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  1. Article ; Online: COVID-19 Social Distancing Measures and Loneliness Among Older Adults.

    Choi, Eun Young / Farina, Mateo P / Wu, Qiao / Ailshire, Jennifer

    The journals of gerontology. Series B, Psychological sciences and social sciences

    2020  Volume 77, Issue 7, Page(s) e167–e178

    Abstract: ... particularly limiting close social interactions, are associated with loneliness among older adults, and (b ... whether the association between social distancing measures and loneliness is moderated by sociodemographic characteristics ... Objectives: In response to the coronavirus disease 2019 (COVID-19) pandemic, older adults are ...

    Abstract Objectives: In response to the coronavirus disease 2019 (COVID-19) pandemic, older adults are advised to follow social distancing measures to prevent infection. However, such measures may increase the risk of loneliness. The current study aimed to investigate (a) whether social distancing measures, particularly limiting close social interactions, are associated with loneliness among older adults, and (b) whether the association between social distancing measures and loneliness is moderated by sociodemographic characteristics.
    Method: Data were from the fourth wave (April 29 to May 26, 2020) of the nationally representative Understanding America Study COVID-19 Survey. We used data on adults 50 years or older (N = 3,253). Logistic regression models of loneliness were performed. Five indicators of social distancing measures were considered: (a) avoiding public spaces, gatherings, or crowds; (b) canceling or postponing social activities; (c) social visits; (d) no close contact (within 6 feet) with people living together; and (e) with people not living together.
    Results: Cancelling or postponing social activities and avoiding close contact with people living together were associated with 33% (odds ratio [OR] = 1.33, confidence interval [CI] = 1.06-1.68, p < .05) and 47% (OR = 1.47, CI = 1.09-1.99, p < .05) greater odds of loneliness, respectively. Furthermore, limiting close contact with coresidents increased the probability of loneliness more for males, non-Hispanic Whites, and those with higher levels of education and income.
    Discussion: Efforts should be made to help older adults maintain social connectedness with close others by virtual communication methods. Our findings also call special attention to vulnerable groups at elevated risks of loneliness, emphasizing the need for tailored interventions.
    MeSH term(s) Aged ; COVID-19/epidemiology ; COVID-19/prevention & control ; Humans ; Loneliness ; Male ; Pandemics/prevention & control ; Physical Distancing ; Social Isolation
    Language English
    Publishing date 2020-12-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 1223664-0
    ISSN 1758-5368 ; 1079-5014
    ISSN (online) 1758-5368
    ISSN 1079-5014
    DOI 10.1093/geronb/gbab009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: User-Friendly Chatbot to Mitigate the Psychological Stress of Older Adults During the COVID-19 Pandemic: Development and Usability Study.

    Chou, Ya-Hsin / Lin, Chemin / Lee, Shwu-Hua / Lee, Yen-Fen / Cheng, Li-Chen

    JMIR formative research

    2024  Volume 8, Page(s) e49462

    Abstract: ... These social restrictions had a particularly negative effect on older adults, as they are more vulnerable and experience ... the psychological stress of older adults during COVID-19.: Methods: Participants were older adults belonging to two ... changes in loneliness after the intervention. Both the older and younger age groups provided good scores ...

