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Pongan E, Rouch I, Herrmann M, Perrot C, Lebrun-Givois C, Spirli L, Briollet C, Martin HS, Laurent B, Bachelet R, El Haouari H, Buisson A, Edjolo A, Dorey JM. Anxiety symptoms during COVID-19 in older adults with psychiatric disorders. Front Psychiatry 2022; 13:1082807. [PMID: 36741567 PMCID: PMC9893787 DOI: 10.3389/fpsyt.2022.1082807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 12/19/2022] [Indexed: 01/19/2023] Open
Abstract
OBJECTIVE During the COVID-19 pandemic, older people and patients with psychiatric disorders had an increased risk of being isolated. The French National Authority for Health has recommended a reinforced follow-up of these patients. Cross-sectional studies reported an increased risk of developing anxiety and depression during pandemic. The aim of our study was to identify factors associated with higher anxiety during the pandemic in older patients with psychiatric disorders. METHODS STERACOVID is a multicenter cohort study with 117 patients followed-up by phone in two French geriatric psychiatry units. In this work, we used cross-sectional data from a prospective follow-up conducted between January and May 2021. RESULTS We found that coping strategies, personality, and living conditions were associated with general anxiety (GA) level during the pandemic period. Higher GA was associated with less positive thinking coping strategy, more avoidance strategies, a lower level of extraversion, a higher level of neuroticism, more time spent watching the news, a higher feeling of loneliness, and a lack of physical contact. FINDINGS Our study identified factors associated with a poorer experience of pandemic crisis. Special attention should be paid to patients with a high level of neuroticism and a high feeling of loneliness. Support could aim to help patients use more functional strategies: reducing avoidance strategies and increasing positive thinking. Finally, reducing time watching news could also be an interesting prevention perspective. CLINICAL TRIAL REGISTRATION clinicaltrials.gov, identifier NCT04760795.
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Affiliation(s)
- Elodie Pongan
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France.,Clinical and Research Memory Centre of Lyon, Hospices Civils de Lyon, Hôpital des Charpennes, Villeurbanne, France
| | - Isabelle Rouch
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France.,INSERM, U1219, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France
| | - Mathieu Herrmann
- Department of Aging Psychiatry, Hospital Le Vinatier, Bron, France
| | - Catherine Perrot
- Memory Clinical and Research Center of Saint-Étienne, Geriatrics Unit, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - Cécile Lebrun-Givois
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France.,Memory Clinical and Research Center of Saint-Étienne, Geriatrics Unit, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - Laurie Spirli
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France.,Clinical and Research Memory Centre of Lyon, Hospices Civils de Lyon, Hôpital des Charpennes, Villeurbanne, France
| | - Chloé Briollet
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France
| | | | - Bernard Laurent
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France.,INSERM, U1028, CNRS, UMR 5292, Neuropain Team, Lyon Neuroscience Research Center, Lyon, France
| | - Romain Bachelet
- Clinical and Research Memory Centre of Lyon, Hospices Civils de Lyon, Hôpital des Charpennes, Villeurbanne, France
| | - Hanane El Haouari
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - Aurélie Buisson
- Memory Clinical and Research Center of Saint-Étienne, Geriatrics Unit, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - Arlette Edjolo
- Memory Clinical and Research Center of Saint Etienne, Neurology Unit, University Hospital of Saint-Étienne, Saint-Étienne, France.,INSERM, U1219, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France
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