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Marta Santacreu, PhD.
marta.santacreu@universidadeuropea.es
PSYCHOGERONTOLOGY
Introduction
Block 1. Introduction
 Unit 1. Introduction
 Unit 2. Stability and change in ageing
 Unit 3. Comprehensive assessment (bio-
psycho-social) of the elderly
Unit 1. Introduction
 Demographic change
 What is age and ageing?
 Stereotypes on ageing
 Research on ageing
Demographic change
http://www.worldlifeexpectancy.com/spain-population-pyramid
THE WORLD IS AGEING
Demographic change
Men
Women
Average
0 20 40 60 80 100
Bronze
Iron
Greece
Rome
Mid.age
Napoleon
End XX
Demographic change
9.2 11.7
21.1
0
10
20
30
40
50
60
70
80
90
100
1990 2013 2050
Population
Over 60 yrs.
2013
841 million old people
More than 2 billion
2050
Demographic change
Why are we experiencing a
demographic change?
Demographic change
Increased life expectancy
Demographic change
Decreasing mortality (children)
Declining fertility
In 2047
Demographic change
Children Old people
So, maybe working with old people is not such a bad idea…
 Europe has had 150
years to get older. It is
believed that in
countries from Latin
America, Africa and
Asia, just 20!
 By 2050, nearly 8 in 10
of the world’s older
population will live in
the less developed
regions.
Demographic change
Demographic change
How does the ageing
population impact our
society?
 Impact of ageing population.
Demographic change
The old-age support ratios decrease
Fiscal pressure on support systems for older persons
 Impact of ageing population.
Demographic change
Increased prevalence of chronic
diseases and disability
 Impact of ageing population.
– Increased % of old people living independently (alone
or with their spouse only).
– Support themselves financially with their own labor
earnings, income from their assets, and through public
transfers.
– In most countries, older persons make financial
contributions to younger family members until rather
advanced ages.
Demographic change
 The older population is itself ageing.
 There will be 392 million persons aged 80
years or over by 2050, more than three times
the present.
Demographic change
86%
14%
2013
<80 ≥80
81%
19%
2050
<80 ≥80
 The older population is predominantly female.
 Because women tend to live longer than men,
older women outnumber older men almost
everywhere.
Demographic change
54%46%
60 yrs. Group
Women Men
62%
38%
80 yrs. Group
Women Men
80 men per 100 women 61 men per 100 women
 Globally, 40 per cent of older persons aged 60
years or over live independently.
Demographic change
75%
25%
Developed
independent other
25%
75%
Developing
independent other
12%
88%
Least developed
independent other
 Many older persons still need to work, especially in developing
countries.
– Labor force participation among older men is decreasing in the less
developed regions, but it is increasing in the more developed regions.
 Developed countries: Public transfers are a major source of old-age
support.
 Developing countries: The labor earnings of older persons are an
important source of economic support in old age.
Demographic change
8%
92%
Developed
Working Retired
31%
69%
Developing
Working Retired
What is age and ageing?
What is age?
What is
ageing?
Who is old?
Are you
ageing?
When does
ageing start?
Does age determine
something?
What does
ageing involve?
Do you feel as old
as you are?
What is age and ageing?
 White locks
 Toothlessness
 Sunken cheeks
 Lackluster eyes
 Shriveled skin
What cut-off??
The old 40s are
the new 30s
Chronological age:
 Passing of time from birth onwards.
 Easy to measure.
 Increased age-specific mortality rates.
 Variable cut-off for “old” determined by unemployment rates.
What is age and ageing?
Biological age – pathological model:
 Presence or absence of physical disease, functional, or
cognitive impairment.
 Increased incidence of chronic disease in late life.
 Presence of age-associated conditions.
 Better marker of health status than chronological age.
 Medical profession: Old age = disease
 Critics
– Age increases prevalence of disease, but incidence is reduced
in advanced age
– Age related diseases appear also in young people (e.g. cancer)
– Age related diseases do not appear in all old people
 Alternative to age-criteria  Normal ageing changes:
universal, degenerative, progressive and intrinsic
What is age and ageing?
Successful ageing:
 Variability in the ageing process.
 Old age presents the opportunity for positive change,
new developments.
 Medical model: compression of morbidity, absence of
physical illness and functional impairment.
 Social model: ability to adapt to changes in society to
maintain role and status
 Psychological model: maintenance of mental competence
and well being.
What is age and ageing?
 Longitudinal Studies: variability
– Intra-individual plasticity and ability to learn
What is age and ageing?
GainsLosses
 Longitudinal Studies: variability
– Intra-individual plasticity and ability to learn
 All old people are the same
 Older people are sick, have functional
dependence and are fragile
 Seniors are lonely and isolated
 Older people cannot learn and have cognitive
decline
 Old people are rigid and do not adapt to
changes
 They do not face aging changes
 Older people should not continue working
 The don’t have sexual relationships
Ageing stereotypes
 All old people are the same
Ageing stereotypes
 Older people are sick, have functional
dependence and are fragile
Ageing stereotypes
Male impaired
Female impaired
Male (Total pop.)
