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. Author manuscript; available in PMC: 2014 Mar 12.
Published in final edited form as: Annu Rev Psychol. 2010;61:383–409. doi: 10.1146/annurev.psych.093008.100448

Social and Emotional Aging

Susan Charles 1, Laura L Carstensen 2
PMCID: PMC3950961  NIHMSID: NIHMS554974  PMID: 19575618

Abstract

The past several decades have witnessed unidimensional decline models of aging give way to life-span developmental models that consider how specific processes and strategies facilitate adaptive aging. In part, this shift was provoked by the stark contrast between findings that clearly demonstrate decreased biological, physiological, and cognitive capacity with those suggesting that people are generally satisfied in old age and experience relatively high levels of emotional well-being. In recent years, this supposed “paradox” of aging has been reconciled through careful theoretical analysis and empirical investigation. Viewing aging as adaptation sheds light on resilience, wellbeing, and emotional distress across adulthood.

Introduction

In the most fundamental ways, social and emotional functioning change little with age. At no point in life does the need to feel embedded in a larger social group lessen (Baumeister & Leary, 1995; Charles & Mavandadi, 2003; Maslow, 1947; Snowden, 2001), nor do the devastating consequences of isolation diminish (Berkman, Glass, Brissette, & Seeman, 2000; Mellor, Stokes, Firth, Hayashi, & Cummins, 2008). Intense, strong emotions remain, and the integrity of the constellation of physiological, facial, and subjective feelings associated with specific emotions is in old age what it was in youth (Levenson, Carstensen, Ekman, Friesen, 1991; Tsai, Levenson & Carstensen, 2000). Though modest changes have been documented, personality traits also remain largely stable into old age. And in late life, as at earlier times, the experience of negative emotions affects physiological functioning and ultimately physical health.

Yet social and emotional life does change with age. Social networks narrow. Experienced emotions are more predictable and less labile. Negative emotions become more infrequent (until very old age) and social roles change quantitatively and qualitatively. Investments in meaningful relationships increase. Compromised physical functioning renders effortful some social activities that once were completed with ease. Sensory losses strain conversations. And physiological functioning is regulated less well. Understanding stability and change with age demands consideration of interactions among improved self-regulation, on the one hand, and decreased physical reserves, on the other. The current review examines social and emotional aspects of aging – presenting what we have learned and pointing to areas that demand additional investigation.

Below we first discuss the importance of social and emotional processes for physical and cognitive well-being across the adult life span. We then present theories describing mechanisms responsible for these changes, and discuss how such mechanisms may have far-reaching influences on social functioning and cognitive processing. Rather than a paradox – namely, the stark contrast between physical declines and psychological improvements - a coherent picture of aging is emerging. Improved self-regulation and changes in priorities that favor meaningful activities result in distinctly positive developmental shifts. When life is controllable and social supports are strong, older people fare better than their younger counterparts. However, when stressors are unavoidable and exposure is prolonged, physiological regulation suffers. We follow with an overview of age-related changes in neurological and physiological processes, and the ways in which they correspond to changes in cognition and behavior. We suggest that by integrating information about age-related changes, we can predict the circumstances necessary for continued reports of strong social network ties and high levels of emotional and physical well-being, as well as circumstances that may lead to significant distress in old age.

Social and Emotional Processes and Well-Being Across the Adult Life Span

People who perceive their friends and family members as supportive during times of need have a stronger sense of meaning in their lives; that is, they live their lives with a broader purpose, adhering to a value system that fits within the larger social world (Krause, 2007). In addition, people with strong social networks report greater emotional well-being in day-to-day life and also when they experience stressful life events (see classic review by Cohen & Wills, 1985). Both structural - i.e., the number and type of social partners in a given network -- and functional - i.e., the perceived or actual receipt of support - aspects of social networks contribute to emotional well-being (Cohen & Wills, 1985).

In old age, social spheres may also influence cognitive functioning. A growing number of studies have found that older adults embedded in strong social networks and high levels of social activity are less likely than their more socially disengaged peers to experience declines in cognitive functioning s (e.g., Barnes, de Leon, Wilson, Beinias, & Evans, 2004; Zunzunequi, Alcarado, Del Ser, & Otero, 2003; Wilson et al., 2007). In one prospective study, epidemiologist Laura Fratiglioni and colleagues of the Kungsholmen Project found that positive social networks may be protective against cognitive decline (Fratiglioni, Wang, Ericsson, Maytan, & Winblad, 2000). Following more than 1200 older adults who were tested over a three year period, they observed that those with strong and positive social networks were sixty percent less likely to show signs of dementia three years later. Older people who engage in volunteer activities that are either socially or demanding also perform better on cognitive tasks than older adults engaged in solitary activities with low cognitive demands (Singh-Manoux, Richards, & Marmot, 2003). Social support is related not only to staving off decline, but also to regaining functioning; stronger social networks and emotional support assessed soon after a stroke are associated with greater improvements in cognitive functioning six months later even after controlling for age and education (Glymour, Weuve, Fay, Glass, & Berkman, 2008). The authors of the work above note that future studies need to rule out the possibility that prodromal symptoms of cognitive decline undetected by clinical interviews may be causing social withdrawal, yet they are encouraged by the strength of their findings that social interactions play a causal role in staving off cognitive decline or aiding in recovery after a stroke.

Structural aspects of social networks are also related to higher levels of cognitive functioning. Older men who live alone at any point during a five-year period, for example, are twice as likely to experience cognitive declines as those who live with others (van Gelder et al., 2006). The benefits of structural aspects of social networks on cognitive functioning among older adults pertain to the larger social context as well, as measured by characteristics of the neighborhood or the overall lifestyle of the individual (see review by Barnes, Cagney, & Mendes de Leon, 2008). For example, the socioeconomic status of British urban neighborhoods significantly predicts the cognitive status of older adults residing in them independent of individual socioeconomic status and controlling for health, depression, and other potential confounding factors (Lang et al., 2007).

Positive emotions experienced during social interactions are considered a central reason why social interactions may benefit cognitive functioning (Blanchard-Fields, Horhota, & Mienaltowski, 2008). People who report less satisfaction with their networks show greater declines in cognitive functioning over time (Hughes, Andel, Small, Borenstein, & Mortimer, 2008). Similarly, in one study, better emotional support was prospectively linked to better cognitive performance eight years later (Seeman, Lusignolo, & Berkman, 2000). As stated above, causal directions are difficult to discern and need to be further studied (see review by Barnes et al., 2008). However, clinical studies that randomly assign participants to social or non-social interventions show similar advantages of socially-engaging activity on cognitive performance (Stine-Morrow, Parisi, Morrow, & Park, 2008).

Social processes and physical health outcomes

In addition to better cognitive functioning, people who report stronger social networks are at lower risk for morbidity and mortality (see review by Berkman, Glass, Brissette, & Seeman, 2001; House et al., 1988; Ryff & Singer, 2001). The effects in this literature are large. The effect size of strong social networks is comparable to traditional medical indicators such as high cholesterol and smoking. Pressman and Cohen (2007) found that authors who heavily referenced social roles in their life stories lived, on average, five years longer than those who did not. Using an innovative and indirect approach, they counted the number of relational words that psychologists and fiction writers had used in their autobiographies, words like “father,” “brother,” or “sister,” as well as inclusive pronouns like “we,” compared to individual pronouns, like “I.” They found a strong relationship between the use of relationship words and length of life.

It is becoming increasingly clear that relationships need to be emotionally meaningful and positive. Researchers have found, for example, that positive affect in early adulthood predicts mortality in older age (Danner, Snowdon, & Friesen, 2001). In another study, positive affect (defined by having a positive attitude and deriving happiness in everyday activities) predicted survival ten years later among octogenarians (Lyyra , Tormakangas, Read, & Berg, 2006). Emotional experience has been tied to physical indicators related to health status, such as blood pressure (Ong & Allaire, 2005) and immune response (Graham, Christian, & Kiecolt-Glaser, 2006) and is related to both physical morbidity and mortality (see review by Ryff & Singer, 2001). In contrast, negative social exchanges are related to poorer health and more frequent endorsements of depressive symptoms (Rook, 1984; Newsom, Mahan, Rook, & Krause, 2008). In addition, women who report low levels of emotional support (unrelated to access to instrumental assistance) are twice as likely to die as older women with high levels of emotional support (Lyrra & Heikkinen, 2006). 1 In a psychosocial intervention with patients who had coronary heart disease, Burg et al. (2005) observed that participants who had a partner and perceived higher levels of social support at baseline were less likely to die than those who had no partner and perceived lower levels of social support. Importantly, this effect remained after controlling for treatment condition and other potential confounds such as age and health-related indicators. In yet another study, older adults who reported being useful to their friends and family had lower rates of disability and mortality seven years later compared to older adults who rated themselves as lower on perceived usefulness to their social network (Greunewald, Karlamangla, Greendale, Singer, & Seeman, 2007). In the study of elderly Swedes described above, Fratigiolini found similar effects for the relationship between cognition and social support. In her study, only people who reported positive social relations benefitted from the contact.

Early origins of healthy relationships

To understand the full influence of social relationships on mental, physical, and cognitive health in adulthood, assessing the current circumstances of older adults is insufficient. Early childhood environments are critical for shaping emotional development (e.g., Ainsworth & Wittig, 1969; Bowlby, 1969). Attachment styles that young adults recall having with their parents in childhood is similar to the one they report having with their current romantic partner (Shaver et al., 2000). Recent studies show that early relationships have effects on social, emotional, and physical functioning that extend into adulthood (e.g., Antonucci, Akiyama, Takahashi, 2004; Morris, Silk, Steinberg, Myers, & Robinson, 2007; Shaver, Belsky, & Brennan, 2000). Older adults who reported that they had secure attachment with their parents in childhood endorse higher levels of positive emotions and lower levels of negative emotions when characterizing their daily emotional experiences than those who report less secure attachments to early caregivers (Consedine & Magai, 2003). Perhaps the most obvious reason for the continued influence of these early relationships into adulthood is that they last: some of the most important social relationships are highly stable throughout life. One study, for example, found that mothers continue to serve as important attachment figures for younger and middle-aged adults, second in their ability to fulfill attachment needs only to romantic partners (Doherty & Feeney, 2004). Within the broader social network, other family members and friends form a constellation of social partners that provide relational stability across adulthood (Antonucci, 1994; Magai, 2001). However, it appears that the story is even more complicated. Reppetti, Taylor, and Seeman (2002) argue convincingly that among children who are genetically vulnerable, the experience of cold and neglectful families in childhood alters functioning of brain systems (e.g., hypothalamic-pituitary-adrenal axis) that regulate stress in enduring ways which can lead to chronic disease and early death.

Indeed, early experiences predict physical and mental health outcomes later in life. People who had childhoods marked by emotional neglect or adversity are more likely to report smaller social networks and feeling emotionally isolated from others in old age (Wilson et al., 2006). Among older adults, history of childhood physical or sexual abuse is related to poorer physical and mental health (Draper et al., 2008) as well as poorer cognitive functioning (Luecken, 2006). Stressful childhood experiences are also related to cardiovascular disease (Batten, Aslan, Maciejewski, & Mzure, 2004) and greater reactivity of the immune system among women (Lemieux, Coe, & Carnes, 2008).

Even less severe experiences, such as insecure attachments with caregivers or a stressful childhood marked by frequent moves, also relate to health outcomes in adulthood (Consedine & Magai, 2003; Luecken, 2006)). For instance, younger, middle-aged, and older adults who report low levels of parental support in childhood have higher levels of depressive symptoms and a greater number of chronic health conditions than same-aged peers who report higher levels of parental support (Shaw, Krause, Chatters, Connell, & Ingersoll-Dayton, 2004).

Social Patterns across Adulthood

Older adults identify fewer social partners in their networks than younger adults, a pattern observed in diverse groups ranging among European-Americans, African-Americans, Germans, and Hong Kong Chinese (Fung, Carstensen, & Lang, 2001; Fung, Stoeber, Yueng, & Lang, 2008). Researchers originally attributed age-related decreases in social network size to losses that are associated with aging: decreases in social roles, deaths of friends and family members, and increased functional limitations that reduce social involvement (see review by Charles & Carstensen, 1998). However, an apparent pruning process appears to begin in peoples’ thirties and forties, long before the age-related losses begin (Carstensen, 1992). Research suggests that aging people play active roles in reducing social networks into smaller, more intimate forms across adulthood (Carstensen, 1993; 2006; Carstensen, Isaacowitz, & Charles, 1999). Importantly, smaller networks that have high concentrations of emotionally close partners appear to benefit mental health (Lang & Carstensen, 1994). Age-related decreases are driven primarily by excluding less meaningful, casual acquaintances (Fung et al, 2001; Yeung, 2008). Notably, the number of emotionally close social partners remains highly stable (Carstensen & Lang, ref; Fung et a., 2001) or slightly increases with age (Yeung et al, 2008).

