Are older adults also at higher psychological risk from COVID-19?
Are older adults also at higher psychological risk from COVID-19?
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DOI：
10.1080/13607863.2020.1805723
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发表时间：
2020-08-30
影响因子：
3.4
通讯作者：
Bobes, Julio
中科院分区：
文献类型：
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作者：
Garcia-Portilla, Paz;de la Fuente Tomas, Lorena;Bobes, Julio
由于缺乏关于COVID-19对≥ 60岁人群心理影响的信息，我们旨在描述他们对这一流行病和封锁情况的心理反应，并将其与60岁以下人群进行比较。方法对一项大型在线横断面研究进行二次分析，该研究旨在确定COVID-19大流行和西班牙全境封锁的心理影响。我们分析了1690名年龄≥ 60岁的受访者，并将他们与13,363名60岁以下的受访者进行了比较。采用抑郁、焦虑、压力量表和事件影响量表评估心理反应。结果52.6%的女性和34.3%的男性被发现可能有任何情绪困扰（P < 0.001）。在男性和女性中，最常见的心理反应是回避行为（分别为34.7%和23.8%），其次是抑郁（28.5%和14.2%）。年龄较大的女性和男性被认为可能有任何情绪困扰的病例少于年轻人（女性：52.6% vs. 72.3%，p < 0.001;男性：34.3% vs. 50.6%，p < 0.001）。最后，二元逻辑回归的结果显示，只有抑郁和应激反应是与年龄组[年龄>= 60岁，O.R. = 0.617（95%CI = 0.501 - 0.759）和0.437（95%CI = 0.334 - 0.573）]。结论与我们的假设相反，尽管我们在老年人中发现了很高的情绪困扰比例，特别是女性，但他们实际上比60岁以下的人更容易因COVID-19和封锁而产生抑郁和压力后果。也就是说，我们相信我们的研究结果强调了这个年龄组需要专家指导，特别是独居的老年妇女。
Objective Given the lack of information on the psychological impact of COVID-19 on people aged >= 60, we aimed to describe their psychological responses to this pandemic and lockdown situation and compare them with those under 60 years of age. Methods Secondary analysis of a larger online cross-sectional study designed to determine the psychological impact of the COVID-19 pandemic and lockdown across Spain. We analyzed a total of 1690 respondents aged >= 60 years and compared them with 13,363 respondents under 60 years of age. We employed the Depression, Anxiety, and Stress Scale and the Impact of Event Scale to evaluate psychological responses. Results In all, 52.6% of women and 34.3% of men were found to be probable cases of any emotional distress (p < 0.001). In both sexes, the most common psychological response was avoidance behavior (34.7% and 23.8%, respectively), followed by depression (28.5 and 14.2%). Older women and men were considered probable cases of any emotional distress less often than younger ones (women: 52.6% vs. 72.3%,p < 0.001; men: 34.3% vs. 50.6%,p < 0.001). Finally, the results of the binary logistic regression showed that only depressive and stress responses are psychological factors associated with age group [age >= 60 years, O.R. = 0.617 (95% CI = 0.501 - 0.759) and 0.437 (95% CI = 0.334 - 0.573), respectively]. Conclusion Contrary to our hypothesis and despite the high percentage of emotional distress we found in older adults, especially women, they are actually at lower risk of developing depressive and stress consequences from COVID-19 and lockdown than those under 60 years of age. That said, we believe our results highlight the need for expert guidance in this age group, especially older women living alone.