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The psychological impacts of COVID-19 outbreak among older adults

Yıl 2022, Cilt: 15 Sayı: 2, 345 - 354, 01.04.2022
https://doi.org/10.31362/patd.1040339

Öz

Purpose: The COVID-19 outbreak and the quarantine period had important psychosocial consequences. This study aimed to reveal the effects of the outbreak on anxiety and depression symptoms in older people and the factors associated with these symptoms.
Materials and methods: Three hundred six people over the age of 65 were included in this study. Sociodemographic data form containing questions related to COVID-19 such as whether there is a health worker in their first-degree relatives, whether they have had COVID-19, whether there is a decrease in the frequency of physical activity and Hospital Anxiety Depression Scale (HADS) were applied in the online survey.
Results: The mean age of the participants was 69.46±4.69 (167 women, 54.6%). Twenty-nine (9.5%) of the participants reported that they had COVID-19, and 247 (80.7%) reported that their physical activity decreased after the outbreak. The frequencies of those with above-threshold scores in depression and anxiety subscales were 28.8% and 28.4%, respectively. The frequency of above-threshold depression sypmtoms was less in those whose first-degree relatives are healthcare worker and more frequently in those with a decrease in daily physical activity. The frequency of above-threshold anxiety symptoms was more common in women, those living in rural areas, and those with low education. In the logistic regression analysis the decrease in physical activity after the epidemic predicted the presence of above-threshold depression symptoms; living in a rural area and having a shorter education level predicted the presence of above-threshold anxiety symptoms. In addition, having a first-degree relative of a healthcare worker was also found to be protective in terms of depression symptom risk.
Conclusion: The COVID-19 outbreak had negative psychological consequences on older adults. While taking precautions to prevent these results, older people living in rural areas with low education should be targeted first, and physical activity should be increased. Knowing these results can guide the prevention and treatment of psychiatric disorders that may occur in older people.

