For many Americans, middle age is becoming more challenging than it was for previous generations. People born in the 1960s and early 1970s report higher levels of loneliness and depression, along with poorer memory and reduced physical strength compared with those who came before them.
What makes this trend especially notable is that it is not happening to the same extent in many other wealthy countries. In several peer nations, particularly in Nordic Europe, health and well-being during midlife have improved over time rather than declined.
To understand why the United States appears to be moving in a different direction, psychologist Frank J. Infurna of Arizona State University and his colleagues examined survey data from 17 countries.
"The real midlife crisis in America isn't about lifestyle choices or sports cars. It's about juggling work, finances, family, and health amid weakening social supports," Infurna said. "The data make this clear."
The study, published in Current Directions in Psychological Science, points to several factors that may be driving these differences and suggests possible ways to improve outcomes.






