Understanding the mechanisms underlying the effects of negative age stereotypes and perceived age discrimination on older adults’ well-being

Abstract

Objectives: Although numerous studies have documented that negative age stereotypes and perceived age discrimination are related to older adults’ lower well-being, few studies have investigated the mechanisms underlying these relationships. In this study, we tested whether self-perceptions of aging and subjective age would help to account for the relation between stereotypes and discrimination and self-esteem. According to the internalization hypothesis, we expected that the effects of negative age stereotypes and greater perceived age discrimination would be driven by more negative self-perceptions of aging and older subjective age.

Method: A total of 151 older adults completed questions assessing their endorsement of negative age stereotypes, perceived age discrimination, self-perceptions of aging, subjective age, and self-esteem. Relationships among these variables were assessed using serial mediation analyses.

Results: Consistent with the internalization hypothesis, negative age stereotypes and perceived age discrimination indirectly predicted older subjective age and lower self-esteem through worsening self-perceptions of aging. However, we did not find a direct effect of negative age stereotypes or perceived discrimination on subjective age, nor an indirect effect of negative age stereotypes and perceived age discrimination on self-esteem through subjective age.

Conclusion: These results support the internalization hypothesis: among older adults, holding more negative age stereotypes and perceiving more age discrimination is associated with feeling older and with lower self-esteem through worsened perceptions of one’s own aging. Given the central role of self-perceptions of aging, these findings highlight the importance of promoting more positive self-perceptions in order to maintain or increase older adults’ well-being.     

‘I had a sort of epiphany!’ An exploratory study of group mindfulness-based cognitive therapy for older people with depression

Objectives: Mindfulness-based cognitive therapy (MBCT) has been successful in reducing depressive symptoms in people with chronic-recurrent depression. However, the research evaluating the efficacy of this approach, and other innovative treatments for mood disorders, has mainly been with people under 65 years. This paper aims to help redress this imbalance by exploring older people's own reflections of their experience of MBCT.

Methods: A qualitative approach was used to explore 13 participants' experiences of MBCT; participants were interviewed pre and post-intervention and again after six months. To see whether the standard course requires any adaptations for older participants, the two MBCT course facilitators were interviewed post-intervention.

Results: Thematic analysis identified five overarching themes and showed that older people reported positive changes in their mental health and well-being and reported being ‘released from the past’. The facilitators reported that they needed to be aware of later life issues, such as loneliness and potential physical limitations, but otherwise only minor adaptations were needed to the standard MBCT course for older people.

Conclusion: MBCT is an acceptable approach for people aged 65 years and over and further research should explore potential mechanisms of change including changes in meta-cognitive awareness and self-compassion.