Experimental studies suggest that changes in network composition are voluntary. When asked about their desire to interact with potential social partners, older adults more often state preferences for familiar and emotionally close social partners whereas younger adults more often choose novel social partners (Fredrickson & Carstensen, 1990; Fung, Carstensen, & Lutz, 1999). Older adults report the highest level of positive emotional experiences when interacting with family members, higher than the level reported by younger adults (Charles & Piazza, 2007), whereas younger adults report higher levels of positive affect when interacting with new friends than do older adults. And whereas younger adults with relatively few peripheral partners in their networks report lower levels of happiness, this is not so for older adults (Lang & Carstensen, 2002). Time use also distinguished older and younger adults. Older people appear to carefully select activities that are personally emotionally meaningful (Hendricks & Cutler, 2004). Importantly, selective investments appear to hold benefits. Older adults who provide social support to others report higher levels of positive emotions, lower levels of negative emotions, greater purpose in life, and even reduced mortality (Greenfield & Marks, 2004; Krause, 2006). Thus, while social networks are smaller in old age, reduced size of networks appears to benefit satisfaction. Of course, network size can become too small, such that people are at risk for isolation. But generally speaking, the closeness and importance of relationships is more important than network size in old age.

Emotional Well-Being

Emotional wellbeing and distress depend centrally on social relationships. The most commonly reported daily stressors are interpersonal tensions (Almeida, 2005) and interpersonal stressors can lead to high levels of emotional distress (Almeida & Kessler, 1998; Rook, 1984). With age, older adults are more satisfied with their social networks (Carstensen, 1992) and report having experienced high levels of positive emotions with members of their family members than do younger adults (Charles & Piazza, 2007) and more positive than negative exchanges (Newsom, Rook, Nishishiba, Sorkin, & Mahan, 2005). Older adults also report fewer negative interactions with members of their social networks than do younger adults (Birditt & Fingerman, 2003), and smaller increases in distress when they encounter interpersonal tensions (Birditt, Fingerman, & Almeida, 2005). The emotional experiences of older adults may reflect these social experiences. Older adults report high levels of emotional well-being, at the level and sometimes even higher than that reported by younger adults.

Emotional well-being refers to the subjective experience of positive and negative emotions. This construct is often defined in terms of happiness, life satisfaction, or the balance between positive and negative affect. In all studies using these definitions, increases in emotional well-being are consistently observed across people in their thirties, forties, fifties and into their sixties. In cross-sectional studies, for example, older age is related to lower levels of negative affect (Carstensen, Pasupathi, Mayr, & Nesselroade, 2000; Diener & Suh, 1997; Mroczek & Kolarz, 1998) and lower rates of anxiety and major depressive disorder (see reviews by Blazer, 2003; Piazza & Charles, 2006). Reports of anger also decrease for successively older adults (Philip, Henry, Hosie, & Milne, 2006; see review by Magai, 2001). In longitudinal studies examining this same age range, older age is related to lower levels of negative affect (Charles, Reynolds, & Gatz, 2001), increases in life satisfaction (Mroczek & Spiro, 2003), and stable levels of positive affect (Charles et al., 2001).

Findings about age differences in emotional well-being in people sixty years and older are less consistent. One cross-sectional study found upturns in negative affect (Diener & Suh, 1997) after age 65, although another study found continued decreases after controlling for number of chronic health problems and level of functional limitation (Kunzman, Little, & Smith, 2000). When asked about depressive symptoms, participants in their sixties and seventies reported upturns in depressive symptoms associated with age in cross-sectional (Diener & Suh, 1997; Haynie et al., 2001) and longitudinal studies (Davey, Halverson, Zonderman, & Costa, 2004). To place the extent of these upturns observed in the mid sixties in perspective, however, negative affect reported by the oldest old in these studies fails to reach levels reported by young adults (e.g., Diener & Suh, 1997). Moreover, another study showed that the report of depressive symptoms, include feeling sad, blue or depressed, decreases linearly with age among people ranging from 60 to 84 years-old (Kobau et al., 2004), and still another found a very slight decrease in negative affect over a twenty-three year period among people who entered the study when they were aged 65 or older (Charles et al., 2001).

Studies find slight decreases (Diener & Suh, 1997) or plateaus (Carstensen et al., 2000) in positive affect among successively older age groups. In longitudinal analyses, positive affect decreases slightly (Charles et al., 2001), as does life satisfaction (Mroczek & Spiro, 2003). These decreases are very slight, however, such that the life satisfaction reported at age 80 is similar to the levels reported by people in their 40s (Mroczek & Spiro, 2003). In another study, the decrease in positive affect among the older adults equaled about a 12% decrease on the scale across more than 20 years (Charles et al, 2001). Taking the findings from positive and negative emotional experience together, older adults are reporting relatively high levels of well-being, and they always report much higher levels of positive affect than negative affect (e.g., Charles et al,. 2001; Diener & Suh, 1997). When decreases in well-being are observed, they occur after age 60 and are generally small in magnitude. Even centenarians report overall high levels of emotional well-being (Jopp & Rott, 2006).

Some researchers posit that the high intensity emotions, such as exhilaration and enthusiasm, are more likely to decrease with age than are low arousal emotions, such as contentment or feeling at peace (Diener & Emmons, 1992; Lawton et al,. 1992) In support of the hypothesis that age differences in emotion depend on the physiological arousal they evoke, a meta-analysis including over 100 studies that examined age differences in emotional experience reveals that age-related declines are driven predominantly by high-arousal negative and positive emotions; low arousal positive emotions, for example, do not show a significant decrease in this meta-analysis (Pinquart, 2001).

Understanding Social and Emotional Trajectories across Adulthood

The earliest theories of social aging posited that profound qualitative changes occur in psychological functioning in later life. Disengagement theory, which dominated the study of social aging for decades, maintained that as people reach old age, they become emotionally distanced and detached from loved ones in symbolic preparation for death. As empirical investigation grew, however, observed patterns did not support key postulates of disengagement theory. Social networks do indeed decrease in size, yet the typical psychological profile of aging is generally positive and socially engaged (see review by Charles & Carstensen, 2007). More recent models reconcile social and emotional trajectories.

Selective Optimization with Compensation (SOC)

SOC, developed by Baltes and Baltes (1990), offers a meta-model or heuristic to account for interactions between persons and situations within a life-span perspective (see also Marsiske, Lang, Baltes, & Baltes, 1995). According to this model, across adulthood, people become increasingly aware of age-related gains and losses. Because social, cognitive, and functional reserves are often diminished with age, resources are carefully allocated. As a result, people select goals that are (1) important and (2) can be realistically obtained in later life. These goals are often selected at the cost of other, less important priorities which are eventually discarded. As goals are prioritized, people engage in behaviors that optimize their abilities to achieve these goals. If their goals cannot be met using their usual strategies, people may engage in compensatory activities, such as enlisting the help of others. Applying this model to social relationships, the maintenance of emotionally close relationships sometimes accompanied by even higher levels of well-being reflects selection and optimization. The discarding of peripheral relationships creates more time and energy for these important relationships.

Socioemotional Selectivity Theory (SST)

Socioemotional selectivity theory maintains that motivation changes as people age and time horizons shrink (Carstensen, 1993; Carstensen, 2006; Carstensen, Isaacowitz, & Charles, 1999). According to SST, awareness of the temporal horizons influences goals. Whether consciousness or subconscious, awareness of constraints on time activates changes in goal hierarchies. People who are young and healthy typically view the future as expansive. When people perceive a seemingly endless temporal horizon, they prioritize goals that prepare them for a long and nebulous future. Goals focused on gaining knowledge and information for their future possibilities are prioritized over other goals. As people age, however, and time horizons are constrained, goals increasingly emphasize emotion and meaning.

Life experience

Experience also changes the ways that people approach social situations (Blanchard-Fields, 2007; Hess & Auman, 2001; Hess, Bolstad, Woodburn, & Auman, 1999; Hess, Osowski, & Leclerc, 2005; Leclerc & Hess, 2007). In particular, life experiences affect how people process and respond to emotional information (e.g., Blanchard-Fields, 2007; Charles & Piazza, in press; Magai, Consedine, Krivoshekova, Kudadjie-Gyamfi, & McPherson, 2006). It appears that older adults are more sensitive to emotional cues when making social inferences compared with younger adults (see review by Hess, 2005). Hess and his colleagues have assessed social expertise as the extent to which people make social judgments consistent with the values of society (Hess & Auman, 2001; Hess et al., 2005; see review by Hess, 2005). Hess builds on work suggesting that in the United States, cultural norms about judgments of social behavior guide people to weigh negative information about a person’s moral character – such as the extent to which a person is honest or wicked– more heavily than information about a person’s abilities – such as his or her athletic or intellectual prowess. The reverse is true about positive information. In several studies, Hess and his colleagues have shown that older adults weigh negative information about moral character more heavily than information about abilities when judging strangers and rating their likability than do younger adults (Leclerc & Hess, 2007; Hess et al., 2005).

Strength and Vulnerability Integration (SAVI)

According to SAVI (Charles & Piazza, in press), people change their perspective as a result of time left to live (as posited by socioemotional selectivity theory) and increase their knowledge about how to regulate their emotions and their social lives from experience garnered from time lived. These changes in perspective and knowledgeenable older adults to navigate their environments such that they successfully avoid negative experiences. SAVI also maintains that biological systems became less flexible with age. Physiological and subjective processes do not have a perfect correspondence, yet they inform one another, particularly when people experience high levels of physiological arousal. Consequently, whereas older people regulate low levels of negative distress quite well, they have greater difficulty when they experience distress for relatively long periods of time. When people employ strategies that allow them to avoid negative emotional experiences, they experience higher levels of well-being compared with younger adults. When situations creating high levels of distress are unavoidable, age-related advantages in well-being disappear and may even reverse in direction (Charles & Piazza, in press). Unfortunately, unavoidable negative situations often increase with age, such as experiencing the loss of people who provide life with meaning; experiencing functional limitations that cause pain and daily hassles, and the demands of caregiving.

Age Differences in Processing, Remembering, and Acting on Emotions

Social and emotional experiences change with age. Social partners that are meaningful and important are preserved, more peripheral social ties are discarded, and anger and distress are experienced less frequently. Positive affect remains highly stable, only decreasing in some studies among the oldest old. Researchers have identified reasons why these changes occur, with models and theories agreeing that perspective changes with age. This perspective increases the importance of emotionally meaningful experiences and the desire to maintain high levels of well-being. These goals, in turn, influence thoughts and behaviors related to social and emotional experiences.

Appraisals

Emotion theorists have long emphasized the importance of appraisals in determining emotional experience and well-being. Specific thoughts are related to specific emotions: for example, hopelessness, helplessness and irrevocable loss are associated with sadness; perceptions that someone or something is standing in the way of a goal is associated with anger; appraisals of threats are related to anxiety (Levine, Safer, & Lench, 2006). Whether a person perceives a situation as a challenge or a threat depends on the emotional distress that she or he will experience (Lazarus, 1991). Research examining appraisals in response to laboratory stimuli or autobiographical events have found that older adults appraise and remember events less negatively and more positively with age.

Age differences in how people perceive and appraise emotional material have been widely documented. In studies examining how people direct their attention less than one second after exposure to emotional and neutral visual stimuli, older age is related to attention directed toward more positive stimuli and away from negative stimuli (Isaacowitz, Wadlinger, Goren, & Wilson, 2006; Mather & Carstensen, 2004). Once people appraise information, findings suggest that younger adults are more likely to dwell on this negative information than are older adults (Charles & Carstensen, 2008). In a study where younger and older adults listed to negative comments directed toward them and were asked to voice aloud their responses to these comments, younger adults were more likely to react to these negative comments by making disparaging remarks toward the people speaking and reflecting on what they had just heard. Older adults, in contrast, made few comments about what they had heard and instead made comments that were less negative and focused less on the criticisms. Older adults also made fewer requests for more information about the motives of the people speaking (Charles & Carstensen, 2008).