    Abstract Background: To safeguard the most vulnerable individuals during the COVID-19 pandemic, numerous governments enforced measures such as stay-at-home orders, social distancing, and self-isolation. These social restrictions had a particularly negative effect on older adults, as they are more vulnerable and experience increased loneliness, which has various adverse effects, including increasing the risk of mental health problems and mortality. Chatbots can potentially reduce loneliness and provide companionship during a pandemic. However, existing chatbots do not cater to the specific needs of older adult populations.
    Objective: We aimed to develop a user-friendly chatbot tailored to the specific needs of older adults with anxiety or depressive disorders during the COVID-19 pandemic and to examine their perspectives on mental health chatbot use. The primary research objective was to investigate whether chatbots can mitigate the psychological stress of older adults during COVID-19.
    Methods: Participants were older adults belonging to two age groups (≥65 years and <65 years) from a psychiatric outpatient department who had been diagnosed with depressive or anxiety disorders by certified psychiatrists according to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) (DSM-5) criteria. The participants were required to use mobile phones, have internet access, and possess literacy skills. The chatbot's content includes monitoring and tracking health data and providing health information. Participants had access to the chatbot for at least 4 weeks. Self-report questionnaires for loneliness, depression, and anxiety were administered before and after chatbot use. The participants also rated their attitudes toward the chatbot.
    Results: A total of 35 participants (mean age 65.21, SD 7.51 years) were enrolled in the trial, comprising 74% (n=26) female and 26% (n=9) male participants. The participants demonstrated a high utilization rate during the intervention, with over 82% engaging with the chatbot daily. Loneliness significantly improved in the older group ≥65 years. This group also responded positively to the chatbot, as evidenced by changes in University of California Los Angeles Loneliness Scale scores, suggesting that this demographic can derive benefits from chatbot interaction. Conversely, the younger group, <65 years, exhibited no significant changes in loneliness after the intervention. Both the older and younger age groups provided good scores in relation to chatbot design with respect to usability (mean scores of 6.33 and 6.05, respectively) and satisfaction (mean scores of 5.33 and 5.15, respectively), rated on a 7-point Likert scale.
    Conclusions: The chatbot interface was found to be user-friendly and demonstrated promising results among participants 65 years and older who were receiving care at psychiatric outpatient clinics and experiencing relatively stable symptoms of depression and anxiety. The chatbot not only provided caring companionship but also showed the potential to alleviate loneliness during the challenging circumstances of a pandemic.
    Language English
    Publishing date 2024-03-13
    Publishing country Canada
    Document type Journal Article
    ISSN 2561-326X
    ISSN (online) 2561-326X
    DOI 10.2196/49462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Relationship between Lifestyle, Mental Health, and Loneliness in the Elderly during the COVID-19 Pandemic.

    Schütz, Daiana Meregalli / Rossi, Tainá / de Albuquerque, Nathalia Saraiva / Costa, Dalton Breno / Machado, Jéssica Santos / Fritsch, Larissa / Gosmann, Natacha / Mastrascusa, Raul Costa / Sessegolo, Natália / Bottega, Vitória Rodrigues / Wearick-Silva, Luis Eduardo / Moret-Tatay, Carmen / Della Gatta, Francesco / Irigaray, Tatiana Quarti

    Healthcare (Basel, Switzerland)

    2024  Volume 12, Issue 9

    Abstract: ... on the well-being of older adults and advocates for longitudinal investigations to delineate the evolving effects ... psychological factors such as loneliness, anxiety, depression, and stress, whilst also considering changes in lifestyle ... Scale, Geriatric Anxiety Inventory, Geriatric Depression Scale (reduced version), Loneliness Scale, and ...

    Abstract The study focused on examining the relationship between well-being and various psychological factors such as loneliness, anxiety, depression, and stress, whilst also considering changes in lifestyle. A total of 108 elderly participants, with an average age of 70.38 years, were enrolled in this quantitative cross-sectional study. The research employed a battery of assessment tools including a Sociodemographic Data Questionnaire, Mini-Mental State Examination, Positive Mental Health Scale, Stress Perception Scale, Geriatric Anxiety Inventory, Geriatric Depression Scale (reduced version), Loneliness Scale, and International Physical Activity Questionnaire. Descriptive analysis was conducted in order to understand the distribution of scores across these variables, followed by the categorization of participants based on the reported alterations in eating and physical activity behaviors. Correlations between variables were assessed using Spearman correlation and an EBIC-LASSO network analysis. The findings indicated a potential detriment to the well-being of elderly individuals practicing social distancing, evidenced by heightened symptoms of loneliness, depression, anxiety, and stress, alongside the reported changes in dietary patterns and physical activity. The study underscores the importance of understanding the pandemic's impact on the well-being of older adults and advocates for longitudinal investigations to delineate the evolving effects of social distancing measures across different phases of the pandemic.
    Language English
    Publishing date 2024-04-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare12090876
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The COVID-19 pandemic

