{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:40:00Z","timestamp":1777927200398,"version":"3.51.4"},"reference-count":62,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: The COVID-19 pandemic has caused profound disruptions in socioeconomic, and health domains, with significant implications for mental well-being. The aim of this study was to evaluate the impact of the pandemic on stress, anxiety, and depression, alongside perceived social support, coping flexibility and related factors, and to examine how these issues vary across different age groups. Materials and Methods: A cross-sectional analytical study was conducted in T\u00fcrkiye between August and December 2020. Data were collected through an online questionnaire including sociodemographic characteristics, pandemic-related concerns, and validated scales: Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Coping Flexibility Scale (CFS), and Multidimensional Scale of Perceived Social Support (MSPSS). Statistical analyses included descriptive and comparative tests, correlation analysis, multiple linear regression models, and correspondence analysis. Results: Among 1699 participants, 58.0% were female; 24.5% and 42.1% reported anxiety and depressive symptoms above thresholds, respectively. Younger age correlated negatively with stress, anxiety, and depression scores (p &lt; 0.001). Feelings of loneliness, loss of control, ostracism, and sleep or concentration problems were positively associated with anxiety, depression, and stress, but negatively associated with coping flexibility and social support (p &lt; 0.001). The 15\u201320 age group had the highest anxiety and depression levels and the lowest social support; the 15\u201330 group showed the highest stress, while the 61\u201375 group exhibited the lowest coping flexibility. Regression models explained 62.7% of anxiety and 56.6% of depressive symptom variances. Major predictors of anxiety included depressive symptoms, stress, and fear of dying from COVID-19, while depressive symptoms were predicted by age, stress, coping flexibility, social support, and anxiety. Conclusions: The findings highlight the considerable psychological burden and distinct vulnerabilities among age groups. Mental health interventions should be tailored according to age, emphasising the enhancement of social support and coping flexibility to strengthen resilience in future pandemics.<\/jats:p>","DOI":"10.3390\/medicina61101840","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T14:34:15Z","timestamp":1760452455000},"page":"1840","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mental Health and Age-Related Differences in Community During the COVID-19 Pandemic: A Cross-Sectional Study from Southeastern T\u00fcrkiye"],"prefix":"10.3390","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0544-4906","authenticated-orcid":false,"given":"Pakize Gamze Erten","family":"Bucaktepe","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Medical Faculty, Dicle University, Diyarbak\u0131r 21280, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0985-4259","authenticated-orcid":false,"given":"Vasfiye","family":"Demir Pervane","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical Faculty, Dicle University, Diyarbak\u0131r 21280, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9316-8416","authenticated-orcid":false,"given":"\u00d6mer","family":"G\u00f6cen","sequence":"additional","affiliation":[{"name":"Kayap\u0131nar Talaytepe Family Health Center, Provincial Health Directorate, Diyarbak\u0131r 21070, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7580-1687","authenticated-orcid":false,"given":"Sercan Bulut","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Batman GAP Family Health Center, Provincial Health Directorate, Batman 72070, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Provincial Health Directorate, Public Health Directorate Services Training Unit, Batman 72060, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6znur Uysal","family":"Batmaz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Health Sciences Gazi Ya\u015fargil Training and Research Hospital, Diyarbak\u0131r 21090, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical Faculty, Dicle University, Diyarbak\u0131r 21280, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9429-2996","authenticated-orcid":false,"given":"Tahsin","family":"\u00c7elepkolu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical Faculty, Dicle University, Diyarbak\u0131r 21280, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9800-5015","authenticated-orcid":false,"given":"K\u00fcr\u015fat","family":"Alt\u0131nba\u015f","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Atlas University, \u0130stanbul 34403, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"102006","DOI":"10.1016\/j.cpr.2021.102006","article-title":"Addressing the mental health impact of COVID-19 through population health","volume":"85","author":"Boden","year":"2021","journal-title":"Clin. Psychol. Rev."},{"key":"ref_2","unstructured":"COVID-19 Pandemic Timeline (2025, July 31). Northwestern Medicine. Available online: https:\/\/www.nm.org\/healthbeat\/medical-advances\/new-therapies-and-drug-trials\/covid-19-pandemic-timeline."