Can changes in social contact (frequency and mode) mitigate low mood before and during the COVID-19 pandemic? The I-CONECT project.

Can changes in social contact (frequency and mode) mitigate low mood before and during the COVID-19 pandemic? The I-CONECT project.
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DOI:
10.1111/jgs.17607
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发表时间:
2022-03
影响因子:
6.3
通讯作者:
Dodge HH
Dodge HH
中科院分区:
医学1区
文献类型:
--
作者:
Wu CY;Mattek N;Wild K;Miller LM;Kaye JA;Silbert LC;Dodge HH

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The COVID-19 global outbreak allowed a natural experiment to observe how older adults changed social patterns and how it affected their emotional well-being. We studied the frequency and modes of social contact and their effects on older adults’ mood before and during the COVID-19 pandemic. Phone-based surveys were administered weekly before and during the COVID-19 pandemic. Portland, Oregon; Detroit, Michigan. Older adults ≥ 75 years old (n=155, age=81.0±4.5, 72.3% women) in a randomized controlled trial, Internet-Based Conversational Engagement Clinical Trial (I-CONECT). Low mood was self-reported as feeling downhearted or blue for three or more days in the past week. Social contact was self-reported by the amount of time spent in interactions, with whom (family; friends; others), and via which modes (in-person; phone/video-call; text/email/letter). A total of 5,525 weeks of data was derived from 155 participants. Before the COVID-19 pandemic, average social interaction time spent in-person, on phone/video call, and via text/email/letter was 406, 141, and 68 minutes/week, respectively. During the COVID-19 pandemic, time spent in-person was reduced by 135 minutes/week, while time spent via phone/video-call and writing increased by 33 and 26 minutes/week, respectively. In-person family contact was associated with less low mood regardless of the pandemic (odds ratio=0.92, p<0.05). There was a COVID-19*text/email/letter with friends interaction (odds ratio=0.77, p=0.03), suggesting that during the COVID-19 pandemic, an increase of one hour of writing with friends per week was associated with a 23% decrease in the likelihood of experiencing low mood. The lost in-person time relating to COVID-19 restrictions tended to be partially compensated for with increased calls and writing time, although overall social interaction time decreased. During the COVID-19 pandemic, at least two types of social interactions (writing to friends, in-person family time) showed promise for mitigating low mood for older adults with limited social resources.
DOI: 10.3233/jad-180501
发表时间: 2019
期刊: Journal of Alzheimer's disease : JAD
影响因子: --
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