    Alex Burdorf / Fabio Porru / Reiner Rugulies

    Scandinavian Journal of Work, Environment & Health, Vol 47, Iss 4, Pp 245-

    one year later – an occupational perspective

    2021  Volume 247

    Abstract: ... of middle-aged and older adults’ mental health and well-being during the COVID-19 pandemic in the USA. BMJ Open ... Härkönen J, Drefahl S, Malmberg B, et al. Residential context and COVID-19 mortality among adults aged 70 ... Nimrod G. Technostress in a hostile world: older internet users before and during the COVID-19 pandemic ...

    Abstract About one year ago, we wrote about how the COVID-19 pandemic was unfolding worldwide and started to impact our personal and professional lives (1). Little did we know that, one year later, more than 2.5 million people would have died, with the highest death tolls in Europe, North America, and Latin America (2). Whereas in many countries, life expectancy has increased steadily over the past decades with a couple of months per year, emerging evidence shows that the COVID-19 pandemic will abruptly end this trend in various countries. As one of the most affected countries, life expectancy at birth in the US was down during the first half of 2020 already 1.0 per year compared to 2019 (3). Projections indicate a potential loss in life expectancy of 1.13 years in 2020 for the total US population, resulting in the lowest life expectancy since 2003. The disproportionate burden of COVID-19 mortality is reflected in a staggering loss of 3.1 years in the Latino population and 2.1 years in the Black population (4). It can be expected that,disparities in life expectancy between social and ethnic groups have increased in many countries, demonstrating that COVID-19 has affected different groups differently. Although deaths attributed to COVID-19 mainly occur among the elderly, often with underlying health conditions, there is scattered evidence that an individual`s type of job may contribute to the risk of becoming infected and, hence, to the mortality pattern in society. One of the first reports has emerged from the UK, where death certificates hold information on occupation. COVID-19-related mortality was highest among men in the lowest skilled occupations, with security guards among the occupation with the highest death rate. Other occupations with increased risks included taxi drivers, chauffeurs, bus drivers, restaurant chefs, and sales and retail assistants. Men and women in social care, including care and home-care workers, had increased mortality, but doctors and nurses in healthcare had death rates similar to the general workforce (5). This report points to the importance of occupation as a risk factor but also to the availability and use of appropriate personal protection to mitigate the risk of becoming infected. In addition, well-established socio-economic factors of health inequalities intermingled with occupations at risk, demonstrated by the fact that most taxi drivers belonged to the same ethnic group and that taxi drivers had higher mortality rates when residing in London (5). These findings are mirrored in a recent preprint publication from the US state of California, reporting that relative excess mortality was particularly high among food/agriculture, transportation/logistics, facilities, and manufacturing workers. Again, Latino and Black Californian workers were disproportionally affected (6). Hence, working and living circumstances are strongly intertwined, best illustrated by several well-documented outbreaks of COVID-19 in slaughterhouses pointing at working conditions significantly interrelated to housing and transportation arrangements, and precarious work with migrant workers doing the lowest paid jobs (7). A recent large population-based study in Sweden showed that COVID-19-related mortality was influenced by housing conditions (less m^2 per individual in household; someone of working age in the household), neighbourhood characteristics (higher population density) and educational level (lower education) (8). This raises the question how well we can distinguish the relative contribution of these risk factors to COVID-19, with the added complexity that these risk factors often occur together in vulnerable groups. There is a lively debate as to which occupations face the highest risks of contracting COVID-19, pointing primarily towards jobs in health and social care dealing with (suspected) COVID-19 patients, and jobs that involve a large number of daily contact with the public or close physical proximity to others. However, clear insight is lacking as access to testing capacity and suitable protective equipment, and organizational and environmental control measures strongly differ across occupations. A large study among more than 2 million users of a COVID-19 symptoms app in the US and the UK showed that frontline healthcare workers reported a 12-fold higher rate of positive COVID-19 tests compared