Salud Mental en La Vida
Salud Mental en La Vida
Salud Mental en La Vida
net/publication/234012127
Article in The Journals of Gerontology Series B Psychological Sciences and Social Sciences · December 2012
DOI: 10.1093/geronb/gbs121 · Source: PubMed
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Ernst Bohlmeijer
University of Twente
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1
Psychology Department, Langara College, Vancouver, Canada.
2
Psychology, Health, and Technology, University of Twente, Enschede, The Netherlands.
Objectives. The relationships between wisdom and age and between wisdom and mental health are complex with
empirical results often inconsistent. We used a lifespan sample and broad, psychometrically sound measures of wisdom
and mental health to test for possible age trends in wisdom and its subcomponents and the relationship between wisdom
and hedonic and eudaimonic aspects of well-being.
Method. Participants included 512 Dutch adults ranging in age from 17 to 92 (Mage = 46.46, SD = 21.37), including
Results. Significant quadratic trends indicated that middle-aged adults scored higher on wisdom than younger and
older adults. Investigation of wisdom subcomponents illustrated that a complex pattern of increases and decreases in
different aspects of wisdom helped account for these age findings. Bivariate correlations showed the expected positive
association between wisdom and mental health. Hierarchic regression analyses indicated that the positive association
between wisdom and mental health remained significant after accounting for demographic variables (i.e., sex, age, educa-
tion) and personality traits (i.e., neuroticism, extraversion, and openness to experience).
Discussion. Age trends in the components of wisdom (older adults higher in life experience but lower in openness
relative to younger and middle-aged adults) help explain the curvilinear pattern showing an advantage in wisdom for
middle-aged adults. The greater association between wisdom and eudaimonic well-being suggests that wise persons
enhance mental health by pursuing meaningful activities.
adults and were likely to be in poorer health compared 2008; Wink & Helson, 1997, respectively) showed that life
with 65-year-old persons today, who might very well be satisfaction and wisdom were unrelated. In contrast, studies
considered late middle aged by current research standards. by Kunzmann and Baltes (2003) and Webster (2010), which
Direct comparisons between older adults across earlier and examined the relationship between wisdom and values,
later studies, therefore, can be problematic. showed that those values associated with eudaimonic well-
Despite positive lay stereotypes, and some researcher being (i.e., those focusing on personal growth, pursuit of
expectations, much empirical evidence is inconsistent with meaning, positive contribution to others and society) were
an older and wiser outcome (Baltes, Staudinger, Maercker, & more strongly associated with wisdom relative to hedon-
Smith, 1995; Brugmann, 2006; Staudinger, 1999), prompt- istic values (e.g., pursuit of fun and pleasure for the self).
ing some researchers (Pasupathi, Staudinger, & Baltes, Nevertheless, despite the various approaches and measures
2001; Webster, 2010) to investigate the “seeds” of wisdom used, results are generally consistent with the theoretical
in younger adults. Precursors to, and emergent properties expectation that wisdom provides a suite of psychosocial
of, wisdom develop in late adolescence. Pasupathi and strengths, which enable individuals to experience life opti-
coworkers (2001), using the well-known Berlin Paradigm, mally even in the face of less than ideal objective life cir-
significantly less education than both the midlife (M = 5.01, subscale (comprised the psychological and social well-
SD = 1.51) and younger (M = 4.73, SD = 1.01) adults, F(2, being items of the MHC-SF; Cronbach’s alpha = .86).
