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Ortiz-Acosta PK, Martínez JE, Vila-Castelar C, Fox-Fuller JT, Pluim C, Babulal GM, Ramírez-Gómez L, Munera D, Quiroz YT, Guzmán-Vélez E. Physical Activity and Neurocognitive Symptoms in Older Adults During COVID-19 Pandemic. J Appl Gerontol 2024:7334648241271975. [PMID: 39229852 DOI: 10.1177/07334648241271975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2024] Open
Abstract
Objectives: Examine whether physical activity (PA) changes during the COVID-19 pandemic were related to subjective cognitive decline (SCD), depression, and anxiety in older adults and whether these varied by sociodemographic variables. Methods: 301 older adults completed an online survey between May and October 2020 and 3 months later, including self-report questionnaires of SCD, depression, and anxiety. PA changes were determined with a question. Results: 60% of participants reported decreased PA. Those who reduced their PA were more likely to be from low to middle income and younger. PA increase was related to less SCD and depressive symptoms compared to those who decreased it. Participants who maintained their PA had fewer SCD concerns, depressive, and anxiety symptoms than those who decreased it. Discussion: Reducing PA was associated with worse neuropsychiatric and cognitive symptoms. Encouraging older adults to increase PA may help mitigate some of the pandemic's adverse effects on psychological well-being.
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Affiliation(s)
- Perla K Ortiz-Acosta
- Department of Psychology, University of Puerto Rico, San Juan, PR
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
| | - Jairo E Martínez
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
| | - Clara Vila-Castelar
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
| | - Joshua T Fox-Fuller
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
| | - Celina Pluim
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
- Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
| | - Ganesh M Babulal
- Department of Neurology, Washington University School of Medicine, St Louis, MO, USA
- Department of Psychology, Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa
| | - Liliana Ramírez-Gómez
- Department of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
| | - Diana Munera
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
| | - Yakeel T Quiroz
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
- Department of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
- Grupo de Neurociencias, Universidad de Antioquia, Medellín, Colombia
| | - Edmarie Guzmán-Vélez
- Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
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Afshari Nasab F, Darvishpour A, Mansour-Ghanaei R, Gholami-Chaboki B. Preventive behaviors and psychological effects of COVID-19 and their associated factors among Iranian older adults: A cross-sectional study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:246. [PMID: 39297104 PMCID: PMC11410289 DOI: 10.4103/jehp.jehp_320_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 05/01/2023] [Indexed: 09/21/2024]
Abstract
BACKGROUND The spread of the coronavirus disease 2019 (COVID-19) pandemic caused a variety of psychological complications. One way to control the spread of this pandemic is compliance with health protocols and standards. Considering the limited research into the psychological effects of COVID-19 and the preventive behaviors among older adults, this study aimed to determine these variables and their relationship with associated factors. MATERIALS AND METHODS This cross-sectional study was conducted on 153 older adults who were referred to the clinic of Pirouz Hospital in the east of Guilan, in the north of Iran, in 2022. The research instruments included the Impact of Event Scale-Revised (IES-R) and the preventive behavior questionnaires. Descriptive (mean, standard deviation, frequency, and percentage) and inferential (Kruskal-Wallis and Mann-Whitney tests) statistics were used to analyze the data using Statistical Package for the Social Sciences (SPSS) software version 20 with a significant level of 0.05. RESULTS The findings showed that the overall mean score for preventive behaviors was 107 ± 10.38. The highest mean score of preventive behaviors was related to personal behavior (43.00 ± 5.58) and instructions to enter the house (30.15 ± 4.84), respectively. The highest mean scores of psychological effects were related to the intrusion dimension (11 ± 5.33) and avoidance dimension (7 ± 4.74), respectively. There was a significant relationship between drug use (F = 27.136, P = 0.028) and the psychological effects of COVID-19. CONCLUSION Based on the results, the general condition of the preventive behaviors of older adults was average, and the majority of them were at a normal level of psychological effects. However, administrators and health policymakers should consider planning to develop interventions to encourage and improve preventive behaviors against COVID-19, especially among older adults during the COVID-19 pandemic.
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Affiliation(s)
- Farokhbod Afshari Nasab
- Department of Nursing, Zeyinab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Azar Darvishpour
- Department of Nursing, Zeyinab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
- Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
| | - Roya Mansour-Ghanaei
- Health Sciences, Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
| | - Bahare Gholami-Chaboki
- Cardiovascular Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
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Chan JK, Marzuki AA, Vafa S, Thanaraju A, Yap J, Chan XW, Harris HA, Todi K, Schaefer A. A systematic review on the relationship between socioeconomic conditions and emotional disorder symptoms during Covid-19: unearthing the potential role of economic concerns and financial strain. BMC Psychol 2024; 12:237. [PMID: 38671542 PMCID: PMC11046828 DOI: 10.1186/s40359-024-01715-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 04/07/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Covid-19 has disrupted the lives of many and resulted in high prevalence rates of mental disorders. Despite a vast amount of research into the social determinants of mental health during Covid-19, little is known about whether the results are consistent with the social gradient in mental health. Here we report a systematic review of studies that investigated how socioeconomic condition (SEC)-a multifaceted construct that measures a person's socioeconomic standing in society, using indicators such as education and income, predicts emotional health (depression and anxiety) risk during the pandemic. Furthermore, we examined which classes of SEC indicators would best predict symptoms of emotional disorders. METHODS Following PRISMA guidelines, we conducted search over six databases, including Scopus, PubMed, etc., between November 4, 2021 and November 11, 2021 for studies that investigated how SEC indicators predict emotional health risks during Covid-19, after obtaining approval from PROSPERO (ID: CRD42021288508). Using Covidence as the platform, 362 articles (324 cross-sectional/repeated cross-sectional and 38 longitudinal) were included in this review according to the eligibility criteria. We categorized SEC indicators into 'actual versus perceived' and 'static versus fluid' classes to explore their differential effects on emotional health. RESULTS Out of the 1479 SEC indicators used in these 362 studies, our results showed that 43.68% of the SEC indicators showed 'expected' results (i.e., higher SEC predicting better emotional health outcomes); 51.86% reported non-significant results and 4.46% reported the reverse. Economic concerns (67.16% expected results) and financial strains (64.16%) emerged as the best predictors while education (26.85%) and living conditions (30.14%) were the worst. CONCLUSIONS This review summarizes how different SEC indicators influenced emotional health risks across 98 countries, with a total of 5,677,007 participants, ranging from high to low-income countries. Our findings showed that not all SEC indicators were strongly predictive of emotional health risks. In fact, over half of the SEC indicators studied showed a null effect. We found that perceived and fluid SEC indicators, particularly economic concerns and financial strain could best predict depressive and anxiety symptoms. These findings have implications for policymakers to further understand how different SEC classes affect mental health during a pandemic in order to tackle associated social issues effectively.
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Affiliation(s)
- Jee Kei Chan
- Department of Psychology, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia.
- Department of Psychology, Sunway University Malaysia, Jalan Universiti, No 5, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia.
- Sunway University Malaysia, Room: 4-4-11, Jalan Lagoon Selatan, Bandar Sunway, Petaling Jaya, 47500, Selangor, Malaysia.
| | - Aleya A Marzuki
- Department of Psychology, Sunway University Malaysia, Jalan Universiti, No 5, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Samira Vafa
- Department of Psychology, Sunway University Malaysia, Jalan Universiti, No 5, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Arjun Thanaraju
- Department of Psychology, Sunway University Malaysia, Jalan Universiti, No 5, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Jie Yap
- Department of Psychology, Sunway University Malaysia, Jalan Universiti, No 5, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Xiou Wen Chan
- Department of Psychology, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Hanis Atasha Harris
- Department of Psychology, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Khushi Todi
- Department of Psychology, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
| | - Alexandre Schaefer
- Department of Psychology, Sunway University Malaysia, Jalan Universiti, No 5, 47500, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia
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Strough J, Parker AM, Ayer L, Parks V, Finucane ML. Aging and Emotional Well-Being After Disasters: Vulnerability and Resilience. THE GERONTOLOGIST 2024; 64:gnad099. [PMID: 37470357 DOI: 10.1093/geront/gnad099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Indexed: 07/21/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Climate change threatens well-being and has increased the prevalence of weather-related disasters. We investigated age differences in emotional well-being among adults who had experienced hurricane-related, unavoidable stressors. Socioemotional selectivity theory (SST) posits that age-related motivational shifts buffer older adults against psychological distress, whereas the strength and vulnerability integration model (SAVI) posits that unavoidable stressors are more detrimental to older adults' well-being compared to younger adults. RESEARCH DESIGN AND METHODS We used existing self-report data from a life-span sample of adults (N = 618, M age = 58.44 years, standard deviation = 16.03, 18-96 years) who resided in the U.S. Gulf Coast region. The sample was recruited in 2016 to examine the sequelae of the Deepwater Horizon oil spill and contacted again after the 2017 and 2018 hurricane seasons. In 2016, participants reported their depression, anxiety, and trauma history. After the 2017-2018 hurricane seasons, participants reported their depression, post-traumatic stress, exposure to hurricane-related adversities, injuries and casualties, self-efficacy, and perceived health. RESULTS In line with SST, older age was associated with reporting significantly fewer depression and post-traumatic stress disorder symptoms, even after controlling for exposure to hurricane-related adversities, injuries and casualties, health, self-efficacy, pre-hurricane depression, anxiety, and trauma. The association between older age and fewer depression symptoms was stronger among those who experienced hurricane-related adversities compared to those who had not, in contrast to predictions based on SAVI. DISCUSSION AND IMPLICATIONS We discuss the implications of age-related strengths in emotional well-being for policy and practice in the context of the ongoing climate crisis.
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Affiliation(s)
- JoNell Strough
- Department of Psychology, West Virginia University, Morgantown, West Virginia, USA
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Oshvandi K, Torabi M, Khazaei M, Khazaei S, Yousofvand V. Impact of Hope on Stroke Patients Receiving a Spiritual Care Program in Iran: A Randomized Controlled Trial. JOURNAL OF RELIGION AND HEALTH 2024; 63:356-369. [PMID: 36435926 PMCID: PMC9702748 DOI: 10.1007/s10943-022-01696-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/11/2022] [Indexed: 06/16/2023]
Abstract
This study sought to examine the effect of a spiritual program on the hope of stroke patients in Iran. The present study was a randomized controlled trial that included 108 stroke patients referred to Besat Hospital, Hamadan, Iran, in 2021. Participants were randomized to either the intervention group (n = 54) or control group (n = 54). The data were collected before the intervention by using the demographic information form, Snyder's Adult Hope Scale (AHS), the Modified Rankin Scale (MRS), and after the intervention, the Snyder's Adult Hope Scale (AHS). The intervention group received four sessions of 45-60 min (one session per week) that included a spiritual needs assessment, religious care, spiritual supportive care, and evaluation of benefits. After the intervention, a significant between-group difference was observed (p < 0.001). There was also a significant increase in the mean of hope scores in the intervention group from baseline to follow-up (within-group difference) (p < 0.001), while there was no significant difference between baseline and follow-up in the control group (p = 0.553). (IRCT 20160110025929N36 and date: 2021/09/27).
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Affiliation(s)
- Khodayar Oshvandi
- Department of Medical Surgical Nursing, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohammad Torabi
- Chronic Diseases (Home Care) Research Centre, Malayer School of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mojtaba Khazaei
- Besat Educational and Medical Center, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Salman Khazaei
- Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Vahid Yousofvand
- Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
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Levkovich I, Shinan-Altman S. The influence of emotional reactions and compliance with Ministry of Health guidelines during the COVID-19 pandemic in Israel: a longitudinal study of gender differences. Glob Health Promot 2024:17579759231218004. [PMID: 38293755 DOI: 10.1177/17579759231218004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2024]
Abstract
This study sought to examine gender differences in emotional reactions and compliance with Ministry of Health (MOH) guidelines during the COVID-19 pandemic in Israel, with the goal of gaining a deeper understanding of these gender-related variations throughout the lockdown periods. A longitudinal study comprising 2509 participants was conducted during two of Israel's lockdowns: 1424 participants completed a questionnaire during the first lockdown (23 April-5 May 2020); of these, 1085 completed a follow-up questionnaire during the second lockdown (September 30-October 10, 2020). Participants exhibited higher levels of compliance with MOH guidelines (e.g., wearing face masks, maintaining social distancing) and knowledge about COVID-19 during the second lockdown, whereas they exhibited more negative emotional reactions during the first lockdown. Female participants scored higher than male participants on all measures. Multiple regression results showed that about 21% of the variance in compliance with MOH guidelines was explained by lockdown type (i.e., first or second), gender, and age, while knowledge and negative emotional reactions added another 19% to the explained variance. The results suggest that the impact of the pandemic on emotional reactions decreased over time, with people exhibiting greater compliance with MOH guidelines and more knowledge about COVID-19. Moreover, the behavioral and psychological impact of the pandemic was greater on women than on men. The results suggest that healthcare professionals should pay more attention to mental health issues during a pandemic. Moreover, policymakers should focus on women as a vulnerable group and suggest appropriate solutions to reduce their emotional distress. Furthermore, governments and employers should provide greater flexibility and support for single mothers during the pandemic. In addition, gender inequality during lockdowns may place women at greater risk of psychological distress.
