Chapter 4: Mental and Emotional Well-being Flashcards

1
Q

What are the three major sets of abilities that intelligence consists of?

A

Problem solving, verbal skills and social competence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Primary Mental Abilities (PMA)

A

The basic set of intellectual skills, including mathematical reasoning, word fluency, verbal meaning, inductive reasoning and spatial orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fluid intelligence

A

Ie. Native intelligence encompasses skills such as abstract and mathematical reasoning, spatial relations and perceptual speed. These are biologically determined, independent of our experience or learning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Crystallized Intelligence

A

The knowledge and abilities - verbal meaning, social judgment, number skills and verbal memory - that we acquire through education and experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Most intelligence tests taken by older people show what kind of score pattern?

A

Classic aging pattern of scores
=> the decline observed with aging on some performance scales of intelligence tests versus consistency on verbal scales of the same tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some reasons why older adults may do worse on performance tasks?

A

Time constraints
Age-related changes in sensory, perceptual and psychomotor skills

Ex. slower reaction times and delays in receiving and transmitting messages through senses, speed of cognitive processing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Do declines in crystallized intelligence appear?

A

Typically do not show up until advanced old age, or results of disease-related cognitive impairment (ex. dementia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some other factors that can affect intelligence which are not age-related?

A
  • biological factors
  • anxiety about test performance
  • education
  • occupation
  • physical health
  • nutritional deficits
  • nearness to death
  • cautiousness in recall situations that involve risk and uncertainty
  • numerous problems measuring intelligence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What may be an issue with cross-sectional designs when researching intelligence?

A

any identified age differences may reflect cohort or generational differences rather than actual age variations

Doesn’t take into account changes in cohort and historical factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What may be an issue with longitudinal designs when researching intelligence?

A

Older adults are more likely than younger persons to drop out of longitudinal studies
Those who drop out tend to have performed less well at baseline or their health status and functional abilities are worse than average => results become biased in favour of those who were superior performers at baseline and do not represent the wider older population

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Memory

A

the process of recalling information that was once stored; a part of the brain that retains what has been learned throughout our lives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

sensory memory

A

the first step in receiving information through the sense organs and passing it on to primary or secondary memory

when we rehearse information received from our senses, it is more likely to be passed into our memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

working (primary) memory

A

holding newly acquired information in storage; a maximum of 7 (+/-) 2 stimuli before processing into secondary memory or discarding it

temporary stage of holding, processing and organizing information

decides what information should be attended to or ignored

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Secondary, long-term, memory

A

permanent memory store; requires the processing of new information to be stored and cues to retrieve stored information

unlimited capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does learning occur?

A

When the new information or skills that we acquire through our sensory and primary memories become encoded or stored in secondary memory

the information must be rehearsed or “processed” actively in order to be retrieved later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Does aging influence the storage capacity of memories?

A

No, instead, the process by which we rehearse or encode new information tends to decline in primary memory. This may also occur because perceptual speed deteriorates with aging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Perceptual speed

A

the time required to recognize and respond to stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

General slowing hypothesis

A

physiological changes that cause slower transmission of information through the nervous system with aging

results in older adults performing worse on complex tasks, although the extent of slowing varies with the task

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How does attentional resources and mental energy relate to learning and age?

A

Aging may cause a decline in attention resources or mental energy needed to organize newly acquired information in order to retain it in secondary memory.

Older people have more difficulty in holding information in their working memory while receiving new stimuli through sensory memory, or ignoring irrelevant stimuli to complete working memory tasks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tip-of-the-tongue states

A

Difficulty retrieving names from secondary memory but often spontaneously recalled later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Do older adults rely on spontaneous recall or structured search strategies more?

A

Spontaneous recall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Executive function

A

the ability to organize our learning and then efficiently use the information stored in our secondary memory to plan and make decisions and shift attention from one task to another

normal aging is associated with only mild declines in executive function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What can help improve executive function?

A

Moderate (or more) levels of aerobic activity
healthy diets
volunteering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Three components of attention

A

selection attention
vigilance, or sustained attention
attentional control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Selective attention

A

being able to select information relevant to a task while ignoring irrelevant data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Vigilance or sustained attention

A

keeping alert to focus on a specific stimulus over time

in such complex tasks, older people do worse than young adults, but little difference when task is simple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

attentional control

A

our ability to determine how much attention should be directed at specific stimuli and when to shift our focus to other stimuli

important under conditions of divided attention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

divided attention tasks

A

involve stimuli in the same sensory mode or different sensory systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

environmental and personal factors that negatively affect elders’ learning and memory

A

Physical: un unfamiliar learning environment, poor lighting levels and small font size, low tone and volume of a test giver’s voice in an oral exam

individual: slowing of the nervous system, verbal ability and educational level, previous experience with similar learning tasks, expectations about a task, English as a second language

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Strategies to promote older adults’ learning

A
  • create supportive conditions for learning and test-taking
  • use positive feedback
  • pace the rate of information flow to allow opportunities to practice the new information
  • allow self-pacing and extra time to reduce fatigue
  • offer material perceived by the older learning to be relevant
  • chunk or break long bits of info into smaller units
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Recognition

