Mental wellbeing in the German old age population largely unaltered during COVID-19 lockdown: results of a representative survey.
Mental wellbeing in the German old age population largely unaltered during COVID-19 lockdown: results of a representative survey.
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德国老年人口的精神福祉在COVID-19锁定期间基本不变：代表性调查的结果。
DOI：
10.1186/s12877-020-01889-x
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发表时间：
2020-11-23
期刊：
影响因子：
4.1
通讯作者：
Riedel-Heller SG
中科院分区：
文献类型：
--
作者：
Röhr S;Reininghaus U;Riedel-Heller SG
老年人患COVID-19严重和致命病程的风险增加。他们通常被建议实行特别严格的社交距离（“茧化”），这引发了很多关于他们心理健康后果的辩论。我们旨在通过在新冠肺炎封锁期间对德国老年人口进行代表性调查来提供证据。在2020年4月第一次封锁期间，对随机选择的具有代表性的德国老年人口（n = 1005；年龄≥65岁）进行了计算机辅助的标准化电话访谈。评估包括社会人口因素、封锁期间的个人生活状况、对COVID-19的态度，以及抑郁、焦虑、躯体化、整体心理困扰（简要症状量表/BSI-18）和孤独感（UCLA 3项孤独感量表）的标准化筛查措施。采用抽样加权描述性统计和多元多元回归分析。参与者M = 75.5 （SD = 7.1）岁；56.3%为女性。在收集数据时，COVID-19封锁已生效M = 28.0 （SD = 4.8）天。总体而言，老年人担心COVID-19，但支持封锁。抑郁的BSI-18平均得分为1.4，焦虑的为1.6，躯体化的为2.2，整体心理困扰的为5.1。考虑到大流行前研究确定的规范值（分别为2.0、1.6、2.4和6.0），这些数字并不表明心理健康状况更差。孤独感的患病率为13.1%，也落在大流行前研究报告的一系列估计值之内。封锁期间的个人生活状况和对COVID-19的态度与心理健康之间只有很少的显著关联。弹性解释了大量的差异。从短期来看，德国老年人口的心理健康在COVID-19封锁期间基本没有变化，这表明他们对具有挑战性的大流行形势有韧性。我们的研究结果驳斥了大流行期间普遍存在的对“弱者和易受伤害的老年人”的年龄歧视刻板印象。需要长期观测来提供有力的证据。在线版本包含补充材料，可在10.1186/s12877-020-01889-x获得。
Older individuals are at increased risk of a severe and lethal course of COVID-19. They have typically been advised to practice particularly restrictive social distancing (‘cocooning’), which has sparked much debate on the consequences for their mental wellbeing. We aimed to provide evidence by conducting a representative survey among the German old population during COVID-19 lockdown. A computer-assisted standardized telephone interview was conducted in a randomly selected and representative sample of the German old age population (n = 1005; age ≥ 65 years) during the first lockdown in April 2020. Assessments included sociodemographic factors, aspects of the personal life situation during lockdown, attitudes towards COVID-19, and standardized screening measures on depression, anxiety, somatization, overall psychological distress (Brief Symptom Inventory/BSI-18) and loneliness (UCLA 3-item loneliness scale). Sampling-weighted descriptive statistics and multiple multivariable regression analyses were conducted. Participants were M = 75.5 (SD = 7.1) years old; 56.3% were women. At data collection, COVID-19 lockdown had been in force for M = 28.0 (SD = 4.8) days. Overall, older individuals were worried about COVID-19, but supportive of the lockdown. Mean BSI-18 scores were 1.4 for depression, 1.6 for anxiety and 2.2 for somatization as well as 5.1 for global psychological distress. These figures did not indicate worse mental wellbeing, given normative values established by studies before the pandemic (2.0, 1.6, 2.4, 6.0, respectively). The prevalence of loneliness was 13.1%, which also fell within a range of estimates reported by studies before the pandemic. There were only few significant associations of aspects of the personal life situation during lockdown and attitudes towards COVID-19 with mental wellbeing. Resilience explained a large amount of variance. In the short-term, the mental wellbeing of the German old age population was largely unaltered during COVID-19 lockdown, suggesting resilience against the challenging pandemic situation. Our results refute common ageist stereotypes of “the weak and vulnerable older adults” that were present during the pandemic. Long-term observations are needed to provide robust evidence. The online version contains supplementary material available at 10.1186/s12877-020-01889-x.
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