Female (Total pop.)
 Seniors are lonely and isolated
Ageing stereotypes
 Older people cannot learn and have cognitive
decline
Ageing stereotypes
 Older people cannot learn and have cognitive
decline
Ageing stereotypes
 Old people are rigid and do not adapt to
changes
– Experience
– Personality traits
Ageing stereotypes
 Older people should not continue working
– Knowledge compensate decline
– Benefits from continuing work
Ageing stereotypes
 Effects of self-stereotypes in older
people:
–Psychophysiological responses
–Memory training
–Longevity
 Effects of stereotypes in professionals
Ageing stereotypes
 Effects of self-stereotypes in older
people:
–Psychophysiological responses
Ageing stereotypes
 Effects of self-stereotypes in older
people:
–Memory training
Ageing stereotypes
 Effects of self-stereotypes in older
people:
–Longevity
Ageing stereotypes
 Effects of stereotypes in professionals
Ageing stereotypes
 Effects of stereotypes in professionals
Ageing stereotypes
 The designs:
–Cross- sectional
Generational problems
–Longitudinal
Berlin Ageing Study
–Experimental
Stereotypes
 Assessment techniques
Research on ageing
Researching on ageing
BIOLOGY
PSYCHO
BIO
SOCIAL
Research on ageing
 Gerontology
– Study of the aging
process.
– Includes physical,
mental, and social
changes.
– The information is used
to develop strategies and
programs for improving
the lives of older people.
 Geriatrics
– Branch of medicine
specialized in the care of
older people.
– Involves managing many
disorders and problems
at the same time.
– Study of the ageing
process to better
distinguish between
changes resulting from
ageing itself and
disorder.
 Lutz, W., Sanderson, W., & Scherbov, S. (2008). The coming
acceleration of global population ageing. Nature, 451(7179),
716.
 Balcombe, N. R., & Sinclair, A. (2001). Ageing: definitions,
mechanisms and the magnitude of the problem. Best Practice
& Research Clinical Gastroenterology, 15(6), 835-849.
 Levy, B. R., Zonderman, A. B., Slade, M. D., & Ferrucci, L.
(2009). Age stereotypes held earlier in life predict
cardiovascular events in later life. Psychological Science, 20(3),
296-298.
 WHO. (1999). Ageing: exploding the myths.
References

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Ageing - introduction

  • 2. Block 1. Introduction  Unit 1. Introduction  Unit 2. Stability and change in ageing  Unit 3. Comprehensive assessment (bio- psycho-social) of the elderly
  • 3. Unit 1. Introduction  Demographic change  What is age and ageing?  Stereotypes on ageing  Research on ageing
  • 5. Demographic change Men Women Average 0 20 40 60 80 100 Bronze Iron Greece Rome Mid.age Napoleon End XX
  • 6. Demographic change 9.2 11.7 21.1 0 10 20 30 40 50 60 70 80 90 100 1990 2013 2050 Population Over 60 yrs. 2013 841 million old people More than 2 billion 2050
  • 7. Demographic change Why are we experiencing a demographic change?
  • 9. Demographic change Decreasing mortality (children) Declining fertility
  • 10. In 2047 Demographic change Children Old people So, maybe working with old people is not such a bad idea…
  • 11.  Europe has had 150 years to get older. It is believed that in countries from Latin America, Africa and Asia, just 20!  By 2050, nearly 8 in 10 of the world’s older population will live in the less developed regions. Demographic change
  • 12. Demographic change How does the ageing population impact our society?
  • 13.  Impact of ageing population. Demographic change The old-age support ratios decrease Fiscal pressure on support systems for older persons
  • 14.  Impact of ageing population. Demographic change Increased prevalence of chronic diseases and disability
  • 15.  Impact of ageing population. – Increased % of old people living independently (alone or with their spouse only). – Support themselves financially with their own labor earnings, income from their assets, and through public transfers. – In most countries, older persons make financial contributions to younger family members until rather advanced ages. Demographic change
  • 16.  The older population is itself ageing.  There will be 392 million persons aged 80 years or over by 2050, more than three times the present. Demographic change 86% 14% 2013 <80 ≥80 81% 19% 2050 <80 ≥80
  • 17.  The older population is predominantly female.  Because women tend to live longer than men, older women outnumber older men almost everywhere. Demographic change 54%46% 60 yrs. Group Women Men 62% 38% 80 yrs. Group Women Men 80 men per 100 women 61 men per 100 women
  • 18.  Globally, 40 per cent of older persons aged 60 years or over live independently. Demographic change 75% 25% Developed independent other 25% 75% Developing independent other 12% 88% Least developed independent other
  • 19.  Many older persons still need to work, especially in developing countries. – Labor force participation among older men is decreasing in the less developed regions, but it is increasing in the more developed regions.  Developed countries: Public transfers are a major source of old-age support.  Developing countries: The labor earnings of older persons are an important source of economic support in old age. Demographic change 8% 92% Developed Working Retired 31% 69% Developing Working Retired
  • 20. What is age and ageing? What is age? What is ageing? Who is old? Are you ageing? When does ageing start? Does age determine something? What does ageing involve? Do you feel as old as you are?
