Social Indicators Research

, Volume 119, Issue 1, pp 455–472 | Cite as

Assessing Adjustment to Aging: A Validation Study for the Adjustment to Aging Scale (AtAS)

  • Sofia von Humboldt
  • Isabel Leal
  • Filipa Pimenta
  • João Maroco
Article

Abstract

Adjustment to aging (AtA) is a multifactor adjustment process with implications on aging well among older adults. The aim of this study was to develop and validate a scale to assess the factors that older adults recognized as indicators of their AtA, with a cross-national comparative perspective towards aging well. Convenience sampling was used to gather questionnaire data, including demographics and the proposed scale. Complete data was available for 1,291 older community-dwelling adults, aged between 75 and 102 years (M = 83.9; SD = 6.68), who represented four different nationalities. Exploratory and confirmatory factor analyses were performed for dimension reduction and exploration of the factorial structure. Data gathered with the 22-items AtA five-factor scale showed overall good psychometric properties (in terms of distributional properties, statistical significant factor weights, factorial, convergent, discriminant criterion and external-related validities, as well as reliability). Five factors were selected for the Adjustment to Aging Scale: (a) sense of purpose and ambitions (b) zest and spirituality; (c) body and health; (d) aging in place and stability; and (e) social support. We present a 22-item scale with five factors for AtA estimation in a cross-national elderly population which produced valid and reliable data for elder persons from four different nationalities. Results showed that this scale is an adequate cross-cultural instrument for research, clinical practice and program development in the health care context. These may benefit from clearly understanding AtA as an important component for reducing health disparities and for aging well, across nationalities.

