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Chapter 15 and 16 of lifespan

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How is midlife changing
50--year-olds now are better in shape or alert more productive than their 40-year-old counterparts from
a generation or two earlier
60 is the new 40 because more of midlife age starting later and lasting longer. The new in midlife age are
more healthier, active, and productive because of healthier lifestyles and medical discoveries
middle adulthood
the developmental period that begins at approximately 40-45 years of age and extends to about 60-65
years of age
Rectangularization
The age structure of the population could be represented by a pyramid with the largest percentage of
the population in the childhood years. The percentage of people at different ages in the lifespan are
more similar creating what is called the rectangularization of the age distribution (a vertical rectangle)
Rectangularization has been created by health advances that promote longevity, low fertility rates, and
the age of the baby boom cohort
How is middle aged today different from the way it was for past generations
Gains and losses as well as biological and social cultural factors balance each other
Biological functioning declines in middle adulthood, social cultural support such as education, career,
and relationships may peek in middle adulthood
A pivotal period because it is a time of balancing growth and decline, linking earlier and later periods of
developmental, and connecting younger and older generation
Middle age is lasting longer than it did for previous generation
How is middle adulthood defined and what are some of its characteristics
Age period 55 test 65 as late midlife
Late midlife is more likely to be characterized by the death of a parent, the last child leaving the parental
home, becoming a grandparent, the preparation for a retirement, and in most cases of actual retirement
Middle adulthood is full of changes twist and turn the path is not fixed. People move in and out of states
for success and failure
life-span perspective
There are four types of age chronological , Biological, psychological, and social
What physical changes characterized middle adulthood
Visible Signs
Height and weight
Strength, joints, and bones
Vision and hearing
Cardiovascular system
Lungs
Sleep
Physical changes in middle life
Genetic makeup and lifestyle factors play important roles in determining whether a chronic disease will
appear and when.
Middle Ages is a windows through which we can glimpse later life while there is still time to engage in
prevention and to influence some aspects of aging
Multiple adaptive factors, such as positive health behaviors (physical exercise and sleep), sense of
control, social support and social connections, and emotion regulation help to buffer declines in physical
health and cognitive functioning in middle age
visible signs of aging
-Wrinkling and sagging of skin
-Appearance of aging spots
-Hair becomes thinner and grayer
-Nails become thicker and more brittle
-Yellowing of teeth
height and weight in aging
Individuals you lose height in middle age and many gain weight
Men from 30 to 50 years of age lose about 1 inch in height then may lose another inch from 50 to 70
years of age
Decreased in height is due to bone loss in the vertebrae
10% of bodyweight and adolescent it makes up 20% or more in middle age
Obesity increases from early to middle adulthood
Obesity remains the same for a middle age as you age 60 to older
Women had a higher rate of obesity than men in middle age and 44.7% rate for women was higher than
for women in early and late adulthood
Being overweight is a critical problem that's linked to earlier death, hypertension, diabetes, and
cardiovascular disease
strength, joints, and bones in middle adulthood
Sarcopenia is given to age related loss of muscle mass and strength
1 to 2% per year after age 50 muscle loss with age occurs
The loss of strength occurs in back and legs
Smoking and diabetes were risk characters for acquired loss of muscle mass in middle age women and
obesity is a significant risk factor for Sarcopenia
In the 20s peak function of the body's joints usually occur
Tendons and ligaments become less effective in middle adulthood many experience joint stiffness in
more difficulty in movement
Maximum bone density occurs by the mid to late 30s after there is a prognosis of loss of bone
Women lose bone mass twice as fast as men do
By the end of the middle life phones break more easily and heal more slowly
An intake of fruit and vegetables was linked to increase in bone density in middle-aged and older adults
sarcopenic obesity
combined loss of muscle mass with weight gain occurring in old age
Linked to hypertension
vision and hearing in middle age
Vision problems especially difficulty reading the newspaper and recognizing people on the street were
linked to decreased life satisfaction, decrease self-esteem, and increased depressive symptoms and
increase social isolation
Here and can start declining age 40
cardiovascular system in middle age
Cholesterol in the blood increases during the adult years and in midlife begins to accumulate on the
artery walls increasing the risk of a cardiovascular disease
Cholesterol comes into form LDL and HDL
At menopause A women's blood pressure rises shapely and usually remains above that of a man the
life's later years
Cognitive impairments in late adulthood
Many cardiovascular problems in middle-age
Cardiorespiratory fitness predicted lower cardio vascular disease risk
Death due to cardiovascular disease has been decreasing in the United States since the 1970s
Regular exercise and healthy eating habits also have considerable benefits in preventing cardiovascular
disease
American heart association has proposed lives simple seven a list of things people can do to improve
their cardiovascular health
Managing blood pressure
Control cholesterol
Reduced blood sugar
Get active
Eat better
Lose weight
Quit smoking
socioeconomic status (SES)
Defines the economic and social position of a person in terms of income, wealth, education, and
occupation Play a role in cardiovascular disease in middle adulthood
metabolic syndrome
a condition characterized by hypertension, obesity, and insulin resistance
lungs in middle adulthood
-decreased elasticity
-decreased capacity
-exercise and physical activity reduce these factors
sleep in middle adulthood
-Beginning in 40s, more wakeful periods, and less of the deepest sleep
-More time lying awake, less rested
-sleep under 7 hours
-recommended that 26 to 64 year olds should get 7 to 9 hours of sleep per night
-Sleep problems more common for those who use a higher number of medications, are obese,
depressed, or have cardiovascular disease, morbidity
Poor sleep quality is linked to what outcomes?