Older adults also describe negative situations in their own lives less negatively. When evaluating the relatively minor but negative daily stressors they had experienced across the week, older age was related to lower levels of perceived severity (Charles & Almeida, 2007). Even when placed in a similar situation, older adults have more positive appraisals than younger and middle-aged adults (Lefkowitz & Fingerman, 2003; Story et al., 2007). In a laboratory study, adult daughters and their mothers engaged in a problem-solving task (Lefkowitz & Fingerman, 2003). Afterward, they were asked about the emotions they experienced during this interaction. Mothers reported greater frequency of positive affect and less frequent negative affect than did adult daughters. Another study compared interactions among older married spouses to those of younger married spouses (Story et al., 2007). Each couple was videotaped as they discussed an area of conflict between the two of them. When asked about the behavior of their spouses, older adults rated their spouse’s actions more positively than did objective raters who coded these interactions. Younger couples made no such positively biased appraisals.

More positive appraisals are consistent with the writings of older adults. In one study, people ranging in age from the late teens to mid-eighties were asked to imagine themselves in different social interactions and then to describe how they and their social partner would feel (Löckenhoff, Costa, & Lane, 2008). An example of such a scenario is one where a person who is usually quite critical pays you a compliment. Older adults reported that they would feel less anger and anxiety than did younger adults. They also reported that their social partner would feel less sadness than did the younger adults. Overall, findings pointed to age-related increases in inferences of positive emotions, and age-related decreases for negative emotions. In another study where people were asked to write about past life events, older age was related to greater use of positive words and fewer negative words in a large sample including over 3000 people ranging from eight to eight-five years-old (Pennebaker & Stone, 2003). The age-related increase in positive content was most pronounced when comparing across people who were aged 50 and older. The same pattern was observed when researchers examined the positive and negative content of published writings (including plays, books and poetry) of ten long-lived famous authors (Pennebaker & Stone, 2003). More positive appraisals with age extend to more general perceptions as well. For example, benevolent beliefs about the world – including beliefs about the world in general and beliefs about the goodness of people – were highest among older adults relative to younger adults (Poulin & Silver, 2008).

More positive appraisals may explain why older adults report fewer regrets in life, defined by such statements as “I should have done,” than do younger adults (Riediger & Freunk, 2008). Age-related differences in regret are consistent across both minor and major decisions and life experiences. For example, in laboratory studies where people are asked to evaluate options and then make a choice between several different products, older adults list more positive attributes to their chosen product and are more satisfied with their decisions (Kim, Healey, Goldstein, Hasher, & Wiprzycka, 2008).

Another study also produced findings suggesting that older adults may experience less “buyer’s remorse” than do younger adults; after choosing between two items described by an equal number of positive and negative attributes, younger and older adults were later asked to remember those attributes(Mather, Knight, & McCaffrey, 2005). Older adults were more accurate at later recognizing the positive features than negative features of their chosen options than were younger adults, who recognized the positive and negative features equally well. Even in situations as extreme as unresolved issues pertaining to the death of a loved one, older adults reported lower levels of regret across the two years of bereavement compared with younger adults (Torges, Stewart, & Nolen-Hoeksema, 2008).

As noted above, research suggests that personality traits are quite stable across adulthood (see review by McCrae et al., 2000). Nonetheless, the few changes that do emerge suggest age-related reductions in negative thoughts. Researchers examined the trajectory of neuroticism across twelve years among men aged forty and older (Mroczek & Spiro, 2003). They found that neuroticism decreased with age until around age 80. After age 80, neuroticism showed slight increases, such that the level of neuroticism projected at age 100 for the sample was the same level as that reported when people were in their seventies. Levels of extraversion – the personality trait related to more positive appraisals, sociability and positive emotions – remained stable over time. The tendency to ruminate about negative events, another fairly stable trait characterized in one study by recurring and unintentional thoughts about anger-provoking situations, was also lower among older adults compared with their younger counterparts (McConatha & Huba, 1999).

Memory

Studies of appraisals often require people to evaluate recent events. For example, commonly used questionnaires query people about emotions experienced across the prior few weeks (Affect Balance Scale: Bradburn, 1969; Center for Epidemiological Studies – Depression: Radloff, 1977) or the prior month (psychological distress: Kessler et al., 2002). Whether appraising their quality of daily life, overall life satisfaction or the perceived emotional support received from friends and family, people often reflect over their current status, in general, not at the moment they are occurring. As a result, memories of past events factor strongly into how people appraise their lives and evaluate their affective well-being. In studies examining memory for positive, neutral, and negative stimuli, findings often suggest that the memory of older adults is less negative, and sometimes even more positive, than that of the younger adults.

Researchers have found that younger adults have a negative bias when processing emotional stimuli (Rozin & Royzman, 2001). They have pondered why the “bad is stronger than good” (Baumeister & Leary, 1995). A growing number of studies, however, suggest that older adults do not share this bias toward negative information. Instead, older adults remember both positive and negative information to equal degrees compared with younger adults (Kensinger, Garoff-Eaton, & Schacter, 2007), and sometimes remember more positive than negative information (Charles, Mather, & Carstensen, 2003). The age-related shift in the ratio of positive to negative material processed in memory and attention is termed the “positivity effect” (Mather & Carstensen, 2005).

Within the theoretical context of SST, the positivity effect reflects adaptations to different parts of the life course. Early in life, there is demand to maximally absorb information; negative stimuli generally hold more information than positive stimuli. With experience and age, however, many of life’s negative lessons have been learned. Further, as time horizons grow shorter, people are in some sense relieved of the burden of preparing for the future. Motivation to preserve emotional balance shifts attention to positive aspects of life.

In studies of autobiographical memory, older adults are biased story tellers, recalling their past more positively than they reported at the time (Kennedy, Mather, & Cartsensen, 2004; Ready, Weinberger, & Jones, 2006). Even negative memories are recalled more positively among older than younger adults (Comblain, D’Argembeau, & Van der Linden, 2005). These findings are consistent with those from laboratory studies (Grady, Hongwanishkul, Keightly, Lee, & Hasher, 2007; Kensinger, 2008; Leigland, Schulz, & Janowsky, 2004; Mather & Knight, 2005; see review by Carstensen, Mikel & Mather, 2006). For example, in one study, older adults viewed positive, negative, and neutral images and were later asked to recall what they had seen and then to distinguish these images from newly presented items (Charles, Mather, & Carstensen, 2003). Results showed that younger adults recognized and recalled a greater proportion of negative images than positive or neutral ones. Compared with younger adults, older adults remembered a greater proportion of positive images relative to neutral and negative ones. Other studies confirm the relatively more positive memories – either through remembering a greater amount of positive material or a smaller amount of negative material – among older adults than younger adults. For example, another study found that older adults’ memory for negative pictures was worse relative to positive or neutral pictures compared with younger adults (Gruhn, Scheibe, & Baltes, 2007). Even studies that find no bias in overall memory performance see evidence of a positivity bias in the performance of the younger and older adults. For example, older adults report a greater familiarity for positive words than for negative words (Spaniol, Voss, & Grady, 2008) and a greater age-related tendency to make false memory errors for positive stimuli than negative stimuli (Fernandes, Ross, Wiegand, Schryer, 2008).

Behavioral Responses

Thoughts – either current appraisals or memories for prior events - guide behavior. The above research indicates that older adults prioritize emotional material, such that they appraise situations less negatively and their memories are generally less negative and more positive. Their actions are consistent with decreases in negative, and increases in positive, experiences. They report more satisfaction when interacting with family members than do younger adults (Carstensen, 1992; Charles & Piazza, 2007), and acknowledge fewer daily stressors in their lives (Almeida, 2005).

Even among people with strong social networks, however, interpersonal tensions are often unavoidable. They are also the most frequently reported stressors for adults of all ages (Almeida, 2005), and create the highest levels of stress across all types of stressors reported during the course of a week (Almeida & Kessler, 1998). Although positive interpersonal exchanges are related to higher levels of well-being, their effects are far weaker than those of negative experiences. The effects of positive social exchanges are limited to positive emotional experiences (Newsom, Mahan, Rook, & Krause, 2008; see review by Rook, 1998). In contrast, reports of negative exchanges are linked to higher levels of depression, lower positive emotional well-being, and worse self-reported health (Newsom et al., 2008; see review by Rook, 1998). The avoidance of negative exchanges, then, holds both emotional and health-related benefits. Older adults navigate their environments such that negative experiences occur less frequently compared with the reports of younger adults (see review by Charles & Carstensen, 2007). Older age is related to a decreased report of interpersonal tensions and to an attenuated affective response when conflicts occur (Birditt, Fingerman & Almeida, 2005).

One of the reasons why older adults report less distress in response to a negative interpersonal exchange is that they may engage in behaviors that prevent further escalation of a tense situation more often than do younger adults. For example, when asked how they would respond to emotionally complex interpersonal tensions, older age is related to endorsements of more passive actions such as doing nothing or letting the situation pass (see review by Blanchard-Fields, 2007). They also recommend these more passive strategies to others who are faced with negative interpersonal situations (Charles, Carstensen, & McFall, 2001). These behaviors are in line with the goals of older adults when faced with an interpersonal conflict: older adults often report goals such as preserving goodwill (Coates & Blanchard-Fields, 2008; Rook & Sorkin, 2006). When comparing across age, older adults report goals of social harmony more so than do younger adults, who are more likely to report goals of problem-solving and resolution of the conflict (Birditt & Fingerman, 2003).

Studies further indicate that age-related decreases in affective distress in response to interpersonal problems may be the result of these disengagement strategies. Older age is related to less affective reactivity when people report that they found themselves in a tense social situation but chose not to engage in the argument; when people report having the argument, younger, middle, and older adults all show similar rises in affective distress (Charles, Piazza, Luong, & Almeida, in press). Older adults also engage in strategies that reduce the negativity of conflictual situations, such as infusing negative comments with positive ones when discussing a conflict with their spouse (Carstensen, Levenson & Gottman, 1994). In addition, older adults who identify the preservation of goodwill as their goal during a negative interaction report the greatest success in achieving this goal, whereas older adults who have a goal of getting someone to change report higher levels of distress and the lowest success rate of achieving this goal when recounting the altercation (Rook & Sorkin, 2006). Moreover, experts’ ratings are consistent with the endorsements of older adults, as they also deem more passive responses as the best strategy when faced with a tense interpersonal exchange (Blanchard-Fields, Mienaltowski, & Seay, 2007).

In summary, with age, people come to negotiate their environments such that they experience stressors less often, particularly social stressors. Older people appraise their worlds as more benign and appear to defuse tense situations more effectively. On reports of overall affective well-being, people who are sixty and seventy years old report lower levels of negative affect and higher levels of satisfaction than do people in their twenties and thirties (Charles et al., 2001). Thus, the cognitive, emotional, and social patterns that characterize older adults are quite positive. Yet these stable and sometimes improved patterns occur within an aging biological system – one that is characterized predominantly by decline. Below we turn to the biological systems that underlie aging.

Age, Biology, and Socioemotional Processes

Almost every physiological and biological process studied across the adult life span shows evidence of age-related decline. The brain decreases in size, with cross-sectional studies indicating small age-related declines when comparing people in their mid-twenties to around age 50, at which time the rate of neuronal loss and decrease in overall brain volume accelerates (De Carli et al., 2005; see review by Raz & Rodrigue, 2006 ). The difference in brain volume is indicated by larger sulci and enlarged ventricles correlating with older age. Neurons reduce in size and density, and damage to the mitochrondria and loss of myelinated fibers are more prevalent with age when comparing the brains of consecutively older adults who are aged sixty and older (see review by Raz, 2005; Raz et al., 2005). Neurons are also less efficient, for example, less effective at inhibiting the activity of surrounding neurons. Decreases are pervasive, but the rate of decline varies across different loci. For example, the amygdala, a more primitive region of the brain critical for detecting emotional stimuli, shows less pronounced age differences relative to other areas of the brain (Grieve, Clark, Williams, Peduto, & Gordon, 2005; Mu, Xie, Wen, Weng, & Shuyun, 1999). In contrast, the prefrontal cortex shows the most dramatic age differences, characterized by age-related increases until the mid-twenties, a plateau with very small rates of decline until the mid 50s, and then an accelerated decline in later life (Raz & Rodrigue, 2006).