Kaynakça

  • 1. Applegate WB, Ouslander JG. COVID-19 Presents High Risk to Older Persons. J Am Geriatr Soc J Am Geriatr Soc 2020;68:681. https://doi.org/10.1111/jgs.16426
  • 2. Bialek S, Boundy E, Bowen V, et al. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep [Internet] MMWR Morb Mortal Wkly Rep 2020;69:343-346. https://doi.org/10.15585/mmwr.mm6912e2
  • 3. Hua W, Xiaofeng L, Zhenqiang B, Jun R, Ban W, Liming L. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. 2020;41:297–300. https://doi.org/ 10.3760/cma.j.issn.0254-6450.2020.02.003
  • 4. Loyola WS, Camillo CA, Torres CV, Probst VS. Effects of an exercise model based on functional circuits in an older population with different levels of social participation. Geriatr Gerontol Int Geriatr Gerontol Int 2018;18:216–223. https://doi.org/ 10.1111/ggi.13167
  • 5. Sepúlveda-Loyola W, Ganz F, Maciel RPT, et al. Social participation is associated with better functionality, health status and educational level in elderly women / A participação social está associada a melhor funcionalidade, estado de saúde e nível educacional em mulheres idosas. Brazilian J Dev 2020;6:20690–20701. https://doi.org/ 10.34117/bjdv6n4-299
  • 6. Santini ZI, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Heal, 2020;5:e62–70. https://doi.org/ 10.1016/S2468-2667(19)30230-0
  • 7. Adamson JA, Price GM, Breeze E, Bulpitt CJ, Fletcher AE. Are older people dying of depression? Findings from the Medical Research Council trial of the assessment and management of older people in the community. J Am Geriatr Soc 2005;53:1128–1132. https://doi.org/10.1111/j.1532-5415.2005.53355.x
  • 8. Canuto A, Weber K, Baertschi M, et al. Anxiety Disorders in Old Age: Psychiatric Comorbidities, Quality of Life, and Prevalence According to Age, Gender, and Country. Am J Geriatr Psychiatry 2018;26:174–185. https://doi.org/10.1016/j.jagp.2017.08.015
  • 9. Lebowitz BD, Pearson JL, Schneider LS, et al. Diagnosis and Treatment of Depression in Late Life: Consensus Statement Update. JAMA 1997;278:1186–1190. PMID: 9326481
  • 10. Kirmizioglu Y, Doǧan O, Kuǧu N, Akyüz G. Prevalence of anxiety disorders among elderly people. Int J Geriatr Psychiatry 2009;24:1026–33. https://doi.org/ 10.1002/gps.2215
  • 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–370. https://doi.org/ 10.1186/1477-7525-1-29
  • 12. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and Reliability of Turkish Version of Hospital Anxiety and Depression Scale. Turk Psik Derg 1997;8:280–287
  • 13. Yurumez Korkmaz B, Gemci E, et al. Attitudes of a geriatric population towards risks about COVID-19 pandemic: in the context of anxiety and depression. Psychogeriatrics 2021;21:730–737. https://doi.org/10.1111/psyg.12731
  • 14. Byers AL, Yaffe K, Covinsky KE, Friedman MB, Bruce ML. High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Arch Gen Psychiatry 2010;67:489–96. https://doi.org/ 10.1001/archgenpsychiatry.2010.35
  • 15. Andreas S, Schulz H, Volkert J, et al. Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study. Br J Psychiatry 2017;210:125–131. https://doi.org/10.1192/bjp.bp.115.180463
  • 16. Yaka E, Keskinoglu P, Ucku R, Yener GG, Tunca Z. Prevalence and risk factors of depression among community dwelling elderly. Arch Gerontol Geriatr 2014;59:150–154. https://doi.org/10.1016/j.archger.2014.03.014
  • 17. Cigiloglu A, Ozturk ZA, Efendioglu EM. How have older adults reacted to coronavirus disease 2019? Psychogeriatrics 2021;21:112–117. https://doi.org/ 10.1111/psyg.12639
  • 18. Santini ZI, Jose PE, York Cornwell E, 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:e62–70. https://doi.org/10.1016/S2468-2667(19)30230-0
  • 19. Lei L, Huang X, Zhang S, Yang J, Yang L, Xu M. Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China. Med Sci Monit 2020;26:1–12. https://doi.org/ 10.12659/MSM.924609
  • 20. Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Health Rev 2017;41:455–462. https://doi.org/10.1071/AH16038
  • 21. Tomioka K, Kurumatani N, Hosoi H. Social Participation and the Prevention of Decline in Effectance among Community-Dwelling Elderly: A Population-Based Cohort Study. PLoS One 2015;10 https://doi.org/10.1371/journal.pone.0139065
  • 22. García-Portilla P, de la Fuente Tomás L, Bobes-Bascarán T, et al. Are older adults also at higher psychological risk from COVID-19? Aging Ment Heal Routledge, 2021;25:1297–1304. https://doi.org/10.1080/13607863.2020.1805723
  • 23. Gooding PA, Hurst A, Johnson J, Tarrier N. Psychological resilience in young and older adults. Int J Geriatr Psychiatry 2012;27:262–270. https://doi.org/10.1002/gps.2712
  • 24. Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002;156:328–334. https://doi.org/10.1093/aje/kwf047
  • 25. Callow DD, Arnold-Nedimala NA, et al. The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic. Am J Geriatr Psychiatry 2020;28:1046–1057. https://doi.org/10.1016/j.jagp.2020.06.024
  • 26. Rogers NT, Waterlow NR, Brindle H, Enria L, Eggo RM, Lees S, Roberts C h. Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown. Front Public Health 2020;8. https://doi.org/10.3389/fpubh.2020.575091
  • 27. Lesser IA, Nienhuis CP. The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17113899
  • 28. Teychenne M, White RL, Richards J, Schuch FB, Rosenbaum S, Bennie JA. Do we need physical activity guidelines for mental health : what does the evidence tell us? Ment Health Phys Act 2020;18 https://doi.org/10.1016/j.mhpa.2019.100315
  • 29. Mazza C, Ricci E, Biondi S, et al. A nationwide survey of psychological distress among Italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. Int J Environ Res Public Health 2020;17:1–14. https://doi.org/10.3390/ijerph17093165

COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri

Yıl 2022, Cilt: 15 Sayı: 2, 345 - 354, 01.04.2022
https://doi.org/10.31362/patd.1040339