Lower level of executive functions, slower processing speed, increased learning difficulties, and poor
memory recall
chronic disorders
Characterized by slow onset and long duration, rare and early adulthood increase and middle adulthood
and become common in late adulthood
chronic disorders in middle adulthood
Disease and persistent health problems become more common in middle adulthood for some
individual's
HDL (High Density Lipoprotein)
A cholesterol-carrying particle in the blood, made up of cholesterol and other lipids surrounded by a
single layer of phospholipids in which proteins are embedded. An HDL particle carries less cholesterol
than a related lipoprotein, LDL, and may be correlated with a decreased risk of blood vessel blockage.
LDL (low density lipoprotein)
A cholesterol-carrying particle in the blood, made up of cholesterol and other lipids surrounded by a
single layer of phospholipids in which proteins are embedded. An LDL particle carries more cholesterol
than a related lipoprotein, HDL, and high LDL levels in the blood correlate with a tendency to develop
blocked blood vessels and heart disease.
How healthy are middle aged adults
Middle age adult experience a decline in physical health if they're not active before
What are the main causes of death in middle age
Chronic diseases
Cancer number one cause
Cardiovascular disease
How sexually active are individuals in the middle adulthood
A decline in sexual hormone level and activity
What kind of change is characterized the sexuality of women in a man as they go through middle age
Menopause and testosterone decline
climacteric
midlife transition in which fertility declines
menopause
Cessation of a woman's menstrual periods, usually during the late forties or early fifties
perimenopause
the transitional period from normal menstrual periods to on menstrual periods at all, which often takes
up to 10 years
mortality rate in middle adulthood
Chronic diseases are now the main cause of death for individuals in middle adulthood
Many deaths are caused by a single, readily identifiable condition, Whereas in old age, death is more
likely to result from the combined effects of several chronic conditions
2005- 45 to 64 years of age in the United States died of cancer followed by cardiovascular disease
2011 and 2017 death in middle age was due to cardiovascular disease increased by 4% and that was
linked to increase in obesity death in the middle age based on cancer has the declined but cancer
continues to be the number one cause of death in middle age followed by cardiovascular disease
Men have higher mortality rates than women for all of the leading causes of death
Hormonal changes in middle aged Men
-decline in sexual hormone level and activity
-erectile dysfunction: inability to achieve and maintain an erection
Do men go through anything like the menopause that women experience
What testosterone production about one percent eight year during middle adulthood and sperm count
usually declines slowly but men do not lose their fertility middle age
male hypogonadism
a condition in which the body does not produce enough testosterone
hormone replacement therapy
-Used for relief or prevention of menopausal symptoms (e.g., hot flashes, vaginal atrophy), osteoporosis
(increased estrogen, decreased osteoclast activity).
-Unopposed estrogen replacement therapy increases risk of endometrial cancer, so progesterone is
added. Possible increased cardiovascular risk.
