relationships. Personality and Social Psychology Bulletin, 28, 427–36.Google Scholar
Atchley, R. C. (1989). The continuity theory of normal aging. Gerontologist, 29, 183–90.Google Scholar
Benyamini, Y. & Lomranz, J. (2004). The relationship of activity restriction and replacement with depressive symptoms among older adults. Psychology and Aging, 19, 362–6.CrossRefGoogle Scholar
Binstock, R. H. (1999). Challenges to United States policies on aging in the new millennium. Hallym International Journal of Aging, 1, 3–13.Google Scholar
Birren, J. E. & Birren, B. A. (1990). The concepts, models, and history in the psychology of aging. In Birren, J. E. & Schaie, K. W. (Eds.). Handbook of the Psychology of Aging (3rd edn.) (pp. 3–20). San Diego: Academic Press.
Calderon, K. S. (2001). Making the connection between depression and activity levels among the oldest-old: a measure of life satisfaction. Activities, Adaptation and Aging, 25, 59–73.CrossRefGoogle Scholar
Carver, C. S., Pozo, C., Harris, S. D.et al. (1993). How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65, 375–90.CrossRefGoogle Scholar
Cassileth, B. R., Lusk, E. J., Strouse, T. B.et al. (1984). Psychosocial status in chronic illness: a comparative analysis of six diagnostic groups. New England Journal of Medicine, 311, 506–11.Google Scholar
Center for the Advancement of Health (1998). Getting old: a lot of it is in your head. Facts of Life: an Issue Briefing for Health Reporters, 3.
Chen, Y. P. (1994). ‘Equivalent retirement ages’ and their implications for Social Security and Medicare financing. Gerontologist, 34, 731–5.Google Scholar
Cohen, S. & McKay, G. (1983). Interpersonal relationships as buffers of the impact of psychosocial stress on health. In Baum, A., Taylor, S. E. & Singer, J. E. (Eds.). Handbook of psychology and health, Vol. 4, (pp. 253–67). Hillsdale, NJ: Erlbaum.
Cohen, S., Tyrrell, D. A. J., Russell, M. A. H., Jarvis, M. J. & Smith, A. P. (1993). Smoking, alcohol consumption, and susceptibility to the common cold. American Journal of Public Health, 83, 1277–83.Google Scholar
Cohen, S. & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–57.Google Scholar
Costa, P. T. & McCrae, R. R. (1993). Personality, defense, coping, and adaptation in older adulthood. In Cummings, E. M., Greene, A. L. & Karraker, K. K. (Eds.). Life span developmental psychology: perspectives on stress and coping (pp. 277–93). Hillsdale, NJ: Erlbaum.
Femia, E. E., Zarit, S. H. & Johansson, B. (1997). Predicting change in activities of daily living: a longitudinal study of the oldest old in Sweden. Journal of Gerontology, 52, 294–302.CrossRefGoogle Scholar
Foley, K. M. (1985). The treatment of cancer pain. New England Journal of Medicine, 313, 84–95.CrossRefGoogle Scholar
Hendricks, J., Hatch, L. R. & Cutler, S. J. (1999). Entitlements, social compacts, and the trend toward retrenchment in U.S. old-age programs. Hallym International Journal of Aging, 1, 14–32.Google Scholar
Herzog, A. R., Franks, M. M., Markus, H. R. & Holmberg, D. (1998). Activities and well-being in older age: effects of self-concept and educational attainment. Psychology and Aging, 13, 179–85.CrossRefGoogle Scholar
Hobbs, F. B. (1996). 65+ in the United States, U.S. Bureau of the Census, current population reports. Washington, DC: US Government Printing Office.
