Associations Between Changes in Daily Behaviors and Self-Reported Feelings of Depression and Anxiety About the COVID-19 Pandemic Among Older Adults.
Associations Between Changes in Daily Behaviors and Self-Reported Feelings of Depression and Anxiety About the COVID-19 Pandemic Among Older Adults.
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DOI：
10.1093/geronb/gbab110
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发表时间：
2022-07-05
期刊：
影响因子：
--
通讯作者：
Czeisler CA
中科院分区：
文献类型：
--
作者：
Robbins R;Weaver MD;Czeisler MÉ;Barger LK;Quan SF;Czeisler CA
由于2019冠状病毒病（COVID-19）大流行对老年人造成重大死亡率和发病率后果，敦促这些人避免在公共场所外出和与他人社交，以及其他对日常生活的重大干扰。虽然这些重大且往往不可避免的干扰已被证明会对心理健康产生影响，但人们对行为变化的关注较少，例如COVID-19大流行导致的睡眠或饮食变化，以及它们对情绪健康的影响。我们利用了一项全国代表性的医疗保险受益人（65岁及以上）调查的数据，该调查于2020年6月至10月期间进行（n = 3，122）。我们研究了自我报告的变化与日常行为之间的关系（例如，睡眠、饮酒和锻炼）以及COVID-19大流行的情绪影响（即，对COVID-19大流行的抑郁和焦虑情绪）使用逐步分层多变量泊松回归。我们发现，睡眠质量差、睡眠多或少、看电视多、走路少与对COVID-19大流行的更多抑郁和焦虑感有关。先前的研究表明，COVID-19大流行对日常生活造成的重大且往往不可避免的干扰（例如，庇护所）和不良心理健康症状。对潜在的可改变行为的关注较少，如睡眠和锻炼。我们的研究结果强调了2019冠状病毒病大流行期间与老年人负面情绪影响相关的行为变化。未来的研究可能会评估行为干预是否旨在减轻流行病对日常可改变行为的影响，以缓冲不良情绪影响。
Due to the significant mortality and morbidity consequences of the coronavirus disease 2019 (COVID-19) pandemic among older adults, these individuals were urged to avoid going out in public and socializing with others, among other major disruptions to daily life. While these significant and often unavoidable disruptions have been shown to bear consequences for mental health, less attention has been devoted to behavioral changes, such as changes to sleeping or eating due to the COVID-19 pandemic, and their implications for emotional well-being. We utilized data from a nationally representative survey of Medicare beneficiaries (aged 65 and older), which was administered between June and October 2020 (n = 3,122). We examine the relationship between self-reported changes to daily behaviors (e.g., sleep, drinking alcohol, and exercise) and emotional impacts of the COVID-19 pandemic (i.e., feelings of depression and anxiety about the COVID-19 pandemic) using stepwise hierarchical multivariable Poisson regression. We found that worse sleep quality, sleeping more or less, watching more television, and walking less were associated with more feelings of depression and anxiety about the COVID-19 pandemic. Previous research has shown a connection between the significant and often unavoidable disruptions to daily life due to the COVID-19 pandemic (e.g., sheltering in place) and adverse mental health symptoms. Less attention has been paid to potentially modifiable behaviors, such as sleep and exercise. Our findings highlight the behavioral changes associated with adverse emotional impacts among older adults during the COVID-19 pandemic. Future research may evaluate whether behavioral interventions may aim to attenuate the impact of pandemics on daily, modifiable behaviors to buffer against adverse emotional impacts.
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影响因子：
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作者：
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DOI：
10.1093/geronb/gbaa110
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影响因子：
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