Related Experiment Video
Updated: Apr 28, 2026

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
The attitudes to ageing questionnaire: Mokken scaling analysis
Susan D Shenkin1, Roger Watson2, Ken Laidlaw3
1Department of Geriatric Medicine, University of Edinburgh, Edinburgh, Scotland, United Kingdom; Centre for Cognitive Ageing and Cognitive Epidemiology, Edinburgh, Scotland, United Kingdom.
This study used Mokken scaling to analyze attitudes to ageing in older adults. It identified three key scales—Vitality, Legacy, and Exclusion—revealing what older people value about their own aging process.
Area of Science:
- Gerontology
- Psychometrics
- Latent Trait Theory
Background:
- The Attitudes to Ageing Questionnaire (AAQ) originally comprised three subscales: Psychosocial Loss, Physical Change, and Psychological Growth.
- Hierarchical structures are valuable for understanding latent traits in questionnaires.
- This study investigated the AAQ's structure using Mokken analysis.
Purpose of the Study:
- To test for hierarchical structures within the Attitudes to Ageing Questionnaire (AAQ).
- To explore the relationship between these hierarchies and underlying latent traits.
- To refine the understanding of older adults' attitudes towards aging.
Main Methods:
- Mokken Scaling analysis was applied to data from 802 participants in the Lothian Birth Cohort 1936.
- Data were collected via a cross-sectional postal survey.
- Results were compared with factor analysis using exploratory structural equation modelling (SEM).
Main Results:
- Three Mokken scales were identified from 18 of the 24 AAQ items: 'Vitality' (moderate), 'Legacy' (weak), and 'Exclusion' (weak).
- 'Vitality' integrated items across previous factors, showing a physical to psychosocial hierarchy.
- 'Legacy' focused on psychological growth, with a hierarchy from individual to collective contributions.
- 'Exclusion' comprised psychosocial loss items, with a hierarchy from general to specific instances.
- All scales demonstrated reliability, with 'Legacy' exhibiting invariant item ordering.
- Scales correlated as expected with personality, anxiety, and depression measures.
Conclusions:
- Concurrent use of factor analysis and Mokken scaling offers enhanced insights into the AAQ.
- Mokken scaling confirmed the existing factor structure while identifying a new 'Vitality' factor.
- The analysis revealed a hierarchy of responses within the 'Vitality', 'Legacy', and 'Exclusion' scales.
- These findings highlight the factors older adults themselves deem important regarding their aging.
Related Concept Videos
Attitudes
Self-Report Tests of Personality
The Effect of Aging on Tissues
Pharmacodynamics in Geriatric Patients: Effects of Age
Cognitive Development During Adulthood
Aging
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...

