Jarred Gallegos, Julie Lutz, Emma Katz, and Barry Edelstein
The assessment of older adults is quite challenging in light of the many age-related physiological and metabolic changes, increased number of chronic diseases with potential psychiatric manifestations, the associated medications and their side effects, and the age-related changes in the presentation of common mental health problems and disorders. A biopsychosocial approach to assessment is particularly important for older adults due to the substantial interplay of biological, psychological, and social factors that collectively produce the clinical presentation faced by clinicians. An appreciation of age-related and non-normative changes in cognitive skills and sensory processes is particularly important both for planning the assessment process and the interpretation of findings. The assessment of older adults is unfortunately plagued by a paucity of age-appropriate assessment instruments, as most instruments have been developed with young adults. This paucity of age-appropriate assessment instruments is an impediment to reliable and valid assessment. Notwithstanding that caveat, comprehensive and valid assessment of older adults can be accomplished through an understanding of the interaction of age-related factors that influence the experience and presentation of psychiatric disorders, and an appreciation of the strengths and weaknesses of the assessment instruments that are used to achieve valid and reliable assessments.
Nicole D. Anderson
Healthy aging is accompanied by decrements in episodic memory and working memory. Significant efforts have therefore been made to augment episodic and working memory in healthy older adults. Two principal approaches toward memory rehabilitation adults are restorative approaches and compensatory approaches. Restorative approaches aim to repair the affected memory processes by repeated, adaptive practice (i.e., the trained task becomes more difficult as participants improve), and have focused on recollection training, associative memory training, object-location memory training, and working memory training. The majority of these restorative approaches have been proved to be efficacious, that is, participants improve on the trained task, and there is considerable evidence for maintenance of training effects weeks or months after the intervention is discontinued. Transfer of restorative training approaches has been more elusive and appears limited to other tasks relying on the same domains or processes. Compensatory approaches to memory strive to bypass the impairment by teaching people mnemonic and lifestyle strategies to bolster memory performance. Specific mnemonic strategy training approaches as well as multimodal compensatory approaches that combine strategy training with counseling about other factors that affect memory (e.g., memory self-efficacy, relaxation, exercise, and cognitive and social engagement) have demonstrated that older adults can learn new mnemonics and implement them to the benefit of memory performance, and can adjust their views and expectations about their memory to better cope with the changes that occur during healthy aging. Future work should focus on identifying the personal characteristics that predict who will benefit from training and on developing objective measures of the impact of memory rehabilitation on older adults’ everyday functioning.
Michaela Riediger and Antje Rauers
Experience-sampling methodology (ESM) captures everyday events and experiences during, or shortly after, their natural occurrence in people’s daily lives. It is typically implemented with mobile devices that participants carry with them as they pursue their everyday routines, and that signal participants multiple times a day throughout several days or weeks to report on their momentary experiences and situation. ESM provides insights into short-term within-person variations and daily-life contexts of experiences, which are essential aspects of human functioning and development. ESM also can ameliorate some of the challenges in lifespan-developmental methodology, in particular those imposed by age-comparative designs. Compared to retrospective or global self-reports, for example, ESM can reduce potential non-equivalence of measures caused by age differences in the susceptibility to retrospective memory biases. Furthermore, ESM maximizes ecological validity compared to studies conducted in artificial laboratory contexts, which is a key concern when different age groups may differentially respond to unfamiliar situations. Despite these strengths, ESM also bears significant challenges related to potential sample selectivity and selective sample attrition, participants’ compliance and diligence, measurement reactivity, and missing responses. In age-comparative research, these challenges may be aggravated if their prevalence varies depending on participants’ age. Applications of ESM in lifespan methodology therefore require carefully addressing each of these challenges when planning, conducting, and analyzing a study, and this article provides practical guidelines for doing so. When adequately applied, experience sampling is a powerful tool in lifespan-developmental methodology, particularly when implemented in long-term longitudinal and cross-sequential designs.
Oscar Gonzalez and David P. MacKinnon
Lifespan developmental research studies how individuals change throughout their lifetime and how intraindividual or interindividual change leads to future outcomes. Lifespan researchers are interested in how developmental processes unfold and how specific developmental pathways lead to an outcome. Developmental processes have been previously studied using developmental cascade models, concepts of equifinality and multifinality, and developmental interventions. Statistical mediation analysis also provides a framework for studying developmental processes and developmental pathways by identifying intermediate variables, known as mediators, that transmit the effect between early exposures and future outcomes. The role of statistical mediation in lifespan developmental research is either to explain how the developmental process unfolds, or to identify mediators that researchers can target in interventions so that individuals change developmental pathways. The statistical mediation model is inherently causal, so the relations between the exposures, mediators, and outcomes have to be correctly specified, and ruling out alternative explanations for the relations is of upmost importance.
