1;Front Cover;1
2;Handbook of the Psychology of Aging;4
3;Copyright Page;5
4;Contents;6
5;Foreword;12
6;Preface;14
7;About the Editors;20
8;List of Contributors;22
9;I. Concepts, Theory, Methods;26
9.1;1 Theoretical Perspectives for the Psychology of Aging in a Lifespan Context;28
9.1.1;Introduction;28
9.1.2;The Role of Pathology in Normal Aging;29
9.1.3;Assumption of Universal Decline;29
9.1.4;Successful, Normal and Pathological Aging;30
9.1.5;Lifespan Theories of Psychological Aging;31
9.1.5.1;Erikson’s Stage Model;31
9.1.5.2;Schaie and Willis’ Stage Theory of Cognition;32
9.1.5.3;The Co-Constructive Perspective;34
9.1.6;Summary and Outlook;35
9.1.7;References;35
9.2;2 Methodological Considerations for the Study of Adult Development and Aging;40
9.2.1;Introduction;41
9.2.2;Research Designs and Sampling Considerations for the Study of Adult Development and Aging;41
9.2.2.1;Cross-Sectional Versus Longitudinal Designs;41
9.2.2.1.1;Age Differences Versus Change;42
9.2.2.1.2;Relative Advantages Versus Disadvantages;42
9.2.2.1.3;Which Design Is Best Suited for the Study of Aging?;42
9.2.2.1.4;Summary;44
9.2.2.2;Longitudinal Designs: Select Subtypes;44
9.2.2.2.1;Intensive Measurement Burst Design;45
9.2.3;Key Threats to the Validity of Longitudinal Designs;46
9.2.3.1;Attrition;46
9.2.3.2;Retest Effects;46
9.2.3.2.1;Assessing the Impact of Repeated Practice on Trajectories of Age-Related Change;47
9.2.3.3;Missingness: Causes, Consequences, and Potential Solutions;48
9.2.3.3.1;Classifications of Missingness;48
9.2.3.3.2;Approaches for Dealing with Missing Data: A Brief Overview;49
9.2.3.4;Planned Missingness;51
9.2.3.5;Section Summary: Key Methodological Considerations for Incomplete Data;51
9.2.4;Modeling Change in Studies of Aging;52
9.2.4.1;Select Statistical Models for Change;52
9.2.4.1.1;Multilevel and Latent Growth Curve Approaches for Continuous Outcomes;52
9.2.4.1.2;Generalized Linear Mixed and Survival Models for Categorical Outcomes;53
9.2.4.1.3;Correlated and Coupled Change;54
9.2.4.2;Developmental Parameterizations of Time;54
9.2.4.2.1;Is Chronological Age the Only Metric?;55
9.2.4.2.2;Alternative Parameterizations of Time;55
9.2.5;Emerging Methodological Trends for the Study of Aging;57
9.2.5.1;Select Approaches to Integrated Data Analysis;57
9.2.5.1.1;Meta-Analysis;57
9.2.5.1.2;Mega-Analysis;57
9.2.5.1.3;Data Harmonization;58
9.2.5.1.4;Coordinated Analysis with Replication;58
9.2.5.2;An Intraindividual Variability Approach;59
9.2.5.2.1;Beyond the First Order Moment;59
9.2.5.2.2;RT Inconsistency Across Response Latency Trials;59
9.2.6;Conclusions;61
9.2.7;Acknowledgments;61
9.2.8;References;61
9.3;3 Society and the Individual at the Dawn of the Twenty-First Century;66
9.3.1;Introduction;67
9.3.2;A Comment on Lifespan Psychology;68
9.3.3;Health and Health Care;69
9.3.3.1;Policies and Practices;71
9.3.4;Education;73
9.3.4.1;Policies and Practices;74
9.3.5;Work and Retirement;75
9.3.5.1;Policies and Practices;77
9.3.6;Family Life;78
9.3.6.1;Policies and Practices;81
9.3.7;Summary and Conclusions;83
9.3.8;References;83
10;II. Bio-psychosocial Factors in Aging;88
10.1;4 Sex Hormones and Cognitive Aging;90
10.1.1;Introduction;91