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Affiliation(s)
- Inbar Levkovich
- Faculty of Graduate Studies, Oranim Academic College of Education, Tivon, Israel
| | - Shiri Shinan-Altman
- The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Tel Aviv, Israel
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Ibrahim FM, Abd Elmawla DAE, Elgarhy SMAA, Ibrahim AM, Fadila D. Monkeypox Emergence Post-COVID: Insight into Egyptian Older Adult's Awareness, Concern, and Mental Health. Gerontol Geriatr Med 2024; 10:23337214241273292. [PMID: 39170690 PMCID: PMC11337175 DOI: 10.1177/23337214241273292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 07/08/2024] [Accepted: 07/22/2024] [Indexed: 08/23/2024] Open
Abstract
Aim: To identify Egyptian older adults' awareness, concerns, and mental health about the monkeypox outbreak. Background: In light of the ongoing COVID-19 pandemic, monkeypox disease is receiving more attention. The monkeypox virus outbreak has posed a global concern, especially to older adults with comorbidities. Natural disasters, and endemic affect older persons' mental health. Design: A cross-sectional descriptive design was followed. Methods: 254 older adults were recruited from three outpatient clinics using consecutive sampling using four tools. Results: 74.0% of older study participants were unaware of monkeypox. Gender, level of education, residence, worry about contracting monkeypox infection, and mental distress are predictors of awareness about monkeypox (p < .001). Worry of contracting monkeypox infection was common among female participants (p = .038), highly educated (p = .001), who had a low level of awareness and high level of mental distress (p = .001 for both). Conclusion: Awareness of monkeypox was associated with worry and mental distress. Gerontological nurses have a vital role in contacting older adults and providing care and education that decreases worry and preserves minds and feelings, improving their quality of life. Establishing a national strategic planning and crisis prevention framework to alleviate psychological distress and prevent mental health issues from deteriorating in this group is crucial.
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Affiliation(s)
- Fatma Magdi Ibrahim
- Mansoura University, Mansoura City, Dakahlia, Egypt
- RAK Medical and Health Sciences University, Al Qusaidat, Ras Al Khaimah, UAE
| | | | | | - Ateya Megahed Ibrahim
- Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
- Port Said University, Port Fouad City, Port Said Governorate, Egypt
| | - DoaaE Fadila
- Mansoura University, Mansoura City, Dakahlia, Egypt
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Henderson J, Reid C. Virtual collaborative creative engagement in a pandemic world: creative connection for older adults with lived experience of dementia. FRONTIERS IN HEALTH SERVICES 2023; 3:1223337. [PMID: 38162191 PMCID: PMC10754963 DOI: 10.3389/frhs.2023.1223337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 11/20/2023] [Indexed: 01/03/2024]
Abstract
Introduction Older adults were disproportionately affected by COVID-19, and isolation and loneliness became key risk factors for mental illness and decreased quality of life. Older adults with lived experience of dementia and their care partners experienced isolation, loneliness, anxiety and depression, already heightened due to social stigma. Reduced access to resources was a notable problem. Objective This Canadian qualitative study investigates the Raising the Curtain on the Lived Experience of Dementia (RTC) Project's virtual turn in program delivery during the pandemic, asking "How did virtual collaborative creative engagement (CCE) impact well-being for people living with dementia and their care partners?"; and "What are key elements of RTC's unique virtual CCE approach?" Methods The study employs reflexive thematic analysis to analyse interviews and focus groups with the project's artist facilitators, researchers, peer collaborators living with dementia, and their care partners. Findings: Themes describe key elements of RTC's unique approach to virtual CCE and include: "Adjusting Expectations and Adapting to Technology"; "Re-imagining Creative Engagement in Virtual Space"; "Sustaining Reciprocal Caring, Learning, and Support"; "Disrupting Stigma and Welcoming a Wider Audience"; and "Supporting Well-being through Empowerment, Community, and Creativity." Discussion Findings offer new perspectives on how virtual CCE not only has the potential to decrease loneliness and isolation and associated mental health risks for older adults living with dementia and their care partners, but also can work to disrupt stigmatizing representations of dementia, promote inclusion, and enhance citizenship.
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Affiliation(s)
- Julia Henderson
- Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
| | - Colleen Reid
- Department of Therapeutic Recreation, Douglas College, Coquitlam, BC, Canada
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Cherifi F, Gernier F, Jardin F, Lefevre-Arbogast S, Bastien E, Lequesne J, Rigal O, Quilan F, Clarisse B, Grellard JM, Binarelli G, Fernette M, Lange M, Richard D, Morel A, Griffon B, Pepin LF, Leconte A, Faveyrial A, Leheurteur M, Beauplet B, Joly F. Post-traumatic stress disorder symptoms and quality of life among older patients with cancer during the COVID-19 pandemic. J Geriatr Oncol 2023; 14:101634. [PMID: 37757587 DOI: 10.1016/j.jgo.2023.101634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 08/08/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023]
Abstract
INTRODUCTION The Coronavirus (COVID-19) pandemic and its associated health restrictions have harmed the population psychologically. We aimed to compare the post-traumatic stress disorder (PTSD) symptoms and Quality of Life (QoL) in older French patients with cancer to the younger ones. MATERIALS AND METHODS This longitudinal multicenter study named COVIPACT began in April 2020 during the first French lockdown and has included 579 outpatients receiving treatment for a solid or hematological malignancy. Data were collected every three months, namely at the first release period (M3), at the second lockdown (M6), at the second release period (M9), and finally at the last curfew period (M12) in France. Standardized validated self-questionnaires were used to assess PTSD symptoms (using the Event Scale-Revised self-questionnaire), insomnia (through the Insomnia Severity Index questionnaire), QoL (using the Functional Assessment of Cancer Therapy - General questionnaire), and cognitive complaints (through the Functional Assessment of Cancer Therapy - Cognition questionnaire). Student (or Wilcoxon) tests and Chi-squared tests were used for continuous or discrete variables, respectively. We conducted linear mixed model to study the change during follow-up. RESULTS Out of 579 included patients, 157 (27%) were ≥ 70 years old at baseline, of whom 104 participated in the longitudinal study. At baseline, older patients reported fewer PTSD symptoms (17% versus 23%, p = .06), insomnia (17% versus 27%, p = .02), and cognitive complaint (3% versus 16%, p < .01) than younger patients. QoL at baseline was similar between age subgroups. We observed no significant difference in the trajectory of PTSD symptoms, insomnia, or emotional well-being between both groups during the follow-up. Cognitive complaints were lower at baseline in older patients but steadily increased during the follow-up and reached the same level as younger patients at one year. DISCUSSION One in five older patients reported PTSD symptoms, evolving similarly to younger patients during the first year of the COVID-19 pandemic. While cognitive complaints tend to recover in a bell-shaped curve at one year in younger patients, the trend is increasing in older ones. Screening for PTSD symptoms and late cognitive impairment should be given special attention in older patients. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT04366154.
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Affiliation(s)
- Francois Cherifi
- Medical Oncology Department, Centre Francois Baclesse, UNICANCER, Caen 14076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France
| | - François Gernier
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France.
| | - Fabrice Jardin
- Clinical Research Department, Centre Henri Becquerel, UNICANCER, Rouen 76038, France; Hematology Department, Centre Henri Becquerel, UNICANCER, Rouen 76038, France
| | - Sophie Lefevre-Arbogast
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France
| | - Etienne Bastien
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France
| | - Justine Lequesne
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France
| | - Olivier Rigal
- Hematology Department, Centre Henri Becquerel, UNICANCER, Rouen 76038, France; Medical Oncology Department, Centre Henri Becquerel, UNICANCER, Rouen 76308, France
| | - Florian Quilan
- Medical Oncology Department, Centre Francois Baclesse, UNICANCER, Caen 14076, France
| | - Bénédicte Clarisse
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France
| | - Jean-Michel Grellard
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France
| | - Giulia Binarelli
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France
| | - Marie Fernette
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France
| | - Marie Lange
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France
| | - Doriane Richard
- Clinical Research Department, Centre Henri Becquerel, UNICANCER, Rouen 76038, France
| | - Adeline Morel
- Medical Oncology Department, Centre Francois Baclesse, UNICANCER, Caen 14076, France
| | - Bénédicte Griffon
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France
| | - Louis-Ferdinand Pepin
- Clinical Research Department, Centre Henri Becquerel, UNICANCER, Rouen 76038, France
| | - Alexandra Leconte
- Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France
| | - Audrey Faveyrial
- Medical Oncology Department, Centre Francois Baclesse, UNICANCER, Caen 14076, France
| | - Marianne Leheurteur
- Medical Oncology Department, Centre Henri Becquerel, UNICANCER, Rouen 76308, France
| | - Bérengère Beauplet
- Department of Geriatric Medicine, Centre Hospitalier Universitaire de Caen Normandie, Normandie Univ, UNICAEN, INSERM U1086, ANTICIPE, Caen F-14000, France; Normandy Interregional Oncogeriatric Coordination Unit, Caen 14000, France
| | - Florence Joly
- Medical Oncology Department, Centre Francois Baclesse, UNICANCER, Caen 14076, France; Clinical Research Department, Centre Francois Baclesse, UNICANCER, Caen 14 076, France; Normandie University, UniCaen, INSERM U1086 "ANTICIPE" (Interdisciplinary Research Unit for Cancers Prevention and Treatment), Caen 14076, France
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Ae-Ri J, Kowoon L, Eun-A P. Development and evaluation of the information and communication technology-based Loneliness Alleviation Program for community-dwelling older adults: A pilot study and randomized controlled trial. Geriatr Nurs 2023; 53:204-211. [PMID: 37544264 DOI: 10.1016/j.gerinurse.2023.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 07/17/2023] [Accepted: 07/18/2023] [Indexed: 08/08/2023]
Abstract
This study aimed to develop an information and communication technology (ICT)-based Loneliness Alleviation Program (LAP) for community-dwelling older adults, which was developed according to the ADDIE model. The LAP is a complex non-face-to-face program for physical, psychological, and interpersonal loneliness alleviation. We conducted a randomized controlled trial to verify the effects of the program on loneliness, depression, and laughter index in older adults. Program sessions were conducted twice a week for 6 weeks (12 sessions). Data on 40 older adults aged 65 years and above were collected from January 2, 2023 to February 17, 2023 at a public health center in South Korea. The experimental group showed statistically significant effects of the program on loneliness, depression, and laughter index scores. The older adults were alleviated their loneliness by utilizing non-face-to-face programs, and the program is expected to increase continuity and inclusiveness of care.
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Affiliation(s)
- Jung Ae-Ri
- Assistant Professor, College of Nursing, Eulji University, Uijeongbu, South Korea
| | - Lee Kowoon
- Assistant Professor, Department of Nursing, Suwon Women's University, Suwon, South Korea.
| | - Park Eun-A
- Assistant Professor, Department of Nursing, Hwasung Medi-Science University, Hwaseong, South Korea
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Ayuso-Mateos JL, Morillo D, Haro JM, Olaya B, Lara E, Miret M. Changes on depression and suicidal ideation under severe lockdown restrictions during the first wave of the COVID-19 pandemic in Spain: a longitudinal study in the general population. Epidemiol Psychiatr Sci 2023; 32:e55. [PMID: 37655398 PMCID: PMC10539734 DOI: 10.1017/s2045796023000677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 07/26/2023] [Indexed: 09/02/2023] Open
Abstract
AIMS To assess whether there is a change in the prevalence of depression and suicidal ideation after the strict lockdown measures due to the first wave of the COVID-19 pandemic in Spain, and to assess which are the factors associated with the incidence of a depressive episode or suicidal ideation during the lockdown. METHODS Data from a longitudinal adult population-based cohort from Madrid and Barcelona were analysed (n = 1103). Face-to-face home-based (pre-pandemic) and telephone interviews were performed. Depression and suicidal ideation were assessed through an adaptation of the Composite International Diagnostic Interview (CIDI 3.0). Population prevalence estimates and multivariable logistic regressions were computed. RESULTS Prevalence rates of depression changed significantly from before to after the COVID-19 outbreak (from 3.06% to 12.00%; p = 0.01) and per sex and age groups. Individuals reporting COVID-19 concerns (odds ratio [OR] = 3.11; 95% confidence interval [CI] = 1.45-6.69) and those feeling loneliness (OR = 1.99; 95% CI = 1.52-2.61) during the lockdown were at increased risk of developing depression during the confinement. Resilience showed a protective effect against the risk of depression (OR = 0.57; 95% CI = 0.39-0.83), while individuals perceiving social support during the confinement were at lower risk of developing suicidal thoughts (OR = 0.21; 95% CI = 0.09-0.46). Greater disability during the lockdown was also associated with the risk of suicidal ideation (OR = 2.77; 95% CI = 1.53-5.03). CONCLUSIONS Continuous reinforcement of mental health preventive and intervening measures is of global importance, particularly among vulnerable groups who are experiencing the most distress. Future research should strive to evaluate the long-term effects of the COVID-19 crisis on mental health.
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Affiliation(s)
- J. L. Ayuso-Mateos
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
- Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain
| | - D. Morillo
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
- Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain
| | - J. M. Haro
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
- Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - B. Olaya
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
- Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
| | - E. Lara
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
- Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain
- Department of Personality, Evaluation and Clinical Psychology, Universidad Complutense de Madrid, Madrid, Spain
| | - M. Miret
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain
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Prudenzi A, Graham CD, Rogerson O, O'Connor DB. Mental health during the COVID-19 pandemic: exploring the role of psychological flexibility and stress-related variables. Psychol Health 2023; 38:1378-1401. [PMID: 35073803 DOI: 10.1080/08870446.2021.2020272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 12/08/2021] [Accepted: 12/09/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Understanding the impact of the COVID-19 pandemic on mental health and the psychological factors associated can help inform subsequent interventions to protect psychological health. In particular, psychological flexibility has been shown to be an important target for intervention. The current study aimed to investigate associations between protective factors (state mindfulness, values and self-compassion) and risk factors (COVID-19 stress, worry and rumination) for mental health during the early stages of the COVID-19 pandemic. DESIGN 439 participants completed three online surveys during the 1st wave of the pandemic in the UK: Time 1 (April 1-5th 2020), Time 2 (April 15-19th April), Time 3 (May 13-17th 2020). MAIN OUTCOME MEASURES Measures of wellbeing, burnout and life satisfaction. RESULTS Psychological health outcome measures were found to be lower (worse) than normative comparison data during the early stages of the UK lockdown, while COVID-19 stress and worry reduced over time. Multilevel models found that higher levels of trait and state measures of psychological flexibility and self-compassion were associated with better psychological health across time points. Higher levels of COVID-19 stress, worry and rumination were also associated with poorer psychological health. CONCLUSION The results showed that mindfulness, values and self-compassion are potential targets for intervention.
