Isabelle Tournier

L’objectif général de cette thèse est d’étudier l’évolution au cours du vieillissement des processus automatiques et contrôlés, nécessaires à une bonne adaptation cognitive quotidienne. Nous nous intéressons à l’influence de différentes variables cognitives (mémoire de travail, vitesse de traitement et vocabulaire) ainsi qu’aux préférences de routinisation sur l’expression de ce possible effet de l’âge. Des épreuves de fluidités sémantiques simples (Expérience 1) et alternées (Expérience 2 et 3) et des formats simples (Expérience 5a et 6a) et alternés (Expérience 5b et 6b) de la tâche de Hayling ont été réalisés par des adultes jeunes (18-30 ans), âgés (60-74 ans) et très âgés (75 ans et plus). Ces épreuves nous permettent d’étudier le processus automatique à travers la diffusion de l’activation en mémoire sémantique et les processus contrôlés par le biais de l’inhibition et de la flexibilité. L’activité cérébrale associée à l’exécution de fluidités simples et alternées est étudiée chez des participants âgés à l’aide de l’imagerie optique (Expérience 4). Les résultats obtenus sont en faveur d’une réduction avec l’âge de l’efficience des processus contrôlés alors que celle des processus automatiques semble conservée. Des phénomènes de compensation se mettraient en place au cours du vieillissement, s’appuyant sur les processus automatiques et les connaissances accumulées.

In this chapter, we explore the integration of mindfulness theory and practices within design with the aim to understand better how design interventions can embed mindfulness in the lives of people with early to mid-stage dementia to support their wellbeing. There is an emerging acknowledgement of the role of design and mindfulness in the context of psychosocial interventions. However, their joint potential for people with dementia has not yet been explored. This chapter considers existing uses of design interventions, ofmindful design in other areas and of mindfulness in relation to dementia before discussing their integration for application in the dementia context. The discussion identifies six different types of mindfulness-based design interventions to support people with dementia and their wellbeing. Based on these findings, we formulate a framework for categorising such interventions and their potential benefits. The framework can offer guidance for designers, and it can assist people with dementia, carers and care professionals in choosing appropriate design interventions to enhance wellbeing. It also offers the theoretical basis for future empirical research to explore and refine the proposed categories.

The present work assesses the efficacy of an animal-assisted therapy (AAT) program in the reduction of neuropsychiatric symptoms in older adults with medium to severe dementia. Performed in an Alzheimer’s disease/dementia care unit, the intervention included 11 elderly residents aged 71 to 93 years (mean age = 82.91 years; mean Mini-Mental State Examination score = 7.8/30). Behaviors during the AAT sessions as well as pre/post intervention neuropsychiatric symptoms were examined during this 5-month weekly intervention conducted by an AAT-certified psychologist along with her dog. AAT had a positive effect on total score and caregiver distress score for several neuropsychiatric symptoms (i.e., delusion, depression, disinhibition, euphoria, and aberrant motor activity). Moreover, the ratings of the various behaviors during each session suggest that the beneficial effects of AAT appear during the first few sessions. These results support the notion that regular and long-term AAT sessions are an effective alternative to pharmacological interventions for the reduction of neuropsychiatric symptoms.

The present study investigated the compensatory impact of motivation to learn on memory performance with age. Twenty-one university undergraduate young adults (M = 22.7, SD = 2.6) and 19 community-dwelling older adults (M = 72.7, SD = 6.6) performed an emotional story memory task with an immediate and delayed recall 7 days later. The emotional content and the age relevance of the stories were manipulated to increase the motivation of older adults to learn. As postulated, results showed no age differences on the recall of positive stories, whereas the recall of negative and neutral stories was lower for older than young adults. In conclusion, motivational aspects may lead to the equivalent memory performance of young and older adults.

This study investigated the determinants of Successful Ageing (SA) in a sample of 4,151 Peruvians aged between 65 and 80 years and living in poverty. A key contribution of this study is to combine the conceptual appeal of SA to measure wellbeing in old age with the multi-dimensional poverty counting approach developed in the economic literature. This setting allows for moving beyond the dichotomy of successful and usual ageing to take advantage of the full distribution of success along a set of dimensions of wellbeing. The data are drawn from the Encuesta de Salud y Bienestar del Adulto Mayor (ESBAM) survey, which is the baseline to evaluate the non-contributory public pension programme Pension 65. Nine indicators of SA have been used to assess the dimensions of physical health, functioning, cognition, emotional health and life satisfaction. The variables associated with a higher number of satisfied indicators were male gender, younger old age, literate, employed, low food insecurity, good nutritional status, normal blood pressure, absence of disabilities, non-smoker, empowerment, good self-esteem, absence of mental disability and less frequent contact with a social network. From a policy perspective, the results of this study report a remarkably stable effect of three variables affecting SA that can be relatively easy to measure, monitor and influence by public intervention. These variables are food security, nutrition quality and self-esteem.

The present study investigates the attitudes of older drivers and road safety measures with a particular focus on self-serving evaluations. Driving capacity is considered here as an indicator of awareness of age-related changes that may lead to a higher risk of self-stereotyping, motivating self-serving evaluations with advancing age. In order to test this notion, we used the perceived distance between one's chronological age and the age assigned to the social categories of "older driver" and "old person" as an indicator of age-group dissociation or identification, respectively. Self-serving evaluations were expected depending on the distance between chronological and subjective age estimates. In addition to this, we tested gender and age effects on the specific evaluations. A sample of 350 participants aged 19-88 completed an online questionnaire on negative and positive stereotypes about older drivers and road safety measures. Results indicated in general a more positive than negative view of older drivers; approval with measures to increase road safety by regulating older drivers was comparatively low. Female participants tended to agree more with negative stereotypes and regulative measures than male participants. Regression analyses revealed as well that increasing chronological age was associated with less agreement with negative stereotypes and measures for road safety. Differences between chronological age and subjective age estimates of when a person is old or an old driver were differentially related with the criteria. The closer the chronological age and subjective age estimates were the lower was the agreement with negative stereotypes and measures to regulate road safety. Findings underline in general that road safety enhancing efforts should avoid highlighting chronological age as the sole driving risk factor to circumvent negative stereotyping with ageing and unjustified driving cessation.

This review of the literature tackles the question of the psychological benefits linked to gardening in older adults. First, the current data on these benefits are reviewed, and the findings reveal that gardening is linked to feelings of accomplishment, well-being and peace, a decrease of depressive symptoms, a protective effect on cognitive functions as well as to the development of social links for community living older adults. In institutionalized older adults, gardening promotes internal locus of control and well-being, and is related to a decrease of sadness and anxiety. Second, several explanatory theories are discussed. All of them postulate an action on the cognitive and/or emotional spheres, which were included into a integrated model that must be tested in future research. In conclusion, gardening appears to be a beneficial activity for promoting older adults' functioning but the current knowledge still has to be extended to understand the specific mechanisms of action. This deeper understanding is necessary in order to improve the future actions depending on this activity.