10.1.2;Effects of Estrogen and Testosterone in Young Adults;91
10.1.2.1;Variation in Cognition across the Menstrual Cycle;91
10.1.2.2;Menstrual Cycle Fluctuations in Neural Activity;92
10.1.2.3;Variation in Affect across the Menstrual Cycle;93
10.1.3;Effects of Menopause and Hormone Levels on Cognition in Older Women;93
10.1.3.1;Estrogens and Menopausal HT in Women—Observational Studies;94
10.1.3.2;Estrogens and Menopausal HT in Women—Effects of Surgical Menopause and Intervention in Younger and Older Women;95
10.1.3.3;Estrogens and Menopausal HT in Women—Intervention Studies in Older Postmenopausal Women;96
10.1.3.4;Results from the Women’s Health Initiative Memory Study (WHIMS) and the Women’s Health Initiative Study of Cognitive Aging  ...;97
10.1.3.5;Testosterone and Progesterone;99
10.1.3.6;Estrogens and Menopausal HT in Older Women—Associations with Brain Structure and Function;100
10.1.4;Testosterone and Cognitive Aging in Men;102
10.1.4.1;Observational Studies of Circulating Levels of Testosterone and Cognitive Function;102
10.1.4.2;Intervention Studies of Testosterone Supplementation;102
10.1.5;Conclusions and Areas for Future Research;104
10.1.6;References;105
10.2;5 The Aging Mind in Transition: Amyloid Deposition and Progression toward Alzheimer’s Disease;112
10.2.1;Introduction;113
10.2.2;Amyloid Imaging;114
10.2.3;Models of Cognitive Transitions;115
10.2.3.1;Scaffolding Theory of Aging and Cognition;115
10.2.3.2;A Model of Preclinical AD;117
10.2.4;What is the Relationship between Amyloid Deposition and Neurodegeneration?;118
10.2.4.1;Neuronal Dysfunction;118
10.2.4.2;Neuronal Loss;119
10.2.5;Does Amyloid Deposition Invariably Lead to Cognitive Decline?;120
10.2.5.1;Amyloid and Episodic Memory;120
10.2.5.2;Impact of Amyloid on Other Cognitive Domains;120
10.2.5.3;Amyloid, Neurodegeneration, and Cognitive Decline;121
10.2.6;Modifiers of Transition to AD: Enrichment and Depletion Factors;121
10.2.6.1;Depletion Factors;122
10.2.6.2;Enrichment Factors;123
10.2.6.3;Conclusion and New Directions;123
10.2.7;Acknowledgment;124
10.2.8;References;124
10.3;6 Research on Human Plasticity in Adulthood: A Lifespan Agenda;130
10.3.1;Plasticity and Stability in Lifespan Development;131
10.3.2;The Supply–Demand Mismatch Model of Plasticity;131
10.3.3;Proposition #1: Plasticity Decreases from Childhood to Old Age;133
10.3.4;Proposition #2: Flexibility Increases from Childhood to Middle Adulthood, and Declines Thereafter;137
10.3.5;Proposition #3: Relative to Childhood, Plasticity in Adulthood and Old Age is More Often Associated with Maintenance, and L ...;138
10.3.6;Plasticity and Flexibility in Relation to Gf–Gc Theory;140
10.3.7;Open Questions and Future Research Directions;141
10.3.7.1;Investigating Age Differences in the Sequential Progression of Plasticity;141
10.3.7.2;Scrutinizing “Ribot’s Law” and the “Dark Side of Plasticity”;142
10.3.7.3;Towards a Molecular Understanding of Plasticity Dynamics in Human Adults;143
10.3.8;Acknowledgments;144
10.3.9;References;144
10.4;7 Cognitive and Physical Aging: Genetic Influences and Gene–Environment Interplay;150
10.4.1;Introduction;150
10.4.2;Cognitive Function;151
10.4.2.1;General Cognitive Ability;151
