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The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 57:P471-P473 (2002)
© 2002 The Gerontological Society of America


RESEARCH ARTICLE

Two-Wave Longitudinal Findings From the Berlin Aging Study

Introduction to a Collection of Articles

Jacqui Smith1, Ineke Maas1, Karl Ulrich Mayer1, Hanfried Helmchen2, Elisabeth Steinhagen-Thiessen3 and Paul B. Baltes1

1 Max Planck Institute for Human Development, Berlin, Germany.
2 Department of Psychiatry, Free University, Berlin, Germany.
3 Medical School, Humboldt University, Berlin, Germany.

Address correspondence to Jacqui Smith or Paul Baltes, Center for Lifespan Psychology, Institute for Human Development, Lentzeallee 94, 14195 Berlin, Germany. E-mail: Smith{at}mpib-berlin.mpg.de or baltes{at}mpib-berlin.mpg.de


    Abstract
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 Abstract
 Longitudinal Design of BASE:...
 Characteristics of the 4-Year...
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We provide background information for a collection of articles that describe two-wave longitudinal findings derived from the first intensive follow-up of participants of the Berlin Aging Study (BASE). Multidisciplinary data were collected during 1995–1996 from 206 survivors approximately 4 years after baseline assessment (1990–1993). The strengths of the initial BASE design, in terms of a focus on very old age, multidisciplinary intensive assessment, and an examination of selectivity issues, were maintained in this longitudinal extension of the study.

The Berlin Aging Study (BASE) was established in 1989 to investigate questions about the young-old and oldest old adults from the joint and collaborative perspectives of four disciplines: psychiatry, psychology, sociology, and internal medicine (Baltes & Mayer, 1999; Baltes, Mayer, Helmchen, & Steinhagen-Thiessen, 1993; Mayer & Baltes, 1996). Extensive information about the baseline design, sample selectivity, assessment procedures, and cross-sectional findings from BASE are reported in Baltes and Mayer (1999)(see also Baltes & Smith, 1997; Lindenberger et al., 1999; Mayer & Baltes, 1996).

This article introduces a collection of articles describing findings from a longitudinal follow-up of the core BASE sample 4 years after baseline assessment. We provide background information about the longitudinal BASE design, its strengths and limits, and the demographic characteristics of the 4-year longitudinal sample (N = 206). Each article in the present collection elaborates this information in the context of specific research questions and domains of functioning. Lindenberger, Singer, and Baltes (2002), for example, report findings on the selectivity of the 4-year sample and discuss the theoretical implications of experimental- and mortality-based attrition. Changes in two areas of self-regulation, control beliefs and possible selves, and their relation to health and well-being are described by Kunzmann, Little, and Smith (2002) and Smith and Freund (2002). The consequences over time of individual differences and social inequalities in resources for adaptive everyday functioning and social participation are the focus of articles by Lang, Rieckmann, and Baltes (2002) and Bukov, Maas, and Lampert (2002). Although this collection is limited to research derived primarily from the psychology and sociology groups in BASE, each report also makes reference to the functional implications of physical and mental health.


    Longitudinal Design of BASE: Strengths and Limits
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 Abstract
 Longitudinal Design of BASE:...
 Characteristics of the 4-Year...
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The cross-sectional BASE design had three unique strengths: a focus on very old age, a multidisciplinary assessment, and an examination of selectivity issues inherent in research on oldest old adults. These strengths are also apparent in the longitudinal extension of the study.

The first important feature of BASE is that the study was designed initially to allow comparisons between individuals in the third (young-old) and fourth (oldest old) age. The goal at baseline was to achieve an Age x Sex stratified heterogeneous (locally representative) sample of individuals aged 70 to 100+ years. Research resources permitted the intensive study of about 500 persons (14 multidisciplinary 90-min sessions per individual participant). With this focus, BASE responded to the argument that much gerontological research is based on relatively "young" samples of those aged 60 to 80 (e.g., Baltes, 1997; Suzman, Willis, & Manton, 1992). The core baseline cross-sectional sample, recruited and tested from 1990 to 1993, consisted of 516 men and women (n = 258 aged 70–84 years and n = 258 aged 85–103 years) from the western districts of Berlin. For age-related comparisons, the sample was divided into six age groups/cohorts (each n = 86): 70–74 years (born 1922–1915), 75–79 years (1917–1910), 80–84 years (1913–1905), 85–89 years (1908–1900), 90–94 years (1902–1896), and 95–103 years (1897–1883).

A second strength is that BASE involved a broadly based multi- and interdisciplinary assessment. The baseline cross-sectional assessment protocol involved fourteen 90-min individual testing sessions (over 3–5 months) in which approximately 10,000 variables (at all levels of aggregation) were collected from each participant. This assessment protocol included details of personal life history and current life contexts, findings from noninvasive medical and dental examinations, blood and saliva parameters, clinical assessment of mental health and everyday competence, as well as assessment of psychological functioning in three domains, intelligence, personality, and social relationships.

Because of the intensity and range of this assessment protocol and the age groups investigated, we expected a high drop-out rate for the complete baseline assessment package (14 sessions including medical examinations). Therefore we set as a high priority the examination not only of response rates but also of selectivity issues (e.g., sample selectivity, experimental- and mortality-related selectivity; for details, see Baltes & Mayer, 1999; Baltes & Smith, 1997; Lindenberger et al., 1999; Nuthmann & Wahl, 1996). Data collected during the recruitment phase, microcensus material, and city registry mortality information have been used to examine these different aspects of selectivity.