The statistical mediation model can be extended to deal with longitudinal data. For example, the autoregressive mediation model can represent change through time by examining lagged relations in multiwave datasets. On the other hand, the multilevel mediation model can deal with the clustering of repeated measures within individuals to study intraindividual and interindividual change. Finally, the latent growth curve mediation model can represent the variability of linear and nonlinear trajectories for individuals in the variables in the mediation model through time. As a result, developmental researchers have access to a range of models that could describe the theory of change they want to study. Researchers are encouraged to consider mechanisms of change and to formulate mediation hypotheses about lifespan development.
Joseph E. Gaugler, Colleen M. Peterson, Lauren L. Mitchell, Jessica Finlay, and Eric Jutkowitz
Mixed methods research consists of collecting and analyzing qualitative and quantitative data within a singular study. The “methods” of mixed methods research vary, but the ultimate goal is to provide greater understanding and explanation via the integration of qualitative and quantitative data. Mixed methods studies have the potential to advance our understanding of complex phenomena over time in adult development and aging (e.g., depression following the death of a spouse), but the utility of this approach depends on its application. The authors systematically searched the literature (CINHAL, Embase, Ovid/Medline, PubMed, PsychInfo, and ProQuest) to identify longitudinal mixed methods studies focused on aging. They identified 6,351 articles published between 1994 and 2017, of which 174 met the inclusion criteria. The majority of mixed methods studies reported on the evaluation of interventions or educational programs. Non-interventional studies tended to report on experiences related to the progression of various health conditions, the needs and experiences of caregivers, and the lived experiences of older adults. About half (n = 81) of the mixed methods studies followed a sequential explanatory design where a qualitative component followed quantitative evaluation, and most of these studies achieved “integration” by comparing qualitative and quantitative data in Results sections. There was considerable heterogeneity across studies in terms of overall design (randomized trials, program evaluations, cohort studies, and case studies). As a whole, the literature suffered from key limitations, including a lack of reporting on sample selection methodology and mixed methods design characteristics. To maximize the value of mixed methods in adult development in aging research, investigators should conform to recommended guidelines (e.g., depict participant study flow and use recommended notation) and consider more sophisticated mixed methods applications to advance the state of the art.
Stephanie J. Wilson, Alex Woody, and Janice K. Kiecolt-Glaser
Inflammatory markers provide invaluable tools for studying health and disease across the lifespan. Inflammation is central to the immune system’s response to infection and wounding; it also can increase in response to psychosocial stress. In addition, depression and physical symptoms such as pain and poor sleep can promote inflammation and, because these factors fuel each other, all contribute synergistically to rising inflammation. With increasing age, persistent exposure to pathogens and stress can induce a chronic proinflammatory state, a process known as inflamm-aging.
Inflammation’s relevance spans the life course, from childhood to adulthood to death. Infection-related inflammation and stress in childhood, and even maternal stress during pregnancy, may presage heightened inflammation and poor health in adulthood. In turn, chronically heightened inflammation in adulthood can foreshadow frailty, functional decline, and the onset of inflammatory diseases in older age.
The most commonly measured inflammatory markers include C-reactive protein (CRP) and proinflammatory cytokines interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α). These biomarkers are typically measured in serum or plasma through blood draw, which capture current circulating levels of inflammation. Dried blood spots offer a newer, sometimes less expensive collection method but can capture only a limited subset of markers. Due to its notable confounds, salivary sampling cannot be recommended.
Inflammatory markers can be added to a wide range of lifespan developmental designs. Incorporating even a single inflammatory assessment to an existing longitudinal study can allow researchers to examine how developmental profiles and inflammatory status are linked, but repeated assessments must be used to draw conclusions about the associations’ temporal order and developmental changes. Although the various inflammatory indices can fluctuate from day to day, ecological momentary assessment and longitudinal burst studies have not yet incorporated daily inflammation measurement; this represents a promising avenue for future research.
In conclusion, mounting evidence suggests that inflammation affects health and disease across the lifespan and can help to capture how stress “gets under the skin.” Incorporating inflammatory biomarkers into developmental studies stands to enhance our understanding of both inflammation and lifespan development.
Shevaun D. Neupert and Jennifer A. Bellingtier
Daily diary designs allow researchers to examine processes that change together on a daily basis, often in a naturalistic setting. By studying within-person covariation between daily processes, one can more precisely establish the short-term effects and temporal ordering of concrete daily experiences. Additionally, the daily diary design reduces retrospective recall bias because participants are asked to recall events that occurred over the previous 24-hour period as opposed to a week or even a year. Therefore, a more accurate picture of individuals’ daily lives can be captured with this design. When conclusions are drawn between people about the relationship between the predictors and outcomes, the covariation that occurs within people through time is lost. In a within-person design, conclusions can be made about the simultaneous effects of within-person covariation as well as between-person differences. This is especially important when many interindividual differences (e.g., traits) may exist in within-person relationships (e.g., states).