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13
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He Y, Zhan S, Su H, Deng Y. Unleashing the link between the relaxation of the COVID-19 control policy and residents' mental health in China: the mediating role of family tourism consumption. Front Public Health 2023; 11:1216980. [PMID: 37674676 PMCID: PMC10477710 DOI: 10.3389/fpubh.2023.1216980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 08/03/2023] [Indexed: 09/08/2023] Open
Abstract
Objective COVID-19 has negatively influenced industrial development, family consumption, and residents' mental health. Unfortunately, it has not yet been studied whether this adverse situation can be alleviated after the relaxation of the COVID-19 control policy (RCC). Therefore, this study aimed to analyze the effect of the RCC on the resident's mental health and the mediating effect of family tourism consumption. Methods By using the PSM and mediating effetc model to research the panel data of two periods (April 2021 and April 2023) for Shaanxi province, China. Results The RCC negatively inhibited the mental health severity of residents, and the mental health severity decreased by 0.602. In particular, the RCC showed the most substantial negative effect on residents' stress, followed by anxiety and depression. Meanwhile, it is found that the impact of the RCC on the mental health of residents is highly heterogeneous. The RCC indicates a linear significant effect on the mental health of residents under 60 years of age, while the results were found insignificant for residents above 60 years of age. Meanwhile, the RCC's improvement effect on urban residents' mental health is greater than that of rural residents. In addition, mechanism analysis showed that tourism consumption plays a mediating role in the influence of the RCC on the mental health of residents, and the mediating effect accounted for 24.58% of the total effect. Conclusion Based on the findings, the study proposes that government and policymakers should strengthen mental health intervention, improve access to mental health counseling, stimulate economic development, expand the employment of residents, and track the mutation of the novel coronavirus.
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Affiliation(s)
- Yilun He
- School of Management, Xi’an University of Architecture and Technology, Xi’an, China
- School of Public Administration, Xi'an University of Architecture and Technology, Xi'an, China
| | - Shaowen Zhan
- School of Public Administration, Xi'an University of Architecture and Technology, Xi'an, China
| | - Hui Su
- School of Public Administration, Xi'an University of Architecture and Technology, Xi'an, China
| | - Yulong Deng
- School of Public Administration, Xi'an University of Architecture and Technology, Xi'an, China
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14
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Sadura-Sieklucka T, Szczuka J, Targowski T. Emotional and cognitive states of geriatric patients during the COVID-19 pandemic - an observational study. Reumatologia 2023; 61:169-174. [PMID: 37522137 PMCID: PMC10373168 DOI: 10.5114/reum/168344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 06/14/2023] [Indexed: 08/01/2023] Open
Abstract
Introduction The authors of the study assessed the emotional and cognitive state of geriatric patients during the COVID-19 pandemic and tried to answer the question: were there any differences in this state in geriatric patients at different stages of the pandemic? Material and methods The study included 518 patients of 60 years old and above of the Department of Geriatrics in Warsaw. To collect data, the following tools of psychological measurement were applied: the Mini-Mental State Examination scale and Geriatric Depression Scale. In order to test the differences in the means between the groups, a Chi-square test (with Yates's correction for continuity when the class size did not exceed 8 items) was used. For the comparison of the three groups, the Kruskal-Wallis (ANOVA) test was performed. Results It was found that the majority of geriatric patients (73% of respondents) do not show symptoms of depressed mood. But there are statistically significant differences in the results of the patients' cognitive state tests depending on the time of examination. Patients examined before the pandemic tended to demonstrate a better cognitive state than patients at the beginning of the pandemic and in its later stages. Nevertheless, there are no significant differences in the cognitive functioning of patients examined at the beginning and later in the pandemic. Conclusions The number of geriatric patients with symptoms of depression significantly increased when visits of relatives prohibition were introduced. However, the number of patients with depression returned to its previous level later in the pandemic.This phenomenon may indicate psychological adaptation to the situation. The presented results of observation suggest that the introduction of limitations is less important than the particular perception of one's situation and adaptation to that.
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Affiliation(s)
- Teresa Sadura-Sieklucka
- Department of Geriatrics, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland
| | - Joanna Szczuka
- Department of Geriatrics, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland
| | - Tomasz Targowski
- Department of Geriatrics, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland
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15
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García-Fernández L, Romero-Ferreiro V, Izquierdo-Izquierdo M, Rodríguez V, Alvarez-Mon MA, Lahera G, Santos JL, Rodriguez-Jimenez R. Dramatic increase of suicidality in children and adolescents after COVID-19 pandemic start: A two-year longitudinal study. J Psychiatr Res 2023; 163:63-67. [PMID: 37201239 PMCID: PMC10148600 DOI: 10.1016/j.jpsychires.2023.04.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 09/13/2022] [Accepted: 04/28/2023] [Indexed: 05/20/2023]
Abstract
The COVID-19 pandemic has impacted the mental health of the youngest, worsening their emotional well-being. The demand for care in psychiatric emergencies may indirectly reflect the mental health state of children and adolescents and the emotional consequences of the pandemic. Moreover, suicidality can be considered a marker of severity in this population group. Therefore, we have aimed to longitudinally describe the number of children and adolescents attended in the psychiatry emergency department due to suicidal ideation or attempts and, to explore differences in suicidality according to gender and age. A retrospective study was carried out in the University Hospital of San Juan, Alicante, Spain, from January 01, 2018 to December 31, 2021. A total of 138 participants under 18 years requesting psychiatric care due to suicidal ideation or attempts were included. The sample was composed by 35% of males and the mean age was 14.8 years old (SD = 2.2). The number of cases per year range from 10 in 2018 to 88 in 2021. Attendances were significantly higher between 2021 and the three previous years. Besides, the number of attentions registered in the last 9 months of 2021 equals those that occurred in the entire previous period. Most of the cases were girls and middle adolescents. Suicide ideation or attempts have skyrocketed in children and adolescents. This alarming increase presents a one-year lag peak from the COVID-19 outbreak and continues until the end of 2021. Girls and those over 12 years have been identified as risk groups to present suicidal ideation or attempts.
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Affiliation(s)
- Lorena García-Fernández
- Clinical Medicine Department. Universidad Miguel Hernández, Ctra. de Valencia, Km 87, 03550, San Juan, Alicante, Spain; Department of Psychiatry. Hospital Universitario de San Juan, Ctra, N-332, S/n, 03550, San Juan, Alicante, Spain; CIBERSAM-ISCIII (Biomedical Research Networking Centre in Mental Health), Spain.
| | - Verónica Romero-Ferreiro
- CIBERSAM-ISCIII (Biomedical Research Networking Centre in Mental Health), Spain; Universidad Europea de Madrid, Madrid, Spain; Department of Psychiatry. Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Av. Córdoba S/n, 28041, Madrid, Spain
| | - Marta Izquierdo-Izquierdo
- Department of Psychiatry. Hospital Universitario de San Juan, Ctra, N-332, S/n, 03550, San Juan, Alicante, Spain
| | - Victoria Rodríguez
- Department of Psychosis Studies. Institute of Psychiatry, Psychology & Neuroscience. King's College, 16 De Crespigny Park, London, SE5 8AF, United Kingdom
| | - Miguel A Alvarez-Mon
- Department of Medicine and Medical Specialities, University of Alcala, 28801, Alcala de Henares, Madrid, Spain; Ramón y Cajal Institute of Sanitary Research (IRYCIS), 28034, Madrid, Spain; Department of Psychiatry and Mental Health. Hospital Universitario Infanta Leonor, Madrid, Spain
| | - Guillermo Lahera
- CIBERSAM-ISCIII (Biomedical Research Networking Centre in Mental Health), Spain; Department of Medicine and Medical Specialities, University of Alcala, 28801, Alcala de Henares, Madrid, Spain; Ramón y Cajal Institute of Sanitary Research (IRYCIS), 28034, Madrid, Spain; Príncipe de Asturias University Hospital, Alcalá, Madrid, Spain
| | - José Luis Santos
- Department of Psychiatry, Hospital Virgen de La Luz, Cuenca, Spain; Neurobiological Research Group. Institute of Technology. Universidad de Castilla-La Mancha, Cuenca, Spain
| | - Roberto Rodriguez-Jimenez
- CIBERSAM-ISCIII (Biomedical Research Networking Centre in Mental Health), Spain; Department of Psychiatry. Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Av. Córdoba S/n, 28041, Madrid, Spain; Universidad Complutense de Madrid (UCM), Plaza Ramón y Cajal, S/n, 28040, Madrid, Spain
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16
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Psarrou A, Adamakidou T, Apostolara P, Koreli A, Drakopoulou M, Plakas S, Mastrogiannis D, Mantoudi A, Parissopoulos S, Zartaloudi A, Mantzorou M. Associations between Physical Activity and Health-Related Quality of Life among Community-Dwelling Older Adults: A Cross-Sectional Study in Urban Greece. Geriatrics (Basel) 2023; 8:61. [PMID: 37367093 DOI: 10.3390/geriatrics8030061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/25/2023] [Accepted: 05/30/2023] [Indexed: 06/28/2023] Open
Abstract
Physical activity is an important factor in achieving healthy aging, offering older persons multiple benefits in terms of maintaining and improving their health and wellbeing. The aim of this study was to investigate the effect of physical activity on the quality of life of older adults. A cross-sectional study was conducted from February to May 2022, using the Short-Form Health Survey (SF-36) and the International Physical Activity Questionnaire (IPAQ). A total of 124 people aged 65 and over participated in the survey. The average age of the participants was 71.6 years, and 62.1% were women. Participants showed a moderate quality of life with regard to the physical health dimension (mean score 52.4) and a higher quality of life with regard to the mental health dimension (mean score 63.1) compared to the expected values of the population. Low levels of physical activity were recorded among older adults, reaching a rate of 83.9%. A moderate or high level of physical activity has been found to contribute to a better physical functioning (p = 0.03), vitality (p = 0.02) and general health (p = 0.01). Finally, comorbidity had a negative impact on physical activity (p = 0.03) and quality of life regarding mental and physical health in older adults. The study showed very low levels of physical activity in older Greek adults. The management of this problem, which was intensified during the COVID-19 pandemic, should be a high priority in public health programs focusing on healthy aging, as physical activity affects and promotes many of the basic aspects of quality of life.
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Affiliation(s)
- Anna Psarrou
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Theodoula Adamakidou
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Paraskevi Apostolara
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Alexandra Koreli
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Marianna Drakopoulou
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Sotirios Plakas
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Dimos Mastrogiannis
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Alexandra Mantoudi
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Stelios Parissopoulos
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Afroditi Zartaloudi
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Marianna Mantzorou
- MSc Program in Community and Public Health Nursing, Nursing Department, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
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Haimi M. The tragic paradoxical effect of telemedicine on healthcare disparities- a time for redemption: a narrative review. BMC Med Inform Decis Mak 2023; 23:95. [PMID: 37193960 PMCID: PMC10186294 DOI: 10.1186/s12911-023-02194-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 05/09/2023] [Indexed: 05/18/2023] Open
Abstract
BACKGROUND Telemedicine has become more convenient and advantageous due to the rapid development of the internet and telecommunications. A growing number of patients are turning to telemedicine for health consultations and health-related information. Telemedicine can increase access to medical care by removing geographical and other barriers. In most nations, the COVID-19 pandemic imposed social isolation. This has accelerated the transition to telemedicine, which has become the most commonly utilized method of outpatient care in many places. Telehealth can assist resolve gaps in access to healthcare services and health outcomes, in addition to its primary function of boosting accessibility to remote health services. However, as the benefits of telemedicine become more apparent, so do the limitations of serving vulnerable groups. Some populations may lack digital literacy or internet access. Homeless persons, the elderly, and people with inadequate language skills are also affected. In such circumstances, telemedicine has the potential to exacerbate health inequities. AIM AND METHODS In this narrative review (using the PubMed and Google scholar database), the different benefits and drawbacks of telemedicine are discussed, both globally and in Israel, with particular focus paid to special populations and to the telehealth usage during the Covid-19 period. FINDINGS The contradiction and paradox of using telemedicine to address health inequities yet sometimes making them worse is highlighted. The effectiveness of telemedicine in bridging access to healthcare inequities is explored along with a number of potential solutions. CONCLUSIONS Policy makers should identify barriers among special populations to using telemedicine. They should initiate interventions to overcome these barriers, while adapting them to the needs of these groups.
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Affiliation(s)
- Motti Haimi
- Clalit Health Services, Tel Aviv, Israel.
- Rappaport Faculty of Medicine, Technion, Haifa, Israel.
- School of Public Health, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.
- Health Disparities Working Group, International Society for Telemedicine and E-Health (ISfTeH), Basel, Switzerland.
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18
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Alarcon-Ruiz CA, Romero-Albino Z, Soto-Becerra P, Huarcaya-Victoria J, Runzer-Colmenares FM, Romani-Huacani E, Villarreal-Zegarra D, Maguiña JL, Apolaya-Segura M, Cuba-Fuentes S. Effects of vaccination against COVID-19 on the emotional health of older adults. F1000Res 2023; 11:868. [PMID: 39221026 PMCID: PMC11362718 DOI: 10.12688/f1000research.123395.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/17/2023] [Indexed: 09/04/2024] Open
Abstract
Background: The COVID-19 pandemic significantly impacted the mental and emotional health of the elderly, especially those from low to middle-income countries. However, COVID-19 vaccination may reduce this influence. Therefore, we aimed to estimate the effect of vaccination against COVID-19 on the emotional health of older adults. Methods: We selected a national, random, and stratified sample of non-hospitalized adults aged 60 to 79 years from Peru who intended to receive or had already received the COVID-19 vaccine during recruitment. During June and July 2021, the assessed outcomes were the fear, anxiety, and worry about COVID-19, general anxiety, and depression at baseline and after a month. We estimated the adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) for each altered emotional health outcomes in those who had one and two doses, compared with those who were not vaccinated using multilevel logistic regression with mixed effects. Results: We recruited 861 older adults with 20.8% of loss to follow-up. At baseline, 43.9% had received only one dose of the vaccine, and 49.1% had two doses. In the analysis during follow-up, those who had two doses had less fear (aOR: 0.19; CI 95%: 0.07 to 0.51) and anxiety to COVID-19 (aOR: 0.45; CI 95%: 0.22 to 0.89), compared to unvaccinated. We observed no effects in those with only one dose. Conclusions: Two doses of COVID-19 vaccination in older adults improves their perception of COVID-19 infection consequences. This information could be integrated into the vaccination campaign as an additional beneficial effect.
