Age differences in psychological distress during the COVID-19 pandemic: March 2020 – June 2021

In March 2020, COVID-19 brought illness, lockdowns, and economic turmoil worldwide. Studies from March–April 2020 reported increased psychological distress, especially among younger (vs. older) adults. Here, we examine whether age differences persisted in a 29-wave longitudinal survey conducted with an American national life-span sample over the first 16 months of the pandemic. Socio-emotional selectivity theory (SST) predicts that older age will be consistently associated with lower psychological distress due to life-span changes in motivation, while the strength and vulnerability integration model (SAVI) posits that age differences in psychological distress will diminish under prolonged stress. We find that younger adults consistently reported more psychological distress than older adults, though age differences did decrease over time. Prior diagnosis with anxiety or depression additionally predicted greater psychological distress throughout the study, but did not moderate age differences. We discuss implications for psychological theories of aging and interventions to reduce psychological distress.

[1]  M. Freeman The World Mental Health Report: transforming mental health for all , 2022, World psychiatry : official journal of the World Psychiatric Association.

[2]  E. Robinson,et al.  A systematic review and meta-analysis of longitudinal cohort studies comparing mental health before versus during the COVID-19 pandemic in 2020 , 2021, Journal of Affective Disorders.

[3]  M. Daly,et al.  Psychological distress associated with the second COVID-19 wave: Prospective evidence from the UK Household Longitudinal Study , 2021, Journal of Affective Disorders.

[4]  D. Sauter,et al.  Sustained Stress Reduces the Age Advantages in Emotional Experience of Older Adults: Commentary on Carstensen et al. (2020) , 2021, Psychological science.

[5]  R. Maguire,et al.  Mental health of adults in Ireland during the first year of the COVID-19 pandemic: results from a nationally representative, longitudinal study , 2021, Psychological Medicine.

[6]  Ryan L. Boyd,et al.  Emotion regulation across the lifespan: age differences in intrapersonal and interpersonal strategies for the adjustment to the COVID-19 pandemic in four countries , 2021, Aging & mental health.

[7]  T. Vecchi,et al.  Closeness to friends explains age differences in positive emotional experience during the lockdown period of COVID-19 pandemic , 2021, Aging Clinical and Experimental Research.

[8]  S. Galea,et al.  Disaster stressors and psychological well-being in older adults after a flood. , 2021, Psychology and aging.

[9]  E. Robinson,et al.  Longitudinal changes in psychological distress in the UK from 2019 to September 2020 during the COVID-19 pandemic: Evidence from a large nationally representative study , 2021, Psychiatry Research.

[10]  K. Fingerman,et al.  Age Differences in Stress, Life Changes, and Social Ties During the COVID-19 Pandemic: Implications for Psychological Well-Being , 2020, The Gerontologist.

[11]  Rocco Palumbo,et al.  Age-related differences in the perception of COVID-19 emergency during the Italian outbreak , 2020, Aging & mental health.

[12]  Christian E. Waugh,et al.  Reactive, Agentic, Apathetic, or Challenged? Aging, Emotion, and Coping During the COVID-19 Pandemic , 2020, The Gerontologist.

[13]  D. Jeste,et al.  Older Adults and the Mental Health Effects of COVID-19. , 2020, JAMA.

[14]  L. Carstensen,et al.  Age Advantages in Emotional Experience Persist Even Under Threat From the COVID-19 Pandemic , 2020, Psychological science.

[15]  R. Pruchno,et al.  Challenges Experienced by Older People During the Initial Months of the COVID-19 Pandemic , 2020, The Gerontologist.

[16]  K. Cavanagh,et al.  Systematic review of mindfulness-based cognitive therapy and mindfulness-based stress reduction via group videoconferencing: Feasibility, acceptability, safety, and efficacy. , 2020, Journal of Psychotherapy Integration.

[17]  Brenda R Whitehead,et al.  Older Adults’ Experience of the COVID-19 Pandemic:A Mixed-Methods Analysis of Stresses and Joys , 2020, The Gerontologist.

[18]  A. Greenshaw,et al.  COVID-19 Pandemic: Age-Related Differences in Measures of Stress, Anxiety and Depression in Canada , 2020, International journal of environmental research and public health.

[19]  Emily L. Smith,et al.  Age Differences in Risk and Resilience Factors in COVID-19-Related Stress , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[20]  D. McAdams,et al.  More Vulnerable? The Life Story Approach Highlights Older People’s Potential for Strength During the Pandemic , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[21]  E. Robinson,et al.  Psychological distress and adaptation to the COVID-19 crisis in the United States , 2020, Journal of Psychiatric Research.