Kiyak, H. A. & Hooyman, N. R. (1999). Aging in the twenty-first century. Hallym International Journal of Aging, 1, 56–66.CrossRefGoogle Scholar
Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
Lefebvre, M. F. (1981). Cognitive distortion and cognitive errors in depressed psychiatric and low back pain patients. Journal of Consulting and Clinical Psychology, 49, 517–25.CrossRefGoogle Scholar
Manton, K. G., Stallard, E. & Corder, L. (1995). Changes in morbidity and chronic disability in the U.S. elderly population: evidence from the 1982, 1984, and 1989 National Long Term Care Surveys. Journal of Gerontology, 50, 194–204.CrossRefGoogle Scholar
Mathew, R., Weinman, M. & Mirabi, M. (1981). Physical symptoms of depression. British Journal of Psychiatry, 139, 293–6.CrossRefGoogle Scholar
McCrae, R. R. (1989). Age differences and changes in the use of coping mechanisms. Journal of Gerontology, 44, 161–4.Google Scholar
McCrae, R. R. & Costa, P. T. Jr. (1986). Personality, coping, and coping effectiveness in an adult sample. Journal of Personality, 54, 385–405.Google Scholar
McGinnis, J. M. & Foege, W. H. (1993). Actual causes of death in the United States. Journal of the American Medical Association, 270, 2207–12.Google Scholar
Mutran, E. J., Reitzes, D. C., Mossey, J. & Fernandez, M. E. (1995). Social support, depression, and recovery of walking ability following hip fracture surgery. Journal of Gerontology, 50, 354–61.Google Scholar
Ogilvie, D. M. (1987). Life satisfaction and identity structure in late middle-aged men and women. Psychology and Aging, 2, 217–24.Google Scholar
Oxman, T. E. & Hull, J. G. (1997). Social support, depression, and activities of daily living in older heart surgery patients. Journal of Gerontology, 52, 1–14.CrossRefGoogle Scholar
Palmore, E. (1990). Ageism: positive and negative. New York: Springer.
Parmelee, P. A., Katz, I. R. & Lawton, M. P. (1991). The relation of pain to depression among institutionalized aged. Journal of Gerontology, 46, 15–21.CrossRefGoogle Scholar
Peterson, C., Seligman, M. E. P. & Vaillant, G. E. (1988). Pessimistic explanatory style is a risk factor for physical illness: a thirty-five-year longitudinal study. Journal of Personality and Social Psychology, 55, 23–7.CrossRefGoogle Scholar
Quinn, J. F. & Burkhauser, R. V. (1990). Work and retirement. In Binstock, R. & George, L. K. (Eds.). Handbook of Aging and The Social Sciences (3rd edn.) (pp. 307–23). San Diego: Academic Press.
Rowe, J. W. & Kahn, R. L. (1998). Successful aging. New York: Pantheon Books.
Rybash, J. M., Roodin, P. A. & Hoyer, W. J. (1995). Adult Development and Aging (3rd edn.). Madison, WI: Brown and Benchmark.
Schulz, R. & Ewen, R. B. (1993). Adult Development and Aging: Myths and Emerging Realities (2nd edn.). New York: MacMillan.
Schulz, R. & Heckhausen, J. (1996). A life-span model of successful aging. American Psychologist, 51, 702–14.CrossRefGoogle Scholar
Searle, M. S., Mahon, M. J., Iso-Ahola, S. E., Sdrolias, H. A. & Dyck, J. (1995). Enhancing a sense of independence and psychological well-being among the elderly: a field experiment. Journal of Leisure Research, 27, 107–24.Google Scholar
Snyder, C.R. (1998). A case for hope in pain, loss, and suffering. In Harvey, J. H., Omarza, J. & Miller, E. (Eds.). Perspectives on loss: a sourcebook (pp. 63–79). Washington, DC: Taylor and Francis.
Suls, J. (1982). Social support, interpersonal relations, and health: benefits and liabilities. In Saunders, G. S. & Suls, J. (Eds.). Social psychology of health and illness (pp. 255–77). Hillsdale, NJ: Erlbaum.
