A study of mental health among individuals over 90 was centered
in Cilento, Southern Italy and was part of a larger study called CIAO
(Cilento Initiative on Aging Outcomes). Lead author Anna Scelzo reported
that as expected, the participants who were over age 90 had poorer physical
health—but unexpectedly they had a better level of mental health and
well-being. They also had a tendency to be stubborn, domineering, and needed a
sense of control, “which can be a desirable trait as they are true to their
convictions and care less about what others think.” Dr. Dilip Jeste,
Distinguished Professor of Psychiatry at the University of California, San
Diego, and fellow author, said that the study shows how wisdom and mental
well-being can increase with aging even when physical health is declining. He
called this phenomenon “the paradox of aging.” The researchers concluded that
exceptional longevity was characterized by a balance between acceptance of
and grit to overcome adversities along with a positive attitude and close ties
to family, religion, and land, providing purpose in life. (https://www.ncbi.nlm.nih.gov/pubmed/29229012?inf_contact_key=7df921af9a55fe81332a63c05468787a896427bb70a6bfb29d42e7ce3d139129)
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