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Affiliation(s)
- Christoper A. Alarcon-Ruiz
- Dirección de Investigación en Salud, Instituto de Evaluación de Tecnologías en Salud e Investigación – IETSI, EsSalud, Lima, Peru
| | - Zoila Romero-Albino
- Gerencia de la Persona Adulta Mayor y Prestaciones Sociales, EsSalud, Lima, Peru
- Carrera de Medicina Humana, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Percy Soto-Becerra
- Dirección de Investigación en Salud, Instituto de Evaluación de Tecnologías en Salud e Investigación – IETSI, EsSalud, Lima, Peru
| | - Jeff Huarcaya-Victoria
- Unidad de Psiquiatría de Enlace, Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
- Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Filial, Peru
| | | | - Elisa Romani-Huacani
- Asociación benéfica PRISMA, Lima, Peru
- Facultad de Ciencias de la Salud, Universidad Cesar Vallejo, Lima, Peru
| | - David Villarreal-Zegarra
- Instituto Peruano de Orientación Psicológica, Lima, Peru
- South American Center for Education and Research in Public Health, Universidad Privada Norbert Weiner, Lima, Peru
| | - Jorge L. Maguiña
- Dirección de Investigación en Salud, Instituto de Evaluación de Tecnologías en Salud e Investigación – IETSI, EsSalud, Lima, Peru
| | - Moises Apolaya-Segura
- Dirección de Investigación en Salud, Instituto de Evaluación de Tecnologías en Salud e Investigación – IETSI, EsSalud, Lima, Peru
| | - Sofía Cuba-Fuentes
- Gerencia de la Persona Adulta Mayor y Prestaciones Sociales, EsSalud, Lima, Peru
- Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru
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19
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dos Santos G, Lima-Silva TB. Social distancing, emotional suffering, and cognitive performance in mature and older adults: a literature review. Dement Neuropsychol 2023; 17:e20220032. [PMID: 37223835 PMCID: PMC10202326 DOI: 10.1590/1980-5764-dn-2022-0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 10/14/2022] [Accepted: 11/25/2022] [Indexed: 05/25/2023] Open
Abstract
Variables related to social distancing can have negative effects on the emotional well-being and cognition of adults and the elderly. Objective The aim of this study was to analyze the available studies that address the relationship between situations of social distancing, socioemotional aspects, and cognition in the lives of mature and older adults. Methods A literature review study was carried out between December 2021 and January 2022, involving the SciELO, PubMed, and ScienceDirect databases, with studies published between February 2018 and December 2021. Results A total of 754 studies were identified, and after selection, 18 were included. Notably, 16 showed significant effects of social distancing on cognition and socioemotional aspects, that is, the greater the social distancing, the lower the capacity for cognitive performance and the higher the index of symptoms of depression and anxiety, for example. Conclusions Greater engagement in social activities and a closer contact with friends and family are protective factors against symptoms of depression and anxiety and cognitive decline.
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Affiliation(s)
- Gabriela dos Santos
- Universidade de São Paulo, Escola de Artes, Ciências e
Humanidades, Departamento de Gerontologia, São Paulo SP, Brazil
| | - Thais Bento Lima-Silva
- Universidade de São Paulo, Escola de Artes, Ciências e
Humanidades, Departamento de Gerontologia, São Paulo SP, Brazil
- Universidade de São Paulo, Faculdade de Medicina, Hospital das
Clínicas, Grupo de Neurologia Cognitiva e Comportamental, São Paulo SP,
Brazil
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20
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Vermote B, Morbée S, Soenens B, Vansteenkiste M, Waterschoot J, Beyers W, Van der Kaap-Deeder J. How Do Late Adults Experience Meaning During the COVID-19 Lockdown? The Role of Intrinsic Goals. JOURNAL OF HAPPINESS STUDIES 2023; 24:1759-1780. [PMID: 37293323 PMCID: PMC10157136 DOI: 10.1007/s10902-023-00657-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 03/21/2023] [Indexed: 06/10/2023]
Abstract
Late adults differ in the degree to which their mental health is impacted by the COVID-19 crisis, with interindividual differences in their capacity to mobilize coping resources playing an important role. Therefore, the search for inner sources of resilience is important to understand late adults' adaptation to this crisis. Based on Goal Content Theory, a mini-theory within the broader Self-Determination Theory, this study aimed to examine whether older adults' valuation and attainment of intrinsic goals represent such a source of resilience. Intrinsic goals would form a solid foundation to experience a sense of meaning during this crisis, which, in turn, relates to higher well-being (i.e., life satisfaction and vitality) and lower ill-being (i.e., symptoms of depression, anxiety, and loneliness). During the second month of the lockdown period in Belgium, 693 older adults (Mage = 70.06, SD = 4.48, range: 65-89 years, 62.1% female) filled out online questionnaires concerning the study variables. Structural equation modeling showed that intrinsic goal attainment and goal importance related positively to experiences of meaning in life which, in turn, were related to higher levels of well-being and lower levels of ill-being. No evidence was found for an interaction effect between intrinsic goal attainment and goal importance. Supporting late adults' pursuit and attainment of meaningful intrinsic goals relates to their well-being and may potentially strengthen their resilience in times of crisis.
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Affiliation(s)
- Branko Vermote
- Department of Developmental, Personality, and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, B-9000 Belgium
| | - Sofie Morbée
- Department of Developmental, Personality, and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, B-9000 Belgium
| | - Bart Soenens
- Department of Developmental, Personality, and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, B-9000 Belgium
| | - Maarten Vansteenkiste
- Department of Developmental, Personality, and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, B-9000 Belgium
| | - Joachim Waterschoot
- Department of Developmental, Personality, and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, B-9000 Belgium
| | - Wim Beyers
- Department of Developmental, Personality, and Social Psychology, Ghent University, Henri Dunantlaan 2, Ghent, B-9000 Belgium
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González Ortega E, Pinedo González R, Vicario-Molina I, Palacios Picos A, Orgaz Baz MB. Loneliness and associated factors among older adults during COVID-19 lockdown in Spain. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 2023; 86:101547. [PMID: 37153355 PMCID: PMC10126222 DOI: 10.1016/j.appdev.2023.101547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 04/19/2023] [Accepted: 04/19/2023] [Indexed: 05/09/2023]
Abstract
Considering the health outcomes of loneliness, it is important to understand the effects of the COVID-19 pandemic for older adults to facilitate detection and intervention. The aim of this study was to examine loneliness among Spanish older adults during the first wave lockdown and associated factors, in comparison to younger adults. An online survey was completed by 3508 adults (401 aged 60 or above). Older adults felt higher social loneliness than younger adults, but lower emotional loneliness. Living alone, poor mental health, and poor healthy habits were related to higher loneliness for both age groups. The results suggest that loneliness should be an important factor in primary care, and prevention efforts should be taken, e.g., by generating open and safe community spaces and contexts for social interaction and promoting the access and ability to use technologies that maintain social connections.
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Affiliation(s)
- Eva González Ortega
- Departamento de Psicología Evolutiva y de la Educación, Universidad de Salamanca, Avenida de la Merced S/N, Salamanca 37005, Spain
| | - Ruth Pinedo González
- Departamento de Psicología, Universidad de Valladolid, Plaza de la Universidad 1, Segovia 40005, Spain
| | - Isabel Vicario-Molina
- Departamento de Psicología Evolutiva y de la Educación, Universidad de Salamanca, Avenida de la Merced S/N, Salamanca 37005, Spain
| | - Andrés Palacios Picos
- Departamento de Psicología, Universidad de Valladolid, Plaza de la Universidad 1, Segovia 40005, Spain
| | - Mª Begoña Orgaz Baz
- Departamento de Psicología Básica, Psicobiología y Metodología de las Ciencias del Comportamiento, Universidad de Salamanca, Avenida de la Merced S/N, Salamanca 37005, Spain
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Wang Y, Luo B, Wang J, Liao S. The psychological impact of the COVID-19 pandemic in the elderly in southwest China: A longitudinal study based on generalized estimating equations. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2023; 88:103609. [PMID: 36843888 PMCID: PMC9942486 DOI: 10.1016/j.ijdrr.2023.103609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 02/20/2023] [Accepted: 02/20/2023] [Indexed: 06/18/2023]
Abstract
The objectives of this study were to assess the trends in anxiety and depression levels in older adults nearly 10 months after the outbreak of coronavirus disease 2019 (COVID-19) and explore its determinants. A longitudinal study was performed between October 2019 and December 2020. The Patient Health Questionnaire 9-Item Scale and the Generalized Anxiety Disorder 7-Item Scale were used to assess depression and anxiety. Data were collected before (wave 1), during (wave 2), and 10 months after the COVID-19 outbreak (wave 3). The prevalence of depressive symptoms in the elderly was found to be 18.9%, 28.1%, and 35.9% at wave 1, wave 2, and wave 3 respectively. The prevalence of depressive symptoms at wave 1 was lower than that at wave 2 (χ 2 = 15.544, P < 0.001) and wave 3 (χ 2 = 44.878, P < 0.001). There was no significant change in the prevalence of anxious symptoms (wave 1, 28.5%, wave 2, 30.3%, and wave 3, 30.3%). Older adults who were single/divorced/widowed had higher levels of anxiety compared with those who were married (OR = 2.306 95%CI 1.358-3.914, P = 0.002). The pandemic appeared to be associated with increases in depressive symptoms in older persons. Targeted interventions could be carried out among those with higher risk of maladjustment.
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Affiliation(s)
- Yan Wang
- Nursing Department, West china Second University Hospital, Sichuan University/Key Laboratory of birth defects and related diseases of women and children, (Sichuan University), Ministry of Education, Chengdu, 610041, China
| | - Biru Luo
- Nursing Department, West china Second University Hospital, Sichuan University/Key Laboratory of birth defects and related diseases of women and children, (Sichuan University), Ministry of Education, Chengdu, 610041, China
| | - Jing Wang
- Ya' an Polytechnic College, Ya an, 625000, China
| | - Shujuan Liao
- Nursing Department, West china Second University Hospital, Sichuan University/Key Laboratory of birth defects and related diseases of women and children, (Sichuan University), Ministry of Education, Chengdu, 610041, China
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Jeżewska-Zychowicz M, Gajda R. Relationship between the Prevalence of Metabolic Disease and Impaired Mobility, Diet, Physical Activity, and Socio-Demographic Characteristics in the Polish Elderly-A Cross-Sectional Study. Life (Basel) 2023; 13:life13040864. [PMID: 37109393 PMCID: PMC10145149 DOI: 10.3390/life13040864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 03/05/2023] [Accepted: 03/22/2023] [Indexed: 04/29/2023] Open
Abstract
Maintaining good health for as long as possible presents a great challenge for the elderly. As the elderly population is growing, there is an ongoing need to identify health risk factors affecting older individuals. The study aimed to explore relationships between sociodemographic characteristics, diet, physical activity, and prevalence of metabolic diseases and impaired mobility in the Polish elderly. A cross-sectional study was carried out on 417 elderlies in May-July 2021. Cluster analysis was applied to separate four homogeneous clusters based on the prevalence of metabolic disease and impaired mobility. Logistic regression analysis was used to verify associations between variables. Being overweight or having obesity, as well as following a diet, increased the probability of being affected by metabolic disease. Being well educated, having a better financial situation, positive perception of own health, and having at least moderate physical activity decreased the probability of suffering from mobility impairments. Eating behaviors were not found to be predictors of the disease. However, they differentiated the selected clusters. The results confirmed the heterogeneity of factors that may impact healthy aging. Thus, they should be taken into account by public health authorities to develop health promotion actions adjusted to the needs of specific subgroups.
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Affiliation(s)
- Marzena Jeżewska-Zychowicz
- Department of Food Market and Consumer Research, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), Nowoursynowska 159C, 02-776 Warsaw, Poland
| | - Robert Gajda
- Department of Human Nutrition, Faculty of Biotechnology and Food Science, Wrocław University of Environmental and Life Sciences, Chełmońskiego 37, 51-630 Wroclaw, Poland
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Dai J, Liu Y, Zhang X, Wang Z, Yang Y. A study on the influence of community spiritual comfort service on the mental health of older people. Front Public Health 2023; 11:1137623. [PMID: 36969649 PMCID: PMC10036752 DOI: 10.3389/fpubh.2023.1137623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 02/22/2023] [Indexed: 03/12/2023] Open
Abstract
BackgroundChina is experiencing rapid population aging, with the proportion of older adult people aged 60 and above reaching 19. 8% of the total population in 2022. With the growth of age, the physical function of older adults declines and their mental health is getting worse, with the increasing trend of empty nesting and childlessness, older adults lack information and social interaction with others and fall into social isolation, loneliness and some mental health problems, the proportion of older adults with mental health problems gradually rises and the mortality rate increases incrementally, requiring effective ways to intervene in the mental health of older adults and promote healthy aging.Aim of the studyThe present study investigated the influence of spiritual comfort older adult services on the mental health of 12,624 older adults aged 60 years or older in 23 provinces in China from 2017 to 2018, with the aim of providing a case for the development of more targeted mental health strategies for older people.MethodsUsing the data from the 2018 CLHLS Survey, the influencing factors of the mental health of older people were analyzed using chi-square test and the logit regression model. The mechanism of the health care facilities and the spiritual comfort services on mental health was analyzed using the chain mediation effect.ResultsThe spiritual comfort services decreased the risk of negative emotion and mental health of older adults, with female (OR = 1.168), rural residents (OR = 1.385), no drinking (OR = 1.255), not exercising (OR = 1.543), not having pension insurance (OR = 1.233), and low annual household income (OR = 1.416) being the characteristics as risk factors. The mediating effect results showed that the health care facilities had a partial mediating effect between the spiritual comfort services and the mental health status of older people, and the mediating effect accounted for 40.16% of the total effect.ConclusionsThe use of spiritual comfort services can effectively reduce and alleviate the adverse mental health symptoms of older people, promote guidance and health education for healthy older people and chronically ill patients, and improve the good health perception of older people in order to improve their quality of life and mental health status.
