Abstract
Rowe and Kahn proposed a model of successful aging, tapping several characteristics of the aging process. However, Rowe and Kahn’s model of successful aging has recently been criticized for not incorporating spirituality in the model. Additionally, life satisfaction has long been recognized as a marker of aging well. Taking life satisfaction as a key outcome of successful aging, the aim of this study is to test for the predictive power of spirituality dimensions on life satisfaction, while controlling for the components of successful aging. Data came from a cross-sectional survey design of 224 community-dwelling Spanish elderly. Structural models with two different measures of spirituality were estimated, and the results fully supported the key role of spirituality for a successful aging. The models predicted life satisfaction with several indicators of Rowe and Kahn’s model and spirituality dimensions. Overall, life satisfaction of the elderly was strongly related to the indicators, and spirituality strongly aided to the prediction of life satisfaction. Results of this research agree with recent literature, as spirituality seemed to be a key element when picturing successful aging, and thus, it should be taken into account in future studies addressing this topic.
Similar content being viewed by others
References
Barreto, P., Fombuena, M., Diego, R., Galiana, L., Oliver, A., & Benito, E. (2015). Bienestar emocional y espiritualidad al final de la vida. Medicina Paliativa, 22, 25–32.
Benito, E., Oliver, A., Galiana, L., Barreto, P., Pascual, A., Gomis, C., & Barbero, J. (2014). Development and validation of a new tool for the assessment and spiritual care of palliative care patients. Journal of Pain and Symptom Management, 47(1008–1018), e1.
Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107, 238–246.
Bentler, P. M. (2005). EQS structural equations program manual. California: Multivariate Software Inc.
Berg, A. I., Hassing, L. B., Johansson, B., & McClearn, G. (2006). What matters for life satisfaction in the oldest-old? Aging and Mental Health, 10, 257–264.
Berg, C. A., Smith, T. W., Henry, N. J. M., & Pearce, G. E. (2007). A developmental approach to psychosocial risk factors and successful aging. In C. M. Aldwin, C. L. Park, & A. Spiro (Eds.), Handbook of health psychology and aging (pp. 30–53). New York: The Guilford Press.
Borg, C., Hallberg, I. R., & Blomqvist, K. (2006). Life 580 satisfaction among older people (65þ) with reduced self-care capacity: The relationship to social, health and financial aspects. Journal of Clinical Nursing, 15, 607–618.
Bowling, A., & Browne, P. D. (1991). Social networks, health, and emotional well-being among the oldest old in London. Journal of Gerontology: Social Sciences, 46, S20–S32.
Bowling, A., & Dieppe, P. (2005). What is successful ageing and who should define it? British Medical Journal, 331, 24–31.
Brady, M. J., Peterman, A. H., Fitchett, G., & Cella, D. (1999). The expanded version of the functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp-Ex): Initial report of psychometric properties. Annals of Behavioral Medicine, 21, 129.
Brown, P. H., & Tierney, B. (2009). Religion and subjective well-being among the elderly in China. The Journal of Socio-Economics, 38, 310–319.
Browne, M. W., & Cudeck, R. (1989). Single sample cross-validation indices for covariance structures. Multivariate Behavioral Research, 24, 445–455.
Byrne, B. M. (1998). Structural equation modeling with LISREL, PRELIS, and SIMPLIS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum Associates Inc.
Canada, A. L., Murphy, P. E., Fitchett, G., Peterman, A. H., & Schover, L. R. (2008). A 3-factor model for the FACIT-Sp. Psychooncology, 17(9), 908–916.
Cheng, S. (2013). Defining successful aging: The need to distinguish pathways from outcomes. International Psychogeriatrics,. doi:10.1017/S1041610213001713.
Ciarrocchi, J. W., Dy-Liacco, G. S., & Deneke, E. (2008). Gods or rituals? Relational faith, spiritual discontent, and religious practices as predictors of hope and optimism. The Journal of Positive Psychology, 3, 120–136.
Cowlishaw, S., Niele, S., Teshuva, K., Browning, C., & Kendig, H. (2013). Older adults’ spirituality and life satisfaction: A longitudinal test of social support and sense of coherence as mediating mechanisms. Ageing and Society, 33, 1243–1262.
Crowther, M. R., Parker, M. W., Achenbaum, W. A., Larimore, W. L., & Koenig, H. G. (2002). Rowe and Kahn’s model of successful aging revisited: Positive spirituality-the forgotten factor. The Gerontologist, 42, 613–620.
Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination theory. Psychological Inquiry, 11, 227–268.
Depp, C., Vahia, I. V., & Jeste, D. (2010). Successful aging: Focus on cognitive and emotional health. Annual Review of Clinical Psychology, 6, 527–550.
Diener, E., & Emmons, R. A. (1984). The independence of positive and negative affect. Journal of Personality and Social Psychology, 47, 1105–1117.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.
Emmons, R. A., & Paloutzian, R. F. (2003). The psychology of religion. Annual Review of Psychology, 54, 377–402.
Fernández-Ballesteros, R., Zamarrón, M. D., & Ruíz, M. A. (2001). The contribution of socio-demographic and psychosocial factors to life satisfaction. Aging and Society, 21, 25–43.
Finney, S. J., & Di Stefano, C. (2006). Non-normal and categorical data in SEM. In G. R. Hancock & R. O. Mueller (Eds.), Structural equation modelling: A second course (pp. 269–314). Greenwich, CO: Information Age Publishing.
Friedman, H. S., & Kern, M. L. (2014). Personality, well-being, and health. Annual Review of Psychology, 65, 19–42.
Galiana, L., Oliver, A., Gomis, C., Barbero, J., & Benito, E. (2014). Cuestionarios de evaluación e intervención espiritual en cuidados paliativos: Una revisión crítica. Medicina Paliativa, 21, 62–74.
Gow, A. J., Pattie, A., Whiteman, M. C., Whalley, L. J., & Deary, I. J. (2007). Social support and successful aging. Investigating the relationships between lifetime cognitive change and life satisfaction. Journal of Individual Differences, 28, 103–115.
Gutiérrez, M., Tomás, J. M., Galiana, L., Sancho, P., & Cebrià, M. A. (2013). Predicting life satisfaction of the Angolan elderly: A structural model. Aging and Mental Health, 17, 94–101.
Havighurst, R. J. (1961). Successful aging. The Gerontologist, 1, 8–13. doi:10.1093/geront/1.1.8.
Havighurst, R. J. (1963). Successful aging. In R. H. Williams, C. Tibbits, & W. Donahue (Eds.), Processes of aging (pp. 299–320). New York: Atherton Press.
Hilton, J. M., Gonzalez, C. A., Saleh, M., Maitoza, R., & Anngela-Cole, L. (2012). Perceptions of successful aging among older Latinos, in cross-cultural context. Journal of Cross Cultural Gerontology, 27, 183–199.
Hoyle, R. H., & Panter, A. T. (1995). Writing about structural equation models. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues and applications (pp. 159–176). Thousand Oaks, CA: Sage.
Hu, L., & Bentler, P. M. (1999). Cut-off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.
Iwamasa, G. Y., & Iwasaki, M. (2011). A new multidimensional model of successful aging: Perceptions of Japanese American older adults. Journal of Cross-Cultural Gerontology, 26, 261–278. doi:10.1007/s10823-011-9147-9.
Kirby, S. E., Coleman, P. G., & Daley, D. (2004). Spirituality and well-being in frai and nonfrail older adults. Journals of Gerontology: Psychological Sciences, 59B, 123–129.
Kline, R. B. (1998). Principles and practice of structural equation modelling. New York: Guilford.
Koenig, H. G., McCullough, M., & Larson, D. B. (2000). Handbook of religion and health. New York: Oxford University Press.
Krause, N. (1993). Measuring religiosity in later life. Research on Aging, 15, 170–197.
Krause, N. (2004). Common facets of religion, unique facets of religion, and life satisfaction among older African Americans. Journal of Gerontology: Social Sciences, 59B, S109–S117.
Kunzmann, U., Little, T. D., & Smith, J. (2000). Is age- related stability of subjective well-being a paradox? Cross-sectional and longitudinal evidence from the Berlin aging study. Psychology and Aging, 15, 511–526.
Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.
Lewis, J. P. (2013). The importance of optimism in maintaining healthy aging in rural Alaska. Qualitative Health Research, 23(11), 1521–1527.
Liang, J., & Luo, B. (2012). Towards a discourse shift in social gerontology: From successful aging to harmonious aging. Journal of Aging Studies, 26, 327–334.
MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 11, 19–35.