Testosterone replacement therapy
can restore diminished sex drive in women, and increase sexual desire, energy, and vitality in men
erectile dysfunction
The inability to adequately achieve and maintain an erection to attain satisfactory sexual performance
Sexual Attitudes and Behavior
-Sexual activity occurs less frequently than in early adulthood
-Middle-aged men are more interested in sex than middle-aged women
-Living with a spouse or partner makes all the difference in terms of engaging in sexual activity
What characterizes the nature of chronic disorders
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Intelligence
Focuses on the concepts of fluid and crystallized intelligence, the Seattle longitudinal study, cohort
effects
fluid and crystallized intelligence
fluid intelligence: one's ability to reason speedily and abstractly; tends to decrease during late
adulthood.
crystallized intelligence: one's accumulated knowledge and verbal skills; tends to increase with age
crystallized intelligence
accumulated information and verbal skills, which increase in middle age, according to Horn
fluid intelligence
the ability to reason abstractly, which begins to decline from middle adulthood onward, according to
Horn
Seattle Longitudinal Study
Individuals change and stability in intelligence, and the study is regarded as one of the most thorough
examinations to how people develop and change as they go thorough adulthood
The Seattle Longitudinal Study concluded that middle age is a time of:
peak performance for verbal abilities and verbal memory.
Verbal comprehension
Verbal memory
Numeric facility
Spatial orientation
Inductive reasoning
Perceptual speed
verbal comprehension
ability to understand ideas expressed in words
Verbal Memory
ability to encode and recall meaningful language units, such as a list of words
Numeric facility
ability to perform simple mathematical computations such as addition, subtraction, and multiplication
spatial orientation
ability to visualize and mentally rotate stimuli in two and three dimensional space
inductive reasoning
ability to recognize and understand patterns and relationships in a problem and to use understanding to
solve other instances of the problem
perceptual speed
ability to quickly and accurately make simple discriminations in visual stimuli
Information processing
speed of processing information, memory, expertise, and practical problem-solving skills
speed of information processing
Perceptual speed begins declining in early adulthood and continues to decline in middle adulthood
memory in middle adulthood
-Working memory decreases from 20s to 60s
less use of memory strategies
may be due to slower processing, attention problems
-Adults can compensate
self-pacing
strategy reminders
relevant information
-Few changes in:
factual knowledge
procedural knowledge
metacognitive knowledge
expertise in middle adulthood
extensive, highly organized knowledge base
provides efficient, effective approaches to solving problems
result of years of experience
Strategies that distinguish experts from novice include these
Experts are more likely to rely on their accumulated experience to problem solve
Experts often process information automatically and analyze it more efficiently when solving a problem
in their domain than novices do
Experts have better strategies and shortcuts for solving problems in their domain than novices do
Experts are more creative and flexible and solving problems in third domain than novices are
Practical Problem Solving in middle adulthood
-evaluate real-world situations
-analyze how best to achieve goals that have high uncertainty
-aided by expertise
- increase in performance from early adulthood to middle adulthood with performance then beginning
to decrease at about 50 years of age
What are some issues that workers face in the midlife
Career progress, deciding whether to change jobs or careers, determining how and when to rebalance
family and work, and planning for retirement
What role does leisure play in the lives of middle-aged adults
More money is available to many individuals, and there may be more free time and paid vacations
work in middle adulthood
job satisfaction peaks
dissatisfaction can occur
glass ceiling for women
burnout
reevaluation and change
Work in midlife
- The role of work is central during middle age
- In the U.S., about 80% of people aged 40-59 years of age are employed
- A time of evaluation, assessment, and reflection about work
Religion
Is an organized that the believes, practices, rituals, and symbols that increase in invisible's connection to
a scared or transcendent other
Religiousness
the degree of affiliation with an organized religion, participation in prescribed rituals and practices,
connection with its beliefs, and involvement in a community of believers
Spirituality
involves experiencing something beyond oneself in a transcendent manner and living in a way that
benefits others and society
Religion, spirituality , and adult lives
Middle-age adults describe themselves as religious and said that spirituality was a major part of their
lives
Significant increase in spirituality occurred between late middle adulthood
Religion, Spirituality, and Health
- Religion is positively linked to health
- Religious commitment helps to moderate blood pressure and hypertension
How might religion influence physical health
...
