Kyoungmin Cho, Susan T Charles, David M Almeida, Soomi Lee
{"title":"Spending time helping others and well-being of givers: Age differences in immediate and long-term effects on well-being.","authors":"Kyoungmin Cho, Susan T Charles, David M Almeida, Soomi Lee","doi":"10.1093/geronb/gbag210","DOIUrl":"https://doi.org/10.1093/geronb/gbag210","url":null,"abstract":"<p><strong>Objectives: </strong>The extant literature suggests that spending time helping others is associated with both beneficial and detrimental effects on givers' emotional experiences. To reconcile these findings, the current study examined the daily- and monthly-level associations between spending time helping others and well-being. We predicted that spending time helping others would be associated with lower hedonic well-being at the daily level but higher eudaimonic well-being at the monthly level. We further hypothesized that age would moderate these associations.</p><p><strong>Method: </strong>We used data from the main survey and the National Study of Daily Experiences (NSDE) in MIDUS 3 (N=865) and MIDUS Refresher 1 (N=612). Participants reported their daily and monthly time spent helping others. Measures included hedonic well-being (negative affect and positive affect) and eudaimonic well-being (social and psychological well-being).</p><p><strong>Results: </strong>At the daily level, our sample of adults experienced mixed emotional consequences on days when they spent more time helping others, reporting both higher negative and positive affect. Age moderation showed young and middle-aged adults experienced more negative affect. At the monthly level, spending time helping others was associated with higher social and psychological well-being. This association was significantly stronger among older adults than middle-aged adults in Refresher 1. Monthly spending time helping others was not associated with hedonic well-being.</p><p><strong>Discussion: </strong>These findings suggest that spending time helping others can be both taxing and enjoyable in the short term while contributing to eudaimonic benefits over the long term. Older age may reduce costs and enhance benefits of spending time helping others.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149231105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lifetime family caregiving for older U.S. adults by men and women, 2011 and 2023.","authors":"Vicki A Freedman, Yee To Ng","doi":"10.1093/geronb/gbag209","DOIUrl":"https://doi.org/10.1093/geronb/gbag209","url":null,"abstract":"<p><strong>Objectives: </strong>Prior research finds that women spend more years than men caring for older relatives and friends (\"lifetime family caregiving\") in the United States. This study examines whether these amounts have changed in recent years (2023 vs. 2011) and how recent estimates differ for men and women by relationship to the care recipient and type of care provided.</p><p><strong>Methods: </strong>We update and expand previously published estimates, drawing upon the National Study of Caregiving (n=1,972 in 2011; n=6,500 in 2021-2023) and the Current Population Survey. We use a demographic technique to calculate years of remaining life men and women ages 20+ would provide family caregiving to an older adult if current age-specific rates held.</p><p><strong>Results: </strong>In 2023, lifetime family caregiving for an older adult was nearly three years longer for women relative to men: 7.1 (95%CI: 6.2,8.0) vs. 4.2 (95%CI: 3.7,4.7) (p<.001). For women, estimates for lifetime family caregiving were a year higher in 2023 than in 2011 (p=.03); for men, estimates were nearly identical in both years. In 2023, lifetime family caregiving for an older spouse or partner was similar for women and men but was higher for women than for men for caring for a parent, grandparent, and other relationship and for personal, household, transportation, and medical tasks.</p><p><strong>Discussion: </strong>Our results indicate lifetime family caregiving has increased for women. Gaps in lifetime family caregiving for men and women may grow further as late-life care needs increase and the percentage of older adults without close kin continues to rise.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Subrata Pal, David C Brown, Chen Chen, Semere Bekena, Ramkrishna K Singh, Yiqi Zhu, Kaylin Taylor, Noor Al Hammadi, Soumendra N Lahiri, Ganesh M Babulal