Meléndez, J. C., Tomás, J. M., Oliver, A., & Navarro, E. (2009). Psychological and physical dimensions explaining life satisfaction among the elderly: A structural model examination. Archives of Gerontology and Geriatrics, 48, 291–295.
Moody, H. R., & Sasser, J. R. (2012). Aging: Concepts and controversies. Thousand Oaks, CA: Pine Forge Press.
Okabayashi, H., Liang, J., Krause, N., Akiyama, H., & Sugisawa, H. (2004). Mental health among older adults in Japan: Do sources of social support and negative interaction make a difference? Social Science and Medicine, 59, 2259–2270.
Park, C. L. (2007). Religious and spiritual issues in health and aging. In C. M. Aldwin, C. L. Park, & A. Spiro III (Eds.), Handbook of health psychology and aging (pp. 313–337). New York: The Guildford Press.
Park, N., & Peterson, C. (2009). Achieving and sustaining a good life. Perspectives on Psychological Science, 4, 422–428.
Peterman, A. H., Fitchett, G., Brady, M., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.
Phelan, E. A., Anderson, L. A., LaCroix, A. Z., & Larson, E. B. (2004). Older adults’ views of “successful aging”—how do they compare with researchers’ definitions? Journal of the American Geriatrics Society, 52, 211–216. doi:10.1111/j.1532-5415.2004.52056.x.
Pinquart, M., & Sörensen, S. (2001). Gender differences in self-concept and psychological well-being in old age: A meta-analysis. Journal of Gerontology: Psychological Sciences, 56B, 195–213. doi:10.1093/geronb/56.4.P195.
Pittman, T. S., & Zeigler, K. R. (2008). Basic human needs. In A. W. Kruglanski & E. T. Higgins (Eds.), Social psychology: Handbook of basic principles (pp. 473–489). New York: Guildford Press.
Rowe, J. W., & Kahn, R. L. (1998). Successful aging. New York: Pantheon Books.
Shin, D. C., & Johnson, D. M. (1978). A vowed happiness as an overall assessment of the quality of life. Social Indicators Research, 5, 475–492.
Steger, M. F. (2012). Experiencing meaning in life: Optimal functioning at the nexus of spirituality, psychopathology, and well-being. In P. T. P. Wong (Ed.), The human quest for meaning (pp. 165–184). New York: Routledge.
Steiger, J. H., & Lind, C. (1980). Statistically based tests for the number of common factors. Iowa City, IA: Paper presented at the annual meeting of the Psychometric Society.
Tanaka, J. S. (1993). Multifaceted conceptions of fit in structural equation models. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 10–39). Newbury Park, CA: Sage.
Theurer, K., & Wister, A. (2010). Altruistic behavior and social capital as predictors of well-being among older Canadians. Ageing and Society, 30, 157–181.
Ullman, J. B. (1996). Structural equation modeling. In B. Tabachnick & L. Fidell (Eds.), Using multivariate statistics (3rd ed., pp. 709–812). New York: Harper Collins.
van Dierendonck, D. (2012). Spirituality as an essential determinant for the good life, its importance relative to self-determinant psychological needs. Journal of Happiness Studies, 13, 685–700.
van Dierendonck, D., & Mohan, K. (2006). Some thoughts on spirituality and eudaemonic well-being. Mental Health, Religion and Culture, 9, 227–238.
von Faber, M. A., van der Wiel, A. B., van Exel, E., Gussekloo, J., Lagaay, A. M., van Dongen, E., et al. (2001). Successful aging in the oldest old: Who can be characterized as successfully aged? Archives of Internal Medicine, 161, 2694–2700.
WHOQOL SRPB Group. (2006). A cross-cultural study of spirituality, religion and personal beliefs as components of quality of life. Social Science and Medicine, 62, 1486–1497.
Young, Y., Frick, K. D., & Phelan, E. A. (2009). Can successful aging and chronic illness coexist in the same individual? A multidimensional definition of successful aging. Journal of the American Medical Directors Association, 10, 87–92.
Acknowledgments
Laura Galiana is beneficiary of a VLC/CAMPUS grant, subprogram Atracció de Talent (University of Valencia).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tomás, J.M., Sancho, P., Galiana, L. et al. A Double Test on the Importance of Spirituality, the “Forgotten Factor”, in Successful Aging. Soc Indic Res 127, 1377–1389 (2016). https://doi.org/10.1007/s11205-015-1014-6
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11205-015-1014-6