10.4.2.2;Specific Cognitive Abilities;152
10.4.2.3;Environmental Influences;152
10.4.3;Physical Function;153
10.4.3.1;Physiological Functioning;153
10.4.3.2;Behavioral Physical Functioning;154
10.4.4;Cross-Domain Investigations;155
10.4.4.1;Interrelationships Between Cognitive and Physical Aging;155
10.4.4.2;Brain Structures;156
10.4.4.2.1;Specific Genes Important to Cognitive and Physical Aging;156
10.4.4.3;Cognitive Aging;157
10.4.4.4;Physical Aging;158
10.4.4.4.1;Gene Pathways Underlying Cognition-Physical Functioning Dynamics;159
10.4.5;Genetic Influences on Environmental Sensitivity;160
10.4.5.1;Biomarkers of GE Interplay;161
10.4.5.2;Telomere Length;162
10.4.6;Summary and Future Directions;163
10.4.7;References;164
10.5;8 Memory: Behavior and Neural Basis;172
10.5.1;What Is Memory, and What Is Aging?;172
10.5.2;Brain Aging and Memory: A Complex and Dynamic Relationship;173
10.5.3;Control and Association: Major Influences on Age Differences in Memory;174
10.5.3.1;The Controlled Processing Paradox: Important and Impaired;174
10.5.3.2;Associational Memory May Be Especially Impaired in Aging;177
10.5.3.3;Default Network Dysregulation;178
10.5.4;Modifying Factors: Qualitative and Quantitative Effects;179
10.5.5;Interventions: Hope for Improvement?;180
10.5.6;Summary and Conclusions;183
10.5.7;References;184
10.6;9 Audition and Language Comprehension in Adult Aging: Stability in the Face of Change;190
10.6.1;Introduction;191
10.6.1.1;Challenges for Speech Comprehension;191
10.6.2;Age-Related Hearing Loss;192
10.6.2.1;Audition: Some Preliminaries;192
10.6.2.2;Types of Hearing Loss;193
10.6.2.2.1;Conductive Hearing Loss;193
10.6.2.2.2;Sensorineural Hearing Loss;193
10.6.2.2.3;Central Processing Deficits;194
10.6.2.2.4;Variability in Age-Related Hearing Loss;194
10.6.2.3;Speech in Noise: A Hallmark of Aging Hearing;195
10.6.2.3.1;Separating Speech from Noise;195
10.6.2.3.2;Informational Masking;195
10.6.3;Compensation Through Linguistic Knowledge;196
10.6.3.1;Effects of Age and Hearing Acuity on Word Recognition;196
10.6.3.1.1;Effects of Contextual Facilitation;197
10.6.3.1.2;Expectation and Entropy in Word Recognition;198
10.6.3.2;Comprehension and Recall at the Sentence Level;200
10.6.3.2.1;Compensatory Support from Speech Prosody;204
10.6.3.2.2;Support from Other Sensory Cues;204
10.6.4;Downstream Effects of Perceptual Effort;204
10.6.5;Broader Issues of Age-Related Hearing Loss;205
10.6.6;Conclusions;206
10.6.7;References;207
10.7;10 Exercise, Cognition, and Health;212
10.7.1;Introduction;212
10.7.2;Definitions;213
10.7.3;Epidemiological Studies;214
10.7.3.1;Physical Activity and Fitness Associations with Cognition;215
10.7.3.2;Randomized Trials of Aerobic Exercise on Cognition;215
10.7.3.2.1;Resistance Training on Cognition;216
10.7.3.2.2;Effects of Exercise on Impaired Populations;217
10.7.3.3;Cross-Sectional Associations Between Physical Activity and Gray Matter Volume;217
10.7.3.4;Randomized Trials of Exercise on Gray Matter Volume;218
10.7.3.5;Associations Between Physical Activity, Fitness, and White Matter Integrity;218
10.7.3.6;Aerobic Exercise Effects on Functional MRI Patterns;219
10.7.3.7;Effects of Resistance Training on Cerebral Blood Flow and fMRI Patterns;219