The study commenced with a verified parent sample of 1908 obtained from the city registry. Demographic information was available for this entire sample. Subsequently, we continue to obtain information about address changes and mortality for this parent sample. Our goal was to enlist approximately 500 people from this parent sample for the 14-session intensive assessment protocol. Random assignment was not possible because of lack of volunteering, because of health-related inability to participate in the full protocol, and for ethical reasons. Four hundred seventeen of the 1,908 participants in the parent sample (22%) volunteered no additional data beyond the registry information. In this context, then, the basic participation rate for the first measurement point in the study was 78% (N = 1,491). After direct face-to-face clinical observations, and for ethical and health-related reasons, we excluded 227 people (12%) from participating further in the study (90% of this group were older than age 85). In addition to the 516 individuals (27% of the parent sample) who completed the entire 14-session intensive protocol, 412 people (21%) participated at the level of a single 90-min multidisciplinary assessment, and 336 (18%) participated at the level of a single 30-min interview. Information from each of these subgroups of the parent sample has been used to examine selectivity (see Baltes & Smith, 1997; Lindenberger et al., 1999). The selectivity analyses indicated that the core BASE sample of 516 was positively selected in terms of mean-level functioning (effect sizes were small) and subsequent mortality. There was no strong evidence, however, for selectivity effects regarding individual heterogeneity and intervariable covariation.

The longitudinal follow-up of BASE participants has taken two main routes. First, survivors of the 516 (Time 1; T1) core sample have been recontacted on two occasions: In 1993–1994 (Time 2; T2), 361 participated in an interim follow-up (90-min intake interview), and in 1995–1996 (Time 3; T3), 206 completed a repeat of the multidisciplinary Intensive Protocol (reduced to 6 sessions). Data collection at T3 involved an average of 3.7 months for each participant (range = 1.2–14.6 months). The six sessions included a repeat of the psychological battery (intellectual functioning, personality, and social relationships), clinical examinations of physical and mental health, and reassessments of everyday competence, current social and finanical status, and social participation. Figure 1 summarizes the frequency distribution of participants in the six age/cohort groups of the original BASE design tested at these three occasions. As one can see, the stratified (balanced) age distribution of the 516 participants at the first measurement occasion was not maintained in the longitudinal follow-ups. Stratification by sex has remained relatively stable: At T3, for example, 101 men and 105 women participated.



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Figure 1. The cross-sectional age group/cohort distribution of BASE samples on three measurement occasions. Experimental- and mortality-related selection contributed to a change in the age stratification over time.

 
The second longitudinal strategy has involved following the sample for mortality: 431 (83%) of the 516 sample participants survived 2 years after baseline (T2), but only 313 (61%) were still alive at the 4-year interval (T3). Mortality information is used to examine selectivity effects (see Lindenberger et al., 2002; Maier & Smith, 1999). The majority of 109 individuals diagnosed with suspected dementia at baseline in the 516 sample participants were deceased at T3.

There are several limits to the longitudinal findings reported in the present collection. First and foremost, findings are restricted to two measurement points and so provide only minimal information about robust change and intraindividual variability (e.g., Rogosa, 1995). Second, the average 4-year time interval between assessment allows an extremely limited window on processes of change. For some adaptation and change processes, this interval may be too long and for others too short. Furthermore, this time interval contributed to age-specific attrition and selectivity effects, especially because it was longer than the average expected years to live for the oldest old adults assessed at baseline. Finally, the articles describe but a small selection of the constructs that have been measured over time in BASE.


    Characteristics of the 4-Year Longitudinal BASE Sample
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 Characteristics of the 4-Year...
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This collection focuses on data from the 206 participants for whom two waves of the multidisciplinary BASE Intensive Protocol were available: T1 (1990–1993) and T3 (1995–1996). These 206 participants represent 65.8% of the 313 survivors from the core 516 sample participants at T3. From these 313 survivors, a single session of longitudinal information was obtained from 50 persons (16% of the 313), 48 (15%) people refused to participate, and 9 (3%) had moved away from Berlin. The actual age distribution at the T3 measurement was illustrated in Figure 1: n = 78 (37.9%) were aged 73–79 years; n = 92 (44.6%) were ages 80–89 years; and n = 36 (17.5%) were aged 90–103 years. The average time interval between the two assessments was 3.8 years (range = 2.4–5.2 years). Table 1 summarizes the demographic information for these 206 participants in the 4-year longitudinal sample (see Lindenberger et al., 2002, for selectivity information). Fifty-seven percent of the sample had primary level education, 28% lower secondary level, and 9% upper secondary level. Only 5% of the participants resided in institutions (e.g., homes for seniors, nursing homes, hospitals). Additional characteristics and comparisons between survivors and nonsurvivors are described in the articles of this collection.


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Table 1. Demographic Characteristics of Participants of the 4-Year Longitudinal BASE Sample (N = 206) at Two Measurement Occasions

 
SPECIAL SECTION


    Acknowledgments
 
The Berlin Aging Study (BASE) was financially supported by two German Federal Departments: the Department of Research and Technology (13 TA 011: 1988–1991) and the Department of Family and Senior Citizens (1991–1998). Since 1999, BASE has been funded by the Max Planck Institute for Human Development, Berlin, where the study is located. Members of the Steering Committee are P. B. Baltes and J. Smith (psychology), K. U. Mayer (sociology), E. Steinhagen-Thiessen and M. Borchelt (internal medicine and geriatrics), and H. Helmchen and F. Reischies (psychiatry). Field research was coordinated at various phases by R. Nuthmann and M. Neher.

Received for publication July 31, 2001. Accepted for publication July 27, 2002.


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