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Attitudes to Aging and Emotional Well-Being Among Middle-Aged and Older Adults During the COVID-19 Pandemic in China: The Mediating Role of Emotion Regulation

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Attitudes to Aging and Emotional Well-Being Among Middle-Aged and Older Adults During the COVID-19 Pandemic in China: The Mediating Role of Emotion Regulation

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School of Psychology, Central China Normal University, Wuhan 430079, China
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Received: 12 December 2025 Revised: 25 December 2025 Accepted: 16 March 2026 Published: 25 March 2026

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© 2026 The authors. This is an open access article under the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).

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Lifespan Dev. Ment. Health 2026, 2(1), 10006; DOI: 10.70322/ldmh.2026.10006
ABSTRACT: Attitudes to aging exert impacts on emotional well-being, yet the underlying psychological mechanisms and their stability across middle and older adulthood remain insufficiently understood. Based on the dual-factor model of mental health and the constructivist theory of emotional aging, this study aimed to: (1) examine the mediating role of emotion regulation in the relationship between aging attitudes and emotional well-being during the COVID-19 pandemic; (2) test the cross-age consistency of this mediating mechanism between middle-aged and older adults. Middle-aged and older residents (N = 653) participated in this study from 22 April to 24 April 2020. Participants completed questionnaires to assess their attitudes to aging, the use of emotion regulation strategies, and their levels of emotional well-being. Mediation roles and confidence intervals (CIs) were calculated using a bootstrap resampling method. Results showed that (1) Older adults exhibited slightly higher negative attitudes to aging, calmness, and boredom than the middle-aged group. They also used rumination, distraction, and social sharing strategies a little more frequently than middle-aged adults. (2) Full-sample mediation analyses indicated that positive aging attitudes were positively associated with positive affect through adaptive emotion regulation, and negative aging attitudes were positively associated with negative affect through maladaptive emotion regulation. (3) Moderated mediation analyses revealed that age group or age did not significantly moderate either mediating pathway. The mediating effect of emotion regulation on the relationship between aging attitudes and emotional well-being appeared stable across the two age groups. These findings support the constructionist approach to emotional aging. Interventions for successful aging should consider cultivating positive aging attitudes and adaptive emotion regulation, as these approaches are potentially both valuable for middle-aged and older adults.
Keywords: Attitudes to aging; Emotional well-being; Emotion regulation; The dual-factor model of mental health; COVID-19
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