10.7.3.8;Mediators and Moderators;220
10.7.3.9;Other Health Factors Related to Cognition;221
10.7.4;Conclusion;221
10.7.5;References;222
11;III. Behavioral Processes;228
11.1;11 Personality and Health: Reviewing Recent Research and Setting a Directive for the Future;230
11.1.1;Personality Traits: Definitions and Classifications;231
11.1.2;Dispositions and Health: A Brief History of Models in the Field;232
11.1.3;Personality Traits and Physiological Markers of Aging;233
11.1.3.1;Inflammatory Markers and Personality Traits;233
11.1.3.2;Cardiovascular Indicators and Personality Traits;234
11.1.4;Personality and Health across Adulthood: Moderators, Moderated Mediators, and More;235
11.1.4.1;Age as a Moderator of Personality Traits and Health;235
11.1.4.2;Age as a Moderator of the Linkages Between Personality Traits and Health;236
11.1.4.3;The Full Role of Age on the Linkages Between Personality and Health;237
11.1.5;Healthy Living as a Catalyst for Personality Development;237
11.1.5.1;Subjective Wellbeing and Adult Personality Change;238
11.1.5.2;Healthy Behaviors as Predictors of Personality Change;238
11.1.5.3;Major Illness as a Predictor of Personality Change;238
11.1.6;Current and Future Directions;239
11.1.7;References;241
11.2;12 Cognitive Training in Later Adulthood;244
11.2.1;Introduction;245
11.2.1.1;Theoretical Perspectives and Assumptions on Training;245
11.2.1.1.1;Magnification Perspective;245
11.2.1.1.2;Compensatory Perspective;246
11.2.2;Cognitive Training: Behavioral Interventions and Behavioral Outcomes;246
11.2.2.1;Strategy Training;246
11.2.2.1.1;Episodic Memory;246
11.2.2.1.2;Inductive Reasoning;248
11.2.2.2;Component-Specific and Variable Priority Training;249
11.2.2.2.1;Variable Priority Training: Attention;250
11.2.2.2.2;Speed of Processing;250
11.2.2.3;Whole Task Practice Training;251
11.2.2.3.1;N-Back (Working Memory) Training;252
11.2.2.3.2;WM as a Multidimensional Construct: Implications for Training;252
11.2.2.3.3;Training Involving Multiple WM Subprocesses or Tasks;253
11.2.2.4;Multi-Domain Training;253
11.2.2.4.1;Multi-Domain: Combined Strategy and Component Training;253
11.2.2.4.1.1;MEMO;253
11.2.3;Activity Engagement Interventions;254
11.2.3.1;Computer- and Mobile-Based Training and Gaming;254
11.2.3.1.1;Computerized Training;254
11.2.3.1.1.1;Computerized-Cognitive Training;254
11.2.3.1.2;Casual Gaming Interventions;255
11.2.3.1.2.1;Association of Cognitive Abilities and Casual Video Games;255
11.2.3.1.2.1.1;Challenge of Classifying Games by Cognitive Domain;255
11.2.3.1.2.1.2;Association Between Cognitive Abilities and Game Groups;256
11.2.3.2;MCI Training;256
11.2.4;Cognitive Training: Neural Mechanisms and Outcomes;258
11.2.4.1;Brain Imaging as a Surrogate Biomarker;258
11.2.4.2;Brain Imaging to Identify Structural Plasticity;259
11.2.4.2.1;Effects on Training for Brain Activation;259
11.2.4.3;Models of Training-Induced Brain Changes;260
11.2.4.4;Neuroimaging as a Predictor of Training Response;262
11.2.5;References;264
11.3;13 Executive Functions and Neurocognitive Aging;270
11.3.1;Overview;270
11.3.2;Measuring EFs;271
11.3.3;Executive Deficit Theories of Cognitive Aging;272