The prefrontal cortex is located at the anterior of the frontal lobe and is critical for tasks requiring rapid learning and quick judgments. This area has been thought to play important roles in social behavior and in processing emotion-related thoughts, behaviors, and goals (see review by Davidson et al., 2007). Studies often reveal age-related differences in performances that parallel the age-related declines in brain structure. For example, in one study, researchers gave mazes and maps to people ranging from 18 to 93 years-old and told them to select the quickest and most efficient routes (Salthouse & Siedlecki, 2007). Results indicate an age-related decrease in performance with age, with an acceleration of these age-related declines starting in the early sixties. Similarly, the ability to remember both the information and its source (e.g., did the participant hear the information or read it?) shows small declines from ages 20 to 50, but more rapid age-related declines after age 50 (Siedlicki, Salthouse, & Berish, 2005). Thus, age differences in tasks requiring fluid intelligence – the ability to learn quickly, respond rapidly to often changing situations, and flexibly weigh disparate information – decrease with age.

Finding benefits in decline

Given the declines observed for many cognitive tasks, early emotion theorists assumed the trajectory of emotional experience would parallel these physiological declines (Banham, 1951). When viewing how people process emotional information, however, findings provide a more complex picture. Some age-related declines may paradoxically aid older adults in their increased focus on emotion-related information. For example, researchers have discussed the age-related decrease in the ability to inhibit irrelevant information – the result of a decline in the ability of neurons to suppress the activity of surrounding neurons (e.g., Darowski, Helder, Zacks, Hasher, & Hambrick, 2008). Emotional aspects of information are often deemed irrelevant, so failure to inhibit this information may increase its salience to older adults. Studies support this contention. For example, in an incidental-memory study, adults ranging from twenty to eighty-three years-old were asked to read a passage from a story and then, about fifteen minutes later, they were asked to recall all that they could remember. With each successively older age group, people recalled a greater proportion of emotional information than non-emotional information (Carstensen & Turk-Charles, 1994). When recalling information about a laboratory task, the performance of older adults is marked by a greater focus on emotional rather than on perceptual details (Johnson, Nolde, & De Leonardis, 1996; Mather, Johnson, & De Leonardis, 1999). Older adults also weigh emotional information more heavily than non-emotional information when making confidence ratings for their memory performance than do younger adults (Hashtroudi, Johnson & Chrosniak, 1990).

Age-related increases in the salience of emotional material also explain discrepant age differences in working memory. A vast number of studies show reliable age-related declines in working memory and inhibitory processing, which correlate with decreases in white-matter integrity in the anterior area of the brain (Kennedy & Raz, 2009). When researchers use emotional stimuli, however, age differences do not follow the seemingly predictable pattern of decline (Mikels, Larkin, Reuter-Lorenz, & Carstensen, 2005). In this study, older and younger adults viewed a positive, negative, and neutral image followed by a screen with a three-second interval. At the interval, they were shown a second image and asked to compare this new image to the previously viewed one, based on either its brightness or the emotional intensity that it evoked. When comparing pictures on brightness, younger adults once again outperformed older adults. When comparing emotional intensity, however, older adults were similar to younger adults in their performance for negative images and actually outperformed younger adults when rating the intensity of positive stimuli (Mikels et al., 2005). Working memory is dependent not only on biological factors influencing white matter integrity, but also on motivational influences. The age difference in task performance suggests a greater motivation and focus on positive stimuli.

In addition, slower processing speed may provide seemingly paradoxical benefits. The function of emotions is often placed in evolutionary terms, which stress rapid responses where “fight or flight” patterns determine survival. In the modern social world, rapid responses may not be the best response. Snapping at someone with a fast retort may not be as wise as pausing before responding to an interpersonal slight. When responding to negative interpersonal conflicts, faster responses may not translate to an adaptive response. Further research will have to test this premise.

The downside of biological changes

The effects of poorer inhibitory functioning and decreased speed point to serendipitous benefits from brain-related declines for emotional well-being. This deduction, however, would be premature to apply to all aspects of emotional functioning. Although poorer physiological inhibitory control may make emotions more salient, as research has suggested (e.g., see review by Zacks & Hasher, 1997), poorer executive functioning is not related to increased focus on positive over negative emotional stimuli. Mather and her colleagues have found that cognitive control is fundamental to emotion-regulation success among older adults (Mather & Knight, 2005; see review by Mather, 2006; Kryla-Lighthall, & Mather, 2009). For example, older adults who were allowed to attend to positive, negative, and neutral images remembered more positive than negative images (Mather & Knight, 2005). Older adults who were distracted by a divided-attention task, however, failed to show the positivity bias and instead displayed a negativity bias similar to their younger counterparts. Importantly, the positivity effect is not observed for all studies examining age differences in memories or attention for emotional material, a discontinuity that underscores the dependence of the positivity effect on motivational efforts and cognitive-control abilities (see review by Mather & Carstensen, 2005). Indeed, the positivity effect is most pronounced among older adults who have the cognitive capacity necessary and the unrestricted freedom to focus on the information they prioritize, as opposed to other information such as facts over emotional content (Kyrla-Lighthall & Mather, 2009).

Poorer inhibitory control may also pose problems when recovering from high levels of activation. When people perceive high levels of threat, their body mobilizes to prepare for action. As part of this process, the hypothalamus delivers corticotropin-releasing hormone (CRH), which begins a cascade of reactions that end in the release of cortisol into the bloodstream. Cortisol passes through the blood-brain barrier, and its presence signals the hypothalamus to decrease further release of CRH. The glucocorticoid cascade hypothesis describes how age is related to a decreased ability to down-regulate the further activation of this stress cycle (Sapolsky, Krey, & McEwen, 1986; Wilkinson, Peskind, & Raskind, 1997; Wilkinson et al., 2001; but see Kudielka, Buske-Kirschbaum, Hellhammer, & Kirschbaum, 2004). According to this hypothesis, older age is related to a reduced ability of neurons in the hypothalamus to inhibit this activity, consistent with findings showing that high-affinity receptors responsible for feedback inhibition in the hypothalamus decreases with age (Dodt, Theine, Uthgenannt, Born, & Fehm, 1994; see review by Ferrari et al., 2003). Furthermore, ysregulation of high-affinity receptors and an imbalance between high- and low-affinity glucocorticoid receptors are more common with age (Dodt et al., 1994; Giordano et al., 2005). The glucocorticoid cascade hypothesis originated from animal studies but has expanded to encompass human aging as well (Bakke et al., 2004; see reviews by Bjorntorp, 2002; Otte et al., 2005

The cardiovascular system also exhibits decreases in flexibility that may change the picture of emotional response in late life. For example, the vasculature, including veins, arteries, and aortic-pulmonary valves, thicken and become less flexible with age. This reduced flexibility decreases the ability of the heart to respond quickly, as evidenced by a smaller elevation in heart rate in response to both emotional and non-emotional stressors (Deschenes et al., 2006; see review by Levenson, 2000). As a result, older adults may be less likely to respond physiologically to brief, relatively minor events. For situations that elicit sustained, high levels of arousal, however, these age-related changes in cardiovascular activity may lead to prolonged activation. Reductions in heart rate variability (see review by De Meersman & Stein, 2006) and inflexibility of the vasculature may contribute to poorer regulation of the system once activated. Consistent with this premise, Uchino and his colleagues have found that older age is related to greater increases in blood pressure in response to stressors both in cross-sectional (Uchino, Uno, Holt-Lunstad, & Flinders, 1999) and longitudinal studies (Uchino, Holt-Lunstad, Bloor, & Campo, 2005).

Predicting patterns of age differences in emotional well-being

Older age is related to increases in the ability to regulate the emotions. The relative importance of emotion-related goals increases with age (Carstensen, 2006), such that people engage in thoughts and actions that decrease exposure to negative situations and sometimes increase their exposure to positive events. Many of these strengths lie in social processes whereby older adults navigate their social worlds such that they report fewer social conflicts (Birditt & Fingerman, 2003) and solve interpersonal problems, often more effectively than do younger adults (Blanchard-Fields et al., 2007). These strengths may even be enhanced by some age-related changes in physiological functioning. Decreases in inhibitory processes may have the consequence of paradoxically improving the ability of emotion-related aspects of stimuli relative to non-emotional features (see review by Isaacowitz, Carstensen, & Charles, 2000).

When faced with high levels of sustained arousal, however, vulnerability resulting from decreased flexibility may prolong the emotional experience for older adults and leave them more vulnerable to emotional distress. Taking these findings together, we predict that older adults will experience high levels of distress and no age-related advantages when they are either unable to employ or are ineffective in their ability to avoid high levels of emotional arousal. When older adults are unable to prioritize emotional goals, benefit from prior experience, or engage in thoughts and behaviors that allow them to avoid experiencing high, sustained levels of emotional arousal, age will no longer confer benefits to well-being.

When older adults do not prioritize emotional goals

When asked to remember a sequence of events, people often focus on factual, non-emotional information. Emotional aspects of information were long considered the nuisance variable to cognitive psychologists, irrelevant information that only leaked into memories as a result of inhibitory failures (see review by Isaacowitz et al., 2000). When emotions are instead valued and emotional information measured, older adults often excel in these cognitive tasks more than do younger adults (see review by Carstensen, Mikels, & Mather, 2006; Carstensen & Mikels, 2005; Mather & Carstensen, 2005).

By manipulating the importance of emotional goals, researchers have illustrated situations where age-related increases in memory for emotion-related stimuli are found; there are situations where these age differences in memory performance disappear completely (see review by Carstensen et al., 2006). For example, age-related increases in positivity of past memories disappear if people are asked to recall their past as accurately as they can as opposed to thinking about how they were feeling at the time of the events (Kennedy et al., 2004). When asked to evaluate the positive and negative attributes of a given product they chose from a set of options, older adults recalled their chosen product more positively than when they were not told to engage in such evaluations (Thomas & Hasher, 2006). When evaluating different health insurance options, older adults attended to and recalled more positive than negative aspects of the different options when they evaluated their options after they were instructed to think about how they were feeling while engaged in the task (Löckenhoff & Carstensen, 2007). When they were told instead to focus on the facts of each plan, age-related bias for positive information disappeared. Studies that ask people to attend to all information, as opposed to those giving people the option of viewing a subset of the stimuli, often do not show the positivity effect (see review by Peters, Hess, Västfjäll, & Auman, 2007).

Similarly, older adults are just as attentive to threatening stimuli as are younger adults (Mather & Knight, 2006). In our daily lives, then, we speculate that older adults do not focus their attention away from negative information and toward positive information in situations when they are threatened or when they do not have the time or ability to act consistently with their motivational goals. For example, a grandmother raising a grandchild must attend to potential problems and challenges that accompany raising a child. This motivation to attend to negative experiences may explain why older adults who are raising children are twice as likely to report high levels of depressive symptoms as are non-custodial grandparents (Minkler, Fuller-Thomson, Millder, & Driver, 1997; 2000). Indeed, the ease with which the positivity effect is eliminated suggests that it may represent chronically activated “default” motivation, but when conditions demand attention to the negative, older people can and do activate other goals.

When life experiences are negative

Researchers speculate that older adults may regulate their emotions more effectively as a result of accrued life experiences that provide expertise in social and emotional processes (e.g., Blanchard-Fields, 2007; Magai et al., 2001). This expertise is gathered slowly, through daily social interactions and successfully resolving negative stressors. Exposure to daily interactions and stressors, however, may not result in greater expertise and perspective for everyone.

Large studies evaluating trends in negative and positive affect generally do not include information about how effectively people negotiate their social environment or regulate their emotions, but many of them include measures of neuroticism. Neuroticism is a personality trait defined as emotional instability, where higher levels of neuroticism are associated with chronic emotional activation and reactivity (Eysenck, 1968/1998). People scoring high on neuroticism, or emotional instability, report greater numbers of interpersonal stressors in their daily lives, more negative appraisals of these stressors, and greater negative reactivity in response (Gunthert, Cohen, & Armeli, 1999; Suls & Martin, 2005). Neuroticism is strongly associated with negative affect (Charles & Almeida, 2006). People high in neuroticism often dwell on past events and have more negative reactions to recurring problems in a pattern known as the “neurotic cascade” (Suls & Martin, 2005). High levels of neuroticism increase the risk for divorce, lower occupational status (Roberts, Kuncel, Shiner, Caspi, & Goldberg, 2007), worse physical health (Charles, Gatz, Kato, & Pedersen, 2008), and a greater number of negative life events (e.g., Farmer et al., 2002). Thus, higher levels of neuroticism are related to poorer interpersonal relationships and less successful problem resolution.