Öz

Amaç: COVID-19 salgınının ve karantina süreçlerinin önemli psikososyal sonuçları olmuştur. Bu çalışmanın amacı ileri yaştaki kişilerde salgın sürecinin anksiyete ve depresyon belirtileri üzerine etkilerinin ve bu belirtiler ile ilişkili faktörlerin ortaya konmasıdır.
Gereç ve yöntem: Online anket yöntemiyle ulaşılan 65 yaş ve üstünde olan 306 kişi çalışmaya dahil edilmiştir. Katılımcılara birinci derece yakınında sağlık çalışanının olup olmadığı, COVID-19 hastalığını geçirip geçirmediği, salgın sonrasında fiziksel aktivitesinde azalma olup olmadığı gibi COVID-19 ile ilişkili soruları da içeren sosyodemografik veri formu ve Hastane Anksiyete Depresyon Ölçeği (HADÖ) uygulanmıştır.
Bulgular: Katılımcıların (167’si kadın, %54,6) yaş ortalaması 69,46±4,69’du. Katılımcıların 29’u (%9,5) COVID-19 geçirdiğini, 247’si (%80,7) salgın sonrasında fiziksel aktivitesinde azalma olduğunu bildirmiştir. Depresyon ve anksiyete alt ölçeklerinden eşik üstü puan alanların sıklıkları sırasıyla %28,8 ve %28,4 olarak saptanmıştır. Eşik üstü depresyon semptomu sıklığı birinci derece yakınlarında sağlık çalışanı olanlarda daha az, fiziksel aktivitesinde azalma olanlarda daha sık; eşik üstü anksiyete semptomu sıklığı ise kadınlarda, kırsal alanlarda yaşayanlarda ve eğitim düzeyi düşük olanlarda daha sık olarak saptanmıştır. Lojistik regresyon analizlerinde salgından sonra fiziksel aktivite azalması eşik üstü depresif semptom varlığını; kırsal alanda yaşamak ve daha kısa süre eğitim almış olmak eşik üstü anksiyete semptomu varlığını öngörmüştür. Ayrıca birinci derece yakınlarında sağlık çalışanı olması da depresyon semptomu riski açısından koruyucu bulunmuştur.
Sonuç: İleri yaştaki kişilerde COVID-19 salgınının olumsuz psikolojik sonuçları olmuştur. Bu sonuçları engelleyebilmek için önlem alınırken kırsal alanda yaşayan, eğitim düzeyi düşük ileri yaşta kişiler öncelikle hedeflenmeli ve fiziksel aktivitelerini artırıcı yöntemler kullanılmalıdır. Bu sonuçlar ileri yaştaki kişilerde ortaya çıkabilecek psikiyatrik bozuklukların önlenmesinde ve tedavisinde yol gösterici olabilir.