{"title":"Naturalistic Driving Engineered Trajectories Forecast Future Cognitive Decline.","authors":"Subrata Pal, David C Brown, Chen Chen, Semere Bekena, Ramkrishna K Singh, Yiqi Zhu, Kaylin Taylor, Noor Al Hammadi, Soumendra N Lahiri, Ganesh M Babulal","doi":"10.1093/geronb/gbag212","DOIUrl":"https://doi.org/10.1093/geronb/gbag212","url":null,"abstract":"<p><strong>Objectives: </strong>Early population-based screening for Alzheimer's disease remains limited by the scalability and accessibility of conventional biomarker testing. We tested whether passive naturalistic driving changes predict progression from cognitively normal status to sustained mild cognitive impairment.</p><p><strong>Methods: </strong>Season-adjusted monthly driving data from 298 older adults, including 25 progressors, were summarized into within-person trajectory features capturing drift and instability in cornering and destination diversity relative to a six-month baseline. A GEE logistic regression was evaluated under leave-one-out cross-validation with a paired-consecutive flagging rule. Landmark survival analyses at 12 and 24 months assessed prognostic value. Five held-out clinical subgroups (n = 82 evaluable), plasma pTau217, MoCA trajectories, and depression scores provided independent post hoc validation.</p><p><strong>Results: </strong>The model detected 19/25 progressors (AUC=0.752, 95%CI: 0.627-0.863; 76% sensitivity; 75% specificity) with an 18-month median lead time before sustained CDR conversion. Adding static baseline driving features reduced discrimination (AUC=0.702), supporting that within-person driving change, not absolute level, carries a predictive signal. Driving markers stratified risk at 12 months (HR = 6.02, 95%CI: 2.35-15.41) and 24 months (HR = 13.38, 95%CI: 3.03-59.04). Signals converged or were directionally consistent with higher pTau217 among detected progressors and clinically ambiguous single-endpoint cases, whereas flagged stable participants showed MoCA decline without pTau217 enrichment. Depressive symptoms did not explain the driving signal (Spearman rho=0.05, p=0.53). The sustained conversion rate (12.3/1,000 person-years) matched epidemiological expectations.</p><p><strong>Discussion: </strong>Scalable driving-trajectory features can detect preclinical functional decline with clinically meaningful lead time, without demographic, genetic, or cognitive data, and may serve as an objective neurobehavioral screening tool.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Henrietta A Bennett, Wesley R Browning, Vicki Winstead, Carolyn E Z Pickering
{"title":"Caregiver-provider relationship quality and health outcomes in family caregivers of people living with dementia.","authors":"Henrietta A Bennett, Wesley R Browning, Vicki Winstead, Carolyn E Z Pickering","doi":"10.1093/geronb/gbag211","DOIUrl":"https://doi.org/10.1093/geronb/gbag211","url":null,"abstract":"<p><strong>Objectives: </strong>Family caregivers of individuals with Alzheimer's Disease and Related Dementias (ADRD) work with healthcare providers to ensure effective care coordination on behalf of the care recipient. However, challenges within the caregiver-healthcare provider relationship are common and may contribute to poor caregiver health outcomes. This study examined the impact of perceived quality of the relationship between family caregivers and healthcare providers and the caregivers' daily mental health symptom burden (depressive symptoms, anxiety, and stress).</p><p><strong>Methods: </strong>The study included 228 family caregivers who lived with and provided unpaid care to a family member with dementia. Linear Mixed-Effects Models (LMM) were developed to assess whether the caregiver-provider relationship was associated with caregiver daily depressive symptoms, daily anxiety, and daily stress.</p><p><strong>Results: </strong>Of 228 caregivers, 82% were female, 84% were spouses or partners of the care recipient, and 9% of caregivers were classified as living in poverty. Caregivers who rated their providers' affect (perceptions of being valued, respected, and emotionally supported) more positively reported lower daily depressive symptoms (β= -0.06, p = .001) and anxiety symptoms (β= -0.07, p < .001). The caregiver-provider relationship was not associated with daily stress experiences.