A growing number of studies suggest that people who score high on neuroticism do not experience age-related benefits in emotional functioning. People who score high in neuroticism report stable levels of negative affect over time, as opposed to lower scoring peers who report decreased negative affect over time (Charles, Reynolds, & Gatz, 2001). Similarly, people high in neuroticism reported stable levels of life-satisfaction, not the increases in life-satisfaction that are observed among people low in neuroticism (Mroczek & Spiro, 2003). In addition, older age is generally related to either similar or lower levels of affective reactivity to daily stressors (Birditt, Fingerman, & Almeida, 2005; Neupert, Almeida, & Charles, 2007). Among people who score high on levels of neuroticism, however, older age is related to greater affective reactivity (Mroczek & Almeida, 2004).

Researchers speculate that after years of encountering negative stressors, people high in neuroticism become more sensitive and reactive to them, a phenomenon they term the kindling effect (Mroczek & Almeida, 2004; Mroczek, Spiro, Griffin, & Neupert, 2006). The kindling effect is similar to the neurotic cascade, in that people high in neuroticism grow more sensitive and reactive to negative experiences over time. Instead of learning from experience and becoming better at maintaining well-being, people high in neuroticism experience high levels of negative affect and are at increased risk for depression (e.g., Kendler, Gatz, Gardner, & Pedersen, 2006). One interpretation of these findings is that people scoring high in neuroticism do not learn from their experiences and modify their emotion regulation strategies to decrease their exposure and reactivity to negative experiences, particularly negative life experiences.

Failure to use cognitive and behavior emotion regulation strategies

Older adults are motivated to maintain their affective well-being, and they engage in emotion-regulation strategies that allow them to do so. We predict at least three circumstances in which older adults are unable to employ these strategies effectively and which often increase in prevalence with ageFirst, older adults must have the cognitive capacity necessary to engage in emotion-regulation strategies. Mather and her colleagues posit that the positivity bias observed among older adults is dependent on cognitive-control strategies (see review by Kryla-Lighthall, & Mather, 2009). Older adults who perform best on demanding working-memory tasks requiring cognitive control show the greatest bias toward positive information and away from negative information (Mather & Knight, 2005). In tasks with low cognitive demand, older adults displayed the positivity bias on tasks of attention and memory (Knight et al., 2007; Mather & Knight, 2005). When engaged in divided-attention tasks, however, older adults display no positivity bias. This position is consistent with studies that have found strong associations between poorer cognitive functioning and greater depressive symptomology (Wilson, Mendes de Leon, Bennett, Bienias & Evans, 2004; Yaffe et al, 1999).

Situations in which emotion-regulation strategies favored by older adults – avoidance or distraction – are ineffective or impossible to employ present a second circumstance where older adults may not have advantages in emotion regulation compared to younger adults. For example, having a chronic illness is related to higher rates of negative affect (Charles & Almeida, 2006). Given the higher prevalence rates of chronic illnesses with age (Rook, Charles, & Heckhausen, 2007), a logical conclusion would be that older adults report higher levels of negative affect than younger adults. Yet, older adults continue to report higher levels of positive affect and lower levels of negative affect than do younger adults when comparing among groups of people with different numbers of reported health conditions (Piazza, Charles, & Almeida, 2007). An older adult with two levels of chronic illnesses, for example, reports the same level of negative affect as does a younger adult with no chronic health conditions. This age-related advantage in negative affect is no longer present, however, when people experience a stressful event (Piazza, Charles, & Almeida, 2007). When placed in a situation where they report an event sufficient to elicit high levels of stress, age was not related to affective reactivity.

A third circumstance where older adults may not continue to show strong age-related increases in well-being over time is when they experience losses to their social network. A loss in social belonging, such as that commonly caused by bereavement, is related to increases in negative distress for people of all ages (e.g., Turvey, Carney, Arndt, Wallace, & Herzog, 1999). Unfortunately, the likelihood of bereavement, from loss of family or friends, increases with age. Loneliness is strongly related to depression among older adults even after controlling for marital status (Barg, 2005; Cacioppo, Hughes, Waite, Hawkley, & Thisted, 2006), and researchers suggest that the effects of loneliness on physiological functioning may even be stronger among older adults than younger adults (Hawkley & Cacioppo, 20007). Further research will need to explore this possibility.

Conclusion

There have been notable strides in understanding social and emotional aspects of aging over the past two decades. Social relationships and emotional well-being benefit from experience and time perspective. Experience confers improved regulatory skills; shorter time perspectives lead older people to place greater priority on meaningful aspects of life. Older adults appear to navigate social environments well and use social regulation, particularly social selection, to maintain to relatively high levels of wellbeing. Cognitive resources are also deployed selectively: Attention and memory increasingly favor positive material as people grow older. A growing number of studies have acknowledged biological changes involved in aging and begun to examine how these processes influence, and are influenced by, social and emotional aspects of aging. Namely, when faced with unavoidable or inescapable negative events, older adults experience relatively high levels of physiological distress that can be highly disruptive to physical and mental health. Under such circumstances, social isolation greatly exacerbates the disruption. In summary, in everyday life older adults show social and emotional functioning that is equal to or superior to younger adults. When faced with prolonged and unavoidable stress, however, age-related advantages appear to be compromised.

Acknowledgments

This work was supported by NIA Grant RO1-8816 awarded to Laura L. Carstensen, and NIA Grant R01-AG023845 awarded to Susan Charles.

Footnotes

1

In this study significant effects were not observed in men, but other studies have found the effects of positive social experiences and decreased mortality for both genders (see review by Pressman & Cohen, 2005).

Contributor Information

Susan Charles, Department of Psychology and Social Behavior, University of California, Irvine.