11.3.3.1;Inhibitory Deficit Theory (Hasher & Zacks);272
11.3.3.2;Goal Maintenance Deficit (Braver & West);273
11.3.3.3;Production Deficit Hypothesis;273
11.3.3.4;Frontal Lobe Hypothesis of Cognitive Aging;273
11.3.3.5;A Current Perspective on Executive Deficit Theories of Cognitive Aging;274
11.3.4;Do EFs Show the Earliest and Disproportionate Decline?;274
11.3.4.1;Cross-Sectional Evidence for Disproportionate EF Decline?;275
11.3.4.2;Longitudinal Evidence for Earlier EF Decline?;275
11.3.5;Do Brain Regions Linked to EF Show the Earliest and Disproportionate Decline?;276
11.3.5.1;Aging and the Neural Substrates of EF;276
11.3.5.2;Relative Degree and Onset of PFC Decline;277
11.3.6;EFs and PFC Processes as Compensatory and Protective;279
11.3.7;EFs, the Frontal Lobes, and Lifelong aging;281
11.3.8;References;282
11.4;14 Social Interrelations in Aging: The Sample Case of Married Couples;288
11.4.1;Introduction;288
11.4.2;Overview of Existing Research and New Trends;289
11.4.2.1;Well-Being;290
11.4.2.2;Health;292
11.4.2.3;Cognition;293
11.4.3;Towards Addressing Methodological Challenges;294
11.4.4;Psychological Processes are Embedded in Macro-Level Contexts;295
11.4.5;Future Directions and Challenges;296
11.4.5.1;Capturing Processes that Occur on Different Timescales;296
11.4.5.2;Integrating Between-Couple and Within-Couple Perspectives;297
11.4.5.3;Applied Significance;298
11.4.5.4;Social Interrelations Beyond Marital Dyads;299
11.4.6;Conclusion;299
11.4.7;Acknowledgments;299
11.4.8;References;299
11.5;15 Age Differences in the Connection of Mood and Cognition: Evidence from Studies of Mood Congruent Effects;304
11.5.1;Introduction;305
11.5.2;Definition and Theories of Mood-congruent Cognition;305
11.5.2.1;Emotion Theory and Mood Congruence in Young Adulthood: Associationist and Schema Models;305
11.5.2.2;Emotion Theory and Aging: The Positivity Effect and Its Limits: SST and SAVI;307
11.5.3;Conceptual and Methodological Issues in the Study of Mood-congruent Cognition;307
11.5.4;Effects of Personality Factors on Emotion and Cognition Interaction;309
11.5.5;Mood-congruent Effects on Cognition: Adulthood;310
11.5.5.1;Mood-congruence Effects in Depression: Memory and Attentional Bias;310
11.5.5.2;Mood Congruence Effects in Anxiety: Memory and Attentional Biases;312
11.5.6;Mood-congruent Effects on Cognition: Older Adult Populations;314
11.5.6.1;Depressed Mood and Congruent Cognition in Older Adults;314
11.5.6.2;Mood-congruent Attention in Sad and Depressed Mood;317
11.5.6.2.1;Anxious Mood and Congruent Cognition in Older Adults;318
11.5.7;Implications for Theory and Research on Age Differences in the Mood–Cognition Linkage;320
11.5.8;Implications for Psychological Interventions with Older Adults;321
11.5.9;References;323
11.6;16 Psychological Vitality in the Oldest Old;328
11.6.1;Introduction;328
11.6.1.1;Scope of the Chapter;329
11.6.2;Who are the Contemporary Oldest Old?;329
11.6.3;Research Issues;330
11.6.4;Domains of Psychological Vitality;331
11.6.4.1;Cognition;331
11.6.4.1.1;Level Versus Change in Cognition and Survival;331
11.6.4.1.2;Heterogeneity of Cognitive Functioning in the Oldest Old;332
11.6.4.2;Personality Traits;333
11.6.4.2.1;Trait Predictors of Survival;333