</p><p><strong>Discussion: </strong>Findings from the study suggest that healthcare provider affect (perceptions of being valued, respected, and emotionally supported) may be a protective factor, especially against depressive symptoms and anxiety, and offer an avenue for future interventions. Integrating caregiver-provider relationship-informed practices into routine dementia care may help foster emotionally responsive, person- and family-centered care.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Activity diversity and psychological richness across midlife and older adulthood.","authors":"Anthony D Ong, Soomi Lee, Kyoungmin Cho","doi":"10.1093/geronb/gbag213","DOIUrl":"https://doi.org/10.1093/geronb/gbag213","url":null,"abstract":"<p><strong>Objectives: </strong>Psychological richness, a dimension of well-being characterized by novelty, complexity, and perspective change, is theoretically grounded in varied and unusual experiences. This study examined whether daily activity diversity was associated with psychological richness in two cohorts of midlife and older adults from the Midlife in the United States (MIDUS) study.</p><p><strong>Methods: </strong>Daily reports were drawn from two cohorts of the Midlife in the United States (MIDUS) study: MIDUS 2 (M2; N = 1,834) and the MIDUS Refresher (MR; N = 730). Daily activity diversity was quantified with Shannon entropy, capturing both the breadth and evenness of participants' daily activities.</p><p><strong>Results: </strong>Lower activity diversity was associated with higher psychological richness in both cohorts (M2: β = -0.07, p <.001; MR: β = -0.06, p = .009). After adjustment for age, sex, education, race, and chronic health conditions, associations were inverse in both cohorts but statistically significant only in M2 (M2: β = -0.07, p <.001; MR: β = -0.04, p = .068).</p><p><strong>Discussion: </strong>These findings suggest that broader activity repertoires do not necessarily correspond to greater psychological richness and that psychologically rich lives may coexist with relatively narrow patterns of daily engagement.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ambivalent return: Older adults' homecoming after wartime displacement.","authors":"Adi Vitman-Schorr, Michal Segal","doi":"10.1093/geronb/gbag208","DOIUrl":"https://doi.org/10.1093/geronb/gbag208","url":null,"abstract":"<p><strong>Objectives: </strong>Little is known about how older adults experience their return home after wartime displacement, particularly when home and community are altered or remain insecure. This longitudinal qualitative study examined continuity and change across the displacement-return transition.</p><p><strong>Methods: </strong>Twelve participants (aged 65-92), previously interviewed during displacement (T1), were re-interviewed after returning home (T2) using a qualitative descriptive approach with thematic analysis.</p><p><strong>Results: </strong>Three themes emerged: (1) the unsettled return, involving altered security, unfamiliarity within the home, and disrupted community life; (2) continuity of social relationships and activities after return; and (3) shifts in life perspective and self-perception. These themes describe the shared dimensions of post-return experience, whereas the complementary diachronic analysis examined how these dimensions changed and combined across T1 and T2. A diachronic analysis identified four return trajectories: functioning but incomplete; ambivalent or gradual return requiring active reorganization; return supported by communal and social continuity and use of personal resources; and ongoing erosion and unresolved damage.</p><p><strong>Discussion: </strong>These findings demonstrate that return is not restoration but a reconfiguration of person-environment fit, place identity, belonging, and security in later life. For older adults, this transition involved rebuilding environmental familiarity, security, belonging, and agency rather than simply resuming pre-displacement life. The study highlights social infrastructure as critical for post-return adaptation, underscoring the need for policies recognizing the return process as a significant transition requiring continued communal support.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dana Smith, Teresa P Pham, Edwina R Orchard, Janelle Applequist, Helena J V Rutherford, Jennifer O'Brien