  • 21. What is age and ageing?  White locks  Toothlessness  Sunken cheeks  Lackluster eyes  Shriveled skin What cut-off?? The old 40s are the new 30s Chronological age:  Passing of time from birth onwards.  Easy to measure.  Increased age-specific mortality rates.  Variable cut-off for “old” determined by unemployment rates.
  • 22. What is age and ageing? Biological age – pathological model:  Presence or absence of physical disease, functional, or cognitive impairment.  Increased incidence of chronic disease in late life.  Presence of age-associated conditions.  Better marker of health status than chronological age.  Medical profession: Old age = disease  Critics – Age increases prevalence of disease, but incidence is reduced in advanced age – Age related diseases appear also in young people (e.g. cancer) – Age related diseases do not appear in all old people  Alternative to age-criteria  Normal ageing changes: universal, degenerative, progressive and intrinsic
  • 23. What is age and ageing? Successful ageing:  Variability in the ageing process.  Old age presents the opportunity for positive change, new developments.  Medical model: compression of morbidity, absence of physical illness and functional impairment.  Social model: ability to adapt to changes in society to maintain role and status  Psychological model: maintenance of mental competence and well being.
  • 24. What is age and ageing?  Longitudinal Studies: variability – Intra-individual plasticity and ability to learn
  • 25. What is age and ageing? GainsLosses  Longitudinal Studies: variability – Intra-individual plasticity and ability to learn
  • 26.  All old people are the same  Older people are sick, have functional dependence and are fragile  Seniors are lonely and isolated  Older people cannot learn and have cognitive decline  Old people are rigid and do not adapt to changes  They do not face aging changes  Older people should not continue working  The don’t have sexual relationships Ageing stereotypes
  • 27.  All old people are the same Ageing stereotypes
  • 28.  Older people are sick, have functional dependence and are fragile Ageing stereotypes Male impaired Female impaired Male (Total pop.) Female (Total pop.)
  • 29.  Seniors are lonely and isolated Ageing stereotypes
  • 30.  Older people cannot learn and have cognitive decline Ageing stereotypes
  • 31.  Older people cannot learn and have cognitive decline Ageing stereotypes
  • 32.  Old people are rigid and do not adapt to changes – Experience – Personality traits Ageing stereotypes
  • 33.  Older people should not continue working – Knowledge compensate decline – Benefits from continuing work Ageing stereotypes
  • 34.  Effects of self-stereotypes in older people: –Psychophysiological responses –Memory training –Longevity  Effects of stereotypes in professionals Ageing stereotypes
  • 35.  Effects of self-stereotypes in older people: –Psychophysiological responses Ageing stereotypes
  • 36.  Effects of self-stereotypes in older people: –Memory training Ageing stereotypes
  • 37.  Effects of self-stereotypes in older people: –Longevity Ageing stereotypes
  • 38.  Effects of stereotypes in professionals Ageing stereotypes
  • 39.  Effects of stereotypes in professionals Ageing stereotypes
  • 40.  The designs: –Cross- sectional Generational problems –Longitudinal Berlin Ageing Study –Experimental Stereotypes  Assessment techniques Research on ageing
  • 42. Research on ageing  Gerontology – Study of the aging process. – Includes physical, mental, and social changes. – The information is used to develop strategies and programs for improving the lives of older people.  Geriatrics – Branch of medicine specialized in the care of older people. – Involves managing many disorders and problems at the same time. – Study of the ageing process to better distinguish between changes resulting from ageing itself and disorder.
  • 43.  Lutz, W., Sanderson, W., & Scherbov, S. (2008). The coming acceleration of global population ageing. Nature, 451(7179), 716.  Balcombe, N. R., & Sinclair, A. (2001). Ageing: definitions, mechanisms and the magnitude of the problem. Best Practice & Research Clinical Gastroenterology, 15(6), 835-849.  Levy, B. R., Zonderman, A. B., Slade, M. D., & Ferrucci, L. (2009). Age stereotypes held earlier in life predict cardiovascular events in later life. Psychological Science, 20(3), 296-298.  WHO. (1999). Ageing: exploding the myths. References

Editor's Notes

  1. Divided by
  2. Old people are absent-minded Old people cannot concentrate well