Middle-aged Americans are experiencing increasing levels of loneliness, depression, and memory problems compared to previous generations, according to research released on Apr. 15 by Frank Infurna and colleagues. The findings are based on surveys comparing adults aged 40-65 today with those from 30 years ago.
The study highlights a concerning trend unique to the United States. Similar increases in mental health challenges were not found in peer nations such as those in Europe, China, South Korea, or Mexico. Researchers say this suggests that social and economic factors specific to the U.S. may be contributing to these issues.
Infurna said changing intergenerational relationships play a role in the struggles faced by today's middle-aged adults. Many find themselves balancing work with caring for aging parents who are living longer and supporting grown children who face difficulties achieving independence due to a challenging labor market and high housing costs. "It's a sandwich generation, but on steroids," Infurna said.
Financial vulnerabilities also appear significant. Infurna's research found that countries with higher income inequality—including the United States—reported more loneliness among middle-aged people. "The cost of living is just much higher within the United States, and there are fewer safety nets here," he said. He explained that without strong support systems like parental leave or subsidized childcare, Americans may struggle more during crises than their counterparts abroad.
In an article published in Current Directions in Psychological Science this year, Infurna introduced a framework showing how national factors such as healthcare access interact with local environments like neighborhoods or workplaces—and individual circumstances—to shape midlife well-being over time.
Infurna urged more cross-national research into these trends: "The biggest thing is to urge more people to conduct this type of cross-national research so that you can get a sense of not only what's transpiring within the United States, but how it compares to other nations." He noted that some U.S. states implementing European-style policies have seen better outcomes but acknowledged policy change can be slow: "It would be great if we can change policy, but I'm a realist and it may not be as immediate." In the meantime, he encouraged individuals to build supportive communities: "Having that sense of community and engagement can go a long way to promoting more positive health outcomes among middle-aged adults."