meaning-making coping
drawing on beliefs, values, and goals to change the meaning of a stressful situation, especially in times
of high levels of stress such as when a loved one dies
Religion, spirituality, and coping
Religious coping is often beneficial during times of high stressed
High stress group spiritual support was significantly related to low rate of depression and high levels of
self esteem
Positive religious core beliefs, worry less, were less anxious, and had a lower level of depression
symptoms
How is religion linked to the ability to cope with stress
Believe in prayer
Meaning in life
having a purpose and putting time and energy into attaining important goals
having a sense of meaning in life can lead to clearer guidelines for living one's life and enhanced
motivation to take care of oneself and reach goals
work in middle adulthood
job satisfaction peaks
dissatisfaction can occur
glass ceiling for women
burnout
reevaluation and change
Career Challenges and Changes
Challenges for middle aged workers
Globalization of work - replaced many jobs done by white men
Rapid developments in information technologies
Downsizing of organizations
Early retirement
Concerns about pensions and health care
Changes
Self-motivated
Consequence of losing one's job
Change careers
Leisure
the pleasant times when individuals are free to pursue activities and interests of their own choosinghobbies, sports, or reading
Stages of Adulthood
Two prominent theories that defines stages of adult development are Erik Erikson's lifespan view and
Daniel Levinson's seasons of a man's life
Erikson's stage of generativity versus stagnation
-generativity: adults' desire to leave legacies of themselves to the next generation
-stagnation: develops when individuals sense that they have done nothing for the next generation
What is best way conceptualize middle age? Is it a stage or crisis?
...
How extensively is middle age influenced by life events
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Do middle-aged adults experience stress and personal control differently from adults at other life stages
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Is personality linked with contexts such as the point in history when individuals go through midlife, their
culture, and their gender
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Levinson's Seasons of a Man's Life
- trasitions from one period to the next are particularly stressful and it is during these times that major
changes in a person's life structure usually occur
- not supported by research
The seasons of a man's life
This is the name of the study that Daniel Levinson conducted. He interviewed 40 middle-aged men
regarding midlife changes.
How pervasive are midlife crises?
The 40s are a decade of reassessing and recording the truth about the adolescent and adult years
Only a minority of adults experience a midlife crisis
midlife crisis
a stage of uncertainty and indecision brought about by the realization that life is finite
Individual variations
-middle-aged adults interpret, shape, alter, and give meaning to their lives
-in 1/3 of cases where individuals report experiencing a midlife crisis (triggered by life events such as job
loss, financial problems, or illness)
The Life-Events approach
the view that a person's state of well-being can be threatened by major life changes
contemporary life-events approach
Approach emphasizing that how a life event influences the individual's development depends not only
on the event but also on mediating factors, the individual's adaptation to the life event, the life-stage
context, and the sociohistorical context.
Stress and personal control in midlife
Middle-aged adults experience more "overload" stressors that involve juggling too many activities at
once
Developmental changes in perceived personal control
Some aspects of personal control increase with age while others decrease
Stress, personal control, and age
• Middle-aged adults experience more "overload" stressors that involve juggling too many activities at
once
• Some aspects of personal control increase with age while others decrease
Stress and Gender
-fight or flight: become aggressive, socially withdraw, or drink alcohol
-tend or befriend: seek social alliances with others, especially female friends
fight or flight
the view that when men experience stress, they are more likely to become aggressive, withdraw from
social contact, or drink alcohol
tend and befriend
Taylor's view that when women experience stress, they are more likely to seek social alliances with
others, especially female friends
social clock
The timetable according to which individuals are expected to accomplish life's tasks, such as getting
married, having children, or establishing themselves in a career.
Contexts of midlife development
-historical contexts (cohort effects): changing historical times and different social expectations influence
(how different cohorts move through the life span)
Historical contexts (cohort effects)
Changing historical times and different social expectations influence how different cohorts move
through the life span
Gender Contexts (middle adulthood)
Stage theories have a male bias
Demands of balancing career and family are usually not experience has intensely by men
Cultural Contexts in middle adulthood
The ways in which a society defines adulthood
longitudinal studies
A research method that studies the same participants multiple times over a period of time
Costa and McCraes Baltimore study
Focused on the big five factors of personality; openness to experience, conscientiousness, extraversion,
agreeableness, and neuroticism (emotional stability) (OCEAN)
emotional stability, extraversion, openness, and agreeableness were lower in early adulthood, peaked
between 40 and 60 years of age, and decreased in late adulthood,
while conscientiousness showed a continuous increase from early adulthood to late adulthood. Most
research studies indicate that the greatest change occurs in early adulthood. Positive forms of these
factor of personality relate to good health.
big five factors of personality
openness, consciousness, extraversion, agreeableness, neuroticism( emotional stability)
openness to experience
A personality dimension that characterizes someone in terms of imagination, sensitivity, and curiosity.
