Depression in older people during the Covid-19 curfew

Year 2021, Volume: 5 Issue: 2, 6 - 14, 27.05.2021

Tahsin Barış Değer , Huri Seval Çakmak , Emin Bozkurt , Bedri Eminsoy

https://doi.org/10.30621/jbachs.843941

Cited By: 1

Abstract

Purpose: Curfew was declared for the people 65 years and older to protect from the Covid-19 pandemic by the government in Turkey on 21 March 2020. The aim of this study is to determine the depression levels, factors affecting depression, concerns about Covid-19 infection, thoughts about curfew, lifestyles and ways of meeting their needs of the older adults during the curfew.
Methods: In the first method, the data of the study were collected by the researchers by contacting the relatives of our university health department students by phone or video interview, and in the second, via Google Forms by the link of the study shared on social networks and online platform and a total of 1311 older people were included. Older adult information form and Geriatric Depression Scale Short Form (GDS-15) were used. Mann Whitney–U Test, Kruskal Wallis Test and Multivariate Logistic Regression analysis were conducted.
Results: Prevalence of depression was measured as 44.2% in the participants. Being aged 85 and over, illiteracy, living alone, having chronic disease, previous psychiatric diagnosis, anxiety about infection with Covid-19 and disapprove of curfew decision significantly increased the depression levels in older adults.
Conclusion: The curfew during the Covid-19 pandemic increased the depression level in older adults compared to before the curfew.

Keywords

Covid-19, curfew, depression, older adults, pandemic

Thanks

We would like to thank Prof. Dr. Özcan ÖZKAN for his support with this study, who have provided access to such a large sample pool.

References

• 1) Liu J, Liao X, Qian S, et al. Community transmission of severe acute respiratory syndrome coronavirus 2, Shenzhen, China, 2020. Emerg Infect Dis 2020; 26 (6): 1320-1323. doi: 10.3201/eid2606.200239
• 2) World Health Organization (2020, March 29). Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations: scientific brief. Accessed (June 30, 2020) from: https://apps.who.int/iris/handle/10665/331616
• 3) International Monetary Fund (2020). Policy responses to Covid-19. Accessed (June 30, 2020) from: https://www.imf.org/en/Topics/imf-and-covid19/Policy-Responses-to-COVID-19
• 4) Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: a comparison with young and middle-aged patients. J Infect 2020; 80 (6): 14-18. doi: 10.1016/j.jinf.2020.03.005
• 5) Ministry of Interior, Republic of Turkey (2020, March 21). Circular of curfew for people who have 65 years and older and chronic illness. Accessed (March 30, 2020) from: https://www.icisleri.gov.tr/65-yas-ve-ustu-ile-kronik-rahatsizligiolanlara-sokaga-cikma-yasagi-genelgesi
• 6) Santini ZI, Jose PE, Cornwell EY, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health 2020; 5(1): e62–70. doi: 10.1016/S2468-2667(19)30230-0
• 7) Zhang Y, Chen Y, Ma L. Depression and cardiovascular disease in elderly: Current understanding. J Clin Neurosci 2018; 47: 1-5. doi: 10.1016/j.jocn.2017.09.022
• 8) Alexopoulos GS. Depression in the Elderly. Lancet, 2005; 365 (9475): 1961-1970. doi: 10.1016/S0140-6736(05)66665-2
• 9) Ministry of Health, Republic of Turkey, Covid-19 Information Page. Accessed (December 5, 2020) from: https://covid19.saglik.gov.tr/TR-66935/genel-koronavirus-tablosu.html
• 10) Ministry of Interior, Republic of Turkey. (Circular dated 2020, November 18 and numbered 19161). Accessed (November 18, 2020,) from: https://www.icisleri.gov.tr/koronavirus-salgini-yeni-tedbirler
• 11) Yesavage JA, Sheik JI. Geriatric Depression Scale (GDS) recent evidence and development of a shorter version. Clin Gerontol, 1986; 5(1/2): 165-173. doi: 10.1300/J018v05n01_09
• 12) Durmaz B, Soysal P, Ellidokuz H, Işık AT. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb, 2018; 5(3): 216-220. doi:10.14744/nci.2017.85047
• 13) Greenberg SA. How to try this: The Geriatric Depression Scale (GDS): Short Form. Am J Nurs 2007; 107(10): 60-69. doi: 10.1097/01.NAJ.0000292204.52313.f3
• 14) Ahmed Z, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated psychological problems. Asian J Psychiatr, 2020; 51: 102092. doi: 10.1016/j.ajp.2020.102092
• 15) Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatr Res 2020; 288: 112954. doi: 10.1016/j.psychres.2020.112954
• 16) Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cad Saude Publica 2020; 36 (4): e00054020. doi: 10.1590/0102-311X00054020
• 17) Weyerer S, Eifflaender-Gorfer S, Wiese B, et al. Incidence and predictors of depression in non-demented primary care attenders aged 75 years and older: results from a 3-year follow-up study. Age Ageing 2013; 42 (2): 173-180. doi: 10.1093/ageing/afs184
• 18) García-Portilla P, Tomás LF, Bobes-Bascarán T, et al. Are older adults also at higher psychological risk from COVID-19? Aging Ment Health 2020; 1: 1-8. doi: 10.1080/13607863.2020.1805723
• 19) Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull 2017; 143(8): 783-822. doi: 10.1037/bul0000102
• 20) Lee J. Pathways from education to depression. J Cross Cult Gerontol 2011; 26(2): 121-135. doi: 10.1007/s10823-011-9142-1
• 21) Canbal M, Şencan İ, Şahin A, Kunt Ş, Çavuş UY, Tekin O. Effects of depression and life factors on social network score in elderly people in Çankaya, Ankara. Turk J Med Sci 2012; 42(4): 725-731. doi: 10.3906/sag-1103-5
• 22) Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatr 2020; 66(5): 504-511. doi: 10.1177/0020764020927051
• 23) Coughlin SS. Anxiety and depression: Linkages with viral diseases. Public Health Rev 2012; 34(2): 7. doi: 10.1007/BF03391675
• 24) Jalloh MF, Li W, Bunnell RE, et al. Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone. BMJ Global Health, 2018; 3(2): e000471. doi: 10.1136/bmjgh-2017-000471.
• 25) Saadatian-Elahi M, Facy F, Del Signore C, Vanhems P. Perception of epidemic’s related anxiety in the General French Population: A cross-sectional study in the Rhône-Alpes region. BMC Public Health 2010; 10(1): 191. doi: 1471-2458/10/191
• 26) Bults M, Beaujean DJ, Zwart O, et al. Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: Results of three consecutive online surveys. BMC Public Health 2011; 3(11): 2. doi: 1471-2458/11/2
• 27) Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 395: 912-920. doi: 10.1016/S0140-6736(20)30460-6
• 28) Rothstein B, Uslaner EM. All for all: Equality, corruption, and social trust. World Politics, 2005; 58(1): 41-72. doi: 10.1353/wp.2006.0022
• 29) Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clin Neurosci 2020; 74(4): 281-282. doi: 10.1111/pcn.12988.