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Efficacy of a Healthy Lifestyle Intervention to Prevent Depression in Older Spousally-bereaved Adults-Supplement

健康生活方式干预对预防老年丧偶者抑郁症的功效-补充

基本信息

批准号：
10217532
负责人：
Sarah T Stahl
金额：
$ 18万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-23 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10217532
关键词：
Adherence Administrative Supplement Adult Advertising Age Anxiety Bereavement COVID-19 COVID-19 pandemic Cause of Death Cessation of life Characteristics Collaborations Communities Data Disease Elderly Feeling Feeling suicidal Funding Geographic Locations Grief reaction Hamilton Rating Scale for Depression Health Individual Intervention Longitudinal Studies Major Depressive Disorder Measurement Measures Mental Depression Mental Health Mental disorders Monitor Mourning Patient Recruitments Prevention Process Public Health Readiness Research Resources Rest Ritual compulsion Science Self Management Services Shock Sleep Social Distance Social isolation Social support Spouses Sum Symptoms Technology Time Treatment outcome Universities Widow Widower base behavior change behavior influence behavioral health behavioral health intervention burden of illness circadian depression prevention depressive symptoms digital experience follow-up healthy lifestyle high risk improved lifestyle intervention loved ones pandemic disease post-traumatic stress prevent psychiatric symptom psychologic theories uptake wearable device

项目摘要

PROJECT SUMMARY/ABSTRACT Older spousally-bereaved adults are at very high risk for major depressive disorder (MDD). In the age of COVID-19, the inability to engage in rituals that support the grieving process will make it much more difficult to cope with the death of a spouse. This proposed Administrative Supplement leverages our funded R01 “Efficacy of a Healthy Lifestyle Intervention to Prevent Depression in Older Spousally-bereaved Adults” (WELL) to increase the reach, uptake, and sustainability of our existing behavioral-health intervention to accommodate older spouses bereaved by COVID-19 who are seeking prevention and self-management strategies to manage psychiatric symptoms both during and following the pandemic. We will use digital advertising to optimize reach and access in geographic locations heavily impacted by the COVID-19 pandemic. To promote adherence to and sustained use of WELL, we will use existing data (K01 MH103467) to identify individual and intervention- level characteristics that are associated with discontinuation vs sustained use of digital interventions for mental health support. Additional measurements of death, dying, and bereavement (preparedness for death, lack of closure, social isolation, and loss of mourning rituals) will be obtained for the 100 participants recruited over the Supplement’s two-year time frame. The data will be used to examine both the impact of COVID-19 death on depression symptoms (collected through this supplement) and trajectories of depression symptoms over one year (collected through this supplement during the WELL follow-up time period). The aims of the proposed research will examine in older spousally-bereaved adults at high risk for MDD (due to subthreshold symptoms of depression) (1) whether depression symptom burden is higher in older spouses bereaved by COVID-19 than those bereaved by other causes of death; and (2) whether COVID-19 bereavement is associated with other psychopathological conditions including anxiety, post-traumatic stress, suicidal ideation, and prolonged grief disorder(s). In sum, WELL provides a unique opportunity to examine the relationship between COVID-19 death and surviving spouses’ psychiatric symptoms in a large longitudinal study of community-dwelling older spouses particularly vulnerable to MDD due to spousal bereavement.

项目总结/文摘