Conscientiousness
A personality dimension that describes someone who is responsible, dependable, persistent, and
organized
Extraversion
A personality dimension describing someone who is sociable, gregarious, and assertive
Agreeableness
A personality dimension that describes someone who is good natured, cooperative, and trusting.
Neuroticism (emotional stability)
refers to degree of emotional stability, impulse control, and anxiety
Berkeley Longitudinal Studies
The most stable characteristics were the degree to which individuals were intellectually oriented, selfconfident, and open to new experiences. The characteristics that changed the most included the extent
to which the individuals were nurturant or hostile and whether or not they had good self-control.
Helson's Mills College Study
Longitudinal study on stability and change in personality in adulthood. Studies women longitudinally and
found 3 main groups: family oriented, career oriented, and those who followed neither path.
George Vaillant's Studies
Explored the question: Does personality at middle age predict what a person's life will be like in late
adulthood?
individuals at 50 years of age were not heavy smokers, did not abuse alcohol, had a stable marriage,
exercised, maintained a normal weight, and had good coping skills, they were more likely to be alive and
happy at 75 to 80 years of age.
Conclusions in middle age
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cumulative personality model of personality development
- people get better at interacting in ways that promote stability with their environment as they age.
-- more stability in personality at midlife
Love, marriage, and divorce at midlife
Security, loyalty, and mutual emotional interest are more important, most married individuals are
satisfied with their marriage during midlife
Divorce is less intense now than in early
marriage
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Divorce
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empty nest syndrome
a decrease in marital satisfaction that occurs after children leave home, because parents derive
considerable satisfaction from their children
The empty nest and it's refilling
- Some marital dissatisfaction, especially during adjustment period.
- More adult children are returning to live at home: after an unsuccessful career or divorce.
- PRIVACY!
Sibling relationship and friendship
Continue over entire lifespan
Majority are close in adulthood
Strategies for parents and their young adult children
...
Grandparenting
Mentoring, spending time with them, strengthening family bonds
Grandparent roles and styles
Three prominent meanings
Source of biological reward and continuity
Source of emotional self-fulfillment
Remote role
grandparenting styles
involved, companionate, remote
The changing profile of grandparents
-Most common reasons are divorce, adolescent pregnancies, and parental drug use
-Full-time grandparenting has been linked to health problems, depression, and stress
Intergenerational relationships
• Middle-aged adults express responsibility between generations
• Midlife adults play important roles in the lives of the young and the old
Vocational Rehabilitation Act of 1973
The act requiring certain federal contractors to take affirmative action for disabled persons.
Occupational rehabilitation
structured program that uses exercise, education, aerobic conditioning, and actual or simulated work
tasks to increase an individual's functional capacities for safe and productive return to work
Occupational rehabilitation these include
Ergonomic oversight, injury prevention
Job demand analysis
Pre-work screen development
Vocational evaluations
Functional capacity evaluations
Transition services from school to work
Workstation evaluation and associated modified duty activity
Work hardening and work conditioning
Ergonomics
the applied science concerned with designing and arranging things people use so that the people and
things interact most efficiently and safety
Engineering controls
Involve the design and or modifications of a workspace and or tools
The goal of engineering control is to reduce or eliminate the presence of any combination of the risk
factors
work practice controls
Include the policies and procedures the employer can implement to support safe work practices
Administrative controls
Addresses the duration frequency and severity of exposure to particular risk factors
Job Demand Analysis (JDA)
Quantify the physical and environmental demand components of a job and subsequently provides a
comprehensive description of its physical, psychosocial, and environmental requirements
Prework screening tool
A host of testing components used to assess a prospective employees ability to perform the essential
requirements of the job prior to hire
Functional Capacity Evaluation (FCE)
Objective evaluation process, also referred to as work capacity evaluation/assessment, to determine
functional and physical abilities related to essential job tasks
Worksite evaluation
On-the-job assessments to determine whether an individual can return to work after onset of disability
or whether a person can benefit from reasonable accommodations to maintain employment
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