Kaynakça

  • 1. Applegate WB, Ouslander JG. COVID-19 Presents High Risk to Older Persons. J Am Geriatr Soc J Am Geriatr Soc 2020;68:681. https://doi.org/10.1111/jgs.16426
  • 2. Bialek S, Boundy E, Bowen V, et al. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) - United States, February 12-March 16, 2020. MMWR Morb Mortal Wkly Rep [Internet] MMWR Morb Mortal Wkly Rep 2020;69:343-346. https://doi.org/10.15585/mmwr.mm6912e2
  • 3. Hua W, Xiaofeng L, Zhenqiang B, Jun R, Ban W, Liming L. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. 2020;41:297–300. https://doi.org/ 10.3760/cma.j.issn.0254-6450.2020.02.003
  • 4. Loyola WS, Camillo CA, Torres CV, Probst VS. Effects of an exercise model based on functional circuits in an older population with different levels of social participation. Geriatr Gerontol Int Geriatr Gerontol Int 2018;18:216–223. https://doi.org/ 10.1111/ggi.13167
  • 5. Sepúlveda-Loyola W, Ganz F, Maciel RPT, et al. Social participation is associated with better functionality, health status and educational level in elderly women / A participação social está associada a melhor funcionalidade, estado de saúde e nível educacional em mulheres idosas. Brazilian J Dev 2020;6:20690–20701. https://doi.org/ 10.34117/bjdv6n4-299
  • 6. Santini ZI, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Heal, 2020;5:e62–70. https://doi.org/ 10.1016/S2468-2667(19)30230-0
  • 7. Adamson JA, Price GM, Breeze E, Bulpitt CJ, Fletcher AE. Are older people dying of depression? Findings from the Medical Research Council trial of the assessment and management of older people in the community. J Am Geriatr Soc 2005;53:1128–1132. https://doi.org/10.1111/j.1532-5415.2005.53355.x
  • 8. Canuto A, Weber K, Baertschi M, et al. Anxiety Disorders in Old Age: Psychiatric Comorbidities, Quality of Life, and Prevalence According to Age, Gender, and Country. Am J Geriatr Psychiatry 2018;26:174–185. https://doi.org/10.1016/j.jagp.2017.08.015
  • 9. Lebowitz BD, Pearson JL, Schneider LS, et al. Diagnosis and Treatment of Depression in Late Life: Consensus Statement Update. JAMA 1997;278:1186–1190. PMID: 9326481
  • 10. Kirmizioglu Y, Doǧan O, Kuǧu N, Akyüz G. Prevalence of anxiety disorders among elderly people. Int J Geriatr Psychiatry 2009;24:1026–33. https://doi.org/ 10.1002/gps.2215
  • 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–370. https://doi.org/ 10.1186/1477-7525-1-29
  • 12. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and Reliability of Turkish Version of Hospital Anxiety and Depression Scale. Turk Psik Derg 1997;8:280–287
  • 13. Yurumez Korkmaz B, Gemci E, et al. Attitudes of a geriatric population towards risks about COVID-19 pandemic: in the context of anxiety and depression. Psychogeriatrics 2021;21:730–737. https://doi.org/10.1111/psyg.12731
  • 14. Byers AL, Yaffe K, Covinsky KE, Friedman MB, Bruce ML. High occurrence of mood and anxiety disorders among older adults: The National Comorbidity Survey Replication. Arch Gen Psychiatry 2010;67:489–96. https://doi.org/ 10.1001/archgenpsychiatry.2010.35
  • 15. Andreas S, Schulz H, Volkert J, et al. Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study. Br J Psychiatry 2017;210:125–131. https://doi.org/10.1192/bjp.bp.115.180463
  • 16. Yaka E, Keskinoglu P, Ucku R, Yener GG, Tunca Z. Prevalence and risk factors of depression among community dwelling elderly. Arch Gerontol Geriatr 2014;59:150–154. https://doi.org/10.1016/j.archger.2014.03.014
  • 17. Cigiloglu A, Ozturk ZA, Efendioglu EM. How have older adults reacted to coronavirus disease 2019? Psychogeriatrics 2021;21:112–117. https://doi.org/ 10.1111/psyg.12639
  • 18. Santini ZI, Jose PE, York Cornwell E, 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:e62–70. https://doi.org/10.1016/S2468-2667(19)30230-0
  • 19. Lei L, Huang X, Zhang S, Yang J, Yang L, Xu M. Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China. Med Sci Monit 2020;26:1–12. https://doi.org/ 10.12659/MSM.924609
  • 20. Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Aust Health Rev 2017;41:455–462. https://doi.org/10.1071/AH16038
  • 21. Tomioka K, Kurumatani N, Hosoi H. Social Participation and the Prevention of Decline in Effectance among Community-Dwelling Elderly: A Population-Based Cohort Study. PLoS One 2015;10 https://doi.org/10.1371/journal.pone.0139065
  • 22. García-Portilla P, de la Fuente Tomás L, Bobes-Bascarán T, et al. Are older adults also at higher psychological risk from COVID-19? Aging Ment Heal Routledge, 2021;25:1297–1304. https://doi.org/10.1080/13607863.2020.1805723
  • 23. Gooding PA, Hurst A, Johnson J, Tarrier N. Psychological resilience in young and older adults. Int J Geriatr Psychiatry 2012;27:262–270. https://doi.org/10.1002/gps.2712
  • 24. Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol 2002;156:328–334. https://doi.org/10.1093/aje/kwf047
  • 25. Callow DD, Arnold-Nedimala NA, et al. The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic. Am J Geriatr Psychiatry 2020;28:1046–1057. https://doi.org/10.1016/j.jagp.2020.06.024
  • 26. Rogers NT, Waterlow NR, Brindle H, Enria L, Eggo RM, Lees S, Roberts C h. Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown. Front Public Health 2020;8. https://doi.org/10.3389/fpubh.2020.575091
  • 27. Lesser IA, Nienhuis CP. The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians. Int J Environ Res Public Health 2020;17. https://doi.org/10.3390/ijerph17113899
  • 28. Teychenne M, White RL, Richards J, Schuch FB, Rosenbaum S, Bennie JA. Do we need physical activity guidelines for mental health : what does the evidence tell us? Ment Health Phys Act 2020;18 https://doi.org/10.1016/j.mhpa.2019.100315
  • 29. Mazza C, Ricci E, Biondi S, et al. A nationwide survey of psychological distress among Italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. Int J Environ Res Public Health 2020;17:1–14. https://doi.org/10.3390/ijerph17093165
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Araştırma Makalesi
Yazarlar

Bengü Yücens 0000-0002-4721-7288

Ahmet Büber 0000-0001-6293-2565

Yayımlanma Tarihi 1 Nisan 2022
Gönderilme Tarihi 24 Aralık 2021
Kabul Tarihi 3 Şubat 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 15 Sayı: 2

Kaynak Göster

AMA Yücens B, Büber A. COVID-19 salgınının ileri yaştaki kişilerde psikolojik etkileri. Pam Tıp Derg. Nisan 2022;15(2):345-354. doi:10.31362/patd.1040339
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