Keywords

Adjustment to aging Aging well Older adults Instrument Psychometric validation 

References

  1. Adams, R. G., & Blieszner, R. (1995). Aging well with friends and family. American Behavioral Scientist, 39, 209–224. doi:10.1177/0002764295039002008.CrossRefGoogle Scholar
  2. Al-Janabi, H. N., Flynn, T., & Coast, J. (2012). Development of a self-report measure of capability wellbeing for adults: The ICECAP-A. Quality of Life Research, 21(1), 167–176.CrossRefGoogle Scholar
  3. Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science and Medicine, 36(6), 725–733. doi:10.1016/0277-9536(93)90033-Z.CrossRefGoogle Scholar
  4. Atchley, R. (1999). Continuity and adaptation in aging: Creating positive experiences. Baltimore: Johns Hopkins University Press.Google Scholar
  5. Baltes, P. B., & Smith, J. (2003). New frontiers in the future of aging: From successful aging of the young old to the dilemmas of the fourth age. Gerontology, 49, 123–135. doi:10.1159/000067946.CrossRefGoogle Scholar
  6. Barak, B. (2009). Age identity: A cross-cultural global approach. International Journal of Behavioral Development, 33, 2–11. doi:10.1177/0165025408099485.CrossRefGoogle Scholar
  7. Bar-Tur, L., Levy-Shiff, R., & Burns, A. (1998). Well-being in aging: Mental engagements in elderly men as a moderator of losses. Journal Aging Studies, 12(1), 1–17. doi:10.1016/S0890-4065(98)90017-2.CrossRefGoogle Scholar
  8. Bauer, J. J., & McAdams, D. P. (2004). Growth goals, maturity, and well-being. Developmental Psychology, 40(1), 114–127. doi:10.1037/0012-1649.40.1.114.CrossRefGoogle Scholar
  9. Birren, J. E., & Schaie, K. W. (1996). Handbook of the psychology of aging. San Diego: Academic Press.Google Scholar
  10. Boult, C., Kane, R. L., Louis, T. A., Boult, L., & McCaffrey, D. (1994). Chronic conditions that lead to functional limitation in the elderly. Journal of Gerontology: Medical Sciences, 49, 28–36. doi:10.1093/geronj/49.1.M28.CrossRefGoogle Scholar
  11. Bowling, A. (2007). Aspirations for older age in the 21st century: What is successful aging?. International Journal of Aging and Human Development, 64, 263–297. doi:10.2190/L0K1-87W4-9R01-7127.CrossRefGoogle Scholar
  12. Bowling, A., & Dieppe, P. (2005). What is successful ageing and who should define it? British Medical Journal, 331(7531), 1548–1551. doi:10.1136/bmj.331. 7531.1548.CrossRefGoogle Scholar
  13. Brandtstädter, J., & Rothermund, K. (2003). Intentionality and time in human development and aging: Compensation and goal adjustment in changing developmental contexts. In U. M. Staudinger & U. Lindenberger (Eds.), Understanding human development: Dialogues with lifespan psychology (pp. 105–124). Dordrecht, Netherlands: Kluwer. doi:10.1007/978-1-4615-0357-6_6.CrossRefGoogle Scholar
  14. Brodsky, S. L. (1988). The psychology of adjustment and well-being. New York: Holt, Rinehart and Winston.Google Scholar
  15. Brozek, J. (1966). Symposium on adjustment to aging. Applied Psychology, 15, 22–29. doi:10.1111/j.1464-0597.1966.tb00581.x.CrossRefGoogle Scholar
  16. Byrne, B. M. (2001). Structural equation modelling with AMOS: Basic concepts, 280 applications and programming. London, England: LEA.Google Scholar
  17. Cavan, R. S., Burgess, E. W., Havighurst, R. J., & Goldhammer, H. (1949). Personal adjustment in old age. Chicago: Science Research Associates Inc.Google Scholar
  18. Cheng, S.-T., Li, K–. K., Leung, E. M. F., & Chan, A. C. M. (2011). Social exchanges and subjective well-being: Do sources of positive and negative exchanges matter? Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 66(6), 708–718. doi:10.1093/geronb/gbr061.CrossRefGoogle Scholar
  19. Cornwell, B. (2011). Independence through social networks: Bridging potential among older women and men. Series B: Psychological Sciences and Social Sciences, 66(6), 782–794. doi:10.1093/geronb/gbr111.Google Scholar
  20. Deeg, D. J. H. (2005). The development of physical and mental health from late midlife to early old age. Dementia and Geriatric Cognitive Disorders, 19, 316–323. doi:10.4135/9781452225999.n7.CrossRefGoogle Scholar
  21. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with lifescale. Journal of Personality Assessment, 49, 71–75. doi:10.1207/s15327752jpa4901_13.CrossRefGoogle Scholar
  22. Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302. doi:10.1037//0033-2909.125.2.276.CrossRefGoogle Scholar
  23. Eriksson, M., & Lindstrom, B. (2006). Antonovsky’s sense of coherence scale and the relation with health: a systematic review. Journal of Epidemiology and Community Health, 60, 376–381. doi:10.1136/jech.2005.041616.CrossRefGoogle Scholar
  24. Fernández-Ballesteros, R. (2010). Quality of life in old age: Problematic issues. Applied Research Quality Life, 6, 21–40. doi:10.1007/s11482-010-9110-x.CrossRefGoogle Scholar
  25. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle Scholar
  26. Foreman, M. D., Fletcher, K., Mion, L. C., & Simon, L. (1996). Assessing cognitive function. Geriatric Nursing, 17(5), 228–232. doi:10.1016/S0197-4572(96)80210-2.CrossRefGoogle Scholar