11.6.4.2.2;Personality Profiles of the Oldest Old;334
11.6.4.2.3;Personality Change after Age 80;334
11.6.4.3;Self-Related Beliefs and Self-Regulation;335
11.6.4.3.1;Self-Related Predictors of Survival;335
11.6.4.3.2;Characteristics of the Self-Related Beliefs of the Oldest-Old;336
11.6.4.3.3;Change in Self-Related Beliefs after Age 80;336
11.6.4.4;Social Connections;337
11.6.4.4.1;Social Connections of the Oldest Old;338
11.6.4.4.2;Social Connection Predictors of Survival;338
11.6.4.5;Subjective Well-Being;339
11.6.4.5.1;Subjective Well-Being and the Prediction of Survival to Age 80;339
11.6.4.5.2;Level and Change in Subjective Well-Being after Age 80;340
11.6.5;Conclusions;340
11.6.6;References;341
12;IV. Complex Processes;346
12.1;17 Cross-Cultural Psychology of Aging;348
12.1.1;Cross-Cultural Psychology of Aging;348
12.1.2;A Theory: Aging in Culture;349
12.1.2.1;Individuals Make Sense of Life Through Internalizing the Values of Their Cultures;349
12.1.2.2;Age Differences in Personality;351
12.1.2.3;Age Differences in Social Relationships;353
12.1.2.4;Age-Related Cognition;354
12.1.3;Other Approaches;356
12.1.3.1;Using Aging as a Context to Test Cultural Differences;356
12.1.3.2;Cross-Cultural Aging as Tests of Generalizability;357
12.1.4;Summary, Caveats, and Conclusion;358
12.1.5;Acknowledgments;359
12.1.6;References;359
12.2;18 Work, Retirement and Aging;364
12.2.1;Aging in the Work Context;365
12.2.1.1;Work and Cognitive Aging;365
12.2.1.2;EOR for Aging Workers;366
12.2.1.3;Aging in the Context of HRM;368
12.2.1.3.1;Employee Benefits;368
12.2.1.3.2;Knowledge Transfer Strategy;369
12.2.1.3.3;Motivation and Performance Management;370
12.2.1.3.4;Retention and Recruitment;371
12.2.1.4;Aging and Work–Family Issues;372
12.2.2;The Transition from Work to Retirement: The Temporal Process and Outcomes;374
12.2.2.1;The Temporal Process Model of Retirement;374
12.2.2.2;Outcomes of Retirement;377
12.2.3;Conclusions and Future Directions;379
12.2.4;References;381
12.3;19 Financial Decision-Making and Capacity in Older Adults;386
12.3.1;Introduction: What is Financial Capacity? Legal, Clinical and Ethical Perspectives;387
12.3.2;The Financial Capacity Problem: Cognitive Aging and Disorders of Aging;389
12.3.3;Clinical Warning Signs of Diminished Financial Capacity;390
12.3.4;Challenges in Modeling Financial Capacity;391
12.3.5;Clinical Model of Financial Capacity;392
12.3.6;Approaches to Assessing Financial Capacity;393
12.3.6.1;Assessing Premorbid Financial Capacity;393
12.3.6.2;Self and Informant-Based Assessment;395
12.3.6.3;Performance-Based Assessment;395
12.3.6.4;Clinical Interview Assessment of Financial Capacity;397
12.3.7;Empirical Studies of Financial Capacity;397
12.3.7.1;Financial Capacity in Patients with Mild and Moderate AD;397
12.3.7.1.1;Longitudinal Change in Financial Capacity in Patients with Mild AD;398
12.3.7.2;Financial Capacity in Patients with MCI;399
12.3.7.3;Neuropsychological Predictors of Financial Capacity;400
12.3.8;Neuroimaging Studies of Financial Capacity;402
12.3.8.1;Neuroimaging Approaches to Studying Financial Capacity;402
12.3.8.2;Neuroimaging Studies of Financial Capacity in aMCI and AD;402