{"title":"'Keeping me sharp\": Self-perceived effects of grandparenthood on cognition: An exploratory thematic analysis.","authors":"Dana Smith, Teresa P Pham, Edwina R Orchard, Janelle Applequist, Helena J V Rutherford, Jennifer O'Brien","doi":"10.1093/geronb/gbag194","DOIUrl":"https://doi.org/10.1093/geronb/gbag194","url":null,"abstract":"<p><strong>Objectives: </strong>The experience of grandparenthood holds the potential for novel and engaging social interactions and activities, which may protect against cognitive decline. The present study outlines how individuals believe grandparenthood has impacted their cognitive abilities in late life.</p><p><strong>Methods: </strong>We asked 127 grandparents (87 grandmothers and 40 grandfathers) how they thought grandparenthood had impacted their mental ability (memory, concentration, and cognitive ability). An exploratory thematic analysis utilizing a codebook approach was conducted on the participant responses.</p><p><strong>Results: </strong>Analysis revealed four major themes among the responses: \"grandparenthood as a continuous experience that promotes healthy cognitive functioning\", \"shifting perspectives\", \"limited interaction\", and \"the negative impacts of grandparenthood.\"</p><p><strong>Discussion: </strong>A majority of grandparents expressed the belief that interacting with their grandchildren is beneficial to their cognition. However, some participants qualified grandparenthood as a stressful experience that has negatively impacted their cognitive health. These findings support previous literature showing both cognitive benefits associated with grandparental caregiving and negative cognitive outcomes that may result from the stress of caregiving.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jana Koch, Laura Buchinger, Brooke Brady, Johanna Drewelies, Sandra Duezel, Ulman Lindenberger, Paolo Ghisletta, Nilam Ram, Ilja Demuth, Valentin Vetter, Kaarin J Anstey, Denis Gerstorf
{"title":"Health, cognitive, and psychosocial trajectories over nearly a decade as distal antecedents of awareness of age-related change in old age.","authors":"Jana Koch, Laura Buchinger, Brooke Brady, Johanna Drewelies, Sandra Duezel, Ulman Lindenberger, Paolo Ghisletta, Nilam Ram, Ilja Demuth, Valentin Vetter, Kaarin J Anstey, Denis Gerstorf","doi":"10.1093/geronb/gbag170","DOIUrl":"10.1093/geronb/gbag170","url":null,"abstract":"<p><strong>Objectives: </strong>Awareness of age-related change (AARC) reflects how individuals perceive age-related gains and losses, with positive perceptions consistently predicting better health and well-being. The Awareness of Age-Related Change theoretical framework has long highlighted physical and psychosocial health as distal antecedents of AARC, but their actual importance remains poorly understood. In this preregistered study, we empirically test this key model component.</p><p><strong>Methods: </strong>We operationalize distal antecedents as 9-year trajectories in physical health (morbidity, grip strength, hearing, vision), cognitive functioning (recall, processing speed, working memory), and self-reported loneliness. We apply structural equation modeling to 3-wave longitudinal data from the Berlin Aging Study II (N = 753, aged 61-81 at baseline, 49% female) and test if these trajectories predict late-life AARC.</p><p><strong>Results: </strong>Older adults with better baseline recall and grip strength reported fewer AARC losses, whereas those with higher baseline loneliness perceived more losses and fewer gains. Steeper declines in recall and stronger increases in morbidity were associated with heightened awareness of losses. Processing speed, working memory, hearing, and vision were not associated with AARC.</p><p><strong>Discussion: </strong>Our results suggest several refinements of the Awareness of Age-Related Change framework: (a) within a given construct space (e.g., cognition), some dimensions (e.g., recall) are more strongly associated with perceiving age-related losses than others (e.g., processing speed), (b) long-term trajectories of recall memory and morbidity (rather than status alone) are particularly relevant for loss-focused awareness of aging, and (c) higher levels of loneliness are most consistently associated with awareness of age-related gains.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brianah M McCoy, Stephanie M Koning, Kathleen Mullan Harris, Lauren Gaydosh