  27. Fornell, C., & Larcker, D. F. (1981). Evaluating SEM with Unobserved variables and measurement error. Journal of Marketing Research, 18, 39–50.CrossRefGoogle Scholar
  28. Freund, A. M., & Baltes, P. B. (1998). Selection, optimization, and compensation as strategies of life management: correlations with subjective indicators of successful aging. Psychology and Aging, 13(4), 531–543. doi:10.1037/0882-7974.13.4.531.CrossRefGoogle Scholar
  29. Gavrilov, L. A., & Heuveline, P. (2003). Aging of population. In P. Demeny & G. McNicoll (Eds.), The encyclopedia of population. New York: Macmillan Reference USA.Google Scholar
  30. Havighurst, R. J., & Albrecht, R. (1953). Older people. Nova York: Longmans.Google Scholar
  31. Heckhausen, J., & Krüger, J. (1993). Developmental expectations for the self and most other people: Age grading in three functions of social comparison. Developmental Psychology, 25, 539–548. doi:10.1037/0012-1649.29.3.539.CrossRefGoogle Scholar
  32. Hybels, C., Blazer, D., George, L., & Koenig, H. (2012). The complex association between religious activities and functional limitations in older adults. The Gerontologist, 52(5), 676–685. doi:10.1093/geront/gnr156.CrossRefGoogle Scholar
  33. Instituto Nacional de Estatística. (2011). População estrangeira em Portugal. Destaque: Informação à comunicação social. [Foreign population in Portugal. Healdline: Information for social communication], INE: Lisboa.Google Scholar
  34. Jopp, D., & Rott, C. (2006). Adaptation in very old age: Exploring the role of resources, beliefs, and attitudes for centenarians’ happiness. Psychology and Aging, 21(2), 266–280. doi:10.1037/0882-7974.21.2.266.CrossRefGoogle Scholar
  35. Kesebir, P., & Diener, E. (2010). In pursuit of happiness: Empirical answers to philosophical questions. Perspectives on Psychological Science, 3, 117–125. doi:10.1111/j.1758-0854.2012.01066.x.CrossRefGoogle Scholar
  36. Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82(6), 1007–1022.CrossRefGoogle Scholar
  37. Kinsella, K. G., & Velkoff, V. A. (2001). An aging world. U.S. Census Bureau, Series P95/01-1, U.S. Government Printing Office: Washington, DC.Google Scholar
  38. Kleinspehn-Ammerlahn, A., Kotter-Grühn, D., & Smith, J. (2008). Self-perceptions of aging: Do subjective age and satisfaction with aging change during old age? Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 63B(6), 377–385. doi:10.1037/a0016510.CrossRefGoogle Scholar
  39. Kozma, A., Stones, M. J., & McNeil, J. K. (1991). Psychological well-being in later life. Markham: Butterworths.Google Scholar
  40. Krause, N., & Rook, K. S. (2003). Negative interaction in later life: Issues in the stability and generalizability of conflict across relationships. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, 88–99.CrossRefGoogle Scholar
  41. Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28, 563–575. doi:10.1111/j.1744-6570.1975.tb01393.x.CrossRefGoogle Scholar
  42. Löckenhoff, C. E., De Fruyt, F., Terracciano, A., McCrae, R. R., De Bolle, M., Costa, P. T, Jr, et al. (2009). Perceptions of aging across 26 cultures and their culture-level associates. Psychology and Aging, 24(4), 941–954. doi:10.1037/a0016901.CrossRefGoogle Scholar
  43. Lohman, N. (1977). Correlations of life satisfaction, morale, and adjustment measures. Journal of Gerontology, 32, 73–75. doi:10.1093/geront/23.3.261.CrossRefGoogle Scholar
  44. Low, G., & Molzahn, A. E. (2007). Predictors of quality of life in old age: A cross-validation study. Research in Nursing & Health, 30(2), 141–150. doi:10.1002/nur.20178.CrossRefGoogle Scholar
  45. MacKinlay, E. (2001). The spiritual dimension of caring: Applying a model for spiritual tasks of ageing. Journal of Religious Gerontology, 12(3/4), 151–166. doi:10.1300/J078v12n03_12.Google Scholar
  46. Maddox, G. L., & Clark, D. O. (1992). Trajectories of functional impairment in later life. Journal of Health and Social Behavior, 33, 114–125. doi:10.2307/2137250.CrossRefGoogle Scholar
  47. Malette, J., & Oliver, L. (2006). Retirement and existential meaning in the older adult: A qualitative study using life review. Counselling, Psychotherapy, and Health, 2(1), 30–49.Google Scholar
  48. Manton, K. G., Stallard, E., & Corder, L. (1995). Changes in morbidity and chronic disability in the U.S. elderly population: Evidence from the 1982, 1984, and 1989 National Long Term Care Surveys. Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 50B, 194–204. doi:10.1093/geronb/50B.4.S194.CrossRefGoogle Scholar
  49. Maroco, J. (2010). Análise de equações estruturais [Structural equations analysis]. Pero Pinheiro: Report Number.Google Scholar
  50. Mowat, H. (2004). Successful ageing and the spiritual journey. In A. Jewel (Ed.), Ageing, spirituality and well-being (pp. 42–57). London: Jessica Kingsley.Google Scholar
  51. Nagi, S. Z. (1976). An epidemiology of disability among adults in the United States. Milbank Quarterly, 54, 439–467. doi:10.2307/3349677.CrossRefGoogle Scholar
  52. Oerlemans, W. G. M., Bakker, A. B., & Veenhoven, R. (2011). Finding the key to happy aging: A day reconstruction study of happiness. Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 66B(6), 665–674. doi:10.1093/geronb/gbr040.CrossRefGoogle Scholar