Daily diary research can take many forms. Diary research can be conducted with printed paper questionnaires, divided into daily booklets where participants mail back each daily booklet at the end of the day or entire study period. Previous studies have called participants on the telephone to respond to interview questions each day for a series of consecutive days, allowing for quantitative as well as qualitative data collection. Online surveys that can be completed on a computer or mobile device allow the researcher to know the specific day and time that the survey was completed while minimizing direct involvement with the collection of each daily survey. There are many opportunities for lifespan developmental researchers to adopt daily diary designs across a variety of implementation platforms to address questions of important daily processes. The benefits and drawbacks of each method along with suggestions for future work are discussed, noting issues of particular importance for aging and lifespan development.
Gershon Tenenbaum and Edson Filho
Trustworthy measurement is essential to make inferences about people and events, as well as to make scientific inquiries and comprehend human behaviors. Measurement is used for validating and building theories, substantiating research endeavors, contributing to science, and supporting a variety of applications. Sport and exercise psychology is a theoretical and practical domain derived from two domains: psychology and kinesiology. As such, the measurement methods used by scientists and practitioners relate to the acquisition of motor skills (i.e., genetics and environment-deliberate practice), physiological measures (e.g., heart rate pulse, heart rate variability, breathing amplitude and frequency, galvanic skin response, and electrocardiogram), and psychological measures including introspective instruments in the form of questionnaires, interviews, and observations.
Sport and exercise psychology entails the measurement of motor performance (e.g., time-trials, one repetition maximum tests), cognitive development (e.g., knowledge base and structure, deliberate practice, perception-cognition, attention, memory), social aspects (e.g., team dynamics, cohesion, leadership, shared mental models, coach-performer interaction), the self (e.g., self-esteem, self-concept, physical self), affective and emotional states (e.g., mood, burnout), and psychological skills (e.g. imagery, goal-setting, relaxation, emotion regulation, stress management, self-talk, relaxation, and pre-performance routine). Sport and exercise psychologists are also interested in measuring the affective domain (e.g., quality of life, affect/emotions, perceived effort), psychopathological states (e.g., anxiety, depression), cognitive domain (e.g., executive functioning, information processing, decision making, attention, academic achievements, cognition and aging), social-cognitive concepts (e.g., self-efficacy, self-control, motivation), and biochemical markers of human functioning (e.g., genetic factors, hormonal changes). The emergence of neuroscientific methods have ushered in new methodological tools (e.g., electroencephalogram; fMRI) to assess central markers (brain systems) linked to performance, learning, and well-being in sport and exercise settings. Altogether, the measures in the sport and exercise domain are used to establish linkages among the emotional, cognitive, and motor systems.
Katy W. Martin-Fernandez and Yossef S. Ben-Porath
Attempts at informal personality assessment can be traced back to our distant ancestors. As the field of Clinical Psychology emerged and developed over time, efforts were made to create reliable and valid measures of personality and psychopathology that could be used in a variety of contexts. There are many assessment instruments available for clinicians to use, with most utilizing either a projective or self-report format. Individual assessment instruments have specific administration, scoring, and interpretive guidelines to aid clinicians in making accurate decisions based on a test taker’s answers. These measures are continuously adapted to reflect the current conceptualization of personality and psychopathology and the latest technology. Additionally, measures are adapted and validated to be used in a variety of settings, with a variety of populations. Personality assessment continues to be a dynamic process that can be utilized to accurately and informatively represent the test taker and aid in clinical decision making and planning.
Ronald E. Smith and Frank L. Smoll
Coaches occupy a central role in sport, fulfilling instructional, organizational, strategic, and social relationship functions, and their relationships with athletes influence both skill development and psychosocial outcomes of sport participation. This review presents the major theoretical models and empirical results derived from coaching research, focusing on the measurement and correlates of coaching behaviors and on intervention programs designed to enhance coaching effectiveness.
A strong empirical literature on motor skill development has addressed the development of technical sport skills, guided in part by a model that divides the skill acquisition process into cognitive, associative, and autonomous phases, each requiring specific coaching knowledge and instructional techniques. Social-cognitive theory’s mediational model, the multidimensional model of sport leadership, achievement goal theory, and self-determination theory have been highly influential in research on the psychosocial aspects of the sport environment. These conceptual models have inspired basic research on the antecedents and consequences of defined coaching behaviors as well as applied research on coach training programs designed to enhance athletes’ sport outcomes. Of the few programs that have been systematically evaluated, outcomes such as enjoyment, liking for coach and teammates, team cohesion, self-esteem, performance anxiety, athletes’ motivational orientation, and sport attrition can be influenced in a salutary fashion by a brief intervention with specific empirically derived behavioral guidelines that focus on creating a mastery motivational climate and positive coach-athlete interactions. However, other existing programs have yet to demonstrate efficacy in controlled outcome research.