509) = 30.52, p ≤ .01, partial eta2 = .107, who did not differ
from each other. Wisdom.—Wisdom was measured with the SAWS
(Webster, 2003, 2007), a 40-item questionnaire reflecting
the following five components of wisdom (sample items are
Measures italicized): Critical life experiences: “I have experienced
many painful events in my life”; Reminiscence/reflective-
Demographic variables.—We asked for completed edu- ness: “Reviewing my past helps me gain perspective on
cational level in accordance with the Dutch educational current concerns”; Openness to experience: “I like to read
system (primary school, lower vocational level, lower sec- books which challenge me to think differently about issues”;
ondary level, higher secondary level, middle vocational Emotional regulation: “I am very good about reading my
level, higher vocational level, university). We also asked for emotional states”; and Humor: “Now I find that I can really
age and gender. As we were interested in curvilinear rela- appreciate life’s little ironies.” Participants respond to each
Table 1. Descriptive Statistics and Bivariate Correlations for Main Demographic and Study Variables
M SD Sex Age Age2 Educ HM EM MHC Neur Extr Open SAWS
Sex — — — −.045 −.017 −.126 −.004 .033 .027 .269 −.028 −.031 .030
Age 46.46 21.38 — .069 −.262 −.072 −.075 −.081 −.100 −.160 −.273 −.009
Age2 456.19 395.93 — −.384 −.177 −.244 −.248 .120 −.082 −.212 −.224
Educ 4.53 1.58 — .178 .217 .226 −.169 .211 .316 .194
HM 13.55 2.93 — .576 .730 −.418 .382 .191 .300
EM 41.72 9.90 — .979 −.334 .415 .238 .443
MHC 55.28 11.84 — −.383 .442 .247 .445
Neur 30.17 7.87 — −.402 −.047 −.185
Extr 42.00 6.59 — .088 .345
Open 38.22 6.32 — .463
SAWS 171.88 21.91 —
Notes. Sex (males = 1; females = 2); Age2 = age squared; Educ = education level; HM = hedonistic mental health; EM = eudaimonic mental health; MHC = Mental
Health Continuum–SF; Neur = neuroticism; Extr = extraversion; Open = openness to experience; SAWS = Self-Assessed Wisdom Scale. Correlations at or above .15
(r(512) = .443) were both significant. Moreover, the which openness declines in older adulthood. Figure 1E
difference in strength between these two correlations is also shows a significant quadratic tend for humor (β = −.17,
statistically significant (Steiger’s Z = −6.84, p < .01), a point p < .001). Scores from young adulthood to midlife are ini-
we return to in the discussion section. tially high and stay stable, after which humor declines in
With respect to personality traits, wisdom is negatively older adulthood. Finally, Figure 1F shows the nonsignifi-
correlated with neuroticism and positively with extraver- cant quadratic trend for reminiscence (β = −.06, p > .05).
sion and openness. Finally, higher levels of education are Younger, midlife, and older adults all show a similar level
associated with higher levels of wisdom, but wisdom is of engagement with reminiscence and life reflection.
unrelated to gender. Mental health showed similar relation- In terms of well-being, the main finding that wisdom is
ships among demographic and personality variables as did positively correlated with mental health, supports our predic-
wisdom. Specifically, mental health was uncorrelated with tion at the bivariate level. However, some of the demographic
gender, curvilinearly related to age, negatively correlated variables and the three personality traits are interrelated with
with neuroticism, positively correlated with extraversion both mental health and wisdom. The question arises as to
and openness, and the demographic variable of education whether the association between wisdom and mental health
level. Given the significant curvilinear relationship between remains statistically significant when accounting for these
age and total wisdom score, we conducted a series of regres- other variables. To investigate this issue, we conducted a
sion analyses in which we used curve estimation procedures hierarchic regression analysis on the dependent variable of
to assess quadratic trends in the age by wisdom relationship. mental health, entering demographic variables, personality
Figure 1 illustrates the trends apparent in the scatterplots traits, and wisdom as hierarchic blocks. The results support
for the total wisdom score (a) and for the five subscales of our hypothesis and can be seen in Table 2.
the SAWS separately. Figure 1A shows the relationship In Model 1, the demographic variables (gender, age, age
between age and total wisdom score. The quadratic trend is squared, and education) were entered as a block. The overall
significant (β = −23, p < .001). Total wisdom increases from model, accounting for 7.7% of variance in mental health, was
younger adulthood, reaches a peak in midlife, and thereaf- significant, F (4, 507) = 11.64, p < .001; only age squared
ter declines. Because this type of curvilinear relationship is and education level contributed to the explained variance.