to the general community. After adjustment for the likelihood of receiving a COVID-19 test, by using inverse probability weighting, the increased likelihood of receiving a positive COVID-19 test reduced to a 3.4-fold rate, demonstrating the risk of bias due to access to testing capacity (9). Many studies have been published on infection rates within specific occupational groups, but robust studies at population level across a variety of occupations are needed to investigate the incidence of infection from coronavirus across professions. An illustrative example is the study on SARS-CoV-2 antibody seroprevalence across 18 cities in Iran, which showed rates among healthcare workers comparable to that of supermarket cashiers, pharmacy employees, and hotel staff (10). These findings suggest that the risk resulting from a working environment at higher risk of infection (eg, hospitals) may be mitigated due to effective precautions, while more measures and training may be needed in those settings with a low perception of danger and less trained workers. From an occupational health perspective, we are not only facing the fatal and non-fatal consequences of COVID-19 but also the indirect effects on mental health. Many authors have reported anecdotal evidence about higher levels of symptoms of anxiety, depression, and post-traumatic disorder among healthcare professionals. These cross-sectional studies are mere indications that workers exposed to COVID-19 patients are psychologically stressed. One of the first longitudinal studies was conducted in Japan, following more than 1000 workers during the two months of the first wave. After adjusting for the covariates, psychological distress (and subscales of fatigue, anxiety, and depression) as well as fear and worry of COVID-19 increased among healthcare workers, whereas psychological stress remained remarkably constant among non-healthcare workers (11). While the pandemic may broadly affect the mental health of the general population (12), there is a concern that it will particularly adversely affect the mental health of those most vulnerable, ie, those who already had existing mental health problems before the pandemic emerged (13). Keeping and reintegrating individuals with mental health problems in the labor market was already a major public and occupational health challenge prior COVID19 (14), and it might become an even bigger challenge in the near future. Less is still known about the risk to the health of workers who were required to change their regular work practice. The baseline survey of an occupational cohort in the US illustrates the profound impact of the COVID-19 pandemic where 30% of all workers had to work from home, 24% had reduced working hours or income, and 19% were furloughed or placed on leave of absence (15). Working from home may increase flexibility and control, but this may be offset by a non-work-friendly environment (eg, no room to work alone, lack of high-quality internet connection, and no ergonomic working station). A panel study in Germany suggested that particularly women working from home with children were at higher risk of exhaustion, with job autonomy and partner support partly mitigating this effect (16). A small longitudinal study in England found that 72% of workers who changed to remote work experienced increased sedentary behavior, poorer quality of sleep, and more mood disturbances (17). A repeated cross-sectional study, comparing 2016 with 2020, showed more experience and diversity in internet use, but also considerably more `techno stress`, defined as individual’s attempts and struggles to deal with constantly evolving ICTs and changing cognitive and social requirements (18). The long-lasting effects on workers` health are still unknown. It is a safe bet to accept that work arrangements will not remain the same after the pandemic. We suggest three priorities for the research agenda on COVID-19 and occupational health: Identification of occupations at higher risk for becoming infected and specific work characteristics that contribute to the risks. Such insights will be immensely valuable for preparedness to threats of future pandemics. The impact of COVID-19 on changes in how, where, and when we work, and the consequences for workers’ health, especially mental health. The pandemic has strongly accelerated trends of already existing macroeconomic changes (eg, towards online marketplaces), and there is a need for both occupational health professionals and policy makers to adapt to this acceleration. The traditional workplace may be abandoned for many workers, and new ways must be found on how work will create value for the organization as well as the worker. The impact of the pandemic on social inequalities. This is a great concern as vulnerable groups have been disproportionately affected and their working conditions cannot be isolated from poorer social, economic, and living conditions. We can only reiterate our previous words: COVID-19 will have both short-term and long-lasting impacts on societies, healthcare systems, workplaces and individuals alike. Occupational health experts are challenged to contribute to a world, especially the world of work, that is a better place after this pandemic. References 1. Burdorf A, Porru F, Rugulies R. The Covid-19 (Coronavirus) pandemic: consequences for occupational health. Scand J Work Environ Health 2020;46:229-30. https://doi.org/10.5271/sjweh.3893 2. Johns Hopkins Corona virus resource center. Available at: https://coronavirus.jhu.edu/data/mortality, accessed March 2, 2021. 