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March 2010

Those of you who have read this column before are aware that I frequently write about the relationships between the attitudes of aging folks and their quality of life. The March issue of the Archives of General Psychiatry reports on a study that relates to these relationships. Specifically, aging individuals who report that they have greater purpose in their lives seem to be less likely to develop mild cognitive impairment and it’s successor, Alzheimer’s disease.

Alzheimer’s disease is one of the most feared outcomes of growing older. In that context, these are very important research findings. When we can identify any factor that is associated with Alzheimer’s disease, and that can be manipulated, it becomes an important consideration for aging persons, their loved ones, and society as a whole.  Combine that with a rapidly-growing aging population and we have a major interest in changing things that can be changed.  Perhaps purposefulness is one of those things.

In this study, purpose in life was defined as “the psychological tendency to derive meaning from life’s experiences and to possess a sense of intentionality and goal directedness that guides behavior.”  I have frequently written about the irony portrayed by this definition.  North American cultures have come to associate aging primarily with declining health, immobility, and diminishing economic returns.  That is, we see old people as costing a lot to maintain and bringing little economic productivity to the equation.  Since we tend to consider the economic value of individuals very highly, we have a negative view of aging.

This would be unfortunate even if it was true.  Most cultures have traditionally valued their elders for their wisdom and contributions to their society over the course of their lives.  The higher economic costs and lower economic productivity of elders was deemed to be a normal part of the generational process.  Moreover, to a large degree the perception of older persons as economic liabilities is based on outdated facts, especially in North America.  In truth, the aging population is healthier and potentially more productive than in even the recent past.  Nevertheless, as this study indicates, unless we can bring this information into the belief systems of our society and our elderly, many of the benefits of medical, information and communication technology will be lost to them, because they will not seek them out.

Because of the irony of low expectations, today’s elderly are not very likely to pursue “greater purpose in their lives” and, thus, enjoy the health benefits for both themselves and society.  This will no doubt change over a few decades.  The reality of a healthier and happier senior population will eventually impact their expectations.  However, until then it will be up to those of us who can see their potential more clearly to encourage them to adopt some of the same goals for their older years that they did when they were young.  Improved mental health and reduced probability of Alzeheimer’s Disease are awesome prizes!

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Your memory: How it works and how to improve it

by Bob McCluskey on March 15, 2010

Research increasing tells us that more social engagement delays memory loss as we age.  This is not surprising because relating to other people exercises the memory at many levels.  As we learn more about how memory works we understand that past experiences are constantly being recalled and associated with current perceptions and thoughts.  When the resulting associations are themselves stored for future use, the memory is strengthened.

That is why strong social interaction with friends, family and community members can improve our brain health as we grow older.  It also reinforces the understanding that social isolation is a major risk factor for mental and emotional decline for seniors.  Recently the Harvard School of Public Health studied data from the Health And Retirement Study, that observed adults who were 50 years of age or more. The subjects of the study completed memory tests every two years. The researchers also measured the social activity of study participants based on marital status, volunteer activities and contact with parents, children and neighbors. The results showed that people in their 50s and 60s who engaged in a significant amount of social activity also had the slowest rate of memory loss. In fact, when they were compared to folks who were the least socially active, those who had the highest socialization scores had less than half the rate of memory loss.

Ironically, the increasing importance of social interaction occurs at a period of life when people are most vulnerable to isolation.  Declining health, diminishing traditional support systems, the increasing independence of younger children and relatives and negative expectations about aging combine to produce loneliness and depression, which lead to accelerating health decline, and so forth. This is not necessary.

People who are suffering from these symptoms of aging are the least capable of helping themselves break free of the cycles that are robbing them of the potential for a great quality of life.  It is critically important that those who care for and about them intervene, if necessary, to interrupt the cycles.  This is not always easy in a society that values independence and non-interference.  However, if we care about our aging population we must acknowledge that they are not as independent as they were, or as they think they are, or as they would like to be.  We need to find creative ways to help them maintain their socialization opportunities and, thus, their memories.  Technology is one such means, and community resources can offer many others.  Nevertheless, it is likely to be up to those of us who owe them so much to pay it back by gently nudging them back into society when we see them slipping away.

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