The Impact of the COVID-19 Pandemic on the Mental Health of Older Primary Care Patients and Their Family Members

IF 1.6 Q4 GERIATRICS & GERONTOLOGY
T. Seibert, Matthew W Schroeder, A. Perkins, Seho Park, Eleanor Batista-Malat, Katharine J. Head, T. Bakas, M. Boustani, Nicole R. Fowler
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引用次数: 2

Abstract

The COVID-19 pandemic introduced mandatory stay-at-home orders and concerns about contracting a virus that impacted the physical and mental health of much of the world's population. This study compared the rates of depression and anxiety in a sample of older primary care patients (aged ≥65 years old) and their family members recruited for a clinical trial before and during the COVID-19 pandemic. Participants were dyads enrolled in the Caregiver Outcomes of Alzheimer's Disease Screening (COADS) trial, which included 1,809 dyads of older primary care patients and one of their family members. Mean scores on the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder Scale-7 (GAD-7) were measured and compared before and during the pandemic. We found no difference in depression and anxiety among dyads of older primary care patients and their family members recruited before and during COVID-19. Additionally, we found that older primary care patients and family members who reported their income as comfortable had significantly lower depression and anxiety compared to those who reported having not enough to make ends meet. Along with this, older primary care patients with a high school education or less were more likely to have anxiety compared to those with a postgraduate degree. Moreover, our findings support the notion that certain demographics of older primary care patients and family members are at a higher risk for depression and anxiety, indicating who should be targeted for psychological health interventions that can be adapted during COVID-19. Future research should continue monitoring older primary care patients and their family members through the remainder of the COVID-19 pandemic.
COVID-19大流行对老年初级保健患者及其家庭成员心理健康的影响
新冠肺炎大流行引入了强制居家令,并对感染影响世界大部分人口身心健康的病毒表示担忧。这项研究比较了新冠肺炎大流行之前和期间招募的老年初级保健患者(年龄≥65岁)及其家庭成员进行临床试验的样本中的抑郁和焦虑发生率。参与者是阿尔茨海默病筛查护理者结果(COADS)试验的二人组,该试验包括1809名老年初级保健患者及其一名家庭成员。在大流行之前和期间测量并比较了患者健康问卷-9(PHQ-9)和广泛性焦虑症量表-7(GAD-7)的平均得分。我们发现,在新冠肺炎之前和期间招募的老年初级保健患者及其家庭成员中,抑郁症和焦虑症没有差异。此外,我们发现,与那些报告入不敷出的人相比,报告收入舒适的老年初级保健患者和家庭成员的抑郁和焦虑情绪显著降低。除此之外,与研究生学历的患者相比,高中或以下学历的老年初级保健患者更有可能出现焦虑。此外,我们的研究结果支持这样一种观点,即老年初级保健患者和家庭成员的某些人口统计数据具有更高的抑郁和焦虑风险,这表明谁应该成为新冠肺炎期间可以适应的心理健康干预的目标。在新冠肺炎大流行的剩余时间里,未来的研究应继续监测老年初级保健患者及其家庭成员。
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
Journal of Aging Research
Journal of Aging Research Medicine-Geriatrics and Gerontology
CiteScore
5.40
自引率
0.00%
发文量
11
审稿时长
30 weeks
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