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.jad.2020.08.001","article-title":"Impact of COVID-19 pandemic on mental health in the general population: A systematic review","volume":"277","author":"Xiong","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1016\/S0140-6736(21)02143-7","article-title":"Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic","volume":"398","author":"Santomauro","year":"2021","journal-title":"Lancet"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Borja, J.B., and Patten, S.B. (2025). Differential Effects of Pandemic-Related Stressors on Mental Health by Age and Sex. Healthcare, 13.","DOI":"10.3390\/healthcare13030224"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s12992-020-00589-w","article-title":"Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"16","author":"Salari","year":"2020","journal-title":"Glob. Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.comppsych.2011.02.003","article-title":"Depression after exposure to stressful events: Lessons learned from the severe acute respiratory syndrome epidemic","volume":"53","author":"Liu","year":"2012","journal-title":"Compr. Psychiatry"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Wang, Y., Kala, M.P., and Jafar, T.H. (2020). Factors associated with psychological distress during the coronavirus disease 2019 (COVID-19) pandemic on the predominantly general population: A systematic review and meta-analysis. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0244630"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jad.2024.07.011","article-title":"Synthesising 30 years of clinical experience and scientific insight on affective temperaments in psychiatric disorders: State of the art","volume":"362","author":"Favaretto","year":"2024","journal-title":"J. Affect. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Fiorillo, A., Demyttenaere, K., Martiadis, V., and Martinotti, G. (2025). Editorial: Treatment resistant depression (TRD): Epidemiology, clinic, burden and treatment. Front. Psychiatry, 16.","DOI":"10.3389\/fpsyt.2025.1588902"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Rahmati, M., Lee, S., Yon, D.K., Lee, S.W., Udeh, R., McEvoy, M., Oh, H., Butler, L., Keyes, H., and Barnett, Y. (2024). Physical activity and prevention of mental health complications: An umbrella review. Neurosci. Biobehav. Rev., 160.","DOI":"10.1016\/j.neubiorev.2024.105641"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"104651","DOI":"10.1016\/j.actpsy.2024.104651","article-title":"Psychosocial and mental health status among older adults in China during the COVID-19 pandemic: A cross-sectional study","volume":"252","author":"Luo","year":"2024","journal-title":"Acta Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Bucaktepe, P.G.E., Akg\u00fcl, F., and \u00c7el\u00efk, S.B. (2024). Evaluation of the effects of pandemic-related fears on anxiety and depression: The mediating roles of traumatic stress and loneliness. BMC Psychol., 12.","DOI":"10.1186\/s40359-024-01880-w"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1038\/s41398-022-01946-6","article-title":"Mental disorders following COVID-19 and other epidemics: A systematic review and meta-analysis","volume":"12","author":"Leung","year":"2022","journal-title":"Transl. Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1007\/s11469-020-00367-0","article-title":"The Mental Health Impact of the COVID-19 Pandemic Across Different Cohorts","volume":"20","author":"Khan","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Huang, Y., Su, X., Si, M., Xiao, W., Wang, H., Wang, W., Gu, X., Ma, L., Li, J., and Zhang, S. (2021). The impacts of coping style and perceived social support on the mental health of undergraduate students during the early phases of the COVID-19 pandemic in China: A multicenter survey. BMC Psychiatry, 21.","DOI":"10.1186\/s12888-021-03546-y"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.1037\/a0037913","article-title":"Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review","volume":"140","author":"Cheng","year":"2014","journal-title":"Psychol. Bull."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Cheng, C., Wang, H.-Y., and Ebrahimi, O.V. (2021). Adjustment to a \u201cNew Normal:\u201d Coping Flexibility and Mental Health Issues During the COVID-19 Pandemic. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.626197"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Raffone, F., Atripaldi, D., Barone, E., Marone, L., Carfagno, M., Mancini, F., Saliani, A.M., and Martiadis, V. (2025). Exploring the role of guilt in eating disorders: A pilot study. Clin. Pract., 15.","DOI":"10.3390\/clinpract15030056"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Martiadis, V., Pessina, E., Raffone, F., Iniziato, V., Martini, A., and Scognamiglio, P. (2023). Metacognition in schizophrenia: A practical overview of psychometric metacognition assessment tools for researchers and clinicians. Front. Psychiatry, 14.","DOI":"10.3389\/fpsyt.2023.1155321"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1007\/s12144-021-01694-8","article-title":"COVID-19 related fear and mental health in Indian sample: The buffering effect of support system","volume":"41","author":"Suhail","year":"2021","journal-title":"Curr. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s42844-024-00141-4","article-title":"Evaluating the Buffering Role of Perceived Social Support and Coping Resources Against the Adult Mental Health Impacts of COVID-19 Psychosocial Stress: A Cross-Sectional Study in South Africa","volume":"6","author":"Kim","year":"2025","journal-title":"Advers. Resil. Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"115031","DOI":"10.1016\/j.socscimed.2022.115031","article-title":"Age disparities in mental health during the COVID19 pandemic: The roles of resilience and coping","volume":"305","author":"Na","year":"2022","journal-title":"Soc. Sci. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"152222","DOI":"10.1016\/j.comppsych.2020.152222","article-title":"Generalized anxiety and depressive symptoms in various age groups during the COVID-19 lockdown in Poland. Specific predictors and differences in symptoms severity","volume":"105","author":"Gambin","year":"2021","journal-title":"Compr. Psychiatry"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Nguyen, H.T.M., Nguyen, H.V., Zouini, B., Senhaji, M., Bador, K., Meszaros, Z.S., Stevanovic, D., and Kerekes, N. (2022). The COVID-19 pandemic and adolescents\u2019 psychological distress: A multinational cross-sectional study. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19148261"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"630","DOI":"10.3934\/publichealth.2022044","article-title":"Mental health and psychosocial impact of the COVID-19 pandemic and social distancing measures among young adults in Bogot\u00e1, Colombia","volume":"9","author":"Rivera","year":"2022","journal-title":"AIMS Public Health"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Betancourt-Ocampo, D., Toledo-Fern\u00e1ndez, A., and Gonz\u00e1lez-Gonz\u00e1lez, A. (2022). Mental health changes in older adults in response to the COVID-19 Pandemic: A longitudinal study in Mexico. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.848635"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"12198","DOI":"10.1007\/s12144-023-04301-0","article-title":"Social loneliness and perceived stress among middle-aged and older adults during the COVID-19 pandemic","volume":"43","year":"2024","journal-title":"Curr. Psychol."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Flesia, L., Monaro, M., Mazza, C., Fietta, V., Colicino, E., Segatto, B., and Roma, P. (2020). Predicting Perceived Stress Related to the COVID-19 Outbreak through Stable Psychological Traits and Machine Learning Models. J. Clin. Med., 9.","DOI":"10.31234\/osf.io\/yb2h8"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"3162","DOI":"10.1007\/s11469-021-00571-6","article-title":"The relationship between age and mental health among adults in iran during the COVID-19 Pandemic","volume":"20","author":"Chen","year":"2022","journal-title":"Int. J. Ment. Health. Addict."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1136\/bmj.39335.541782.AD","article-title":"STROBE Initiative. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"335","author":"Altman","year":"2007","journal-title":"BMJ"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1002\/ejp.1514","article-title":"What does \u201cmoderate pain\u201d mean? Subgroups holding different conceptions of rating scales evaluate experimental pain differently","volume":"24","author":"Becker","year":"2019","journal-title":"Eur. J. Pain"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The Hospital Anxiety and Depression Scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_34","first-page":"280","article-title":"Reliability and validity of the Turkish version of Hospital Anxiety and Depression Scale","volume":"8","author":"Aydemir","year":"1997","journal-title":"Turk. J. Psychiatry"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1037\/a0027770","article-title":"Development of the Coping Flexibility Scale: Evidence for the coping flexibility hypothesis","volume":"59","author":"Kato","year":"2012","journal-title":"J. Couns. Psychol."},{"key":"ref_36","unstructured":"Ak\u0131n, A., A\u015fut, S., Toprak, H., \u00c7ardak, M., \u00d6zdemir, E., Sari\u00e7am, H., and Kaya, \u00c7. (2013, January 10\u201311). The validity and reliability of the Coping Flexibility Scale Turkish Form. Proceedings of the 5th National Postgraduate Education Symposium, Sakarya, Turkey."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A Global Measure of Perceived Stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref_38","first-page":"132","article-title":"The adaptation of the Perceived Stress Scale into Turkish: A reliability and validity analysis","volume":"51","author":"Eskin","year":"2013","journal-title":"New\/Yeni Symp. J."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1207\/s15327752jpa5503&4_17","article-title":"Psychometric characteristics of the Multidimensional Scale of Perceived Social Support","volume":"55","author":"Zimet","year":"1990","journal-title":"J. Personal. Assess."},{"key":"ref_40","first-page":"45","article-title":"Factorial structure, validity, and reliability of the Multidimensional Scale of Perceived Social Support","volume":"10","author":"Eker","year":"1995","journal-title":"Turk Psikoloji Derg."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1177\/0020764020927051","article-title":"Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender","volume":"66","year":"2020","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_42","first-page":"204","article-title":"Prevalence of depressive symptoms and related factors in T\u00fcrkiye: Results of the 2016 and 2019 Turkish Health Survey","volume":"36","author":"Aydin","year":"2024","journal-title":"Turk. J. Psychiatry."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"113190","DOI":"10.1016\/j.psychres.2020.113190","article-title":"The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public\u2014A systematic review and meta-analysis","volume":"291","author":"Luo","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e47","DOI":"10.1017\/gmh.2021.49","article-title":"Prevalence and risk factors of the symptoms of depression, anxiety, and stress during the COVID-19 pandemic in Bangladesh: A systematic review and meta-analysis","volume":"8","author":"Hosen","year":"2021","journal-title":"Glob. Ment. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"469580241273187","DOI":"10.1177\/00469580241273187","article-title":"Effects of Anxiety, Stress and Perceived Social Support on Depression and Loneliness Among Older People During the COVID-19 Pandemic: A Cross-Sectional Path Analysis","volume":"61","author":"Farhang","year":"2024","journal-title":"Inquiry"},{"key":"ref_46","first-page":"4","article-title":"Mental Health of Primary Care Workers During COVID-19 Pandemic: A Cross-Sectional Study TJFMPC","volume":"19","year":"2025","journal-title":"Turk. J. Fam. Med. Prim. Care"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Simon, J., Helter, T.M., White, R.G., van der Boor, C., and \u0141aszewska, A. (2021). Impacts of the COVID-19 lockdown and relevant vulnerabilities on capability well-being, mental health and social support: An Austrian survey study. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-10351-5"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jad.2020.06.036","article-title":"The loneliness pandemic: Loneliness and other concomitants of depression, anxiety and their comorbidity during the COVID-19 outbreak","volume":"275","author":"Palgi","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Yu, H., Li, M., Li, Z., Xiang, W., Yuan, Y., Liu, Y., Li, Z., and Xiong, Z. (2020). Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-19 epidemic. BMC Psychiatry, 20.","DOI":"10.1186\/s12888-020-02826-3"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1002\/pchj.516","article-title":"Prevalence and factors associated with mental health problems in Saudi general population during the coronavirus disease 2019 pandemic: A systematic review and meta-analysis","volume":"11","author":"Alzahrani","year":"2022","journal-title":"PsyCh J."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Ames-Guerrero, R.J., Barreda-Parra, V.A., Huamani-Cahua, J.C., and Banaszak-Holl, J. (2021). Self-reported psychological problems and coping strategies: A web-based study in Peruvian population during COVID-19 pandemic. BMC Psychiatry, 21.","DOI":"10.1186\/s12888-021-03326-8"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Kaniasty, K., van der Meulen, E., and Mahmoud, A.B. (2024). Impact of COVID-19 on psychological distress in subsequent stages of the pandemic: The role of received social support. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0310734"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"113486","DOI":"10.1016\/j.psychres.2020.113486","article-title":"Psychological distress during the COVID-19 lockdown: The young adults most at risk","volume":"293","author":"Glowacz","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Varma, P., Junge, M., Meaklim, H., and Jackson, M.L. (2021). Younger people are more vulnerable to stress, anxiety and depression during COVID-19 pandemic: A global cross-sectional survey. Prog. Neuro-Psychopharmacol. Biol. Psychiatry, 109.","DOI":"10.1016\/j.pnpbp.2020.110236"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1037\/a0021285","article-title":"Emotional experience improves with age: Evidence based on over 10 years of experience sampling","volume":"26","author":"Carstensen","year":"2011","journal-title":"Psychol. Aging"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1177\/0956797620967261","article-title":"Age Advantages in Emotional Experience Persist Even Under Threat From the COVID-19 Pandemic","volume":"31","author":"Carstensen","year":"2020","journal-title":"Psychol. Sci."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"de Castro, L.L.P.T., Walsh, H.P., Accioly, M.F., Martins, L.J.P., Oliveira, A.C.O., Graffitti, L.P.M., Pegorari, M.S., and de Walsh, I.A.P. (2024). Healthy lifestyle as predictors of common mental disorder during coronavirus disease. Front. Public Health, 70.","DOI":"10.1590\/1806-9282.20231004"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"13887","DOI":"10.1007\/s12144-022-03487-z","article-title":"Longitudinal changes in fear and anxiety among Chinese college students during the COVID-19 pandemic: A one-year follow-up study","volume":"43","author":"Peng","year":"2024","journal-title":"Curr. Psychol."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Abbas, Q., Jeong, W., and Lee, S.W. (2025). Explainable AI in Clinical Decision Support Systems: A Meta-Analysis of Methods, Applications, and Usability Challenges. Healthcare, 13.","DOI":"10.3390\/healthcare13172154"},{"key":"ref_60","unstructured":"Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal and Coping, Springer Publishing Company."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1080\/13607863.2022.2046695","article-title":"The relationship between older adults\u2019 technology use, in-person engagement, and pandemic-related mental health","volume":"27","author":"Drazich","year":"2023","journal-title":"Aging Ment. Health"},{"key":"ref_62","first-page":"23","article-title":"Socio-Emotional Resilience Among Older Adults During the COVID-19 Pandemic","volume":"21","author":"Lahar","year":"2023","journal-title":"J. South Carol. Acad. Sci."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/10\/1840\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T11:03:31Z","timestamp":1760526211000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/10\/1840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,14]]},"references-count":62,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["medicina61101840"],"URL":"https:\/\/doi.org\/10.3390\/medicina61101840","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,14]]}}}