Laura L. Carstensen, Department of Psychology, Stanford University

References

  1. Ainsworth MDS, Wittig BA. Attachment and exploratory behavior of one year olds in a strange situation. In: Foss BM, editor. Determinants of infant behavior. Vol. 4. London: Methuen; 1969. pp. 11–136. [Google Scholar]
  2. Almeida DM. Resilience and vulnerability to daily stressors assessed via diary methods. Current Directions in Psychological Science. 2005;14:64–68. [Google Scholar]
  3. Almeida DM, Kessler RC. Everyday stressors and gender differences in daily distress. Journal of Personality and Social Psychology. 1998;75:670–680. doi: 10.1037//0022-3514.75.3.670. [DOI] [PubMed] [Google Scholar]
  4. Antonucci TC. A life-span view of women’s social relations. In: Turner BF, Troll LE, editors. Women growing older. Thousand Oaks, CA: Sage Publications; 1994. pp. 239–269. [Google Scholar]
  5. Bakke M, Tuxen A, Thomsen CE, Bardow A, Alkjaer T, Jensen BR. Salivary cortisol level, salivary flow rate, and masticatory muscle activity in response to acute mental stress: A comparison between aged and young women. Gerontology. 2004;50:383–392. doi: 10.1159/000080176. [DOI] [PubMed] [Google Scholar]
  6. Barnes LL, Cagney KA, Mendes de Leon CF. Social resources and cognitive function in older persons. In: Hofer SM, Alwin DF, editors. Handbook of cognitive aging. Thousand Oaks, CA: Sage Publications; 2008. pp. 603–610. [Google Scholar]
  7. Baltes PB, Baltes MM. Selective optimization with compensation. In: Baltes PB, Baltes MM, editors. Successful Aging: Perspectives from the Behavioral Sciences. New York: Cambridge University Press; 1990. pp. 1–34. [Google Scholar]
  8. Banham KM. Senescence and the emotions: A genetic theory. Journal of Genetic Psychology. 1951;78:175–183. doi: 10.1080/08856559.1951.10533576. [DOI] [PubMed] [Google Scholar]
  9. Barnes LL, Mendes de Leon CF, Wilson RS, Bienias JL, Evans DA. Social resources and cognitive decline in a population of older African Americans and whites. Neurology. 2004;63(12):2322–2326. doi: 10.1212/01.wnl.0000147473.04043.b3. [DOI] [PubMed] [Google Scholar]
  10. Baumeister R, Leary MR. The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin. 1995;117:497–529. [PubMed] [Google Scholar]
  11. Berg CA. Everyday problem solving in context. In: Hofer S, Alwin D, editors. Handbook of Cognitive Aging: Interdisciplinary Perspectives. Thousand Oaks, CA: Sage; 2008. pp. 207–223. [Google Scholar]
  12. Berkman LF, Glass T, Brissette I, Seeman TE. From social Integration to health: Durkheim in the new millennium. Social Sciences and Medicine. 2000;51:843–857. doi: 10.1016/s0277-9536(00)00065-4. [DOI] [PubMed] [Google Scholar]
  13. Birditt KS, Fingerman KL. Age and gender differences in adults' descriptions of emotional reactions to interpersonal problems. Journals of Gerontology: Series B: Psychological Sciences & Social Sciences. 2003;58B:237–245. doi: 10.1093/geronb/58.4.p237. [DOI] [PubMed] [Google Scholar]
  14. Birditt KS, Fingerman KL, Almeida DM. Age differences in exposure and reactions to interpersonal tensions: A daily diary study. Psychology and Aging. 2005;20:330–340. doi: 10.1037/0882-7974.20.2.330. [DOI] [PubMed] [Google Scholar]
  15. Bjorntorp P Novartis Foundation Symposium. Novartis Foundation Symposium 242 - Endocrine Facets of Ageing. London: Wiley; 2002. Alterations in the ageing corticotropic stress-response axis; pp. 46–58. [PubMed] [Google Scholar]
  16. Blanchard-Fields F. Everyday Problem Solving and Emotion: An Adult Developmental Perspective. Current Directions in Psychological Science. 2007;16:26–31. [Google Scholar]
  17. Blanchard-Fields F, Horhota M, Mienaltowski A. Social context and cognition. In: Hofer SM, Alwin DF, editors. Handbook of cognitive aging: Interdisciplinary perspectives. Los Angeles, CA: Sage; 2008. pp. 614–628. [Google Scholar]
  18. Blanchard-Fields F, Mienaltowski A, Seay RB. Age differences in everyday problem-solving effectiveness: Older adults select more effective strategies for interpersonal problems. Journals of Gerontology: Psychological Science. 2007;62:P61–P64. doi: 10.1093/geronb/62.1.p61. [DOI] [PubMed] [Google Scholar]
  19. Bradburn NM. The structure of psychological well-being. Chicago: Aldine; 1969. [Google Scholar]
  20. Bowlby J. Attachment and loss: Volume 1. Attachment. New York: Basic Books; 1969. [Google Scholar]
  21. Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA. conditions: Age differences in affective well-being. Journals of Gerontology: Current Directions in Psychological Science. 2006;16:187–191. [Google Scholar]
  22. Carstensen LL. Social and emotional patterns in adulthood: Support for socioemotional selectivity theory. Psychology and Aging. 1992;7:331–338. doi: 10.1037//0882-7974.7.3.331. [DOI] [PubMed] [Google Scholar]
  23. Carstensen LL. The influence of a sense of time on human development. Science. 2006;312:1913–1915. doi: 10.1126/science.1127488. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Carstensen LL, Mikels JA. At the intersection of emotion and cognition: Aging and the positivity effect. Current Directions in Psychological Science. 2005;14:117–121. [Google Scholar]
  25. Carstensen LL, Mikels JA, Mather M. Aging and the intersection of cognition, motivation and emotion. In: Birren J, Schaie KW, editors. Handbook of the Psychology of Aging. Sixth Edition. San Diego: Academic Press; 2006. To appear in. [Google Scholar]
  26. Carstensen LL, Pasupathi M, Mayr U, Nesselroade JR. Emotional experience in everyday life across the adult life span. Journal of Personality & Social Psychology. 2000;79:644–655. [PubMed] [Google Scholar]
  27. Carstensen LL, Turk-Charles S. The salience of emotion across the adult life span. Psychology and Aging. 1994;9:259–264. [PubMed] [Google Scholar]
  28. Charles ST, Almeida DM. The association between somatic symptoms and negative affect: Not all symptoms are created equal. Psychology and Health. 2006;1:1–18. [Google Scholar]
  29. Charles ST, Almeida DM. Genetic and environmental effects on daily life stressors: more evidence for greater variation in later life. Psychology & Aging. 2007;22(2):331–340. doi: 10.1037/0882-7974.22.2.331. [DOI] [PubMed] [Google Scholar]
  30. Charles ST, Carstensen LL. Emotion regulation and aging. In: Gross JJ, editor. Handbook of Emotion Regulation. New York: Guilford Press; 2007. pp. 307–320. [Google Scholar]
  31. Charles ST, Carstensen LL. Unpleasant situations elicit different emotional responses in younger and older adults. Psychology & Aging. 2008;23(3):495–504. doi: 10.1037/a0013284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Charles ST, Carstensen LL, McFall RM. Problem-solving in the nursing home environment: Age and experience differences in emotional reactions and responses. Journal of Clinical Geropsychology Special Issue: Management of Behavioral Problems in Late Life Therapeutic Approaches and Related Issues. 2001;7:319–330. [Google Scholar]
  33. Charles ST, Gatz M, Kato K, Pedersen NL. Physical Health Twenty Five Years Later: The Predictive Ability of Neuroticism. Health Psychology. 2008;27:369–378. doi: 10.1037/0278-6133.27.3.369. [DOI] [PubMed] [Google Scholar]
  34. Charles ST, Piazza JR. Strength and vulnerability across the lifespan: an integration of literature on aging, emotional well-being and emotion regulation. Social & Personality Psychology Compass. in press. [Google Scholar]
  35. Charles ST, Piazza JR. Memories of social interactions: Age differences in emotional intensity. Psychology and Aging. 2007;22:300–309. doi: 10.1037/0882-7974.22.2.300. [DOI] [PubMed] [Google Scholar]
  36. Charles ST, Piazza JR, Luong G, Almeida DM. Now you see it, now you don't: Age differences in affective reactivity to social tensions. Psychology & Aging. doi: 10.1037/a0016673. in press. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Charles ST, Reynolds CA, Gatz M. Age-related differences and change in positive and negative affect over 23 years. Journal of Personality and Social Psychology. 2001;80:136–151. [PubMed] [Google Scholar]
  38. Charles ST, Mather M, Carstensen LL. Aging and emotional memory: The forgettable nature of negative images for older adults. Journal of Experimental Psychology: General. 2003;132:310–324. doi: 10.1037/0096-3445.132.2.310. [DOI] [PubMed] [Google Scholar]
  39. Charles ST, Mavandadi S. Relationships and health across the life span. In: Lang F, Fingerman K, editors. Growing together: Personal relationships across the life span. New York: Cambridge University Press; 2003. pp. 240–267. [Google Scholar]
  40. Coats AH, Blanchard-Fields F. Emotion regulation in interpersonal problems: The role of cognitive-emotional complexity, emotion regulation goals, and expressivity. Psychology and Aging. 2008;23(1):39–51. doi: 10.1037/0882-7974.23.1.39. [DOI] [PubMed] [Google Scholar]
  41. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychological Bulletin. 1985;98:310–357. [PubMed] [Google Scholar]
  42. Consedine NS, Magai C. Emotional development in adulthood: A developmental functionalist review and critique. In: Hoare C, editor. Handbook of adult development an learning. Oxford: Oxford University Press; 2006. pp. 123–148. [Google Scholar]
  43. Cumming E, Henry WE. Growing older: The process of disengagement. New York: Basic Books; 1961. [Google Scholar]
  44. Darowski ES, Helder E, Zacks RT, Hasher L, Hambrick DZ. Age-related differences in cognition: The role of distraction control. Neuropsychology. 2008;22(5):638–644. doi: 10.1037/0894-4105.22.5.638. [DOI] [PubMed] [Google Scholar]
  45. Davey A, Halverson CFJ, Zonderman AB, Costa PTJ. Change in depressive symptoms in the Baltimore Longitudinal Study of Aging. Journals of Gerontology: Series B: Psychological Sciences and Social Sciences. 2004;59:270–277. doi: 10.1093/geronb/59.6.p270. [DOI] [PubMed] [Google Scholar]
  46. Davidson RJ, Fox A, Kalin NH. Neural bases of emotion regulation in nonhuman primates and humans. In: Gross JJ, editor. Handbook of emotion regulation. New York: Guilford Press; 2007. pp. 47–68. [Google Scholar]
  47. DeCarli C, Massaro J, Harvey D, Hald J, Tullberg M, Au R, et al. Measures of brain morphology and infarction in the Framingham Heart Study: establishing what is normal. Neurobiology of Aging. 2005;26:491–510. doi: 10.1016/j.neurobiolaging.2004.05.004. [DOI] [PubMed] [Google Scholar]
  48. De Meersman RE, Stein PK. Vagal modulation and aging. Biological Psychology. 2006;74:165–173. doi: 10.1016/j.biopsycho.2006.04.008. [DOI] [PubMed] [Google Scholar]
  49. Deschenes MR, Carter JA, Matney EN, Potter MB, Wilson MH. Aged men experience disturbances in recovery following submaximal exercise. Journals of Gerontology, Series A: Biological Sciences and Medical Sciences. 2006;61:63–71. doi: 10.1093/gerona/61.1.63. [DOI] [PubMed] [Google Scholar]
  50. Diener E, Suh ME. Subjective well-being and age: An international analysis. In: Schaie KW, Lawton MP, editors. Annual review of gerontology and geriatrics. Vol. 17. New York: Springer; 1997. pp. 304–324. [Google Scholar]
  51. Dodt C, Theine KJ, Uthgenannt D, Born J, Fehm HL. Basal secretory activity of the hypothalamo-pituitary-adrenocortical axis is enhanced in healthy elderly. An assessment during undisturbed night-time sleep. European Journal of Endocrinology. 1994;131:443–50. doi: 10.1530/eje.0.1310443. [DOI] [PubMed] [Google Scholar]
  52. Doherty NA, Feeney JA. The composition of attachment networks throughout the adult years. Personal Relationships. 2004;11:469–488. [Google Scholar]
  53. Draper B, Pfaff JJ, Pirkis J, Snowdon J, Lautenschlager NT, Wilson I, Almeida OP. Long-term effects of childhood abuse on the quality of life and health of older people: Results from the depression and early prevention of suicide in general practice project. Journal of the American Geriatrics Society. 2008;56:262–271. doi: 10.1111/j.1532-5415.2007.01537.x. [DOI] [PubMed] [Google Scholar]
  54. Eysenck HJ. Biological basis of personality. Republished in. Nature. Neuropsychiatry and Clinical Neuroscience. 1963/1998;19910:1031–1034. 230–231. doi: 10.1038/1991031a0. [DOI] [PubMed] [Google Scholar]
  55. Farmer A, Redman K, Harris T, et al. Neuroticism, extraversion, life events and depression. The Cardiff Depression Study British Journal of Psychiatry. 2002;181:118–122. doi: 10.1017/s0007125000161823. [DOI] [PubMed] [Google Scholar]
  56. Fernandes M, Ross M, Wiegand M, Schryer E. Are the memories of older adults positively biased? Psychology & Aging. 2008;23(2):297–306. doi: 10.1037/0882-7974.23.2.297. [DOI] [PubMed] [Google Scholar]
  57. Ferrari AU, Radaelli A, Centola M. Journal of Applied Physiology. 2003;95:2591–2597. doi: 10.1152/japplphysiol.00601.2003. [DOI] [PubMed] [Google Scholar]
  58. Fratiglioni L, Wang HX, Ericsson K, Maytan M, Winblad B. Influence of social network on occurrence of dementia: A community-based longitudinal study. The Lancet. 2000;355:1315–1319. doi: 10.1016/S0140-6736(00)02113-9. [DOI] [PubMed] [Google Scholar]
  59. Fung HH, Carstensen LL, Lang FR. Age-related patterns in social networks among European Americans and African Americans: Implications for socioemotional selectivity across the life span. International Journal of Aging and Human Development. 2001;52:185–206. doi: 10.2190/1ABL-9BE5-M0X2-LR9V. [DOI] [PubMed] [Google Scholar]