3. Arias E, Tejada-Vera B, Ahmad F. Provisional Life Expectancy Estimates for January through June, 2020. US Department of Health and Human Services: National Vital Statistics System Report No. 010, Feb 2021. https://doi.org/10.15620/100392 4. Andrasfay T, Goldman N. Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations. PNAS 2021;118:e2014746118. https://doi.org/10.1073/pnas.2014746118 5. United Kingdom Office for National Statistics. Statistical bulletin: Coronavirus (COVID-19) related deaths by occupation, England and Wales: deaths registered up to and including 20 April 2020. Release date: 11 May 2020. 6. Chen YH, Glymour M, Riley A, Balmes J, Duchowny K, Harrison R, et al. Excess mortality associated with the COVID-19 pandemic among Californians 18-65 years of age, by occupational sector and occupation: March through October 2020. medRxiv preprint. https://doi.org/10.1101/2021.01.21.21250266 7. Kromhout H. Learning from a global pandemic. Occup Environ Med 2020;77:587-8. https://doi.org/10.1136/oemed-2020-106801 8. Brandén M, Aradhya S, Kolk M, Härkönen J, Drefahl S, Malmberg B, et al. Residential context and COVID-19 mortality among adults aged 70 years and older in Stockholm: a population-based, observational study using individual-level data. Lancet Healthy Longev 2020;1:e80-88. https://doi.org/10.1016/S2666-7568(20)30016-7 9. Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health 2020;5:e475-83. https://doi.org/10.1016/S2468-2667(20)30164-X 10. Poustchi H, Darvishian M, Mohammadi Z, Shayanrad A, Delavari A, Bahadorimonfared A, et al. SARS-CoV-2 antibody seroprevalence in the general population and high-risk occupational groups across 18 cities in Iran: a population-based cross-sectional study. Lancet Infect Dis 2020, Published Online December 15, 2020. doi.org/10.1016/S1473-3099(20)30858-6 11. Sasaki N, Kuroda R, Tsuno K, Kawakami N. The deterioration of mental health among healthcare workers during the COVID-19 outbreak: A population-based cohort study of workers in Japan. Scand J Work Environ Health 2020;46:639-44. https://doi.org/10.5271/sjweh.3922 12. Galea S, Merchant RM, Lurie N. The mental health consequences of COVID-19 and physical distancing. The need for prevention and early intervention. JAMA Intern Med. 2020;180(6):817- 8. https://doi.org/10.1001/jamainternmed.2020.1562 13. Varga TV, Bu F, Dissing AS, Elsenburg LK, Herranz Bustamante JJ, Matta J et al. Loneliness, worries, anxiety, and precautionary behaviours in response to the COVID-19 pandemic: A longitudinal analysis of 200,000 Western and Northern Europeans. The Lancet Reg Health Eur. 2021;(2):100020. https://doi.org/10.1016/j.lanepe.2020.100020 14. Schuring M, Robroek SJW, Burdorf A. The benefits of paid employment among persons with common mental health problems: evidence for the selection and causation mechanism. Scand J Work Environ Health 2017;43:540-9. https://doi.org/10.5271/sjweh.3675 15. Kobayashi LC, O’Shea BQ, Kler JS, Nishimura R, Palavicino-Maggio CB, Eastman MR, et al. Cohort profile: the COVID-19 Coping Study, a longitudinal mixed-methods study of middle-aged and older adults’ mental health and well-being during the COVID-19 pandemic in the USA. BMJ Open 2021;11:e044965. https://doi.org/10.1136/bmjopen-2020-044965 16. Meyer B, Zill A, Dilba D, Gerlach R, Schumann S. Employee psychological well-being during the COVID-19 pandemic in Germany: A longitudinal study of demands, resources, and exhaustion. Int J Psychol 2021. Feb 21, online. https://doi.org/10.1002/ijop.12743 17. Barone Gibbs B, Kline CE, Huber KA, Paley JL, Perera S. COVID-19 shelter-at-home and work, life-style and well-being in desk workers. Occup Med 2021, Feb 18. https://doi.org/10.1093/occmed/kqab011 18. Nimrod G. Technostress in a hostile world: older internet users before and during the COVID-19 pandemic. Aging Mental Health 2020, online. https://doi.org/10.1080/13607863.2020.1861213
    Keywords coronavirus ; pandemic ; covid ; occupational perspective ; occupational health ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Nordic Association of Occupational Safety and Health (NOROSH)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Marital-history differences in increased loneliness during the COVID-19 pandemic: A European study among older adults living alone.

