The many faces of health, competence and well-being in old age : integrating epidemiological, psychological, and social perspectives

The main aim of the book is to provide an interdisciplinary treatment of a set of key issues of current ageing research, i.e., health, competence, and well-being. These key issues are addressed based on three converging research streams: social-ecological research, which assumes that major processes and outcomes of ageing such as day-to-day competence are shaped by social and physical-spatial environments; geropsychology research, which is driven by a life-span developmental conception of ageing; and epidemiology, which offers most fundamental disease, function and prevention-related data. Each of the three major research directions are outlined by a short introduction, followed by three chapters treating in an empirical manner most recent key research questions. All chapters are then also discussed by renowned ageing experts. This volume links ageing research with policy considerations and implications and establishes a link between European research and the knowledge base of the international scientific community concerned with ageing. This book will be of great interest to scholars and graduate students in ageing research, in the social and behavioural field as well as in epidemiology, geriatrics, geropsychiatry, demography, and biogerontology. INTRODUCTION: THE PERSON–ENVIRONMENT PERSPECTIVE IN AGEING RESEARCH....Pages 3-6 THE ROLE OF THE HOME ENVIRONMENT IN MIDDLE AND LATE ADULTHOOD....Pages 7-24 COMMENTARY: A HOUSE IS NOT A HOME: BUT CAN IT BECOME ONE?....Pages 25-32 OUTDOOR MOBILITY IN LATE LIFE: PERSONS, ENVIRONMENTS AND SOCIETY....Pages 33-45 COMMENTARY: MOBILITY—A KEY TO UNDERSTANDING AND IMPROVING TRANSPORTATION SERVICES FOR SENIORS AND OTHERS....Pages 47-52 AGE-RELATED LOSS IN VISION: A CASE TO LEARN ABOUT AGEING IN CONTEXT....Pages 53-64 COMMENTARY: AGE-RELATED LOSS IN VISION: A CASE TO LEARN ABOUT AGING IN CONTEXT....Pages 65-70 INTRODUCTION: DEVELOPMENTAL PERSPECTIVES IN THE SECOND HALF OF LIFE....Pages 73-79 THE INFLUENCE OF MARITAL SUPPORT ON MARITAL SATISFACTION: ARE THERE AGE AND GENDER DIFFERENCES?....Pages 81-92 COMMENTARY: CHANGED GENDER ROLES AND THEIR IMPACT ON MARITAL SUPPORT AND SATISFACTION....Pages 93-98 STRESSFUL LIFE EVENTS, PROTECTIVE FACTORS AND DEPRESSIVE DISORDERS IN MIDDLE ADULTHOOD....Pages 99-113 COMMENTARY: STRESSFUL LIFE EVENTS AND DEPRESSIVE DISORDERS: THE PARADIGM SHIFT....Pages 115-118 PREDICTORS OF WELL-BEING IN VERY OLD AGE....Pages 119-129 COMMENTARY: WELL-BEING IN VERY OLD AGE: OLD AND NEW ISSUES....Pages 131-134 INTRODUCTION: EPIDEMIOLOGICAL PERSPECTIVES IN AGEING RESEARCH....Pages 137-138 CANCER AMONG OLDER ADULTS: INCIDENCE, PROGNOSIS AND NEW AVENUES OF PREVENTION....Pages 139-151 COMMENTARY: CANCER IN THE ELDERLY: PREVENTION AND BETTER CARE NEEDED....Pages 153-158 CARDIOVASCULAR DISEASES AMONG OLDER ADULTS: INCIDENCE, PROGNOSIS AND NEW AVENUES FOR PREVENTION....Pages 159-168 COMMENTARY: CARDIOVASCULAR DISEASES AMONG OLDER ADULTS: INCIDENCE, PROGNOSIS AND NEW AVENUES FOR PREVENTION....Pages 169-174 MEDICAL CARE FOR NURSING HOME RESIDENTS: NATIONAL PERSPECTIVES IN INTERNATIONAL CONTEXT....Pages 175-188 COMMENTARY: MEDICAL CARE FOR NURSING HOME RESIDENTS: NATIONAL PERSPECTIVES IN INTERNATIONAL CONTEXT....Pages 189-196 THE IMPACT OF INTERNAL AND EXTERNAL RESOURCES ON HEALTH, COMPETENCE AND WELL-BEING: LONGITUDINAL FINDINGS FROM THE ILSE....Pages 199-209 DETERMINANTS, PROGNOSTIC RELEVANCE AND DEVELOPMENT OF ANXIETY AND DEPRESSION IN PATIENTS WITH CORONARY HEART DISEASE: AN INTERDISCIPLINARY APPROACH WITHIN THE KAROLA STUDY....Pages 211-221 COMMENTARY: INTERDISCIPLINARY LONGITUDINAL STUDIES OF AGEING....Pages 223-230 AGEING EUROPE: CHALLENGES FOR POLICY AND RESEARCH....Pages 231-244 ON THE RELEVANCE OF AGEING RESEARCH FOR POLICY AND PRACTICE....Pages 245-254 Hans-Werner Wahl, Hermann Brenner, Heidrun Mollenkopf, Dietrich Rothenbacher and Christoph Rott Ageing research has been identi?ed as a prototypical ?eld of inquiry deserving the full exploitation of single discipline approaches and interdisciplinary synergies amongst these single perspectives. Although this is a generally accepted insight, there still is a strong need to provide models of how this global and most fundamental challenge can be dealt with. It seems in any case necessary to narrow down the wide scope of ageing research issues to sets of key constructs most promising in terms of interdisciplinary cross-fertilisation. Againstthis,themajoraimofthebookistoprovideacomprehensive treatment of one well-selected set of key issues of recent ageing research, i. e. health, competence and well-being. In addition, the book’s ambition is to identify priorities for future ageing research and to further new avenues for interdisciplinary approaches and social policy applications. The substance of the book is based on an international conference which took place on June 18 and 19, 2004 in Heidelberg, Germany. Framed within the array of health, competence and well-being perspectives in ageing research, the idea of the conf- ence was to provide an integrated presentation of ?ndings generated in the German Centre for Research on Ageing at the University of Heidelberg (Deutsches Zentrum f ̈ ur Alternsforschung, DZFA). The centre’s three departments, i. e. Provides an interdisciplinary treatment of a set of key issues of ageing research - health, competence and well-being. This book addresses these issues based on three converging research streams: social-ecological research, geropsychology research and epidemiology. It is useful for scholars and graduate students in ageing research.