Depression and Health-Related Quality of Life Among Elderly Patients during the COVID-19 Pandemic in Israel: A Cross-sectional Study.
Depression and Health-Related Quality of Life Among Elderly Patients during the COVID-19 Pandemic in Israel: A Cross-sectional Study.
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DOI：
10.1177/2150132721995448
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发表时间：
2021-01
影响因子：
3.6
通讯作者：
Alperin M
中科院分区：
文献类型：
--
作者：
Levkovich I;Shinan-Altman S;Essar Schvartz N;Alperin M
本研究旨在评估以色列2019冠状病毒病大流行期间老年患者的乐观情绪、社会支持和感知易感性与抑郁症状和健康相关生活质量的关系。在横断面研究中，256名年龄在60 - 95岁之间的参与者完成了以下自填问卷：感知易感性、生活取向测试（洛特-r）、感知社会支持多维量表（MSPSS）、抑郁症状（CES-D）和健康相关生活质量（SF-12v2健康调查）。数据收集于2020年6月至7月，即以色列宣布进入COVID-19紧急状态3个月后。家庭医生通过电话对参与者进行了访谈。统计分析包括Pearson相关性、组间t检验、回归分析和Hayes’PROCESS来分析有调节的中介模型。在老年参与者中，37.5%被归类为抑郁症。乐观、社会支持和健康相关生活质量呈正相关。较高的乐观和社会支持与较低的感知易感性和较低的抑郁相关。多变量回归的结果解释了29%的抑郁差异和19%的健康相关生活质量差异。通过4个过程模型评估的关系是显著的，例如，较高的乐观主义和社会支持与较低的感知易感性相关，而感知易感性又与较高的抑郁和较低的健康相关生活质量相关。乐观和社会支持可能对应对挑战和缓解抑郁有效。感知易感性可能介导乐观主义和社会支持与高抑郁和低健康相关生活质量的关联。这项研究的结论强调了在这一时期治疗老年人抑郁症的必要性。因此，医疗保健提供者也应该支持住在家里的老年患者。在提供这类帮助时，医疗保健提供者应努力增加老年人的社会支持和乐观情绪。
This study aims to assess how optimism, social support, and perceived susceptibility are associated with depressive symptoms and health-related quality of life among elderly patients during the COVID-19 pandemic in Israel. In a cross-sectional study, 256 participants age 60 through 95 completed the following self-administered questionnaires: Perceived Susceptibility, Life Orientation Test (LOT-R), Multidimensional Scale of Perceived Social Support (MSPSS), Symptoms of Depression (CES-D) and health-related quality of life (SF-12v2 Health Survey). Data were collected from June to July 2020, 3 months after the COVID-19 state of emergency was declared in Israel. Participants were interviewed by family medicine residents via telephone. Statistical analyses included Pearson correlations, t-tests between groups, regression analyses, and Hayes’ PROCESS to analyze a moderated mediation model. Of the elderly participants, 37.5% were classified as having depression. Optimism, social support and health-related quality of life were positively associated. Higher optimism and social support were related to lower perceived susceptibility and lower depression. Results of a multivariate regression explained 29% of the variance in depression and 19% of the variance in health-related quality of life. The relationships assessed by 4 Process models were significant, such that higher optimism and social support were related to lower perceived susceptibility, which in turn was related to higher depression and lower health-related quality of life. Optimism and social support may be effective in coping with challenges and buffering depression. Perceived susceptibility may mediate the association of optimism and social support with higher depression and lower health-related quality of life. The conclusions of this study underscore the need to treat depression among older adults during this period. Hence, healthcare providers should also support elderly patients living at home. In giving this type of help, healthcare providers should strive to increase social support and optimism among older adults.