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Affiliation(s)
- Jing Dai
- Faculty of Management and Economics, Kunming University of Science and Technology, Kunming, China
- *Correspondence: Jing Dai
| | - Yang Liu
- Faculty of Management and Economics, Kunming University of Science and Technology, Kunming, China
| | - Xue Zhang
- Faculty of Management and Economics, Kunming University of Science and Technology, Kunming, China
| | - Zongyue Wang
- Faculty of Management and Economics, Kunming University of Science and Technology, Kunming, China
| | - Yunjuan Yang
- Yunnan Provincial Center for Disease Control and Prevention, Kunming, China
- Yunjuan Yang
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25
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Best R, Strough J, Bruine de Bruin W. Age differences in psychological distress during the COVID-19 pandemic: March 2020 - June 2021. Front Psychol 2023; 14:1101353. [PMID: 36814666 PMCID: PMC9939750 DOI: 10.3389/fpsyg.2023.1101353] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 01/12/2023] [Indexed: 02/09/2023] Open
Abstract
In March 2020, COVID-19 brought illness, lockdowns, and economic turmoil worldwide. Studies from March-April 2020 reported increased psychological distress, especially among younger (vs. older) adults. Here, we examine whether age differences persisted in a 29-wave longitudinal survey conducted with an American national life-span sample over the first 16 months of the pandemic. Socio-emotional selectivity theory (SST) predicts that older age will be consistently associated with lower psychological distress due to life-span changes in motivation, while the strength and vulnerability integration model (SAVI) posits that age differences in psychological distress will diminish under prolonged stress. We find that younger adults consistently reported more psychological distress than older adults, though age differences did decrease over time. Prior diagnosis with anxiety or depression additionally predicted greater psychological distress throughout the study, but did not moderate age differences. We discuss implications for psychological theories of aging and interventions to reduce psychological distress.
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Affiliation(s)
- Ryan Best
- Department of Psychology, West Virginia University, Morgantown, WV, United States,*Correspondence: Ryan Best,
| | - JoNell Strough
- Department of Psychology, West Virginia University, Morgantown, WV, United States
| | - Wändi Bruine de Bruin
- Price School of Public Policy, University of Southern California, Los Angeles, CA, United States,Dornsife Department of Psychology, University of Southern California, Los Angeles, CA, United States
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26
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Rodriguez-Jimenez R, Fares-Otero NE, García-Fernández L. Gender-based violence during COVID-19 outbreak in Spain. Psychol Med 2023; 53:299-300. [PMID: 33280627 PMCID: PMC7804072 DOI: 10.1017/s0033291720005024] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 12/01/2020] [Accepted: 12/02/2020] [Indexed: 12/29/2022]
Affiliation(s)
- Roberto Rodriguez-Jimenez
- Department of Psychiatry, Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Av. Córdoba s/n, 28041, Madrid, Spain
- CIBERSAM (Biomedical Research Networking Centre in Mental Health), Spain
- Facultad de Medicina, Universidad Complutense de Madrid (UCM), Plaza Ramón y Cajal, s/n, 28040Madrid, Spain
| | - Natalia E. Fares-Otero
- Department of Psychiatry, Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Av. Córdoba s/n, 28041, Madrid, Spain
| | - Lorena García-Fernández
- CIBERSAM (Biomedical Research Networking Centre in Mental Health), Spain
- Clinical Medicine Department, Universidad Miguel Hernández, Ctra. de Valencia, Km 87, 03550San Juan, Alicante, Spain
- Department of Psychiatry, Hospital Universitario de San Juan, Ctra, N-332, s/n, 03550San Juan, Alicante, Spain
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27
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Johansson-Pajala RM, Alam M, Gusdal A, Heideken Wågert PV, Löwenmark A, Boström AM, Hammar LM. Anxiety and loneliness among older people living in residential care facilities or receiving home care services in Sweden during the COVID-19 pandemic: a national cross-sectional study. BMC Geriatr 2022; 22:927. [PMID: 36456904 PMCID: PMC9714409 DOI: 10.1186/s12877-022-03544-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 10/19/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Older people were subjected to significant restrictions on physical contacts with others during the COVID-19 pandemic. Social distancing impacts older people's experiences of anxiety and loneliness. Despite a large body of research on the pandemic, there is little research on its effects on older people in residential care facilities (RCF) and in home care services (HCS), who are the frailest of the older population. We aimed to investigate the effect of the first wave of the COVID-19 pandemic in March-May 2020 on experiences of anxiety and loneliness among older people living in RCF or receiving HCS and the impact of the progression of the pandemic on these experiences. METHODS A retrospective cross-sectional design using data from the national user satisfaction survey (March - May 2020) by the Swedish National Board of Health and Welfare. Survey responses were retrieved from 27,872 older people in RCF (mean age 87 years) and 82,834 older people receiving HCS (mean age 84 years). Proportional-odds (cumulative logit) model was used to estimate the degree of association between dependent and independent variables. RESULTS Loneliness and anxiety were more prevalent among the older persons living in RCF (loneliness: 69%, anxiety: 63%) than those receiving HCS (53% and 47%, respectively). Proportional odds models revealed that among the RCF and HCS respondents, the cumulative odds ratio of experiencing higher degree of anxiety increased by 1.06% and 1.04%, respectively, and loneliness by 1.13% and 1.16%, respectively, for 1% increase in the COVID-19 infection rate. Poor self-rated health was the most influential factor for anxiety in both RCF and HCS. Living alone (with HCS) was the most influential factor affecting loneliness. Experiences of disrespect from staff were more strongly associated with anxiety and loneliness in RCF than in HCS. CONCLUSION Older people in RCF or receiving HCS experienced increasing levels of anxiety and loneliness as the first wave of the pandemic progressed. Older people' mental and social wellbeing should be recognized to a greater extent, such as by providing opportunities for social activities. Better preparedness for future similar events is needed, where restrictions on social interaction are balanced against the public health directives.
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Affiliation(s)
- Rose-Marie Johansson-Pajala
- grid.411579.f0000 0000 9689 909XSchool of Health, Care and Social Welfare, Mälardalen University, P.O 325, SE-63105 Eskilstuna/Västerås, Sweden
| | - Moudud Alam
- grid.411953.b0000 0001 0304 6002School of Information and Engineering/Statistics, Dalarna University, Falun, Sweden
| | - Annelie Gusdal
- grid.411579.f0000 0000 9689 909XSchool of Health, Care and Social Welfare, Mälardalen University, P.O 325, SE-63105 Eskilstuna/Västerås, Sweden
| | - Petra von Heideken Wågert
- grid.411579.f0000 0000 9689 909XSchool of Health, Care and Social Welfare, Mälardalen University, P.O 325, SE-63105 Eskilstuna/Västerås, Sweden
| | - Annica Löwenmark
- grid.411579.f0000 0000 9689 909XSchool of Health, Care and Social Welfare, Mälardalen University, P.O 325, SE-63105 Eskilstuna/Västerås, Sweden
| | - Anne-Marie Boström
- grid.4714.60000 0004 1937 0626Division of Nursing, Department of Neurobiology, Care Science and Society Karolinska Institute, Stockholm, Sweden ,grid.24381.3c0000 0000 9241 5705Theme Inflammation and Aging, Karolinska University Hospital, Huddinge, Sweden ,grid.4714.60000 0004 1937 0626R&D unit, Stockholms Sjukhem, Stockholm, Sweden
| | - Lena Marmstål Hammar
- grid.411579.f0000 0000 9689 909XSchool of Health, Care and Social Welfare, Mälardalen University, P.O 325, SE-63105 Eskilstuna/Västerås, Sweden ,grid.4714.60000 0004 1937 0626Division of Nursing, Department of Neurobiology, Care Science and Society Karolinska Institute, Stockholm, Sweden ,grid.411953.b0000 0001 0304 6002School of Health and Welfare, Dalarna University, Falun, Sweden
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Anxiety among older adults during the COVID-19 pandemic. J Anxiety Disord 2022; 92:102633. [PMID: 36115079 PMCID: PMC9465474 DOI: 10.1016/j.janxdis.2022.102633] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 07/15/2022] [Accepted: 09/08/2022] [Indexed: 11/23/2022]
Abstract
A growing body of research examines the COVID-19 pandemic's effects on well-being. Only few studies focus on older adults or explore the predictors of COVID-19-related anxiety. Intolerance of uncertainty (IU) and some behaviors (e.g., avoidance, procrastination) are linked to anxiety among older adults and could both be relevant to consider in a pandemic context. This study measured the occurrence and anxiety levels among older adults and verified the possible role of IU and behaviors in predicting anxiety symptoms, impairment and distress related to COVID-19 health standards. It also examined the indirect effect of IU on symptoms, impairment and distress through behaviors. Participants aged 60 and over (N = 356) were recruited and administered questionnaires. Anxiety levels and symptom impairment were high and appeared to have increased since the beginning of the pandemic. IU and behavioral manifestations of anxiety were associated with higher anxiety symptoms, impairment and distress related to COVID-19 health standards. The indirect effects of IU on the tendency to worry and COVID-19-related anxiety through behavioral manifestations of anxiety were confirmed. This study provides knowledge on the relationship between COVID-19 and anxiety in older adults and identifies predictors relevant to this population.
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Olumekor M, Stojić A, Kehler T, Polo F. The Impact of COVID-19 on the Quality of Life and Happiness of Care Home Residents in Croatia: A Cross-Sectional Study. Behav Sci (Basel) 2022; 12:463. [PMID: 36421759 PMCID: PMC9687193 DOI: 10.3390/bs12110463] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/14/2022] [Accepted: 11/15/2022] [Indexed: 09/08/2024] Open
Abstract
Care/nursing homes globally have been severely affected by the COVID-19 pandemic and have disproportionately experienced a high rate of mortality which led to the introduction of strict isolation policies. However, while there are studies on the mortality, epidemiology, staffing challenges, and mismanagement in long-term care homes as a result of COVID-19, there appears to be a paucity of information regarding the Quality of Life (QoL), happiness, and associated well-being of the elderly residents of these homes. Therefore, we examined if COVID-19 affected the happiness level, QoL, and financial condition of long-term care home residents in Croatia. To achieve this, a survey of 308 participants in eight long term care homes was conducted. Descriptive analysis was performed to describe the mean of all responses and the Bayesian Integrated Nested Laplace Approximation (INLA) was used to provide a detailed quantitative analysis of the results. We found that the QoL and happiness of residents remained relatively stable during the COVID-19 pandemic. However, the income level, financial outlook, marital status, and vaccination positivity influenced the QoL and happiness of care home residents to a considerable degree. We recommend that policy makers pay attention to these underlying factors.
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Affiliation(s)
- Michael Olumekor
- Graduate School of Economics and Management, Ural Federal University, 620014 Yekaterinburg, Russia
| | - Andrea Stojić
- Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia
| | - Tatjana Kehler
- Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia
| | - Francesco Polo
- Cultural Centre Humanitas in Conegliano, 31015 Treviso, Italy
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Older Adults and Social Isolation and Loneliness During the COVID-19 Pandemic: An Integrated Review of Patterns, Effects, and Interventions. Can J Aging 2022; 42:199-216. [PMID: 36345649 DOI: 10.1017/s0714980822000459] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract
A scoping review was conducted to identify patterns, effects, and interventions to address social isolation and loneliness among community-dwelling older adult populations during the COVID-19 pandemic. We also integrated (1) data from the Canadian Longitudinal Study on Aging (CLSA) and (2) a scan of Canadian grey literature on pandemic interventions. CLSA data showed estimated relative increases in loneliness ranging between 33 and 67 per cent depending on age/gender group. International studies also reported increases in levels of loneliness, as well as strong associations between loneliness and depression during the pandemic. Literature has primarily emphasized the use of technology-based interventions to reduce social isolation and loneliness. Application of socio-ecological and resilience frameworks suggests that researchers should focus on exploring the wider array of potential pandemic age-friendly interventions (e.g., outdoor activities, intergenerational programs, and other outreach approaches) and strength-based approaches (e.g., building community and system-level capacity) that may be useful for reducing social isolation and loneliness.
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31
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Cabib I, Budnevich-Portales C, Azar A. Adulthood Employment Trajectories and Later Life Mental Health before and after the Onset of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13936. [PMID: 36360816 PMCID: PMC9658652 DOI: 10.3390/ijerph192113936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 10/18/2022] [Accepted: 10/24/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND This life course study has two aims. First, to explore how diverse employment trajectories across adulthood are related to older people's mental health in Chile, a country with no research in this field, and second, to analyze these associations before and after the onset of the COVID-19 pandemic. METHODS We use data from the nationally-representative and longitudinal 'Chilean Social Protection Survey' sequence analysis to reconstruct employment trajectory types, and bivariate and multivariate analyses to measure their association with depressive symptoms. RESULTS Our findings indicate that formal labor force patterns in adulthood show the lowest burden of depressive symptomology before and after the onset of the overwhelming COVID-19 pandemic when controlling for traditional risk factors. CONCLUSION We emphasize that policymakers in both the labor market and public health domains must consider the relationship between informal employment pathways in adulthood and poorer mental health in old age. Public policies should improve the conditions and quality of jobs during adulthood and promote more formalization in the labor market to address the high uncertainty involving low social protection, which is strongly associated with severe mental health problems in later life.