an important new finding, we examined the age profiles for In Model 2, the personality variables of neuroticism,
each of the SAWS subscales separately in order to deter- extraversion, and openness to experience were entered as
mine what might be driving this overall relationship. a block. The overall model, accounting for an additional
As can be seen in Figure 1B, the quadratic trend for 23.8% of the variance in mental health, was significant,
critical life experience is significant (β = −.13, p < .005). F (7, 504) = 34.26, p < .001; all three personality variables
Critical life experiences increase in age from young adult- contributed to the explained variance. Finally, in Model 3,
hood to midlife, after which they level out or slightly we added the total wisdom score as a block. The overall
increase in older adulthood. Figure 1C shows a significant model, accounting for an additional 4.4% of the variance in
quadratic trend in emotional regulation (β = −.22, p < .001). mental health, was significant, F (8, 503) = 36.30, p < .001.
Emotional regulation increases from young adulthood, In the final model, gender, age squared, neuroticism,
peaks in midlife, after which it declines to levels similar extraversion, and wisdom all significantly contributed to the
to younger adults. Figure 1D shows a significant quadratic explained variance in mental health scores. Age, education
trend for openness (β = −.23, p < .001). Scores from young level, and the personality trait of openness to experience
adulthood to midlife are initially high and stay stable, after failed to contribute to explained variance.
WISDOM AND MENTAL HEALTH ACROSS THE LIFESPAN
A B
E F
Figure 1. (A) Quadratic trend in wisdom as a function of age, (B) in critical life experiences as a function of age, (C) in emotional regulation as a function of age,
(D) in openness as a function of age, (E) in humor as a function of age, and (F) in reminiscence/reflection as a function of age.
Page 6 of 10 WEBSTER ET AL.
Discussion Many of the life events indexed in the SAWS are strongly
This study examined the relationship among wisdom, emotional in tone and require emotional regulation strate-
age, and mental health. We used a European lifespan sam- gies. We found that middle-aged adults scored higher than
ple, employing a psychometrically sound measure of wis- both the younger and older adults on the emotional regula-
dom. Results both augment and extend prior research in tion subscale. These findings are consistent with dynamic
this area. integration theory (Labouvie-Vief, 2009; Labouvie-Vief,
Bivariate correlations show that, consistent with most Diehl, Jain, & Zhang, 2007), which differentiates between
previous findings using the SAWS, neither age nor gender affect optimization and affect complexity. The former
was associated with wisdom (Taylor et al., 2011). Other “reflects an emphasis on maintaining hedonic tone by max-
questionnaire measures of wisdom report similar findings imizing positive affect and minimizing negative affect in
when only younger and older adults are compared directly. regulating emotions” (Labouvie-Vief et al., 2007, p. 738).
The inclusion of a midlife sample in this study allowed us to Age differences in this facet parallel those reported by oth-
extend previous findings. As expected, midlife adults scored ers employing different conceptual orientations, such as
highest on measures of wisdom, with younger and older socioemotional selectivity theory (Carstensen, 2006) in
adults scoring at the same average level. These findings are which older adults report similar or slightly higher levels of
consistent with the combined crystallized/fluid intelligence happiness and life satisfaction relative to younger persons.
model proposed by Sternberg (2005) described earlier. In contrast, affect complexity focuses on “objectivity,
Such declines in later adulthood are seen in the Berlin wis- personal growth, individuation, and emotional and concep-
dom paradigm as well (Baltes & Staudinger, 2000) and so tual complexity” (Labouvie-Vief et al., 2007, p. 738). Here,
are unlikely to be restricted to the particular measure used a curvilinear relationship with age is often found, with mid-
in this study. We investigated this curvilinear trend in more dle-aged adults scoring higher than both younger and older
detail by examining the age trends in each of the subscales adults; these findings clearly mirror the present results.