12.3.8.3;Neuroimaging Studies of Financial Decision Making in Cognitively Normal Older Adults;403
12.3.8.4;Summary;403
12.3.9;Non-Cognitive Contributions to Financial Capacity in Aging;404
12.3.9.1;Psychological and Psychiatric Contributions to Financial Capacity;404
12.3.9.2;Relationship of Physical Dependence/Medical Frailty to Financial Capacity in Aging;405
12.3.9.3;Cultural and Social Contributions to Financial Capacity in Aging;406
12.3.9.4;Resilience and Financial Capacity in Aging;407
12.3.10;Future Research Directions;408
12.3.10.1;Detecting Very Early Financial Declines in Cognitively Normal Elderly;408
12.3.10.2;Study of Financial Capacity in Other Older Adult Clinical Populations;408
12.3.10.3;Study of Non-Cognitive Contributions to Financial Capacity in Aging;409
12.3.10.4;Evolution of Financial Capacity in a Technological Society;409
12.3.11;References;409
12.4;20 Technology, Gaming, and Social Networking;414
12.4.1;Definition of Technology and ICT;415
12.4.2;A Century of Development and Diffusion of Technology;415
12.4.2.1;Home Computing and Gaming;416
12.4.3;Technology Use and Age;416
12.4.4;Theories and Models of Technology Adoption;418
12.4.4.1;Rogers Diffusion of Innovation (Rogers, 1995);418
12.4.4.2;Technology Acceptance Model;419
12.4.4.3;Unified Theory of Acceptance and Use of Technology;419
12.4.4.4;Other Factors in Technology Acceptance and Use;419
12.4.5;Older Adult Game Use and Game Preferences;420
12.4.5.1;Gamer Demographics;420
12.4.5.2;Game Preferences of Older Adults;421
12.4.5.3;Benefits of Gaming;421
12.4.5.3.1;Communication;422
12.4.6;Social Networking as a Newly Emerging Communications Technology;423
12.4.6.1;Benefits of SNS Use?;423
12.4.7;Barriers to Technology Adoption by Seniors;424
12.4.7.1;Financial Cost;424
12.4.7.2;Cognitive Cost;424
12.4.7.3;Beliefs;426
12.4.7.4;Design Costs;426
12.4.7.5;Privacy Concerns;426
12.4.8;Technology as a Factor for Successful Longevity;427
12.4.9;Conclusions;428
12.4.10;Acknowledgment;429
12.4.11;References;429
12.5;21 Risk Factors and Prevention Strategies for Late-Life Mood and Anxiety Disorders;434
12.5.1;Introduction;435
12.5.2;Late-Life Depression;435
12.5.2.1;Epidemiology of Late-Life Depression;435
12.5.2.2;Sociodemographic Risk Factors for Depression;436
12.5.2.2.1;Sex;436
12.5.2.2.2;Race;436
12.5.2.3;Biological and Clinical Risk Factors for Depression;437
12.5.2.3.1;The Inter-relationship Between Cardiovascular Disease, Dementia, and Depression;437
12.5.2.3.2;Disability;438
12.5.2.4;Psychosocial Risk Factors for Depression;439
12.5.2.4.1;Social Support;439
12.5.2.4.2;Bereavement;440
12.5.3;Late-Life Anxiety Disorders;441
12.5.3.1;Epidemiology of Late-Life Anxiety Disorders;441
12.5.3.2;Risk Factors for Late-Life Anxiety Disorders;441
12.5.4;Late-Life Co-Existing Mood and Anxiety Disorders;442
12.5.4.1;Epidemiology of Late-Life Co-existing Mood–Anxiety Disorders;442
12.5.4.2;Characteristics of Co-existing Mood–Anxiety Disorders;442
12.5.5;Risk Factors for Late-Life Suicide and Suicidal Behavior;442
12.5.6;Detection, Treatment, and Management;444
12.5.7;Conclusion;445
12.5.8;References;446
12.6;22 Late-Life Sleep and Sleep Disorders;454
12.6.1;Late-Life Sleep and Sleep Disorders Normal Late-Life Sleep;455