  60. Fung HH, Carstensen LL, Lutz AM. Influence of time on social preferences: Implications for life-span development. Psychology & Aging. 1999;14:595–604. doi: 10.1037//0882-7974.14.4.595. [DOI] [PubMed] [Google Scholar]
  61. Giordano R, Bo M, Pellegino M, Vezzari M, Baldi M, Picu A, Balbo M, Bonelli L, Migliaretti G, Ghigo E, Arvat E. Hypothalamus-pituitary-adrenal hyperactivity in human aging is partially refractory to stimulation by mineralocorticoid receptor blockade. The Journal of Clinical Endocrinology and Metabolism. 2005;90:5656–5662. doi: 10.1210/jc.2005-0105. [DOI] [PubMed] [Google Scholar]
  62. Glymour MM, Weuve J, Fay ME, Glass T, Berkman LF. Social ties and cognitive recovery after stroke: does social integration promote cognitive resilience? Neuroepidemiology. 2008;31:10–20. doi: 10.1159/000136646. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Gruenewald TL, Karlamangla AS, Greendale GA, Singer BH, Seeman TE. Increased mortality risk in older adults with persistently low or declining feelings of usefulness to others. Journal of Aging and Health. 2009;21:398–425. doi: 10.1177/0898264308329023. [DOI] [PMC free article] [PubMed] [Google Scholar]
  64. Grieve SM, et al. Preservation of limbic and paralimbic structures in aging. Human Brain Mapping. 2005;25:361–441. doi: 10.1002/hbm.20115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  65. Grühn D, Scheibe S, Baltes PB. Reduced negativity effect in older adults’s memory for emotional pictures: The heterogeneity-homogeneity list paradigm. Psychology and Aging. 2007;22(3):644–649. doi: 10.1037/0882-7974.22.3.644. [DOI] [PubMed] [Google Scholar]
  66. Gunthert KC, Cohen LH, Armeli S. The role of neuroticism in daily stress and coping. Journal of Personality and Social Psychology. 1999;77:1087–1100. doi: 10.1037//0022-3514.77.5.1087. [DOI] [PubMed] [Google Scholar]
  67. Hashtroudi S, Johnson MK, Chrosniak LD. Aging and qualitative characteristics of memories for perceived and imagined complex events. Psychology and Aging. 1990;5:119–126. doi: 10.1037//0882-7974.5.1.119. [DOI] [PubMed] [Google Scholar]
  68. Hawkley LC, Cacioppo JT. Aging and loneliness: Downhill quickly? Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses. Psychology and Aging. 2007;21(1):140–51. doi: 10.1037/0882-7974.21.1.140. [DOI] [PubMed] [Google Scholar]
  69. Haynie DA, Berg S, Johansson B, Gatz M, Zarit SH. Symptoms of depression in the oldest old: a longitudinal study. Journals of Gerontology: Series B Psychological Sciences: Social Science. 2001;56:P111–P118. doi: 10.1093/geronb/56.2.p111. [DOI] [PubMed] [Google Scholar]
  70. Hess TM. Memory and aging in context. Psychological Bulletin. 2005;131:383–406. doi: 10.1037/0033-2909.131.3.383. [DOI] [PubMed] [Google Scholar]
  71. Hess TM, Auman C. Aging and social expertise: The impact of trait-diagnostic information on impressions of others. Psychology and Aging. 2001;16:497–510. doi: 10.1037//0882-7974.16.3.497. [DOI] [PubMed] [Google Scholar]
  72. Hess TM, Bolstad CA, Woodburn SM, Auman C. Trait diagnosticity versus behavior consistency as determinants of impression change in adulthood. Psychology and Aging. 1999;14:77–89. doi: 10.1037//0882-7974.14.1.77. [DOI] [PubMed] [Google Scholar]
  73. Hess TM, Osowski NL, Leclerc CM. Age differences in sensitivity to diagnostic cues and the flexibility of social judgments. Psychology and Aging. 2005;20:447–459. doi: 10.1037/0882-7974.20.3.447. [DOI] [PubMed] [Google Scholar]
  74. Hughes TF, Andel R, Small BJ, Borenstein AR, Mortimer JA. The Association Between Social Resources and Cognitive Change in Older Adults: Evidence From the Charlotte County Healthy Aging Study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2008;63:241–244. doi: 10.1093/geronb/63.4.p241. [DOI] [PubMed] [Google Scholar]
  75. Isaacowitz DM, Carstensen LL, Charles ST. Emotion and Cognition. In: Craik FIM, Salthouse TA, editors. The Handbook of Aging and Cognition, 2nd edition. Mahwah, NJ: Lawrence Erlbaum Associates; 2000. pp. 593–631. [Google Scholar]
  76. Isaacowitz DM, Charles ST, Carstensen LL. Emotion and cognition. In: Craik FIM, Salthouse TA, editors. Handbook of aging and cognition, 2nd edition. New Jersey: Lawrence Erlbaum Associates; 2000. pp. 593–632. [Google Scholar]
  77. Isaacowitz DM, Wadlinger HA, Goren D, Wilson HR. Is there an age-related positivity effect in visual attention? A comparison of two methodologies. Emotion. 2006;6:511–516. doi: 10.1037/1528-3542.6.3.511. [DOI] [PubMed] [Google Scholar]
  78. Johnson MK, Nolde SF, De Leonardis DM. Emotional focus and source monitoring. Journal of Memory and Language. 1996;35:135–156. [Google Scholar]
  79. Jopp D, Rott C. Adaptation in very old age: Exploring the role of resources, beliefs, and attitudes for centenarians’ happiness. Psychology and Aging. 2006;21(2):266–280. doi: 10.1037/0882-7974.21.2.266. [DOI] [PubMed] [Google Scholar]
  80. Kendler KS, Gatz M, Gardner CO, Pederson G. A Swedish National Twin Study of lifetime major depression. American Journal of Psychiatry. 2006;163:109–114. doi: 10.1176/appi.ajp.163.1.109. [DOI] [PubMed] [Google Scholar]
  81. Kennedy Q, Mather M, Carstensen LL. The role of motivation in the age-related positivity effect in autobiographical memory. Psychological Science. 2004;15:208–214. doi: 10.1111/j.0956-7976.2004.01503011.x. [DOI] [PubMed] [Google Scholar]
  82. Kennedy KM, Raz N. Aging white matter and cognition: differential effects of regional variations in diffusion properties on memory, executive functions, and speed. Neuropsychologia. 2009;47(3):916–927. doi: 10.1016/j.neuropsychologia.2009.01.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  83. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-LT, Walters EE, Zaslavsky AM. Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. Psychological Medicine. 2002;32(6):959–976. doi: 10.1017/s0033291702006074. [DOI] [PubMed] [Google Scholar]
  84. Knight M, Seymour TL, Gaunt JT, Baker C, Nesmith K, Mather M. Aging and goal-directed emotional attention: Distraction reverses emotional biases. Emotion. 2007;7:705–714. doi: 10.1037/1528-3542.7.4.705. [DOI] [PubMed] [Google Scholar]
  85. Kobau R, Safran MA, Zack MM, Moriarty DG, Chapman D. Sad, blue, or depressed days, health behaviors and health-related quality of life, Behavioral Risk Factor Surveillance System, 1995–2000 (2004) Health and Quality of Life Outcomes. 2004;2:40. doi: 10.1186/1477-7525-2-40. 2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  86. Krause N. Neighborhood deterioration, social skills, and social relationships in late life. International Journal of Aging and Human Development. 2006;62:185–207. doi: 10.2190/7PVL-3YA2-A3QC-9M0B. [DOI] [PubMed] [Google Scholar]
  87. Krause N. Longitudinal study of social support and meaning in life. Psychology & Aging. 2007;22:456–469. doi: 10.1037/0882-7974.22.3.456. [DOI] [PubMed] [Google Scholar]
  88. Kryla-Lighthall N, Mather M. The role of cognitive control in older adults' emotional well-being. In: Berngtson V, Gans D, Putney N, Silverstein M, editors. Handbook of Theories of Aging, 2nd Edition. Springer Publishing; 2009. pp. 323–344. [Google Scholar]
  89. Kudielka BM, Buske-Kirschbaum A, Hellhammer DW, Kirschbaum C. HPA axis responses to laboratory psychosocial stress in healthy elderly adults, younger adults, and children: Impact of age and gender. Psychoneuroendocrinology. 2004;29:83–98. doi: 10.1016/s0306-4530(02)00146-4. [DOI] [PubMed] [Google Scholar]
  90. Kunzman TD, Little, Smith J. Is age-related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin Aging Study. Psychology and Aging. 2000;15:511–526. doi: 10.1037//0882-7974.15.3.511. [DOI] [PubMed] [Google Scholar]
  91. Lang IA, Llewellyn DJ, Langa KM, Wallace RB, Huppert FA, Melzer D. Neighborhood deprivation, individual socioeconomic status, and cognitive function in older people: analyses from the English Longitudinal Study of Ageing. Journal of the American Geriatric Society. 2008;56(2):191–198. doi: 10.1111/j.1532-5415.2007.01557.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  92. Lang FR, Staudinger UM, Carstensen LL. Perspectives on socioemotional selectivity in late life: How personality and social context do (and do not) make a difference. Journals of Gerontology: Psychological Science. 1998;53B:P21–P30. doi: 10.1093/geronb/53b.1.p21. [DOI] [PubMed] [Google Scholar]
  93. Lawton MP, Kleban MH, Rajagopal D, Dean J. Dimensions of affective experience in three age groups. Psychology and Aging. 1992;7:171–184. doi: 10.1037//0882-7974.7.2.171. [DOI] [PubMed] [Google Scholar]
  94. Lazarus RS. Emotion and Adaptation. London: Oxford University Press; 1991. [Google Scholar]
  95. Leclerc CM, Hess TM. Age differences in the bases for social judgments: Tests of a social expertise perspective. Aging Research. 2007;33:95–120. doi: 10.1080/03610730601006446. [DOI] [PubMed] [Google Scholar]
  96. Lefkowitz ES, Fingerman KL. Positive and negative emotional feelings and behaviors in mother-daughter ties in late life. Journal of Family Psychology. 2003;17:607–617. doi: 10.1037/0893-3200.17.4.607. [DOI] [PubMed] [Google Scholar]
  97. Levenson RW. Expressive, physiological, and subjective changes in emotion across adulthood. In: Qualls SH, Abeles N, editors. Psychology and the aging revolution: How we adapt to longer life. Washington, D.C.: American Psychological Association; 2000. pp. 123–140. [Google Scholar]
  98. Levine LJ, Safer MA, Lench HC. Remembering and misremembering emotions. In: Sanna LJ, Chin-Ho Chang E, editors. Judgments over time: the interplay of thoughts, feelings, and behaviors. Oxford: Oxford University Press; 2006. pp. 271–292. [Google Scholar]
  99. Löckenhoff C, Carstensen L. Aging, emotion, and health-related decision strategies: Motivational manipulation can reduce age differences. Psychology & Aging. 2007;22(1):134–146. doi: 10.1037/0882-7974.22.1.134. [DOI] [PubMed] [Google Scholar]
  100. Lyyra T, Heikkinen R. Perceived social support and mortality in older peo-ple. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences. 2006;61:S147–S152. doi: 10.1093/geronb/61.3.s147. [DOI] [PubMed] [Google Scholar]
  101. Magai CM. Emotions over the lifespan. In: Birren JE, Schaie KW, editors. Handbook of the psychology of aging. 5th ed. San Diego, CA: Academic Press; 2001. pp. 399–426. [Google Scholar]
  102. Magai C, Consedine N. Attachment and emotion experience in later life: The view from emotions theory. Attachment & Human Development. 2003;5:165–187. doi: 10.1080/1461673031000108496. [DOI] [PubMed] [Google Scholar]
  103. Magai C, Consedine NS, Krivoshekova YS, Kudadjie-Gyamfi E, McPherson R. Emotion experience and expression across the adult life span: Insights from a multimodal assessment study. Psychology and Aging. 2006;21:303–317. doi: 10.1037/0882-7974.21.2.303. [DOI] [PubMed] [Google Scholar]
  104. Marsiske M, Lang FR, Baltes PB, Baltes MM. Selective optimization with compensation: Life-span perspectives on successful human development. In: Dixon RA, Backman L, editors. Compensation for psychological deficits and declines: Managing losses and promoting gains. Hillsdale, NJ: Lawrence Erlbaum Associates; 1995. pp. 35–79. [Google Scholar]
  105. Mather M. A review of decision making processes: Weighing the risks and benefits of aging. In: Carstensen LL, Hartel CR, editors. When I'm 64. Committee on Aging Frontiers in Social Psychology, Personality, and Adult Developmental Psychology. Washington, DC: The National Academies Press; 2006. [Google Scholar]
  106. Mather M, Carstensen LL. Aging and motivated cognition: The positivity effect in attention and memory. Trends in Cognitive Sciences. 2005;9:496–502. doi: 10.1016/j.tics.2005.08.005. [DOI] [PubMed] [Google Scholar]
  107. Mather M, Johnson MK, De Leonardis DM. Stereotype reliance in source monitoring: Age differences and neuropsychological test correlates. Cognitive Neuropsychology.Special the Cognitive Neuropsychology of False Memories. 1999;16:437–458. [Google Scholar]
  108. Mather M, Knight M. Goal-directed memory: The role of cognitive control in older adults’ emotional memory. Psychology and Aging. 2005;20:544–570. doi: 10.1037/0882-7974.20.4.554. [DOI] [PubMed] [Google Scholar]
  109. Mather M, Knight MR. Angry faces get noticed quickly: Threat detection is not impaired among older adults. Journals of Gerontology Series B:Psychological Sciences and Social Sciences. 2006;61:P54–P57. doi: 10.1093/geronb/61.1.p54. [DOI] [PubMed] [Google Scholar]
  110. Mellor D, Stokes M, Firth L, Hayashi Y, Cummins R. Need for belonging, relationship satisfaction, loneliness, and life satisfaction. Personality and Individual Differences. 2008;45(3):213–218. [Google Scholar]
  111. Mikels JA, Larkin GR, Reuter-Lorenz PA, Carstensen LL. Divergent trajectories in the aging mind: Changes in working memory for affective versus visual information with age. Psychology and Aging. 2005;20:542–553. doi: 10.1037/0882-7974.20.4.542. [DOI] [PMC free article] [PubMed] [Google Scholar]
  112. Minkler M, Fuller-Thomson E, Miller D, Driver D. Depression in grandparents raising grandchildren: results of a national longitudinal study. Archives of FamilyMedicine. 6(5):445–452. doi: 10.1001/archfami.6.5.445. [DOI] [PubMed] [Google Scholar]
