Attitudes to Aging Questionnaire
Also known as: AAQ, Attitudes to Ageing Questionnaire, Laidlaw Attitudes to Ageing Questionnaire, WHOQOL-OLD Attitudes Measure
The Attitudes to Ageing Questionnaire (AAQ) measures how older adults perceive their own experience of growing older, capturing self-directed attitudes rather than younger people's stereotypes of the old. Developed by Ken Laidlaw, Mick Power, Silke Schmidt, and the WHOQOL-OLD Group and published in 2007, it was created within the World Health Organization's cross-cultural quality-of-life programme to fill the absence of a multidimensional, older-person-centred attitude measure. The questionnaire contains 24 self-report items, eight per subscale, spanning three domains: psychosocial loss, physical change, and psychological growth. Respondents rate agreement on a Likert scale, and items are summed within each domain so that higher scores indicate a more positive attitude to ageing. Crucially, the AAQ treats ageing as having both negative and genuinely positive aspects, so the growth subscale recognizes wisdom and development rather than framing ageing only as decline. It was validated across many countries and has become a standard tool for studying self-perceptions of ageing and their links to well-being.
Key highlights
- Measures older adults' attitudes to their own ageing, distinct from external stereotypes about the old.
- Multidimensional, separating psychosocial loss, physical change, and psychological growth.
- Recognizes positive aspects of ageing through a dedicated psychological-growth subscale, not only decline.
- Developed and validated cross-culturally within the WHOQOL-OLD programme, supporting international use.
Intuition
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How it works
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When to use it
Use the Attitudes to Ageing Questionnaire when you want to measure older adults' attitudes toward their own ageing, multidimensionally and from their own perspective, rather than younger people's stereotypes of older adults. It is well suited to studies linking self-perceptions of ageing to mental health, quality of life, and help-seeking; to cross-cultural research, given its WHO-led multinational validation; and to evaluating interventions, such as cognitive-behavioural or psychoeducational programmes, intended to improve how older people view their own ageing. The three-subscale structure is valuable when you need to separate experiences of loss, physical change, and growth instead of collapsing them. It is less appropriate when your target is societal ageism or others' attitudes toward older people (where an ageism scale fits better), when you require a clinical diagnostic instrument, or in populations where the items have not been translated and revalidated. As a self-report measure it is also subject to mood state and social-desirability effects, which should be considered in interpretation.
Strengths & limitations
- Measures older adults' attitudes to their own ageing, distinct from external stereotypes about the old.
- Multidimensional, separating psychosocial loss, physical change, and psychological growth.
- Recognizes positive aspects of ageing through a dedicated psychological-growth subscale, not only decline.
- Developed and validated cross-culturally within the WHOQOL-OLD programme, supporting international use.
- Self-report attitudes are sensitive to current mood, social desirability, and item interpretation.
- Requires careful reverse-scoring, and the three subscales should be reported separately rather than as one total.
- Cross-cultural comparability depends on validated translations and measurement-invariance testing.
- Measures self-directed attitudes, so it does not capture societal ageism or others' behaviour toward older people.
Common pitfalls
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Applications
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Frequently asked
How is the AAQ different from a scale that measures ageism?
An ageism scale, such as the Fraboni Scale of Ageism, measures prejudice and negative attitudes directed at older people, usually held by others and reflecting stereotypes, avoidance, and discrimination. The AAQ instead measures how older respondents view their own experience of ageing, across loss, physical change, and growth. One is about attitudes toward an out-group; the other is about a person's self-directed perception. They can be related, since internalized ageism may colour self-attitudes, but they are conceptually distinct and answer different research questions.
What are the three subscales and how are they scored?
The AAQ has 24 items divided equally into three eight-item subscales: psychosocial loss, physical change, and psychological growth. Respondents rate agreement on a five-point Likert scale, negatively keyed items (chiefly in the loss subscale) are reverse-scored, and the eight items in each domain are summed. Scoring is arranged so that a higher subscale total always indicates a more positive attitude on that dimension. The three scores are typically reported and analysed separately, because an individual can hold different attitudes across the domains.
Why include a psychological-growth subscale at all?
Because ageing is not experienced only as decline. The developers deliberately built in a psychological-growth subscale to capture genuinely positive aspects of getting older, such as accumulated wisdom, perspective, acceptance, and a sense of continued development. Without it, the questionnaire would reduce ageing to loss and physical change and miss an important, well-being-relevant part of older adults' self-perception. The growth subscale lets researchers detect people who, despite physical difficulties, view their ageing as a time of personal gain, a pattern that matters for mental health and intervention.
Sources
- 1.Laidlaw, K., Power, M. J., Schmidt, S., & WHOQOL-OLD Group (2007). The Attitudes to Ageing Questionnaire (AAQ): development and psychometric properties. International Journal of Geriatric Psychiatry, 22(4), 367-379.
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Cite this page
ScholarGate. (2026, June 23). Attitudes to Aging Questionnaire. ScholarGate. https://scholargate.app/social-gerontology/attitudes-to-aging-questionnaire