Taylor, S. E. (1983). Adjustment to threatening events: a theory of cognitive adaptation. American Psychologist, 38, 1161–73.Google Scholar
Taylor, S. E. & Brown, J. D. (1988). Illusion and well-being: a social psychological perspective on mental health. Psychological Bulletin, 103, 193–210.Google Scholar
US Department of Health and Human Services. (1992). Healthy people 2000: Summary report. Washington, DC: US Government Printing Office.
Volz, J. (2000). Successful aging: the second 50. Monitor on Psychology, 31, 24–8.Google Scholar
Walters, A. S. & Williamson, G. M. (1999). The role of activity restriction in the association between pain and depressed affect: a study of pediatric patients with chronic pain. Children's Health Care, 28, 33–50.Google Scholar
Whitbourne, S. K. (2005). Adult Development and Aging: Biopsychosocial Perspectives (2nd edn.). Hoboken, NJ: John Wiley and Sons.
Williamson, G. M. (1998). The central role of restricted normal activities in adjustment to illness and disability: a model of depressed affect. Rehabilitation Psychology, 43, 327–47.Google Scholar
Williamson, G. M. (2000). Extending the Activity Restriction Model of Depressed Affect: evidence from a sample of breast cancer patients. Health Psychology, 19, 339–47.Google Scholar
Williamson, G. M. (2002). Aging well: Outlook for the 21st century. In Snyder, C. R. & Lopez, S. J. (Eds.). The handbook of positive psychology (pp. 676–86). New York: Oxford University Press.
Williamson, G. M. & Dooley, W. K. (2001). Aging and coping: the activity solution. In Snyder, C. R. (Ed.). Coping with stress: effective people and processes (pp. 240–58). New York: Oxford University Press.
Williamson, G. M. & Schulz, R. (1992). Pain, activity restriction, and symptoms of depression among community-residing elderly. Journal of Gerontology, 47, 367–72.Google Scholar
Williamson, G. M. & Schulz, R. (1995). Activity restriction mediates the association between pain and depressed affect: a study of younger and older adult cancer patients. Psychology and Aging, 10, 369–78.CrossRefGoogle Scholar
Williamson, G. M. & Shaffer, D. R. (2000). The Activity Restriction Model of Depressed Affect: antecedents and consequences of restricted normal activities. In Williamson, G. M., Shaffer, D. R. & Parmelee, P. A. (Eds.). Physical illness and depression in older adults: a handbook of theory, research, and practice. New York: Plenum.
Williamson, G. M., Shaffer, D. R. & Parmelee, P. A. (Eds.) (2000a). Physical illness and depression in older adults: a handbook of theory, research, and practice. New York: Plenum Publishing.
Williamson, G. M., Shaffer, D. R. & Schulz, R. (1998). Activity restriction and prior relationship history as contributors to mental health outcomes among middle-aged and older caregivers. Health Psychology, 17, 152–62.CrossRefGoogle Scholar
Williamson, G. M., Shaffer, D. R. & The Family Relationships in Late Life Project. (2000b). Caregiver loss and quality of care provided: pre-illness relationship makes a difference. In Harvey, J. H. & Miller, E. D. (Eds.). Loss and trauma: general and close relationship perspectives. Philadelphia: Brunner/Mazel.
Williamson, G. M., Schulz, R., Bridges, M. & Behan, A. (1994). Social and psychological factors in adjustment to limb amputation. Journal of Social Behaviour and Personality, 9, 249–68.Google Scholar
Wortman, C. B. (1984). Social support and the cancer patient. Cancer, 53, 2339–60.Google Scholar
Zeiss, A. M., Lewinsohn, P. M., Rohde, P. & Seeley, J. R. (1996). Relationship of physical disease and functional impairment to depression in older adults. Psychology and Aging, 11, 572–81.Google Scholar
Zimmer, Z., Hickey, T. & Searle, M. S. (1995). Activity participation and well-being among older people with arthritis. Gerontologist, 35, 463–71.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×