  113. Mroczek DK, Almeida DM. The effect of daily stress, personality, and age on daily negative affect. Journal of Personality. 2004;72:355–378. doi: 10.1111/j.0022-3506.2004.00265.x. [DOI] [PubMed] [Google Scholar]
  114. Mroczek DK, Kolarz CM. The effect of age on positive and negative affect: A developmental perspective on happiness. Journal of Personality & Social Psychology. 1998;75:1333–1349. doi: 10.1037//0022-3514.75.5.1333. [DOI] [PubMed] [Google Scholar]
  115. Mroczek DK, Spiro A. Modeling intraindividual change in personality traits: Findings from the Normative Aging Study. Journals of Gerontology:Psychological Sciences. 2003;58B:153–165. doi: 10.1093/geronb/58.3.p153. [DOI] [PubMed] [Google Scholar]
  116. Mroczek DK, Spiro A. Change in life satisfaction over 20 years during adulthood: Findings from the VA Normative Aging Study. Journal of Personality and Social Psychology. 2005;88:189–202. doi: 10.1037/0022-3514.88.1.189. [DOI] [PubMed] [Google Scholar]
  117. Mroczek DK, Spiro A, Griffin PW, Neupert S. Social Influences on Adult Personality, Self-Regulation and Health. In: Schaie KW, Carstensen L, editors. Social structures, aging and self-regulation. New York: Springer; 2006. pp. 69–84. [Google Scholar]
  118. Mu Q, Xie J, Wen Z, Weng Y, Shuyun Z. A quantitative MRI study of the hippocampal formation, the amygdala, and the temporal horn of the lateral ventricle in healthy subjects 40 to 90 years of age. AJNR Am J Neuroradiol. 1999;20:207–211. [PMC free article] [PubMed] [Google Scholar]
  119. Neupert S, Almeida DM, Charles ST. Age differences in reactivity to daily stressors: The role of personal control. The Journals of Gerontology: Psychological Sciences. 2007;62:216–225. doi: 10.1093/geronb/62.4.p216. [DOI] [PubMed] [Google Scholar]
  120. Newsom JT, Mahan TL, Rook KS, Krause N. Stable negative social exchanges and health. Health Psychology. 2008;27:78–86. doi: 10.1037/0278-6133.27.1.78. [DOI] [PubMed] [Google Scholar]
  121. Otte C, Hart S, Neylan TC, Marmar CR, Yaffe K, Mohr DC. A meta analysis of cortisol response to challenge in human aging: Importance of gender. Psychoneuroendocrinology. 2005;30:80–91. doi: 10.1016/j.psyneuen.2004.06.002. [DOI] [PubMed] [Google Scholar]
  122. Pennebaker J, Stone LD. Words of wisdom: Language use over the lifespan. Journal of Personality and Social Psychology. 2003;85(2):291–301. doi: 10.1037/0022-3514.85.2.291. [DOI] [PubMed] [Google Scholar]
  123. Peters E, Hess TM, Västfjäll D, Auman C. Adult age differences in dual information processes: Implications for the role of affective and deliberative processes in older adults’ decision making. Perspectives on Psychological Science. 2007;2:1–23. doi: 10.1111/j.1745-6916.2007.00025.x. [DOI] [PubMed] [Google Scholar]
  124. Phillips LH, Henry JD, Hosie JA, Milne AB. Age, anger regulation and well being. Aging & Mental Health. 2006;10:250–256. doi: 10.1080/13607860500310385. [DOI] [PubMed] [Google Scholar]
  125. Piazza J, Charles ST. Mental health and the baby boomers. In: Whitbourne SK, Willis SL, editors. The Baby Boomers at Midlife: Contemporary Perspectives on Middle Age. New Jersey: Lawrence Erlbaum Associates; 2006. [Google Scholar]
  126. Piazza JR, Charles ST, Almeida DM. Living with chronic health. Series B: Psychological and Social Sciences. 2007;62:P313–P321. doi: 10.1093/geronb/62.6.p313. [DOI] [PubMed] [Google Scholar]
  127. Pinquart M. Correlates of subjective health in older adults: A meta-analysis. Psychology and Aging. 2001;16(3):414–426. doi: 10.1037//0882-7974.16.3.414. [DOI] [PubMed] [Google Scholar]
  128. Pressman SD, Cohen S. The Use of Social Words in Autobiographies and Longevity. Psychosomatic Medicine. 2007;69:262–269. doi: 10.1097/PSY.0b013e31803cb919. [DOI] [PubMed] [Google Scholar]
  129. Raz N. The aging brain observed in vivo. In: Cabeza R, Nyberg L, Park DC, editors. Cognitive neuroscience of aging. New York: Oxford University Press; 2005. pp. 19–57. [Google Scholar]
  130. Raz N, Lindenberger U, Rodrigue KM, Kennedy KM, Head D, Williamson A, Dahle C, Gerstorf D, Acker JD. Regional brain changes in aging healthy adults: General trends, individual differences and modifiers. Cerebral Cortex. 2005;15:1676–1689. doi: 10.1093/cercor/bhi044. [DOI] [PubMed] [Google Scholar]
  131. Raz N, Rodrigue KM. Differential aging of the brain: patterns, cognitive correlates and modifiers. Neurosci. Biobehav. Rev. 2006;30:730–748. doi: 10.1016/j.neubiorev.2006.07.001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  132. Ready RE, Weinberger MI, Jones KM. How Happy have you felt lately? Two diary studies of emotion recall in older and younger adults. Cognition and Emotion. 2007;21:728–757. [Google Scholar]
  133. Repetti RL, Taylor SE, Seeman TE. Risky Families: Family Social Environments and the Mental and Physical Health of Offspring. Psychological Bulletin. 2002;128:330–366. [PubMed] [Google Scholar]
  134. Riediger M, Freund A. Me against myself: Motivational conflicts and emotional development in adulthood. Psychology & Aging. 2008;23(2):126–140. doi: 10.1037/a0013302. [DOI] [PubMed] [Google Scholar]
  135. Roberts BW, Kuncel N, Shiner R, Caspi A, Goldberg LR. The power of personality: A comparative analysis of the predictive validity of personality traits, SES, and IQ. Perspectives on Psychological Science. 2007;2:313–345. doi: 10.1111/j.1745-6916.2007.00047.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  136. Rook KS. Investigating the positive and negative sides of personal relationships: Through a glass darkly? In: Spitzberg BH, Cupach WR, editors. The dark side of close relationships. Mahwah, NJ: Erlbaum; 1998. pp. 369–393. [Google Scholar]
  137. Rook KS. Exposure and reactivity to negative social exchanges: A preliminary investigation using daily diary data. Journal of Gerontology: Psychological Sciences. 2003;58:P100–P111. doi: 10.1093/geronb/58.2.p100. [DOI] [PubMed] [Google Scholar]
  138. Rook KS, Charles ST, Heckhausen J. Aging and Health. In: Friedman HS, Silver RC, editors. Handbook of Health Psychology. New York: Oxford University Press; 2007. pp. 234–262. [Google Scholar]
  139. Ryff CD, Singer BH. Integrating emotions into the study of social relationships and health. In: Ryff CD, Singer BH, editors. Emotion, social relationships, and health. Oxfiord: Oxford University Press; 2001. pp. 3–22. [Google Scholar]
  140. Salthouse TA, Siedlecki KL. An individual differences analysis of false recognition. American Journal of Psychology. 2007;120:429–458. [PMC free article] [PubMed] [Google Scholar]
  141. Sapolsky RM, Krey LC, McEwen BS. The neuroendocrinology of stress and aging: The glucocorticoid cascade hypothesis. Endocrinological Review. 1986;7:284–301. doi: 10.1210/edrv-7-3-284. [DOI] [PubMed] [Google Scholar]
  142. Shaw BA, Krause N, Chatters LM, Connell CM, Ingersoll-Dayton B. Emotional support from parents early in life, aging, and health. Psychology & Aging. 2004;19:4–12. doi: 10.1037/0882-7974.19.1.4. [DOI] [PubMed] [Google Scholar]
  143. Shaver PR, Belsky J, Brennan KA. The adult attachment interview and self-reports of romantic attachment: Associations across domains and methods. Personal Relationships. 2000;7:25–43. [Google Scholar]
  144. Siedlecki KL, Salthouse TA, Berish DE. Is there anything special about the aging of source memory? Psychology and Aging. 2005;20:19–32. doi: 10.1037/0882-7974.20.1.19. [DOI] [PubMed] [Google Scholar]
  145. Singh-Manoux A, Richards M, Marmot M. Leisure activities and cognitive function in middle age: Evidence from the Whitehall II study. Journal of Epidemiological Community Health. 2003;57:907–913. doi: 10.1136/jech.57.11.907. [DOI] [PMC free article] [PubMed] [Google Scholar]
  146. Snowden LR. Social embeddedness and psychological well-being among African Americans and whites. American Journal of Community Psychology. 2001;29:519–536. doi: 10.1023/A:1010480816822. [DOI] [PubMed] [Google Scholar]
  147. Sorkin D, Rook KS. Dealing with negative social exchanged in later life: Coping responses, goals, and effectiveness. Psychology and Aging. 2006;21:715–725. doi: 10.1037/0882-7974.21.4.715. [DOI] [PubMed] [Google Scholar]
  148. Spaniol J, Voss A, Grady CL. Aging and emotional memory: Cognitive mechanisms underlying the positivity effect. Psychology and Aging. 2008;23(4):859–872. doi: 10.1037/a0014218. [DOI] [PubMed] [Google Scholar]
  149. Story TN, Berg CA, Smith TW, Beveridge R, Henry NJM, Pearce G. Age, marital satisfaction, and optimism as predictors of positive sentiment override in middle aged and older married couples. Psychology and Aging. 2007;24(4):719–727. doi: 10.1037/0882-7974.22.4.719. [DOI] [PubMed] [Google Scholar]
  150. Suls J, Martin R. The daily life of the garden-variety neurotic: Reactivity, stressor exposure, mood spillover, and maladaptive coping. Journal of Personality. 2005;73:1–25. doi: 10.1111/j.1467-6494.2005.00356.x. [DOI] [PubMed] [Google Scholar]
  151. Thomas RC, Hasher L. The influence of emotional valence on age differences in early processing and memory. Psychology and Aging. 2006;21:821–825. doi: 10.1037/0882-7974.21.4.821. [DOI] [PMC free article] [PubMed] [Google Scholar]
  152. Tsai JL, Levenson RW, Carstensen LL. Autonomic, subjective, and expressive responses to emotional films in older and younger Chinese Americans and European Americans. Psychology and Aging. 2000;15:684–693. doi: 10.1037//0882-7974.15.4.684. [DOI] [PubMed] [Google Scholar]
  153. Turvey CL, Carney C, Arndt S, Wallace RB, Herzog R. Conjugal loss and syndromal depression in a sample of elders aged 70 years or older. American Journal of Psychiatry. 1999;156:1596–1601. doi: 10.1176/ajp.156.10.1596. [DOI] [PubMed] [Google Scholar]
  154. Uchino BN, Uno D, Holt-Lunstad J, Flinders JB. Age-related differences in cardiovascular reactivity during acute psychological stress in men and women. Journals of Gerontology: Series B: Psychological Sciences and Social Sciences. 1999;54:339–346. doi: 10.1093/geronb/54b.6.p339. [DOI] [PubMed] [Google Scholar]
  155. Uchino BN, Holt-Lunstad J, Bloor LE, Campo RA. Aging and cardiovascular reactivity to stress: Longitudinal evidence for changes in stress reactivity. Psychology and Aging. 2005;20:134–143. doi: 10.1037/0882-7974.20.1.134. [DOI] [PubMed] [Google Scholar]
  156. van Gelder BM, Tijhuis M, Kalmijn S, Giampaoli S, Nissinen A, Kromhout D. Marital status and living situation during a 5-year period are associated with a subsequent 10-year cognitive decline in older men: the FINE Study. Journals of Gerontology Series B: Psychological Sciences & Social Sciences. 2006;61(4):213–219. doi: 10.1093/geronb/61.4.p213. [DOI] [PubMed] [Google Scholar]
  157. Wilkinson CW, Peskind ER, Raskind MA. Decreased hypothalamic-pituitary adrenal axis sensitivity to cortisol feedback inhibition in human aging. Neuroendocrinology. 1997;65:79–90. doi: 10.1159/000127167. [DOI] [PubMed] [Google Scholar]
  158. Wilkinson CW, Petrie EC, Murray SR, Colasurdo EA, Raskind MA, Peskind ER. Human glucocorticoid feedback inhibition is reduced in older individuals: Evening study. The Journal of Clinical Endocrinology & Metabolism. 2001;86:545–550. doi: 10.1210/jcem.86.2.7232. [DOI] [PubMed] [Google Scholar]
  159. Wilson RS, Barnes LL, Mendes de Leon CF, Aggarwal NT, Schneider JS, Bach J, Pilat J, Beckett LA, Arnold SE, Evans DA, Bennett DA. Depressive symptoms, cognitive decline, and risk of AD in older persons. Neurology. 2002;59(3):364–370. doi: 10.1212/wnl.59.3.364. [DOI] [PubMed] [Google Scholar]
  160. Wilson RS, Krueger KR, Arnold SE, Schneider JA, Kelly JF, Barnes LL, Tang Y, Bennett DA. Loneliness and risk of Alzheimer's disease. Archives of General Psychiatry. 2007;64:234–240. doi: 10.1001/archpsyc.64.2.234. [DOI] [PubMed] [Google Scholar]
  161. Wilson RS, Krueger KR, Arnold SE, Barnes LL, Mendes de Leon CF, Bienias JL, Bennett DA. Childhood adversity and psychosocial adjustment in old age. American Journal of Geriatric Psychiatry. 2006;14:307–315. doi: 10.1097/01.JGP.0000196637.95869.d9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  162. Wilson RS, Mendes de Leon CF, Bennett DA, Bienias JL, Evans DA. Depressive symptoms and cognitive decline in a community population of older persons. Journal of Neurology, Neurosurgery, and Psychiatry. 2004;75:126–129. [PMC free article] [PubMed] [Google Scholar]
  163. Yaffe K, Blackwell T, Gore R, Sands L, Reus V, Browner WS. Depressive symptoms and cognitive decline in nondemented elderly women. Archives of General Psychiatry. 1999;56:425–430. doi: 10.1001/archpsyc.56.5.425. [DOI] [PubMed] [Google Scholar]
  164. Yeung DY, Fung HH, Lang FR. Self-construal moderates age differences in social network characteristics Psychology and Aging. 2008;23:222–226. doi: 10.1037/0882-7974.23.1.222. [DOI] [PubMed] [Google Scholar]
  165. Zunzunegui MV, Alvarado BE, del Ser T, Otero A. Social networks, social integration and social engagement are risk factors for cognitive deterioration among Spanish elderly. Journal of Gerontology: Social Sciences. 2003;58B:S93–S100. doi: 10.1093/geronb/58.2.s93. [DOI] [PMC free article] [PubMed] [Google Scholar]

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