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Affiliation(s)
- Ignacio Cabib
- Instituto de Sociología, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile
- Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile
- Centro UC Estudios de Vejez y Envejecimiento, Santiago 7820436, Chile
| | - Carlos Budnevich-Portales
- Departamento de Economía, Facultad de Economía y Negocios, Universidad de Chile, Santiago 8330015, Chile
| | - Ariel Azar
- Department of Sociology, University of Chicago, Chicago, IL 60637, USA
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Stoyanova R, Mihaylova A, Kasnakova P, Bakova D, Harizanova S, Zheleva Z, Deneva T, Davcheva D, Toseva E. COVID-19 Peritraumatic Distress Index Instrument – Translation and Validation of Bulgarian Version. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.10896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND: COVID-19 peritraumatic distress index (CPDI) self-report questionnaire was designed to measure peritraumatic psychological distress in a pandemic emergency.
AIM: The aim of the study was the validation of Bulgarian COVID-19 peritraumatic distress index (CPDI) questionnaire and its application to measure psychological distress level in Bulgarian population.
METHODS: The study was conducted among 42 adults from February 2022 to March 2022. The average age of respondents participating in the validation of COVID-19 peritraumatic distress index (CPDI) questionnaire is 40.88 ± 13.309, women being predominant - 71.4% (n = 30), as well as individuals with higher education- 69% (n = 29). Following the preliminary instruction, all participants filled out the online Bulgarian version of the questionnaire anonymously 2 times within a period of 2 weeks. Data were analyzed using descriptive statistic, the Wilcoxon signed-rank test, Cronbach’s alpha, and Corrected Item-Total Correlation.
RESULTS: The CPDI instrument was linguistically validated according to a standard procedure (8) and cross-culturally adapted (9) into Bulgarian in several stages. The overall Cronbach’s alpha for the Peritraumatic Distress Index (CPDI) questionnaire is 0.940. Almost all corrected item-total correlations exceeded the accepted cut off of 0.30 indicating each item was related to the overall scale except for Q5 “I feel sympathetic to COVID-19 patients and their families.”
CONCLUSION: The Bulgarian version of the questionnaire reveals good reliability and cross-cultural validity and can be applied widely for measuring the prevalence of psychological suffering and distress in the pandemic emergency.
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Xiang H, Luo J, Zhou J, Zhou Z. Older adults' prevention and communication to beat anxiety: the diminishing utility of proactive coping actions. UNIVERSAL ACCESS IN THE INFORMATION SOCIETY 2022; 22:1-20. [PMID: 36160368 PMCID: PMC9483311 DOI: 10.1007/s10209-022-00915-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 08/30/2022] [Indexed: 06/16/2023]
Abstract
This study aims to investigate older adults' psychological reactions when facing changes in daily life caused by the COVID-19 pandemic and anti-epidemic measures. Specifically, this study investigated the impacts of communication types (i.e., electronic and face-to-face communication) and frequency during the pandemic and the kinds of proactive coping actions taken by older adults on their anxiety. A total of 43,019 respondents were included in this study by merging two longitudinal databases. One is the seventh wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) conducted in 2017, and the other is the COVID-19 Survey of SHARE, which was conducted between June and August 2020. This study found that one third of older adults reported anxiety symptoms during the COVID-19 pandemic and one fifth reported increased anxiety than before the pandemic. Anxiety symptoms seem somewhat prevalent among older adults during the COVID-19 pandemic. During the pandemic, the more kinds of proactive coping actions taken by older adults, the more likely they felt anxious. As the pandemic continues and develops, taking proactive coping actions might no longer alleviate anxiety in older adults, showing a diminishing utility. In addition, face to face communication was found to decrease the likelihood of anxiety symptoms in older adults, whereas the opposite impact of electronic communication was found. For older adults, contacting others by electronic means may increase their anxiety feeling during the COVID-19 pandemic.
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Affiliation(s)
- Honglian Xiang
- School of Management Science and Real Estate, Chongqing University, No. 174 Shazheng Street, Shapingba District, Chongqing, 400044 People’s Republic of China
| | - Jintao Luo
- Department of Industrial Engineering, Chongqing University, No. 174 Shazheng Street, Shapingba District, Chongqing, 400044 People’s Republic of China
| | - Jia Zhou
- School of Management Science and Real Estate, Chongqing University, No. 174 Shazheng Street, Shapingba District, Chongqing, 400044 People’s Republic of China
| | - Ziyao Zhou
- Department of Industrial Engineering, Chongqing University, No. 174 Shazheng Street, Shapingba District, Chongqing, 400044 People’s Republic of China
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Yahi F, Lequesne J, Rigal O, Morel A, Leheurteur M, Grellard JM, Leconte A, Clarisse B, Joly F, Lefèvre-Arbogast S. Post-traumatic stress disorder symptoms and associated factors in breast cancer patients during the first COVID-19 lockdown in France. Front Psychol 2022; 13:768043. [PMID: 36186387 PMCID: PMC9521190 DOI: 10.3389/fpsyg.2022.768043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 08/23/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction We aimed to study post-traumatic stress disorder (PTSD) symptoms in breast cancer (BC) patients during the coronavirus disease (COVID-19) pandemic. Materials and methods We included BC patients receiving medical treatment during the first COVID-19 lockdown in France. PTSD symptoms were evaluated using the Impact of Event Scale-Revised (IES-R) questionnaire. Quality of life [Functional Assessment of Cancer Therapy-General (FACT-G)], cognitive complaints [Functional Assessment of Cancer Therapy–Cognitive Function (FACT-Cog)], insomnia [Insomnia Severity Index (ISI)], and psychosocial experiences during lockdown were also evaluated. Multivariable logistic regression was used to identify clinical factors (from medical records) and psychosocial factors (from questionnaires) associated with PTSD symptoms. Results Among the 253 included BC patients (mean age: 58), 46% had metastatic cancer and 52% were treated by chemotherapy alone. COVID-19-induced adjustments in medical oncology practices were experienced by 27% of patients (mainly teleconsultations). No case of COVID-19 was reported; 23% of BC patients had PTSD symptoms. Compared to other patients, patients with PTSD symptoms had more fears relative to COVID-19 infection (83 vs. 60%, p = 0.009), had more feeling of isolation (69 vs. 41%, p = 0.003), and had more prescription or increased use of psychotropic drugs (49 vs. 20%, p = 0.001). In the multivariable model adjusted for clinical factors, fears relative to COVID-19 and increased use of psychotropic drugs were independently associated with PTSD symptoms (OR [95% CI] = 3.01 [1.20–8.44] and 3.45 [1.48–8.17], respectively). Besides, patients with PTSD symptoms had poor quality of life (QoL), and more cognitive complaints and insomnia. Conclusion Post-traumatic stress disorder symptoms were observed in 23% of BC patients during the first COVID-19 lockdown in France. Psychological supports are needed for patients treated during the COVID-19 pandemic.
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Affiliation(s)
- Feriel Yahi
- Clinical Research Department, Centre François Baclesse, Caen, France
- Department of Health, University of Caen Normandie, Caen, France
| | - Justine Lequesne
- Clinical Research Department, Centre François Baclesse, Caen, France
- *Correspondence: Justine Lequesne,
| | - Olivier Rigal
- Department of Medical Oncology, Centre Henri Becquerel, Rouen, France
| | - Adeline Morel
- Department of Medical Oncology, Centre François Baclesse, Caen, France
| | | | | | - Alexandra Leconte
- Clinical Research Department, Centre François Baclesse, Caen, France
| | | | - Florence Joly
- Clinical Research Department, Centre François Baclesse, Caen, France
- Department of Health, University of Caen Normandie, Caen, France
- Department of Medical Oncology, Centre François Baclesse, Caen, France
- INSERM U1086 ANTICIPE, Caen, France
| | - Sophie Lefèvre-Arbogast
- Clinical Research Department, Centre François Baclesse, Caen, France
- INSERM U1086 ANTICIPE, Caen, France
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de Sousa ILM, Silveira R, Takito MY, Pereira AL, Lucianelli-Júnior D, Carmona GS, Viegas APDV, Teixeira FB, Santos OS, Valentin FN. The impact of the social isolation in elderly Brazilian mental health (anxiety and depression) during the COVID-19 pandemic. Front Psychiatry 2022; 13:888234. [PMID: 36159941 PMCID: PMC9493187 DOI: 10.3389/fpsyt.2022.888234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 08/05/2022] [Indexed: 11/16/2022] Open
Abstract
The impact of social isolation in the pandemic context on elderly Brazilian mental health is little known, especially about the occurrence of depressive symptoms. In this study, we evaluated elderly people undergoing social isolation in order to identify factors associated with depression and which of these are more important to characterize elderly Brazilians with depression. In a cross-sectional, exploratory, and analytical study of a quantitative nature, the mental profile of elderly individuals subjected to social isolation during the COVID-19 pandemic period was used. A total of 450 participants was divided into normal and depressive groups, and a form covering sociodemographic data, opinions/perceptions about the pandemic, and a Reduced Geriatric Depression Scale was used to assess participants' mental health. To assess the statistical significance between the variables, chi-square test was applied, considering the p-value <0.05. The effect size was analyzed to identify the magnitude of the difference between groups. To identify the most important characteristics to define the groups Multilayer Perceptron algorithm were applied. We found that elderly people with a depressive profile are (in Multilayer Perceptron rank order) (1) showing signs of anxiety during the COVID-19 pandemic, (2) of low education, (3) being divorced, (4) having more than one mental disorder, (5) reading, watching, or listening to information about COVID-19, and (6) being previously diagnosed with depression. In conclusion, elderly Brazilians in social isolation tend to develop depressive disorders during quarantine. Thus, we can consider that the pandemic requires effective and safe gerontological care and monitoring, especially with regard to mental health.
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Affiliation(s)
| | - Rodrigo Silveira
- Campus 'University City Armando de Salles Oliveira (CUASO)', University of São Paulo, São Paulo, Brazil
| | - Mônica Yuri Takito
- Campus 'University City Armando de Salles Oliveira (CUASO)', University of São Paulo, São Paulo, Brazil
| | - Adenilson Leão Pereira
- Faculty of Medicine, Federal University of Pará, Altamira, Brazil
- Graduate Program in Biodiversity and Conservation (PPGBC), Altamira, Brazil
| | | | | | | | | | | | - Fernanda Nogueira Valentin
- Faculty of Medicine, Federal University of Pará, Altamira, Brazil
- Graduate Program in Biodiversity and Conservation (PPGBC), Altamira, Brazil
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What about mental health after one year of COVID-19 pandemic? A comparison with the initial peak. J Psychiatr Res 2022; 153:104-108. [PMID: 35810599 PMCID: PMC9254135 DOI: 10.1016/j.jpsychires.2022.07.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 06/12/2022] [Accepted: 07/01/2022] [Indexed: 12/23/2022]
Abstract
A psychiatric epidemic has accompanied the COVID-19 pandemic and specific vulnerable populations have been identified. We aimed to explore the presence of anxiety, acute stress and depression among these vulnerable groups after a year of pandemic and relate them to our previous results obtained with the same methodology during the initial peak of the pandemic in Spain. A total of 2182 participants conducted a national survey, starting on March 2021. Sociodemographic information and clinical symptoms were assessed. The sample was divided into four groups in order to develop four substudies with these results: 1) Healthcare workers presented lower anxiety, acute stress, and depression than non-Healthcare workers (p < 0.001), being nurses the most affected. 2) People with mental disorders experienced higher anxiety, acute stress, and depression than people without (p < 0.001), as well as a higher rate of COVID cases (14% vs. 9.3%, p = 0.041). 3) People ≥60 years old presented lower anxiety and acute stress than people <60, (p < 0.05) and a weaker depressive syndrome (p = 0.003). 4) Males presented lower anxiety, acute stress and depression than females (p < 0.001). According to the results obtained during the initial peak, Healthcare workers have developed efficient coping strategies, while elders have managed to maintain their previously emotional balance. Notwithstanding, women and people with mental disorders continue to be vulnerable to emotional distress after a year of pandemic. Women and people with mental disorders continue to be especially vulnerable to emotional distress after a year of pandemic.
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Garner IW, Varey S, Navarro‐Pardo E, Marr C, Holland CA. An observational cohort study of longitudinal impacts on frailty and well-being of COVID-19 lockdowns in older adults in England and Spain. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e2905-e2916. [PMID: 35089638 PMCID: PMC9545919 DOI: 10.1111/hsc.13735] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 11/19/2021] [Accepted: 01/08/2022] [Indexed: 05/15/2023]
Abstract
To reduce the spread of COVID-19, governments initiated lockdowns, limiting mobility and social interaction of populations. Lockdown is linked to health issues, yet the full impact on health remains unknown, particularly in more vulnerable groups. This study examined the impact on frailty and outcomes in high and low COVID-19 risk older adults. We examined health-related behaviours and support resources participants used during lockdown(s). Lockdown impacts in two countries were compared across four time points to examine impacts of different rules. We recruited 70 participants (aged >70 years) in England and Spain. Participants were allocated to higher or lower COVID-19-risk groups based on UK NHS guidelines. They completed assessments for frailty, quality-of-life, loneliness, exercise frequency and social interaction, coping resources and perception of age-friendliness of their environment. The four assessments took place over a 7-month period. Frailty was highest at Time 1 (most severe lockdown restrictions) and significantly higher in the Spanish group. It was lower at Time 3 (lowest restrictions), but did not continue to reduce for the English participants. Perceptions of the age friendliness of the environment matched these changes. Coping resources did not mitigate changes in frailty and outcomes over time, but more frequent physical activity predicted more reduction in frailty. Lockdown had a negative impact on frailty, increasing risk of adverse events for older people, but recovery once lockdowns are eased is evidenced. Further research is required to consider longer term impacts and methods to mitigate effects of lockdown on health.