A

requires fewer searches because a stimulus in the environment triggers retrieval of that information, such as in multiple-choice tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

cued recall

A

hints are given to aid in the search, such as the first letter of a word

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

free recall

A

no aids are provided for retrieving information from secondary memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

recall

A

the process of searching through the vast store of information in our secondary memory, perhaps with a cue or a specific orienting question

35
Q

Disuse theory

A

the view that memory fades or is lost because one fails to use the information

36
Q

interference theory

A

the view that memory fades or is lost because of distractions experienced during learning or interference from similar or new information to the item to be recalled

37
Q

spatial memory

A

the ability to recall where objects are in relationship to each other in space

declines with age

38
Q

episodic memory

A

memory of events

declines the most after age 60

educated older adults and those given more time to practice do better on recalling such events

39
Q

semantic memory

A

long-term memory dealing with words and their meanings

shows the least decline with aging

40
Q

procedural memory

A

the memory of how to do things

retained into advanced old age

41
Q

cognitive retraining

A

teaching people how to use various techniques to keep their minds active and maintain good memory skills

recognizes that age-related memory changes are not due to neuron loss per se, but rather affected by lifestyles

42
Q

Mediators

A

visual and verbal links between information to be encoded and information already in secondary memory

visual mediators: use of visual images to assist recall

verbal mediators or mnemonics: method of using verbal cues such as riddles or rhymes as aids to memory

43
Q

How might physical exercise improve executive function?

A

improved blood flow to the brain and increases the efficiency of its neuronal networks

44
Q

do chemical aids improve memory

A

NO

instead, doses of these supplements (gingko biloba, vitamin E and B12, lecithin and folic acid) high enough to show improved memory function can cause harmful side effects

45
Q

What does wisdom consists of?

A

Experience, cognitive development, self-knowledge, introspection, reflection, intuition and empathy

46
Q

Does wisdom increase with age?

A

Not necessarily, however, age helps to gain the qualities that wisdom consists of

47
Q

Creativity

A

ability to bring something new and valued into existence

may increase with age as an individual becomes more self-confident, experienced and free from social constraints - labeled as the “liberation phase”

creative activities may improve older people’s physical health

48
Q

How do older adults differ from younger adults in ways they use their brain for creativity?

A

older adults with high physical and cognitive functioning use both hemispheres of the brain more equally than younger adults

49
Q

Personality

A

A unique pattern of our innate and learned behaviours, thoughts and emotions that influence how we interact with our environments

50
Q

Erikson’s last stage of life

A

Ego integrity vs. despair

involves looking inward to integrate the experiences of earlier stages and to realize that one’s life has meaning, whether or not it was “successful” in a traditional sense

ego integrity means accepting the inevitability of death - those who do not come to terms may experience despair

those who achieve ego integrity experience generativity

51
Q

Generativity

A

the desire to help and mentor younger persons and to leave a legacy

52
Q

Life review

A

a form of therapy that can help older adults attain ego integrity

a process of sharing one’s memories and experiences with others

life satisfaction, or the feeling that life is worth living, may be achieved

53
Q

Traits

A

characteristics or “typical” attributes that remain relatively stable with age

our personality traits do not change unless we make a conscious effort to do so

54
Q

Five core personality traits

A

Neuroticism - generally declines with age
Extraversion - consistency between childhood and midlife
Openness to experience
Agreeableness - increases with age
Conscientiousness - consistency between childhood and midlife, or increases

55
Q

Positivity effect

A

process whereby older adults attend to, learn from and retain positive information better than neutral or negative stimuli, because it helps them regulate emotional experiences by focusing on positive information

56
Q

Socio-emotional selectivity theory

A

aware of limited time, older adults are more selective about how and with whom they spend their time, and are more likely to pursue emotional satisfaction rather than acquiring information

57
Q

Self-concept

A

cognitive representation of the self, emerges from interactions with social environment, social roles and accomplishments

in old age, previous roles are often lost and new roles assumed

58
Q

How do older adults confirm or revise their self-images?

A
  • assimilating new experiences or roles into their self-concept, such as community volunteer or grandparent
  • accommodating or adjusting their self-concept to fit the new reality, such as letting go of trying to impress others with past accomplishments

accommodation is harder and requires greater adaptive skills than assimilating changes

59
Q

Self-esteem

A

Feeling about one’s identity relative to an “ideal self”, differs from self-concept in being more of an emotional, not cognitive, assessment of self

role losses can negatively affect this

more easily influenced by external forces such as widowhood, poverty or declining health, ostracism and ageist stereotypes

those who are actively engaged in a strong social network and participating in civic activities tend to experience a sense of personal competence

those who hold positive age stereotypes tend to be healthier

60
Q

Successful aging

A

achievement of good physical health and functional health and cognitive and emotional well-being in old age, often accompanied by strong social support and productive activity

61
Q

An older person who aged “successfully” is characterized by:

A
  • a low risk of disease and disability, including depression
  • healthy lifestyle factors
  • actively using problem-solving, conceptualization
  • maintaining meaningful social contacts
  • exhibiting emotional optimism
  • participating in activities that contribute to society
62
Q

Predictors of successful aging

A
  • educational achievement
  • involvement in strenuous physical activity
  • self-efficacy - feeling competent to deal with new situations
  • strong social supports
63
Q

Robust aging

A

characterized by productive involvement, high physical functioning and little cognitive impairment or depression => exceptional functioning

64
Q

Positive aging

A

elders who have maintained their psychological well-being and sense of meaning while coping with multiple challenges throughout life

65
Q

Depression

A

the most common psychiatric disorder in old age
people who report depressive symptoms often report higher rates of physical illness, greater functional disability and higher utilization of health services

66
Q

Risk factors for depression

A

being female
prior history of depression
being unmarried or living alone
comorbidity and difficulty performing ADLs
inadequate social supports

66
Q

Examples of scales for assessing depression

A

Geriatric depression scale, beck depression inventory, Hamilton rating scale for depression

67
Q

Therapeutic interventions for depression

A
  • pharmacological interventions => most common
  • Reminiscence therapy: helps work through difficult memories and process loss and grief
  • Cognitive-behavioural Interventions: uses active, time-limited approaches to change negative thoughts an behaviors, such as self-monitoring and increased participation in pleasant events
  • Problem-solving therapy: teaches goal-setting and effective coping techniques and is found to be especially effective for elders of colour
    Evidence-based therapy for minor depression
68
Q

Suicide in older population

A
  • suicide rates among elders about almost 50 percent higher than for younger groups as a whole
  • older men more likely to complete a suicide as well
69
Q

Highest suicide rates in which population?

A

white males who are widowed, age 85 and older, with recurrent major depression, chronic pain, cardiopulmonary diseases, and cancer, or who may abuse drugs and alcohol

American Indian males are second-highest

Low in African-american, latino and Chinese American

70
Q

Signs that older adult may consider suicide

A
  • serious physical illness with severe pain
  • sudden death of loved one
  • major loss of independence
  • financial instability
  • persistent depression
  • statements that indicate frustration with life and a desire to end it
  • sudden decision to give away their stuff
  • general loss of interest in one’s environment
  • isolation and feeling cut off
    from others
71
Q

How can we help older adults reduce their anxiety?

A

Learning more effective problem-solving skills and memory aids help reduce anxiety symptoms in older persons better than supportive counseling and medication.

72
Q

Paranoia

A
  • a psychiatric disorder characterized by irrational suspiciousness of other people

CBT may be useful

73
Q

Schizophrenia

A

a psychiatric disorder characterized by thought disorders and hallucinations, psychotic behaviour and loss of emotional expression

less prevalent than others in old age

74
Q

Dementia

A
  • progressive marked decline in cognitive function associated with damage to brain tissue affecting personality and behaviour, may be reversible or irreversible
  • majority do not have dementia
75
Q

Dementia includes deterioration in cognitive function with at least one of the following:

A
  • speaking coherently or understanding language
  • recognizing or identifying objects
  • carrying out and comprehending objects
  • recalling events in recent memory
  • paying attention
  • orientation to time, place and person
  • understanding symbolic language
  • thinking abstractly and performing executive functions
  • showing good judgment
76
Q

Which one is more common: late onset AD or early onset AD

A

late onset

however, the rate of decline with early-onset AD is faster so those of their families are more severely affected

77
Q

Early stages of AD

A
  • difficulty in remembering new information
  • confusion as to time and place
  • new problems with words in speaking and writing
  • misplacing things and losing the ability to retrace steps
  • difficulties with planning, organizing and performing tasks and solving problems
  • decreased or poor judgment
  • changes in mood and personality
78
Q

intermediate stages of AD

A
  • forgetfulness of recent events and of one’s personal history
  • difficulty performing complex tasks - such as paying bills or planning dinner for guests
  • moodiness or withdrawal from social activities
  • inability to perform challenging mental arithmetic
  • needing help with daily activities
79
Q

late stage of AD

A
  • repeating phrases and thoughts
  • losing awareness of recent experiences and surroundings
  • inability to recognize partners, children and longtime friends
  • dramatically disrupted sleep patterns
  • major personality changes
  • needing help with ADLs
  • Incontinence
  • wandering or becoming lost
  • Agitation
80
Q

Parkinson’s Disease

A

a neurodegenerative disorder that begins as a loss of muscle control and impaired balance and coordination, with tremors in hands and feet

81
Q

Alcoholism patterns and old age

A

Older men (esp. widowers and the never-married) are more likely to have alcohol problems than older women

Women who are at greatest risk of alcoholism are smokers, not married, not religious and lacking social support

CNS, liver and kidneys become less tolerant of alcohol

82
Q

Drug Abuse and old age

A

More likely than younger population to use tranquilizers, sedatives and hypnotics and more at risk for abusing some drugs