Mental health, financial, and social outcomes among older adults with probable COVID-19 infection: A longitudinal cohort study.
Mental health, financial, and social outcomes among older adults with probable COVID-19 infection: A longitudinal cohort study.
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DOI：
10.1073/pnas.2200816119
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发表时间：
2022-07-05
影响因子：
11.1
通讯作者：
中科院分区：
文献类型：
--
作者：
关于感染COVID-19可能对个人心理健康、个人财务和社会关系产生影响的纵向证据很少。这项研究使用了英国老龄化纵向研究的纵向数据，表明与没有可能感染的人相比，可能感染COVID-19的老年人经历了更高水平的抑郁和焦虑，生活质量更差，孤独感增加，以及更大的经济困难。这些关联与大流行前的心理健康和经济状况无关，在感染的急性期和6个月后都很明显。这些结果表明，COVID-19感染的不良心理社会影响是持久的，并且在人群中更广泛地存在。我们调查了可能的COVID-19感染对生活在英格兰的老年人的心理健康、福祉、经济困难和社会交往的直接和长期影响（超过4-6个月）。分析了参与英国老龄化纵向研究的5146名老年人的数据，他们在大流行之前（2018-19年）和2020年的两次COVID-19评估（6月至7月和11月至12月）提供了数据。使用线性/逻辑回归测试了可能的COVID-19感染（首次COVID-19评估）与第一次和第二次COVID-19评估中的抑郁、焦虑、生活质量（QoL）差、孤独、经济困难和与家人/朋友的社会接触的相关性，并根据大流行前的结果指标进行了调整。与第一次和第二次感染时没有可能感染的参与者相比，可能感染的参与者有更高的抑郁和焦虑水平，更差的生活质量和更大的孤独得分。（OR抑郁= 1.62，P值= 0.005; OR焦虑= 1.59，P值= 0.049; blonetamine = 0.49，P < 0.001），其次为（OR抑郁= 1.56，P值= 0.003; OR焦虑= 1.55，P值= 0.041; b较差QoL = 1.38，P值< 0.001; blonelight = 0.31，P值= 0.024）COVID-19评估。在第一次评估时，可能感染的参与者也比没有感染的参与者经历了更大的经济困难（OR = 1.50，P值= 0.011）。可能的COVID-19感染与老年人心理健康和福祉的长期恶化以及短期经济困难的增加有关。重要的是要监测受COVID-19影响的老年人的心理健康，并为有需要的人提供额外支持。
Longitudinal evidence on the impact that contracting COVID-19 may have on the individual’s mental health, personal finances, and social relationships is scarce. Using longitudinal data from the English Longitudinal Study of Aging, this study shows that older adults with probable COVID-19 infection experienced higher levels of depression and anxiety, poorer quality of life, elevated feelings of loneliness, and greater financial difficulties compared with those without probable infection. The associations were independent of prepandemic mental health and financial circumstances, and they were evident both in the acute phase of the infection and up to 6 months later. These results suggest that the adverse psychosocial impact of COVID-19 infection is long-lasting and more broadly present across the population. We investigated the immediate and longer-term impact (over 4-6 months) of probable COVID-19 infection on mental health, wellbeing, financial hardship, and social interactions among older people living in England. Data were analysed from 5146 older adults participating in the English Longitudinal Study of Ageing who provided data before the pandemic (2018-19) and at two COVID-19 assessments in 2020 (June-July and November-December). The associations of probable COVID-19 infection (first COVID-19 assessment) with depression, anxiety, poor quality of life (QoL), loneliness, financial hardship, and social contact with family/friends at the first and second COVID-19 assessments were tested using linear/logistic regression and were adjusted for pre-pandemic outcome measures. Participants with probable infection had higher levels of depression and anxiety, poorer QoL, and greater loneliness scores compared with those without probable infection at both the first (ORdepression = 1.62, P-value = 0.005; ORanxiety = 1.59, P-value = 0.049; bpoorQoL = 1.34, P < 0.001; bloneliness = 0.49, P < 0.001) and second (ORdepression = 1.56, P-value = 0.003; ORanxiety = 1.55, P-value = 0.041; bpoorQoL = 1.38, P-value < 0.001; bloneliness = 0.31, P-value = 0.024) COVID-19 assessments. Participants with probable infection also experienced greater financial difficulties than those without infection at the first assessment (OR = 1.50, P-value = 0.011). Probable COVID-19 infection is associated with longer-term deterioration of mental health and wellbeing and short-term increases in financial hardship among older adults. It is important to monitor the mental health of older people affected by COVID-19 and provide additional support to those in need.
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DOI：
10.1016/j.bbi.2015.06.001
发表时间：
2015-10
期刊：
Brain, behavior, and immunity
影响因子：
--
作者：
Haapakoski R;Mathieu J;Ebmeier KP;Alenius H;Kivimäki M
通讯作者：
Kivimäki M
影响因子：
64.3
作者：
Pierce, Matthias;McManus, Sally;Hope, Holly;Hotopf, Matthew;Ford, Tamsin;Hatch, Stephani L.;John, Ann;Kontopantelis, Evangelos;Webb, Roger T.;Wessely, Simon;Abel, Kathryn M.
通讯作者：
Abel, Kathryn M.
影响因子：
10.5
作者：
Iob, Eleonora;Steptoe, Andrew;Fancourt, Daisy
通讯作者：
Fancourt, Daisy
影响因子：
81.5
作者：
Gold, Stefan M.;Kohler-Forsberg, Ole;Otte, Christian
通讯作者：
Otte, Christian
与 COVID-19 检测呈阳性相关的急性和长期心理困扰：来自美国成年人人群研究的纵向证据。
影响因子：
6.9
作者：
Daly M;Robinson E
通讯作者：
Robinson E