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Affiliation(s)
- Ian W. Garner
- Division of Health ResearchLancaster UniversityLancasterUK
- Lancaster Centre for Ageing Research (C4AR)Lancaster UniversityLancasterUK
| | - Sandra Varey
- Division of Health ResearchLancaster UniversityLancasterUK
- Lancaster Centre for Ageing Research (C4AR)Lancaster UniversityLancasterUK
| | | | - Calum Marr
- Division of Health ResearchLancaster UniversityLancasterUK
- Lancaster Centre for Ageing Research (C4AR)Lancaster UniversityLancasterUK
| | - Carol A. Holland
- Division of Health ResearchLancaster UniversityLancasterUK
- Lancaster Centre for Ageing Research (C4AR)Lancaster UniversityLancasterUK
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Prieto RG. Salud mental en los trabajadores de la salud y otros grupos poblacionales en relación con la pandemia del COVID-19. REPERTORIO DE MEDICINA Y CIRUGÍA 2022. [DOI: 10.31260/repertmedcir.01217372.1360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Introducción: a lo largo de la historia de la humanidad han ocurrido muchas pandemias causando grandes afectaciones en la salud física y mental. El propósito de esta revisión es presentar un análisis del compromiso de la salud mental en diversos grupos poblacionales. Métodos: con los descriptores ansiedad, estrés, depresión, enfermedad mental, trastorno mental, personal de salud, COVID-19, SARS-CoV-2, se realizó una búsqueda en las bases de datos Embase, Scopus, PubMed, Web of Science (ISI), Google Scholar, y Google para realizar una revisión narrativa de las afectaciones mentales ocurridas en niños y adolescentes, estudiantes universitarios, enfermos de alto riesgo, pacientes con la infección, adulto mayor y personal de salud. Discusión: de acuerdo con la OMS la pandemia por COVID-19 persiste y habrá que esperar las consecuencias o secuelas a largo plazo. Se han realizado múltiples estudios que evalúan las afectaciones mentales en los diversos grupos, revelando un incremento en las cifras de ansiedad, estrés, depresión y estrés postraumático. Conclusiones: se deben diseñar y aplicar estrategias para realizar el diagnóstico temprano de las alteraciones de la salud mental en la población en general y en especial en el personal de salud de primera línea. Es de esperar que a mediano y largo plazo surjan secuelas relacionadas con el aislamiento con énfasis en niños y adolescentes.
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Khorani H, Mohammadi F, Hosseinkhani Z, Motalebi SA. Predictive factors of Quality of Life in older adults during the COVID-19 pandemic. BMC Psychol 2022; 10:176. [PMID: 35843952 PMCID: PMC9288663 DOI: 10.1186/s40359-022-00882-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 06/30/2022] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Given the vulnerability of older people to COVID-19, it is important to consider their physical and mental wellbeing and quality of life (QoL) in the COVID-19 pandemic. Therefore, the present study was aimed to identify the QoL and its predictive factors among a sample of Iranian older adults during the COVID-19 pandemic. METHODS This descriptive and cross-sectional study was conducted on 500 older people residing in Qazvin, Iran, from May 22th to November 21rd, 2021. Multistage cluster sampling method was used for selecting the eligible older adults. Data were collected using the demographic checklist, fear of COVID-19 scale, and Elderly Quality of Life Questionnaire (LIPAD). The multivariate regression model was used for determining the predictive factors of QoL in older people. RESULTS The mean age of older participants was 69.17 ± 6.75 years old. The results of multivariate regression model showed that fear of COVID-19, age, marital status, level of education, living arrangement, and economic situation were the significant predictors of QoL in the older adults during the COVID-19 pandemic. CONCLUSIONS It is recommended to pay close attention to divorced, lonely, and illiterate older people and those with low economic situation during the COVID-19 pandemic.
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Affiliation(s)
- Hossein Khorani
- grid.412606.70000 0004 0405 433XStudent Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Fatemeh Mohammadi
- grid.412606.70000 0004 0405 433XSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Zahra Hosseinkhani
- grid.412606.70000 0004 0405 433XMetabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Seyedeh Ameneh Motalebi
- grid.412606.70000 0004 0405 433XSocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
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de Almondes KM, Castro EDAS, Paiva T. Morbidities Worsening Index to Sleep in the Older Adults During COVID-19: Potential Moderators. Front Psychol 2022; 13:913644. [PMID: 35832914 PMCID: PMC9271867 DOI: 10.3389/fpsyg.2022.913644] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 06/06/2022] [Indexed: 12/02/2022] Open
Abstract
Older adults were considered a vulnerable group for the COVID-19 infection and its consequences, including problems with sleep.
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Affiliation(s)
- Katie Moraes de Almondes
- Department of Psychology and Postgraduate Program in Psychobiology, AMBSONO Sleep Clinic, Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, Brazil
- *Correspondence: Katie Moraes de Almondes,
| | | | - Teresa Paiva
- CENC –Sleep Medicine Center, Lisbon, Portugal
- ISAMB – Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Comprehensive Health Research Center (CHRC), Universidade Nova de Lisboa, Lisbon, Portugal
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Kim S, Hwang J. Examining Risk Factors for Mental Health During the COVID-19 Pandemic-Focusing on Older Adults in South Korea. Int J Public Health 2022; 67:1604487. [PMID: 35814736 PMCID: PMC9265210 DOI: 10.3389/ijph.2022.1604487] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Accepted: 05/17/2022] [Indexed: 12/23/2022] Open
Abstract
Objectives: Mental health is the cornerstone of public health, particularly for older adults. There is a clear need to examine the impact of COVID-19 on mental health among older adults in South Korea, where the incidence of COVID-19 was relatively low and widespread transmission was controlled without a national lockdown. Methods: This analysis included a total of 1917 participants from the Experience Survey on Healthcare Use of Older Adults, which was conducted for adults aged 65 years or older by face-to-face interview. Results: The results showed that older adults with a good understanding of COVID-19 public health measures were less likely to experience mental health problems. In contrast, those with a greater risk perception of contracting COVID-19 had higher odds of experiencing tension and anxiety in addition to sadness and depression. Older adults who had a greater fear of COVID-19 and perceived higher-risk of contracting COVID-19 experienced more sleep problems. Conclusion: The findings provide new evidence on the factors that influence the mental health of older adults in South Korea during the pandemic and suggest the development of policy interventions.
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Affiliation(s)
- Sujin Kim
- Korea Institute for Health and Social Affairs, Sejong, South Korea
| | - Jongnam Hwang
- Division of Social Welfare and Health Administration, Wonkwang University, Iksan, South Korea
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Boehlen FH, Kusch MKP, Reich P, Wurmbach VS, Seidling HM, Wild B. [Experiences of older multimorbid persons during the COVID-19 pandemic: a qualitative study]. Z Gerontol Geriatr 2022; 55:216-222. [PMID: 35384511 PMCID: PMC8984670 DOI: 10.1007/s00391-022-02055-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 03/08/2022] [Indexed: 11/24/2022]
Abstract
BACKGROUND/OBJECTIVE The COVID-19 pandemic and the accompanying preventive measures have shaped social life in unexpected ways. Because older persons with multiple chronic conditions have a high risk of a severe medical outcome, it has been strongly recommended that social contacts be curtailed in order to minimize risks of infection. While this appears to be alarming from a psychosocial point of view, it has been shown that older persons exhibit a high degree of equanimity and a good ability to cope with the crisis. The aim of the study was to describe the attitudes of multimorbid older people to the pandemic, their social contacts and their experiences with medical care. MATERIAL AND METHODS This cross-sectional qualitative survey was based on 21 semi-structured short interviews of older patients with multiple chronic conditions during inpatient health care, at 4 different points in time: July 2020, September 2020, November 2020 and January 2021. The data were analyzed by qualitative content analysis. RESULTS The statements of 21 participants (aged 58-88 years) were assessed. Over the course of the COVID-19 pandemic it became apparent that participants experienced the pandemic differently, both from an individual perspective and over time. While high infection rates were accompanied by serious concerns about health, periods of moderate infection risk were dominated by worry about social changes. In older persons there was a great sense of acceptance of the preventive measures. CONCLUSION Our study exemplarily illustrates the attitudes and concerns of older persons who suffer from multiple chronic conditions over the course of the pandemic. Our data show that older persons reacted with equanimity to the novel medical and social circumstances.
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Affiliation(s)
- F H Boehlen
- Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland.
| | - M K P Kusch
- Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
- Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - P Reich
- Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland
| | - V S Wurmbach
- Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
- Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - H M Seidling
- Abteilung Klinische Pharmakologie und Pharmakoepidemiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
- Kooperationseinheit Klinische Pharmazie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland
| | - B Wild
- Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland
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Betancourt-Ocampo D, Toledo-Fernández A, González-González A. Mental Health Changes in Older Adults in Response to the COVID-19 Pandemic: A Longitudinal Study in Mexico. Front Public Health 2022; 10:848635. [PMID: 35462849 PMCID: PMC9019126 DOI: 10.3389/fpubh.2022.848635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 03/14/2022] [Indexed: 11/29/2022] Open
Abstract
This study examined changes in some aspects of mental health, as well as worries and behaviors related to the COVID-19 pandemic in a sample of older adults, during three different moments of the first year of the pandemic in Mexico. The sample consisted of 2,307 older adults (38% men and 62% women). The results indicated that older adults presented less concern about the COVID-19 pandemic, as well as less adherence to preventing procedures in the first wave, compared to subsequent evaluations. In addition, greater depressive symptoms, anxiety and stress were found in older adults in the last wave; however, the proportion of older adults identified with high scores in these variables was lower than that reported in national data.
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Perelman J, Xavier M, Barros PP. How do European Mature Adults and Elderly Perceive SARS-COV-2 and Associated Control Measures? A Cross-Country Analysis of Mental Health Symptoms in June and July 2020. Int J Public Health 2022; 67:1604218. [PMID: 35283718 PMCID: PMC8906259 DOI: 10.3389/ijph.2022.1604218] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 01/21/2022] [Indexed: 11/21/2022] Open
Abstract
Objectives: Recent literature points out that elderly people are psychologically resilient to COVID-19, but the studies were performed in specific contexts. We measured the link between the worsening of mental health symptoms, the epidemiologic situation, and control measures among European people aged 50 or older. Methods: We used data from the 2020 wave of SHARE, merged with Oxford COVID-19 Government Response Tracker data (n = 38,358). We modeled the risk of worsening of depression, anxiety, sleeping trouble, and loneliness symptoms’ self-perception, as functions of control measures and 7-days death incidence, using logistic regressions. Results: The worsening of anxiety and depression perception were more common (16.2 and 23.1%, respectively), compared to that of sleeping troubles and loneliness (8.1 and 11.5%, respectively). The worsening of depression and anxiety perception was negatively related to the rigor of control measures. The seven-days death incidence was positively linked to all symptoms except sleeping troubles. Conclusion: Older people were the most exposed to death risk and were affected psychologically by the COVID-19 epidemiological situation; yet control measures were protective (or neutral) to their mental health condition.
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Affiliation(s)
- Julian Perelman
- Center for Research in Public Health, National School of Public Health, New University of Lisbon, Lisbon, Portugal
- Comprehensive Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal
- *Correspondence: Julian Perelman,
| | - Miguel Xavier
- Comprehensive Health Research Centre, Universidade NOVA de Lisboa, Lisbon, Portugal
- NOVA Medical School, Faculty of Medical Sciences of Lisbon, New University of Lisbon, Lisbon, Portugal
- National Mental Health Program, General-Directorate for Health, Lisbon, Portugal
| | - Pedro Pita Barros
- School of Business and Economics, New University of Lisbon, Lisbon, Portugal
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Dura-Perez E, Goodman-Casanova JM, Vega-Nuñez A, Guerrero-Pertiñez G, Varela-Moreno E, Garolera M, Quintana M, Cuesta-Vargas AI, Barnestein-Fonseca P, Gómez Sánchez-Lafuente C, Mayoral-Cleries F, Guzman-Parra J. The Impact of COVID-19 Confinement on Cognition and Mental Health and Technology Use Among Socially Vulnerable Older People: Retrospective Cohort Study. J Med Internet Res 2022; 24:e30598. [PMID: 35049505 PMCID: PMC8865547 DOI: 10.2196/30598] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 10/13/2021] [Accepted: 12/23/2021] [Indexed: 12/23/2022] Open
Abstract
Background COVID-19 forced the implementation of restrictive measures in Spain, such as lockdown, home confinement, social distancing, and isolation. It is necessary to study whether limited access to basic services and decreased family and social support could have deleterious effects on cognition, quality of life, and mental health in vulnerable older people. Objective This study aims to explore the impact of the COVID-19 outbreak on cognition in older adults with mild cognitive impairment or dementia as the main outcome and the quality of life, perceived health status, and depression as secondary outcomes and to analyze the association of living alone and a change in living arrangements with those outcomes and other variables related with the use of technology and health services. Likewise, this study aims to analyze the association of high and low technophilia with those variables, to explore the access and use of health care and social support services, and, finally, to explore the informative-, cognitive-, entertainment-, and socialization-related uses of information and communications technologies (ICTs) during the COVID-19 outbreak. Methods This cohort study was conducted in Málaga (Spain). In total, 151 participants with mild cognitive impairment or mild dementia, from the SMART4MD (n=75, 49.7%) and TV-AssistDem (n=76, 50.3%) randomized clinical trials, were interviewed by telephone between May 11 and June 26, 2020. All participants had undergone 1-3 assessments (in 6-month intervals) on cognition, quality of life, and mood prior to the COVID-19 breakout. Results The outbreak did not significantly impact the cognition, quality of life, and mood of our study population when making comparisons with baseline assessments prior to the outbreak. Perceived stress was reported as moderate during the outbreak. After correction for multiple comparisons, living alone, a change in living arrangements, and technophilia were not associated with negative mental health outcomes. However, being alone was nominally associated with self-perceived fear and depression, and higher technophilia with better quality of life, less boredom, perceived stress and depression, and also less calmness. Overall, health care and social support service access and utilization were high. The most used ICTs during the COVID-19 outbreak were the television for informative, cognitive, and entertainment-related uses and the smartphone for socialization. Conclusions Our findings show that the first months of the outbreak did not significantly impact the cognition, quality of life, perceived health status, and depression of our study population when making comparisons with baseline assessments prior to the outbreak. Living alone and low technophilia require further research to establish whether they are risk factors of mental health problems during lockdowns in vulnerable populations. Moreover, although ICTs have proven to be useful for informative-, cognitive-, entertainment-, and socialization-related uses during the pandemic, more evidence is needed to support these interventions. Trial Registration ClinicalTrials.gov NCT04385797; https://clinicaltrials.gov/ct2/show/NCT04385797 International Registered Report Identifier (IRRID) RR2-10.2196/26431
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Affiliation(s)
- Elena Dura-Perez
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain.,Faculty of Psychology, University of Málaga, Málaga, Spain
| | - Jessica Marian Goodman-Casanova
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Amanda Vega-Nuñez
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Gloria Guerrero-Pertiñez
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Esperanza Varela-Moreno
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Maite Garolera
- Brain, Cognition and Behavior: Clinical Research, Consorci Sanitari de Terrassa, Terrasa, Spain
| | - Maria Quintana
- Brain, Cognition and Behavior: Clinical Research, Consorci Sanitari de Terrassa, Terrasa, Spain
| | - Antonio I Cuesta-Vargas
- Department of Physiotherapy, University of Málaga, Biomedical Research Institute of Malaga, Málaga, Spain
| | - Pilar Barnestein-Fonseca
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Carlos Gómez Sánchez-Lafuente
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Fermin Mayoral-Cleries
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
| | - Jose Guzman-Parra
- Department of Mental Health, Regional University Hospital of Málaga, Biomedical Research Institute of Malaga (IBIMA), Málaga, Spain
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Haimi M, Gesser-Edelsburg A. Application and implementation of telehealth services designed for the elderly population during the COVID-19 pandemic: A systematic review. Health Informatics J 2022; 28:14604582221075561. [PMID: 35175881 PMCID: PMC8859483 DOI: 10.1177/14604582221075561] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Telehealth has many benefits, in routine care and especially during times of epidemics in which restrictions to direct patient/healthcare-provider interaction exist. OBJECTIVE To explore the availability, application, and implementation of telehealth services during the Covid-19 era, designed for the aged population (age 65 and more). METHODS This systematic review/analysis was conducted by searching the most popular databases including PubMed, Embase, and Web of Science. We included studies that clearly defined any use of telemedicine services in any aspect of healthcare during the COVID-19 pandemic, aimed at the elderly population, published in peer-reviewed journals. We independently assessed search results, extracted the relevant studies, and assessed their quality. RESULTS 3225 articles were identified after removing duplicates. After reading the full texts of 40 articles, 11 articles were finally included. Among the telehealth services, there were services aimed for triage and control during the outbreak of the COVID-19 pandemic, remote monitoring and treatment, follow-ups online meetings for patients residing in health centers, and application of online services. CONCLUSIONS Although the elderly population may benefit the most from telehealth services, especially during pandemics and social distancing restrictions, not enough services were developed and implemented to satisfy the needs of this population.
