Associations of Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults in London, UK.
Associations of Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults in London, UK.
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DOI：
10.3389/fpsyt.2020.591120
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发表时间：
2020
影响因子：
4.7
通讯作者：
Middleton L
中科院分区：
文献类型：
--
作者：
Robb CE;de Jager CA;Ahmadi-Abhari S;Giannakopoulou P;Udeh-Momoh C;McKeand J;Price G;Car J;Majeed A;Ward H;Middleton L
2019冠状病毒病大流行正在对全世界社会和个人的健康和福祉造成深远的负面影响。一个令人关切的问题是，社会距离造成的社会孤立对包括老年人在内的弱势群体的心理健康造成的影响。在封锁后的六周内，我们启动了战车COVID-19快速反应研究，这是一项针对居住在伦敦的认知健康老年人的定制调查，旨在调查COVID-19和相关的社会隔离对身心健康的影响。样本来自战车，这是一个50岁以上的人的登记，他们同意与衰老相关的研究联系。共有7127名男性和女性（平均年龄=70.7 [SD=7.4]）参加了2020年5月至7月的基线调查。参与者被问及3月23日英国实施封锁后医院焦虑抑郁量表（HADS）的14个组成部分的变化。总共有12.8%的参与者报告在HADS的抑郁部分感觉更糟（男性7.8%，女性17.3%），12.3%的参与者报告在焦虑部分感觉更糟（男性7.8%，女性16.5%）。更少的参与者报告感觉有所改善（抑郁者1.5%，焦虑者4.9%）。女性，年轻的参与者，单身/丧偶/离婚的人，报告睡眠质量差，孤独感和报告独居的人更有可能表示在HADS的抑郁和/或焦虑成分中感觉更糟。主观孤独感与抑郁（OR 17.24, 95% CI 13.20, 22.50）和焦虑（OR 10.85, 95% CI 8.39, 14.03）的恶化成分呈显著负相关。研究结果可能为有针对性的干预措施提供信息，并有助于指导政策建议，以减少与大流行相关的社会孤立对老年人心理健康的影响。
The COVID-19 pandemic is imposing a profound negative impact on the health and wellbeing of societies and individuals, worldwide. One concern is the effect of social isolation as a result of social distancing on the mental health of vulnerable populations, including older people. Within six weeks of lockdown, we initiated the CHARIOT COVID-19 Rapid Response Study, a bespoke survey of cognitively healthy older people living in London, to investigate the impact of COVID-19 and associated social isolation on mental and physical wellbeing. The sample was drawn from CHARIOT, a register of people over 50 who have consented to be contacted for aging related research. A total of 7,127 men and women (mean age=70.7 [SD=7.4]) participated in the baseline survey, May–July 2020. Participants were asked about changes to the 14 components of the Hospital Anxiety Depression scale (HADS) after lockdown was introduced in the UK, on 23rd March. A total of 12.8% of participants reported feeling worse on the depression components of HADS (7.8% men and 17.3% women) and 12.3% reported feeling worse on the anxiety components (7.8% men and 16.5% women). Fewer participants reported feeling improved (1.5% for depression and 4.9% for anxiety). Women, younger participants, those single/widowed/divorced, reporting poor sleep, feelings of loneliness and who reported living alone were more likely to indicate feeling worse on both the depression and/or anxiety components of the HADS. There was a significant negative association between subjective loneliness and worsened components of both depression (OR 17.24, 95% CI 13.20, 22.50) and anxiety (OR 10.85, 95% CI 8.39, 14.03). Results may inform targeted interventions and help guide policy recommendations in reducing the effects of social isolation related to the pandemic, and beyond, on the mental health of older people.
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