Erythocyte sedimentation rate (ESR) is one of the oldest measures of inflammation. It is used extensively in clinical medicine and has shown some utility in biomedical research. It is a nonspecific inflammation assay, and although it is less sensitive than more modern measures such as C-reactive protein, it is a useful measure in chronic illnesses. In general, ESR increases with age and appears to be a biomarker of aging in general. It predicts both cardiovascular disease (CVD) and cancer and is elevated in autoimmune disorders such as rheumatoid arthritis. Further, it predicts mortality both in the general population and in those with chronic illnesses such as CVD and cancer, independent of other indicators of illness severity. Interestingly, ESR is not associated with anxiety or general measures of distress but is consistently associated with measures of depression and suicidal ideation. Further, the effect of depressive symptoms on mortality appears to be mediated through increases in ESR. Studies of the relationship between stress and ESR have been less consistent, primarily because early studies were largely cross-sectional and in small samples. Studies using more modern, longitudinal analyses in larger samples may show more consistent results, especially if multilevel modeling was used that examined within-person changes in ESR in response to stress. Given that other large, longitudinal studies, such as the Baltimore Longitudinal Study on Aging, the Rotterdam Study, The Reykjavik Cohort Study, and Women’s Healthy Ageing Study have included ESR in their biomedical assays, it should be possible to analyze existing data to examine how psychosocial factors influence inflamm-aging in humans.
Carolyn M. Aldwin and Ritwik Nath
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.
Michael J. Lyons, Chandra A. Reynolds, William S. Kremen, and Carol E. Franz
The rapidly increasing number of people age 65 and older around the world has important implications for public health and social policy, making it imperative to understand the factors that influence the aging process. Twin studies can provide information that addresses critical questions about aging. Twin studies capitalize on a naturally occurring experiment in which there are some pairs of individuals who are born together and share 100% of their segregating genes (monozygotic twins) and some pairs that share approximately 50% (dizygotic twins). Twins can shed light on the relative influence of genes and environmental factors on various characteristics at various times during the life course and whether the same or different genetic influences are operating at different times. Twin studies can investigate whether characteristics that co-occur reflect overlapping genetic or environmental determinants. Discordant twin pairs provide an opportunity for a unique and powerful case-control study. There are numerous methodological issues to consider in twin studies of aging, such as the representativeness of twins and the assumption that the environment does not promote greater similarity within monozygotic pairs than dizygotic pairs. Studies of aging using twins may include many different types of measures, such as cognitive, psychosocial, biomarkers, and neuroimaging. Sophisticated statistical techniques have been developed to analyze data from twin studies. Structural equation modeling has proven to be especially useful. Several issues, such as assessing change and dealing with missing data, are particularly salient in studies of aging and there are a number of approaches that have been implemented in twin studies. Twins lend themselves very well to investigating whether genes influence one’s sensitivity to environmental exposures (gene-environment interaction) and whether genes influence the likelihood that an individual will experience certain environmental exposures (gene-environment correlation). Prior to the advent of modern molecular genetics, twin studies were the most important source of information about genetic influences. Dramatic advances in molecular genetic technology hold the promise of providing great insight into genetic influences, but these approaches complement rather than supplant twin studies. Moreover, there is a growing trend toward integrating molecular genetic methods into twin studies.
Kimberly L. Fine and Kevin J. Grimm
Multilevel modeling is a data analytic framework that is appropriate when analyzing data that are dependent due to the clustering of observations in higher-level units. Clustered data appear in a variety of disciplines, which makes multilevel modeling a necessary data analytic tool for many researchers. Longitudinal data are a special kind of clustered data as the repeated observations are clustered within individuals. Multilevel models can be applied to longitudinal data to examine how individuals change over time and how individuals differ in their change processes over time. For longitudinal data, linear multilevel models, where the fixed- and random-effects parameters enter the model in a linear fashion, and nonlinear multilevel models, where at least one fixed-and/or random-effect parameter enters the model in a nonlinear fashion are commonly estimated to examine different forms of the individual change process. Multilevel structural equation modeling is an extension of multilevel modeling that allows for multivariate outcomes, and this framework is very useful for modeling multivariate longitudinal data (e.g., multivariate growth models and second-order growth models).
Gawon Cho, Giancarlo Pasquini, and Stacey B. Scott
The study of human development across the lifespan is inherently about patterns across time. Although many developmental questions have been tested with cross-sectional comparisons of younger and older persons, understanding of development as it occurs requires a longitudinal design, repeatedly observing the same individual across time. Development, however, unfolds across multiple time scales (i.e., moments, days, years) and encompasses both enduring changes and transient fluctuations within an individual. Measurement burst designs can detect such variations across different timescales, and disentangle patterns of variations associated with distinct dimensions of time periods. Measurement burst designs are a special type of longitudinal design in which multiple “bursts” of intensive (e.g., hourly, daily) measurements are embedded in a larger longitudinal (e.g., monthly, yearly) study. The hybrid nature of these designs allow researchers to address questions not only of cross-sectional comparisons of individual differences (e.g., do older adults typically report lower levels of negative mood than younger adults?) and longitudinal examinations of intraindividual change (e.g., as individuals get older, do they report lower levels of negative mood?) but also of intraindividual variability (e.g., is negative mood worse on days when individuals have experienced an argument compared to days when an argument did not occur?). Researchers can leverage measurement burst designs to examine how patterns of intraindividual variability unfolding over short timescales may exhibit intraindividual change across long timescales in order to understand lifespan development. The use of measurement burst designs provides an opportunity to collect more valid and reliable measurements of development across multiple time scales throughout adulthood.