of the SAWS separately. Thus, affect complexity is closer to eudaimonic, rather than
We found that critical life experiences increased from hedonic, well-being. As such, affect complexity should have
young adulthood to middle age. Thereafter, experiences a stronger relationship to wisdom than affect optimization.
continued to increase but at a nonsignificant level, sug- Indeed, in this study, we found that the association between
gesting that the type of life events that ostensibly con- wisdom and eudaimonic well-being was stronger than the
tribute to wisdom development accrue over time, a fact association between wisdom and hedonistic well-being.
giving rise to the common perception that wisdom must, According to Labouvie-Vief and coworkers (2007), the
therefore, increase with age. Although age and experience reflective and executive processes that are required for affec-
are positively correlated, experience per se does not nec- tive monitoring are jeopardized by later-life declines in cog-
essarily produce wisdom, as demonstrated in this study. nitive resources. This suggests that the emotional resources
In fact, the quality of the experience, one’s inclination required to sort through, evaluate, and eventually synthesize
to reflect upon such events, and the competence to grow complex affective states remain immature in younger adult-
from adversity (among other factors) are more influential hood, peaks in middle age, and then begins a decline after
in wisdom development than experience (and therefore about age 60 due to the impaired cognitive resources identi-
age) alone. fied by Labouvie-Vief and others. In order to fully examine
WISDOM AND MENTAL HEALTH ACROSS THE LIFESPAN
powerful emotional experiences and appreciate and synthe- related to the type of humor measured by the SAWS and so
size complex and nuanced emotional states, an openness is remain suggestive rather than definitive.
required to do so. We found age differences in the SAWS Finally, the findings on the reminiscence/reflectiveness
openness subscale scores as well. component are consistent with results employing lifespan
Openness was lowest in the older adults in this sam- samples and using psychometrically sound measures of
ple. These results are consistent with personality findings, reminiscence (Webster, 1993, 2003; Webster, Bohlmeijer, &
both cross-sectional and longitudinal, in which openness Westerhof, 2010). Using the Reminiscence Functions Scale
shows small declines with age (Donnellan & Lucas, 2008; (RFS; Webster, 1993) with adults ranging in age from late
Pedersen & Reynolds, 1998; Stephan, 2009). Because adolescence to the mid-90s, results consistently show that
openness is associated with curiosity, engagement in novel there are no age differences in total reminiscence score, but
actions, and willingness to entertain complex and perhaps there are age differences on the subscores (the RFS assesses
initially uncomfortable new opinions, it plays a strong role eight different reminiscence functions). For instance, older
in the development and maintenance of wisdom. Small adults tend to score higher on social functions of reminis-
declines in older adulthood in this component, then, help cence, such as teaching others about their life experiences,
to generally maintain feelings of self-efficacy, satisfaction, development of positive mental health, or perhaps some
meaning, and purpose in life. other variable (e.g., relationship quality) causes both wis-
Our findings further our understanding of the relationship dom and mental health to increase. Longitudinal studies are
between wisdom and mental health by examining hedon- needed to disentangle such rival explanations. It is likely
istic and eudaimonic aspects separately. Wise persons do that the wisdom–mental health relationship is complex,
in fact, like the majority of adults, seek out and appreciate dynamic, and dialectic. Despite this caveat, given the strong
pleasure in life, as indicated by the significant positive cor- association between wisdom and mental health in this
relation between wisdom and hedonistic elements of well- study, it seems reasonable for future research to explore if
being in this study. But more than that, wise persons pursue and how wisdom may be enhanced in persons throughout
the good life through the pursuit of meaning and purpose, as the life course.
illustrated by the stronger correlation between wisdom and For instance, recent conjectures on the teachability of
eudaimonic elements of well-being reported here. wisdom (Ferrari & Potworowski, 2008) suggest that pro-
Finally, the regression results are important in that they grams to enhance wisdom might pay important dividends in
mitigate earlier concerns (Staudinger, Dorner, & Mickler, mental health for adults of all ages, perhaps in particular for
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