  53. Pavot, W., & Diener, E. (2004). The subjective evaluation of well-being in adulthood: Findings and implications. Ageing International, 29(2), 113–135. doi:10.1007/s12126-004-1013-4.CrossRefGoogle Scholar
  54. Reichstadt, J., Sengupta, G., Depp, C. A., Palinkas, L. A., & Jeste, D. V. (2010). Older adults’ perspectives on successful aging: Qualitative interviews. American Journal of Geriatric Psychiatry, 18(7), 567–575.CrossRefGoogle Scholar
  55. Ryff, C. (1982). Successful aging: A developmental approach. The Gerontologist, 22(2), 209–214. doi:10.1093/geront/22.2.209.CrossRefGoogle Scholar
  56. Ryff, C. D. (1989). Beyond Ponce de Leon and life satisfaction: New directions in quest of successful aging. International Journal of Behavioral Development, 12, 35–55. doi:10.1177/016502548901200102.CrossRefGoogle Scholar
  57. Schafer, M. H., & Shippee, T. P. (2010). Age identity, gender, and perceptions of decline: Does feeling older leads to pessimistic dispositions about cognitive aging? Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 65B(1), 91–96. doi:10.1093/geronb/gbp046.CrossRefGoogle Scholar
  58. Silverstein, M., & Parker, M. G. (2002). Leisure activities and quality of life among the oldest old in Sweden. Research on Aging, 24(5), 528–547. doi:10.1177/0164027502245003.CrossRefGoogle Scholar
  59. Slangen-Dekort, Y. A. W., Midden, J. B. C., Aarts, B., & Wagenberg, F. V. (2001). Determinants of adaptive behavior among older persons: Self-efficacy, importance, and personal disposition as directive mechanisms. International Journal of Aging and Human Development, 53(4), 253–274.CrossRefGoogle Scholar
  60. Smith, J., Borchelt, M., Maier, H., & Jopp, D. (2002). Health and well-being in the young old and oldest old. Journal of Social Issues, 58(4), 715–732. doi:10.1111/1540-4560.00286.CrossRefGoogle Scholar
  61. Sneed, J. R., & Whitbourne, S. K. (2005). Models of the aging self. Journal of Social Issues, 61, 375–388. doi:10.1111/j.1540-4560.2005.00411.x.CrossRefGoogle Scholar
  62. Sperlinger, D., Clare, L., Bradbury, N., & Culverwell, A. (2004). Measuring psychosocial treatment outcomes with older people. Leicester: The British Psychological Society.Google Scholar
  63. Staudinger, U. M., & Kunzmann, U. (2005). Positive adult personality development: Adjustment and/or growth? European Psychologist, 10(4), 320–329. doi:10.1027/1016-9040.10.4.320.CrossRefGoogle Scholar
  64. Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1996). Successful aging: Predictors and associated activities. American Journal of Epidemiology, 144(2), 135–141. doi:10.1093/oxfordjournals.aje.a008900.CrossRefGoogle Scholar
  65. Thomae, T. (1992). Contributions of longitudinal research to a cognitive theory of adjustment to aging. European Journal of Personality, 6(2), 157–175. doi:10.1002/per.2410060207.CrossRefGoogle Scholar
  66. Torres, S. (2003). A preliminary empirical test of a culturally-relevant theoretical framework for the study of successful aging. Journal of Cross-Cultural Gerontology, 18(1), 79–100.CrossRefGoogle Scholar
  67. United Nations. (2007). World population aging 2007. Department of Economic and Social Affairs: Population Division.Google Scholar
  68. von Humboldt, S., Leal, I., Pimenta, F., & Niculescu, G. (2012). Beyond age and adjustment: A cross-national qualitative study of older adults’ perceptions. Canadian Social Science, 8(5), 139–147. doi:http://connection.ebscohost.com/c/articles/83867629/beyond-age-adjustment-cross-national-qualitative-study-older-adults-perceptions. 0805.5541.Google Scholar
  69. Wahrendorf, M., & Siegrist, J. (2010). Are changes in productive activities of older people associated with changes in their well-being? Results of a longitudinal European study. European Journal of Ageing, 7(2), 59–68. doi:10.1007/s10433-010-0154-4.CrossRefGoogle Scholar
  70. Ward, R. A. (2010). How old am I? Perceived age in middle and later life. International Journal Aging Human Development, 71(3), 167–184. doi:10.2190/AG.71.3.a.CrossRefGoogle Scholar
  71. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. doi:10.1037/0022-3514.54.6.1063.CrossRefGoogle Scholar
  72. Williamson, G. (2005). Aging well: Outlook for the 21st century. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 676–686). New York, NY: Oxford University Press.Google Scholar
  73. Wolinsky, F. D., Stump, T. E., Callahan, C. M., & Johnson, R. J. (1996). Consistency and change in functional status among older adults over time. Journal of Aging and Health, 8, 155–182. doi:10.1177/089826439600800201.CrossRefGoogle Scholar
  74. Wrosch, C., Dunne, E., Scheier, M. F., & Schulz, R. (2006). Self-regulation of common age-related challenges: Benefits for older adults’ psychological and physical health. Journal of Behavioral Medicine, 29, 299–306. doi:10.1007/s10865-006-9051-x.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Sofia von Humboldt
    • 1
  • Isabel Leal
    • 1
  • Filipa Pimenta
    • 1
  • João Maroco
    • 1
  1. 1.Research Unit in Psychology and Health, R&DISPA, Instituto UniversitárioLisbonPortugal

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