6/16- Middle Adulthood Flashcards
When does midlife begin?
Age 40
What are some key appearance-changes in middle adulthood?
Changes in appearance
- Gray hair
- Thinning hair
- “Middle-age bulge” (expanding waistline)
- First wrinkles (change in skin/CT structure, excessive skin exposure, cigarette smoking, increased anxiety over physical changes)
What changes occur in bones and joints during middle adulthood? Predisposing factors?
Decreased bone mass:
Osteoporosis
- Women > men
Predisposing factors:
- Low bone mass at skeletal maturity
- Low Ca
- Low Vitamin D
- Lack of weight-bearing exercise
- Smoking
- Excess alcohol, caffeine, sodium
- High protein diets
Osteoarthritis
What changes occur in reproduction (women) during middle adulthood?
The Climacteric
- Passage in middle-aged women from reproductive to non-reproductive years
- Perimenopause: irregular cycles, beginning in the 40s until completion at 50-55; loss of ability to bear children
- Menopause: menstruation stops
Other perimenopausal/menopausal changes in women?
Other changes in women:
- Hot flashes
- Headaches
- Moodiness
- Night sweats
- Difficulty concentrating
- Vague aches and pains
- Cholesterol fluctuations
- Vaginal dryness
- Low libido
Other postmenopausal changes in women?
- Shrinkage of vaginal walls
- Decreased vaginal lubrication
- Shrinkage of external genitalia
- May lead to painful intercourse or failure to achieve orgasm
T/F: Postmenopausal changes are the primary reason for decline in women’s sexual activity
False; primary reason is lack of appropriate or willing partner
How can menopausal symptoms be treated?
- HRT vs. herbal treatment
- Nonpetroleum-based lubrication
Changes in men in middle adulthood (reproductive)?
As with women, sexual activity is a “lifelong option”…
- Strong relationship with partner - Married middle-aged men have sex 4-8x/month
- Not readily available partnered men only 2-3x/month
What are the comparative levels of stress in middle adulthood?
Increased levels of short-term and long-term stress
- Physical changes become more evident (loss of physical capacity)
- Psychological effects
T/F: blue collar workers report more stress-related problems than do white collar workers? Why T/F?
True
- Less control
- Fewer outlets
- Less ability to delegate
What age has the least stress in adulthood?
> 65 years old
Do women or men have more stress? Sources of stress?
Women > Men
- Women: family and health-related
- Men: financial and work-related
What is “stress” (physiological)? Benefits/side effects?
- Increased heart rate
- Sweaty palms
- Hormone secretion
- Short-term: beneficial, peak-performance
- Long-term: physical toll, psychological toll, death
T/F: Stress is a source of psychopathology
False
- Doesn’t influence how people react
- Improved coping with experience
How can stress be lessened/dealt with?
- Improved coping with experience
- Can be lessened by disclosure and discussion of problems
- Aerobic exercise (improved cognitive functioning, lowers stress, leads to improved mood)
What are the relative levels of cognition in midlife?
Cognitive development is relatively “quiet”
Higher levels of cognition with what?
Higher levels of expertise:
- Blend “emotion with cognition” in solving practical problems (e.g. dealing with unexpected loss)
- Problem-focused strategies used with instrumental issues (e.g. grocery shopping, navigating from place to place; household mgmt)
Higher practical intelligence
- Ability to cope with rapid-paced change
Expert performance (in terms of cognition) peaks when in life?
Middle age
- Encapsulation
- More amenable to “lifelong learning”