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05 April 2023

Pandemic may have triggered second 'midlife crisis' for over-50s

British adults experienced highest-ever levels of poor mental health during the COVID-19 pandemic, triggering a second ‘midlife crisis’.


Findings also showed that women struggled more than men during the pandemic, which researchers say could be because women took on a larger share of unpaid care work such as housework, homeschooling and caring responsibilities.

New research from the Centre for Society and Mental Health and the UCL Centre for Longitudinal Studies is published today in PLOS Medicine.

Researchers analysed data collected over four decades from more than 16,000 adults, born in 1946, 1958 and 1970, who are taking part in three British birth cohort studies. The participants’ levels of psychological distress were assessed repeatedly over the course of their adult lives, through a series of questions that captured symptoms of depression and anxiety. The participants were also surveyed at three points during the first year of the pandemic: in May 2020, September/October 2020 and February/March 2021.

By autumn 2020, those born in 1958 and 1970 had higher levels of psychological distress, on average, than they had ever experienced in adulthood. Those born in 1946 had similar levels of psychological distress to their previous midlife peak in their early 50s.

Psychological distress is known to peak in midlife, before improving again as people get older. This is often referred to as the ‘midlife crisis’ in mental health.

Women struggled more than men with their mental health across all age groups, widening the already substantial gender inequalities in mental health that existed before the pandemic.

The researchers explained that this unforeseen second midlife mental health crisis may accelerate and exacerbate the onset of chronic mental health and other related health difficulties, disproportionately affecting women and increasing pressures on the NHS.

We know that anxiety and depression are among the top leading causes of disease worldwide. On top of the suffering they cause, mental health problems are closely linked to numerous physical health problems – right up to and including increased morbidity. The fact that we are observing an unexpected new peak of the very mental health problems that can lead to these long-term trajectories is deeply concerning.

Lead author Dr Darío Moreno-Agostino from the ESRC Centre for Society and Mental Health

In this story

Craig Morgan

Professor of Social Epidemiology

Stephani Hatch

Vice Dean for Culture, Diversity & Inclusion

Helen Fisher

Professor of Developmental Psychopathology