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Affiliation(s)
- Motti Haimi
- 36631Clalit Health Services, Israel.,Rappaport Faculty of Medicine, 26747Technion, Haifa, Israel.,School of Public Health, Faculty of Social Welfare & Health Sciences, 61196University of Haifa, Haifa, Israel
| | - Anat Gesser-Edelsburg
- School of Public Health, Faculty of Social Welfare & Health Sciences, 61196University of Haifa, Haifa, Israel.,Health and Risk Communication Research Center, 26748University of Haifa, Haifa, Israel
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47
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Saeed H, Eslami A, Nassif NT, Simpson AM, Lal S. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042189. [PMID: 35206374 PMCID: PMC8871867 DOI: 10.3390/ijerph19042189] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 12/20/2022]
Abstract
The COVID-19 pandemic has incited a rise in anxiety, with uncertainty regarding the specific impacts and risk factors across multiple populations. A qualitative systematic review was conducted to investigate the prevalence and associations of anxiety in different sample populations in relation to the COVID-19 pandemic. Four databases were utilised in the search (Medline, EMBASE, CINAHL, and PsycINFO). The review period commenced in April 2021 and was finalised on 5 July 2021. A total of 3537 studies were identified of which 87 were included in the review (sample size: 755,180). Healthcare workers had the highest prevalence of anxiety (36%), followed by university students (34.7%), the general population (34%), teachers (27.2%), parents (23.3%), pregnant women (19.5%), and police (8.79%). Risk factors such as being female, having pre-existing mental conditions, lower socioeconomic status, increased exposure to infection, and being younger all contributed to worsened anxiety. The review included studies published before July 2021; due to the ongoing nature of the COVID-19 pandemic, this may have excluded relevant papers. Restriction to only English papers and a sample size > 1000 may have also limited the range of papers included. These findings identify groups who are most vulnerable to developing anxiety in a pandemic and what specific risk factors are most common across multiple populations.
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Affiliation(s)
- Hafsah Saeed
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
| | - Ardalan Eslami
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
| | - Najah T. Nassif
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (N.T.N.); (A.M.S.)
| | - Ann M. Simpson
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (N.T.N.); (A.M.S.)
| | - Sara Lal
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
- Correspondence:
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48
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Vaculíková J, Hanková M. Risk Factors Affecting Mental Health During The Early Stages Of The Covid-19 Pandemic In High-Risk 50+ Population In The Czech Republic. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2022; 65:143-167. [PMID: 34435934 DOI: 10.1080/01634372.2021.1939219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Revised: 05/31/2021] [Accepted: 06/02/2021] [Indexed: 06/13/2023]
Abstract
This study deals with key factors affecting mental health during the COVID-19 pandemic. The results are based on the longitudinal representative 50+ population-based multi-country panel study Survey of Health, Aging and Retirement in Europe (SHARE) in which representative samples of individuals in European countries plus Israel were collected. The goal is to turn the challenges of aging into opportunities as well as provide valid and reliable data for evidence-based policies. A total of 2,631 participants were interviewed by telephone in the Czech Republic during the initial stages of the COVID-19 outbreak in 2020. After a descriptive analysis showed that participants complied well with most preventative and protective COVID-19 measures, subsequent modeling using logistic regression analysis and a decision tree algorithm identified key determinants that have contributed to an understanding of variation in declared feelings of depression. We found that nervousness, previously unexperienced trouble with sleep, and self-rated health status before the COVID-19 outbreak and gender remained significant predictors of depression, from which statistically significant different categories concerning the percentage of depression could be formed. These identified potential risk factors should be considered in planning further supportive strategies for high-risk 50+ population.
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Affiliation(s)
- Jitka Vaculíková
- Research Centre of Faculty of Humanities, Tomas Bata University in Zlín, Zlín, Czech Republic
| | - Magdalena Hanková
- Research Centre of Faculty of Humanities, Tomas Bata University in Zlín, Zlín, Czech Republic
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Manchia M, Gathier AW, Yapici-Eser H, Schmidt MV, de Quervain D, van Amelsvoort T, Bisson JI, Cryan JF, Howes OD, Pinto L, van der Wee NJ, Domschke K, Branchi I, Vinkers CH. The impact of the prolonged COVID-19 pandemic on stress resilience and mental health: A critical review across waves. Eur Neuropsychopharmacol 2022; 55:22-83. [PMID: 34818601 PMCID: PMC8554139 DOI: 10.1016/j.euroneuro.2021.10.864] [Citation(s) in RCA: 178] [Impact Index Per Article: 89.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 10/15/2021] [Accepted: 10/20/2021] [Indexed: 12/19/2022]
Abstract
The global public health crisis caused by COVID-19 has lasted longer than many of us would have hoped and expected. With its high uncertainty and limited control, the COVID-19 pandemic has undoubtedly asked a lot from all of us. One important central question is: how resilient have we proved in face of the unprecedented and prolonged coronavirus pandemic? There is a vast and rapidly growing literature that has examined the impact of the pandemic on mental health both on the shorter (2020) and longer (2021) term. This not only concerns pandemic-related effects on resilience in the general population, but also how the pandemic has challenged stress resilience and mental health outcomes across more specific vulnerable population groups: patients with a psychiatric disorder, COVID-19 diagnosed patients, health care workers, children and adolescents, pregnant women, and elderly people. It is challenging to keep up to date with, and interpret, this rapidly increasing scientific literature. In this review, we provide a critical overview on how the COVID-19 pandemic has impacted mental health and how human stress resilience has been shaped by the pandemic on the shorter and longer term. The vast literature is dominated by a wealth of data which are, however, not always of the highest quality and heavily depend on online and self-report surveys. Nevertheless, it appears that we have proven surprisingly resilient over time, with fast recovery from COVID-19 measures. Still, vulnerable groups such as adolescents and health care personnel that have been severely impacted by the COVID-19 pandemic do exist. Large interindividual differences exist, and for future pandemics there is a clear need to comprehensively and integratively assess resilience from the start to provide personalized help and interventions tailored to the specific needs for vulnerable groups.
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Affiliation(s)
- Mirko Manchia
- Section of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy; Unit of Clinical Psychiatry, University Hospital Agency of Cagliari, Cagliari, Italy; Department of Pharmacology, Dalhousie University, Halifax, NS, Abbreviation
| | - Anouk W Gathier
- Department of Psychiatry (GGZ inGeest), Amsterdam UMC (location VUmc), Vrije University, Amsterdam Public Health and Amsterdam Neuroscience research institutes, Amsterdam, Netherlands
| | - Hale Yapici-Eser
- Department of Psychiatry, Koç University School of Medicine, Istanbul, Turkey; Research Center for Translational Medicine, Koç University, Istanbul, Turkey
| | - Mathias V Schmidt
- Research Group Neurobiology of Stress Resilience, Max Planck Institute of Psychiatry, Munich, Germany
| | - Dominique de Quervain
- Division of Cognitive Neuroscience, Department of Psychology, Department of Medicine, University of Basel, Switzerland
| | - Therese van Amelsvoort
- Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, Netherlands
| | - Jonathan I Bisson
- Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, United Kingdom
| | - John F Cryan
- Dept Anatomy & Neuroscience, University College Cork, Cork, Ireland & APC Microbiome Ireland, University College Cork, Cork, Ireland
| | - Oliver D Howes
- King's College London, London, SE5 8AF Imperial College London, London, W12 0NN Lundbeck A/v, Valby, Denmark
| | - Luisa Pinto
- Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
| | - Nic J van der Wee
- Department of Psychiatry, Leiden University Medical Center, LUMC Neuroscience and Leiden Institute for Brain and Cognition, Leiden, Netherlands
| | - Katharina Domschke
- Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Center for Basics in NeuroModulation, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - Igor Branchi
- Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy
| | - Christiaan H Vinkers
- Department of Psychiatry (GGZ inGeest), Amsterdam UMC (location VUmc), Vrije University, Amsterdam Public Health and Amsterdam Neuroscience research institutes, Amsterdam, Netherlands; Department of Anatomy and Neurosciences, Amsterdam UMC (location VUmc), Vrije University, Amsterdam, Netherlands.
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50
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Zhang SX, Chen RZ, Xu W, Yin A, Dong RK, Chen BZ, Delios AY, Miller S, McIntyre RS, Ye W, Wan X. A Systematic Review and Meta-Analysis of Symptoms of Anxiety, Depression, and Insomnia in Spain in the COVID-19 Crisis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1018. [PMID: 35055841 PMCID: PMC8775436 DOI: 10.3390/ijerph19021018] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2021] [Revised: 11/08/2021] [Accepted: 11/29/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND General population, frontline healthcare workers (HCWs), and adult students in Spain are at risk of anxiety, depression, and insomnia symptoms during the COVID-19 crisis. A meta-analysis of the individual studies on these symptoms would provide systematic evidence to aid policymakers and researchers in focusing on prevalence, risk, and best interventions. OBJECTIVE This paper aims to be the first meta-analysis and systematic review to calculate the prevalence of anxiety, depression, and insomnia symptoms in Spain's adult population (general population, frontline healthcare workers (HCWs), and adult students) during the Covid-19 epidemic. METHOD Random-effect meta-analysis was used to estimate the prevalence of anxiety, depression, and insomnia. RESULTS The meta-analysis includes 28 studies with 38 individual samples in Spain. The pooled prevalence of anxiety symptoms in 22 studies comprising a sample population of 82,024 was 20% (95% CI: 15-25%), that of depression symptoms in 22 articles with a total sample comprising 82,890 individuals was 22% (95% CI: 18-28%), and that of insomnia symptoms in three articles with a sample population of 745 was 57% (95% CI: 48-66%. CONCLUSIONS The accumulative evidence reveals that adults in Spain suffered higher prevalence rates of mental symptoms during the COVID-19 crisis, with a significantly higher rate relative to other countries such as China. Our synthesis also reveals a relative lack of studies on frontline and general HCWs in Spain.
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Affiliation(s)
- Stephen X. Zhang
- Faculty of Professions, University of Adelaide, Adelaide, SA 5005, Australia;
| | | | - Wen Xu
- Nottingham University Business School China, University of Nottingham Ningbo China, Ningbo 315100, China;
| | - Allen Yin
- School of Humanities, Southeast University, Nanjing 211189, China;
| | - Rebecca Kechen Dong
- Business School, University of South Australia, Adelaide, SA 5001, Australia;
| | - Bryan Z. Chen
- Faculty of Professions, University of Adelaide, Adelaide, SA 5005, Australia;
| | | | - Saylor Miller
- College of Business, Oregon State University, Corvallis, OR 97330, USA;
| | - Roger S. McIntyre
- Mood Symptoms Psychopharmacology Unit (MDPU), Department of Psychiatry, University of Toronto, Toronto, ON M5T 2S8, Canada;
| | - Wenping Ye
- Department of Business Administration, School of Management, Jinan University, Guangzhou 510632, China;
| | - Xue Wan
- School of Economics and Management, Tongji University, Shanghai 200092, China;
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