12.6.2;Epidemiology of Sleep Disorders in Late Life;455
12.6.2.1;Insomnia;455
12.6.2.2;Advanced Sleep Phase Disorder;456
12.6.2.3;Sleep-Disordered Breathing;456
12.6.3;Assessment;457
12.6.3.1;Main Methods of Sleep Assessment;457
12.6.3.1.1;Subjective Assessments;457
12.6.3.1.2;Objective Assessments;457
12.6.4;Sleep Disorders;458
12.6.4.1;Insomnia;458
12.6.4.1.1;Development;458
12.6.4.1.2;Major Theories;458
12.6.4.2;Risk Factors for Late-Life Insomnia;459
12.6.4.2.1;Comorbidities;459
12.6.4.2.2;Social and Behavioral Changes;459
12.6.4.2.3;Cognition;459
12.6.4.2.4;Socioeconomic Status;459
12.6.4.2.5;Hypnotic Dependence;459
12.6.4.2.6;Special Populations;460
12.6.4.2.7;Assessment;460
12.6.4.3;Interventions;460
12.6.4.3.1;Pharmacological;460
12.6.4.3.2;Psychological;461
12.6.4.3.3;Psychological and Pharmacological Approaches Combined;461
12.6.4.3.4;CBT-I and Hypnotic Reduction;461
12.6.4.4;Advanced Sleep Phase Disorder;462
12.6.4.4.1;Development;462
12.6.4.4.2;Major Theories;462
12.6.4.4.3;Assessment;463
12.6.4.4.4;Interventions;463
12.6.4.5;Sleep-Disordered Breathing;464
12.6.4.5.1;Development;464
12.6.4.5.2;Type—OSA Versus Central Sleep Apnea;464
12.6.4.5.3;Risk Factors;464
12.6.4.5.4;Assessment;464
12.6.4.5.5;Intervention;464
12.6.5;Expectancies Regarding Interventions and Outcomes in Older Adults;465
12.6.5.1;Evidence-Based Treatments;465
12.6.5.1.1;Does CBT-I Work for Older Adults?;465
12.6.5.1.2;Treatment for Comorbid Insomnia in Older Adults?;465
12.6.5.1.3;Treatment of Comorbid Apnea and Insomnia?;466
12.6.5.2;Caregiver Involvement and Treatment;466
12.6.5.2.1;Dementia Patients and Caregivers;466
12.6.6;Conclusions and Future Directions;467
12.6.7;References;468
12.7;23 Psychosocial Interventions for Older Adults with Dementia and Their Caregivers;472
12.7.1;Introduction;473
12.7.1.1;Person-Centered Interventions;474
12.7.1.1.1;Rationale and Theory;474
12.7.1.1.2;Studies;474
12.7.1.2;PA Interventions;474
12.7.1.2.1;Rationale and Theory;474
12.7.1.2.2;Studies;488
12.7.1.3;Caregiver Training Interventions;488
12.7.1.3.1;Rationale and Theory;488
12.7.1.3.2;Studies;488
12.7.1.4;Emotion-Focused Interventions;489
12.7.1.4.1;Rationale and Theory;489
12.7.1.4.2;Studies;489
12.7.1.5;Social Enhancement;489
12.7.1.5.1;Rationale and Theory;489
12.7.1.5.2;Studies;489
12.7.2;Translation and Implementation of Psychosocial Approaches;489
12.7.3;Discussion;491
12.7.4;References;493
12.8;24 The Psychology of Death and Dying in Later Life;500
12.8.1;Introduction;500
12.8.2;Part 1: Secular, Technological Influences on Understanding and Experiencing Death and Dying in Later Life;501
12.8.3;Part 2: Individual Expectations and Fears about Dying, Including Empirical, Data, Clinical Practices, and Proposed Policy C ...;502
12.8.3.1;Physical Symptoms;506
12.8.3.2;Psychological Symptoms;506
12.8.3.3;Economic Demands and Caregiver Needs;507
12.8.3.4;Social Relationships and Support;507
12.8.3.5;Spiritual/Existential Beliefs;507
12.8.3.6;Hopes and Expectations;507
12.8.4;Part 3: Bereavement, Grief, and Mourning in Contemporary Society;508
12.8.4.1;Some Introductory Material;508
12.8.5;Conclusion;512
12.8.6;References;512
13;Author Index;516
14;Subject Index;540