Ageist attitudes as a moderator of objective and subjective vision: A longitudinal study.
Mironi Nava N, Weissberger Gali H GH, Bergman Yoav S YS
This longitudinal study examined the relationship between objective visual acuity and subjective vision over a six-month period. Specifically, it investigated the moderating role of internalized ageist attitudes in shaping how objective vision relates to perceived sensory vision difficulties over time. A sample of 139 community-dwelling participants (M=70.25, SD=5.57) underwent objective vision assessments (distance and near visual acuity, and contrast sensitivity) and completed the Fraboni Scale of Ageism at baseline (T1). Subjective vision assessments were conducted at T1 and six months later (T2). Hierarchical regression analyses were used to predict T2 subjective vision, controlling for baseline subjective vision, age, sex, relationship status, and self-rated health. No direct main effect of T1 objective vision on T2 subjective vision was found. However, higher baseline ageist attitudes significantly predicted poorer subjective vision at T2 (β=.14, p=.041). Crucially, a significant interaction emerged (β=.16, p=.018); objective vision at T1 predicted poorer subjective vision at T2 only among individuals with high levels of ageist attitudes. For those with low ageist attitudes, this association was non-significant. These findings support Stereotype Embodiment Theory, suggesting that internalized ageist stereotypes asct as a cognitive lens through which individuals interpret biological sensory cues. The results indicate that subjective vision is not merely a reflection of physical decline but is significantly shaped by psychological frameworks. Clinical interventions aimed at reducing internalized ageist attitudes may mitigate the negative subjective experience of vision loss, potentially reducing functional vulnerabilities and enhancing overall well-being.