[22]  A. DeLongis,et al.  The ups and downs of daily life during COVID-19: Age differences in affect, stress, and positive events , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[23]  R. Rodríguez-Jiménez,et al.  Mental Health in Elderly Spanish People in Times of COVID-19 Outbreak , 2020, The American Journal of Geriatric Psychiatry.

[24]  H. Kohler,et al.  Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing , 2020, PLoS ONE.

[25]  W. Bruin,et al.  Tracking the Effect of the COVID-19 Pandemic on the Lives of American Households , 2020 .

[26]  W. Bruine de Bruin Age Differences in COVID-19 Risk Perceptions and Mental Health: Evidence From a National U.S. Survey Conducted in March 2020 , 2020, The journals of gerontology. Series B, Psychological sciences and social sciences.

[27]  A. Sultana,et al.  Epidemiology of mental health problems in COVID-19: a review , 2020, F1000Research.

[28]  J. Mogle,et al.  Charting adult development through (historically changing) daily stress processes. , 2020, The American psychologist.

[29]  A. Kapteyn,et al.  Sampling and Weighting the Understanding America Study , 2019, SSRN Electronic Journal.

[30]  Andrew M. Parker,et al.  Restricting Future Time Perspective Reduces Failure to Act After a Missed Opportunity , 2018, Psychology and aging.

[31]  Per B. Brockhoff,et al.  lmerTest Package: Tests in Linear Mixed Effects Models , 2017 .

[32]  John Torous,et al.  Can smartphone mental health interventions reduce symptoms of anxiety? A meta-analysis of randomized controlled trials. , 2017, Journal of affective disorders.

[33]  M. Mather,et al.  Thinking about a limited future enhances the positivity of younger and older adults’ recall: Support for socioemotional selectivity theory , 2016, Memory & cognition.

[34]  Kira S Birditt Age differences in emotional reactions to daily negative social encounters. , 2014, The journals of gerontology. Series B, Psychological sciences and social sciences.

[35]  D. Bates,et al.  Fitting Linear Mixed-Effects Models Using lme4 , 2014, 1406.5823.

[36]  J. Mikels,et al.  Meta-analysis of the age-related positivity effect: age differences in preferences for positive over negative information. , 2014, Psychology and aging.

[37]  J. Strough,et al.  No Time to Waste: Restricting Life‐Span Temporal Horizons Decreases the Sunk‐Cost Fallacy , 2014 .

[38]  R Core Team,et al.  R: A language and environment for statistical computing. , 2014 .

[39]  Kate Cavanagh,et al.  Computerised Cognitive Behavioural Therapy for Common Mental Health Disorders, What Works, for Whom Under What Circumstances? A Systematic Review and Meta-analysis , 2013, Journal of Contemporary Psychotherapy.

[40]  Viktor Müller,et al.  Affective and cardiovascular responding to unpleasant events from adolescence to old age: complexity of events matters. , 2013, Developmental psychology.

[41]  L. Carstensen,et al.  Emotional experience improves with age: evidence based on over 10 years of experience sampling. , 2011, Psychology and aging.

[42]  S. Charles Strength and vulnerability integration: a model of emotional well-being across adulthood. , 2010, Psychological bulletin.

[43]  A. Stone,et al.  A snapshot of the age distribution of psychological well-being in the United States , 2010, Proceedings of the National Academy of Sciences.

[44]  C. Spitzer,et al.  A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. , 2010, Journal of affective disorders.

[45]  F. García-Lizana,et al.  Telemedicine for depression: a systematic review. , 2010, Perspectives in psychiatric care.

[46]  L. Carstensen,et al.  Social and emotional aging. , 2010, Annual review of psychology.

[47]  B. Löwe,et al.  An ultra-brief screening scale for anxiety and depression: the PHQ-4. , 2009, Psychosomatics.

[48]  L. Carstensen The Influence of a Sense of Time on Human Development , 2006, Science.

[49]  L. Carstensen,et al.  Goals Change When Life's Fragility is Primed: Lessons Learned From Older Adults, the September 11 Attacks and Sars , 2006 .

[50]  L. Carstensen,et al.  Taking time seriously. A theory of socioemotional selectivity. , 1999, The American psychologist.

[51]  P. Baltes,et al.  Psychological perspectives on successful aging: The model of selective optimization with compensation. , 1990 .

[52]  A. Stewart,et al.  Linking Individual Development and Social Changes , 1989 .