Age-related differences in the impact of resilience on mental health outcomes during the COVID-19 pandemic in Hong Kong

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2024-04-12 DOI:10.1002/gps.6087

Lauren Ka Shun Lei, Yi Nam Suen, Christy Lai Ming Hui, Sherry Kit Wa Chan, Edwin Ho Ming Lee, Wong Tak Hing Michael, Eric Yu Hai Chen

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Abstract

Objective

This study investigated changes in mental health in Hong Kong over two years and examined the role of resilience and age in mitigating the negative effects of public health emergencies, particularly the COVID-19 pandemic.

Methods

Complete data of interest from two telephone surveys conducted in 2020 (n = 1182) and 2021 (n = 1108) were analysed. Participants self-reported depressive and anxiety symptoms using the Patient Health Questionnaire 4-item version (PHQ), psychotic-like experiences (PLEs) using three items from the Prodromal Questionnaire Brief (PQB), and resilience using the Connor-Davidson Resilience Scale 2-item version (CD-RISC-2).

Results

We observed an increase in the percentage of participants with high depressive and anxiety symptoms and PLEs from 1.6% to 6.5% between 2020 and 2021. The likelihood of having high depressive and anxiety symptoms or PLEs depended on resilience and age, with no significant between-year differences. Resilience and age interaction effects were significant when comparing the high PHQ-high PQB group to the low PHQ-low PQB group only in 2021 but not in 2020.

Conclusions

This study provides valuable insights into the impact of the COVID-19 pandemic on mental health in Hong Kong, emphasising the age-dependent nature of resilience in mitigating negative effects. Future research should explore the mechanisms by which resilience promotes mental health and well-being and identify ways to enhance resilience among older individuals during public health crises.

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香港在 COVID-19 大流行期间，抗逆力对心理健康结果影响的年龄差异

目的本研究调查了香港人两年来的心理健康变化，并探讨了抗逆力和年龄在减轻公共卫生突发事件（尤其是 COVID-19 大流行）的负面影响方面所起的作用。方法对 2020 年（n = 1182）和 2021 年（n = 1108）进行的两次电话调查的完整相关数据进行分析。调查对象使用患者健康问卷 4 项目版（PHQ）自我报告抑郁和焦虑症状，使用前驱症状问卷简表（PQB）中的三个项目自我报告类似精神病的经历（PLEs），使用康纳-戴维森复原力量表 2 项目版（CD-RISC-2）自我报告复原力。结果我们观察到，在 2020 年至 2021 年期间，有高度抑郁和焦虑症状以及 PLE 的参与者比例从 1.6% 增加到 6.5%。出现严重抑郁和焦虑症状或 PLEs 的可能性取决于复原力和年龄，年际差异不显著。只有在 2021 年，将高 PHQ-高 PQB 组与低 PHQ-低 PQB 组进行比较时，复原力和年龄的交互效应才显著，而在 2020 年则不显著。结论本研究就 COVID-19 对香港精神健康的影响提供了宝贵的见解，强调了抗逆力在减轻负面影响方面的年龄依赖性。未来的研究应探索抗逆力促进精神健康和幸福的机制，并找出在公共卫生危机中提高老年人抗逆力的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.