{"title":"Reproductive life course histories and menopausal outcomes at midlife: evidence from the National Longitudinal Study of Adolescent to Adult Health.","authors":"Brianah M McCoy, Stephanie M Koning, Kathleen Mullan Harris, Lauren Gaydosh","doi":"10.1093/geronb/gbag175","DOIUrl":"10.1093/geronb/gbag175","url":null,"abstract":"<p><strong>Objectives: </strong>Menopause is a heterogeneous transition that varies in timing and type, yet population-based research rarely considers how reproductive life course experiences shape menopausal outcomes. This study examines whether reproductive timing, reproductive history, and reproductive health across adolescence and adulthood are associated with menopausal status, early menopause, and surgical menopause at midlife.</p><p><strong>Methods: </strong>Using data from women in Waves I-VI of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we constructed reproductive life course histories including pubertal timing, pregnancy and parity, reproductive complications, and gynecologic conditions. Menopausal outcomes at Wave VI included menopausal status, early menopause (before age 40), and surgical menopause. Survey-weighted logistic regression models estimated associations between reproductive characteristics and menopausal outcomes, adjusting for socioeconomic context and cumulative reproductive stress. Stratified analyses by pregnancy history assessed whether associations with gynecologic pathology were independent of fertility history.</p><p><strong>Results: </strong>At Wave VI (mean age 44), 18% of women were postmenopausal. Among them, 69% reported surgical menopause and 60% experienced menopause before age 40, indicating a substantial prevalence of non-natural and early transitions. Pregnancy and parity were consistently associated with menopausal outcomes, whereas reproductive timing showed more limited associations. Gynecologic pathology was strongly associated with early and surgical menopause independent of pregnancy history.</p><p><strong>Discussion: </strong>Menopause emerges as a life course process shaped by reproductive histories and midlife reproductive health. The high prevalence of early and surgical menopause underscores the importance of examining heterogeneous pathways to menopausal timing and type in population-based research.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148836139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blunted diurnal cortisol slope as a risk marker for 9-year executive function decline: amplification by daily stress and worry severity.","authors":"Nur Hani Zainal, Stephanie Noble","doi":"10.1093/geronb/gbag178","DOIUrl":"10.1093/geronb/gbag178","url":null,"abstract":"<p><strong>Objectives: </strong>Cortisol dysregulation, reflective of hypothalamic-pituitary-adrenal (HPA) axis dysregulation, has been linked to executive functioning (EF) decline. However, substantial effect-size heterogeneity across studies highlights the potential role of psychosocial moderators. We investigated whether the severity of perceived daily stressors and chronic worry moderated the relationships between baseline cortisol dysregulation and 9-year EF.</p><p><strong>Methods: </strong>Community adults (N = 1,617) completed 4-day, 4-times-daily salivary cortisol sampling and an 8-day interview-driven daily diary at baseline. Three cortisol metrics were computed: area under the curve (AUC), cortisol awakening response (CAR), and diurnal cortisol slope (DCS). Linear mixed models determined whether daily stressor or chronic worry severity moderated associations between baseline cortisol metrics and 9-year EF, adjusting for baseline EF.</p><p><strong>Results: </strong>Daily stressor severity significantly moderated the relationship between DCS-but not AUC or CAR-and 9-year EF (Cohen's d = 0.113). Flatter DCS was associated with poorer EF across all stressor severity levels, although the observed numerical attenuation at higher severity was not statistically confirmed. Chronic worry severity was significantly associated with lower 9-year EF across all cortisol metrics and significantly moderated the CAR-to-EF relationship (d = -0.176). Exploratory analyses suggested that a flatter DCS was associated with worse EF at higher worry severity, but this interaction was not significant.</p><p><strong>Discussion: </strong>These outcomes broadly align with moderation, not mediation, suggesting that psychosocial stress and worry can modulate, rather than yield, cortisol-linked relationships with EF. Pending replication, HPA-axis circadian modulation and chronic worry severity can indicate viable targets for prevention research.</p>","PeriodicalId":520811,"journal":{"name":"The journals of gerontology. Series B, Psychological sciences and social sciences","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}