Victoria I. Michalowski, Denis Gerstorf, and Christiane A. Hoppmann
Aging does not occur in isolation, but often involves significant others such as spouses. Whether such dyadic associations involve gains or losses depends on a myriad of factors, including the time frame under consideration. What is beneficial in the short term may not be so in the long term, and vice versa. Similarly, what is beneficial for one partner may be costly for the other, or the couple unit over time. Daily dynamics between partners involving emotion processes, health behaviors, and collaborative cognition may accumulate over years to affect the longer-term physical and mental health outcomes of either partner or both partners across adulthood and into old age. Future research should move beyond an individual-focused approach to aging and consider the importance of and interactions among multiple time scales to better understand how, when, and why older spouses shape each other’s aging trajectories, both for better and for worse.
Susan Krauss Whitbourne
Research methods in lifespan development include single-factor designs that either follow a single cohort of individuals over time or compare age groups at a single time point. The two basic types of studies involving the manipulation of the single factors of age, cohort, and time of measurement are longitudinal and cross-sectional. Each of these has advantages and disadvantages, but both are characterized by limitations because they cannot definitively separate the joint influences of age, cohort, and type of measurement. The third group of designs involves manipulation of two or more levels of each factor to permit inferences to be drawn that separate personal from social aging. The theoretical problems involved in both the single-factor and sequential designs combine with practical issues to present lifespan developmental researchers with a number of choices in approaching the variables of interest. The theoretical problems include the inevitable linking of personal with social aging, particularly evident in single-factor designs, and the fact that selective attrition leads to the differential availability of increasingly select older samples. Practical problems include the need to assign participants to appropriate age intervals and such clerical issues as the need to track participants in follow-up investigations. Researchers must also be aware of methodological issues related to task equivalence across individuals of different ages and the need to covary for potential confounds that could lead to differences across groups of participants due to such factors as education and health status. The increasing recognition of the need to address these issues is leading to a body of literature that reflects the growing sophistication of the field along with the more widespread availability of sophisticated analytic methods. As these improvements continue to raise the level of scholarship in the field, there will be a greater understanding of both ontogenetic change as well as the influence of context on development from childhood through later life.
Jeremy B. Yorgason, Melanie S. Hill, and Mallory Millett
The study of development across the lifespan has traditionally focused on the individual. However, dyadic designs within lifespan developmental methodology allow researchers to better understand individuals in a larger context that includes various familial relationships (husbands and wives, parents and children, and caregivers and patients). Dyadic designs involve data that are not independent, and thus outcome measures from dyad members need to be modeled as correlated. Typically, non-independent outcomes are appropriately modeled using multilevel or structural equation modeling approaches. Many dyadic researchers use the actor-partner interdependence model as a basic analysis framework, while new and exciting approaches are coming forth in the literature. Dyadic designs can be extended and applied in various ways, including with intensive longitudinal data (e.g., daily diaries), grid sequence analysis, repeated measures actor/partner interdependence models, and vector field diagrams. As researchers continue to use and expand upon dyadic designs, new methods for addressing dyadic research questions will be developed.
Gizem Hülür and Elisa Weber
Lifespan development is embedded in multiple social systems and social relationships. Lifespan developmental and relationship researchers study individual codevelopment in various dyadic social relationships, such as dyads of parents and children or romantic partners. Dyadic data refers to types of data for which observations from both members of a dyad are available. The analysis of dyadic data requires the use of appropriate data-analytic methods that account for such interdependencies. The standard actor-partner interdependence model, the dyadic growth curve model, and the dyadic dual change score model can be used to analyze data from dyads. These models allow examination of questions related to dyadic associations such as whether individual differences in an outcome can be predicted by one’s own (actor effects) and the other dyad member’s (partner effects) level in another variable, correlated change between dyad members, and cross-lagged dyadic associations, that is, whether one dyad member’s change can be predicted by the previous levels of the other dyad member. The choice of a specific model should be guided by theoretical and conceptual considerations as well as by features of the data, such as the type of dyad, the number and spacing of observations, or distributional properties of variables.
Alexandre J.S. Morin and David Litalien
As part of the Generalized Structural Equation Modeling framework, mixture models are person-centered analyses seeking to identify distinct subpopulations, or profiles, of participants differing quantitatively and qualitatively from one another on a configuration of indicators and/or relations among these indicators. Mixture models are typological (resulting in a classification system), probabilistic (each participant having a probability of membership into all profiles based on prototypical similarity), and exploratory (the optimal model is typically selected based on a comparison of alternative specifications) in nature, and can take different forms. Latent profile analyses seek to identify subpopulations of participants differing from one another on a configuration of indicators and can be extended to factor mixture analyses allowing for the incorporation of latent factors to the model. In contrast, mixture regression analyses seek to identify subpopulations of participants’ differing from one another in terms of relations among profile indicators. These analyses can be extended to the multiple-group and/or longitudinal analyses, allowing researchers to conduct tests of profile similarity across different samples of participants or time points, and latent transition analyses can be used to assess probabilities of profiles transition over time among a sample of participants (i.e., within person stability and change in profile membership). Finally, growth mixture analyses are built from latent curve models and seek to identify subpopulations of participants following quantitatively and qualitatively distinct trajectories over time. All of these models can accommodate covariates, used either as predictors, correlates, or outcomes, and can even be extended to tests of mediation and moderation.