    Delaruelle, Katrijn / Vergauwen, Jorik / Dykstra, Pearl / Mortelmans, Dimitri / Bracke, Piet

    Archives of gerontology and geriatrics

    2023  Volume 108, Page(s) 104923

    Abstract: The COVID-19 pandemic and related physical distancing measures have disproportionally affected ... pandemic on loneliness in older men (N = 1504) and women (N = 4822) living alone. Logistic ... of older adults living alone when investigating the effects of the pandemic on loneliness ...

    Abstract The COVID-19 pandemic and related physical distancing measures have disproportionally affected older adults living alone due to their greater social isolation. Unlike previous studies on the subject, the current research recognizes the diversity amongst older adults living alone by considering the impact of marital history. Combining information from Wave 8 of the Survey of Health Ageing and Retirement (SHARE), with data of SHARELIFE and the SHARE Corona survey, we investigated the differential impact of the COVID-19 pandemic on loneliness in older men (N = 1504) and women (N = 4822) living alone. Logistic multilevel analyses were performed on data from 26 European countries and Israel. For men, we found that the short-term widowed were more likely to report increased loneliness than the medium- and long-term widowed and those living apart together (LAT). For women, the results indicated that the short- and medium-term widowed and the divorced were at greater risk for increased loneliness than those in a LAT relationship. Also, medium-term widowed women were more likely to report increased loneliness than their long-term widowed counterparts. The three hypothesized underlying mechanisms - i.e., (i) the opportunity mechanism, (ii) the expectation mechanism, and (iii) the vulnerability mechanism - only played a small role in explaining the observed differences. In sum, our study highlights the importance of recognizing the diversity within the group of older adults living alone when investigating the effects of the pandemic on loneliness, yet the mechanisms behind the stratifying role of marital history are not fully understood.
    MeSH term(s) Male ; Humans ; Female ; Aged ; Loneliness ; COVID-19 ; Pandemics ; Home Environment ; Social Isolation
    Language English
    Publishing date 2023-01-06
    Publishing country Netherlands
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 603162-6
    ISSN 1872-6976 ; 0167-4943
    ISSN (online) 1872-6976
    ISSN 0167-4943
    DOI 10.1016/j.archger.2023.104923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: COVID-19 government measures and their impact on mental health: a cross-sectional study of older primary care patients in Germany.

    Wittmann, Felix G / Zülke, Andrea / Pabst, Alexander / Luppa, Melanie / Thyrian, Jochen René / Kästner, Anika / Hoffmann, Wolfgang / Kaduszkiewicz, Hanna / Döhring, Juliane / Escales, Catharina / Gensichen, Jochen / Zöllinger, Isabel / Kosilek, Robert Philipp / Wiese, Birgitt / Oey, Anke / König, Hans-Helmut / Brettschneider, Christian / Frese, Thomas / Riedel-Heller, Steffi G

    Frontiers in public health

    2023  Volume 11, Page(s) 1141433

    Abstract: Background: With the outbreak of COVID-19, government measures including social distancing and ... of government measures related to COVID-19 on mental health of older people. ... These may negatively affect mental health by loneliness and social isolation, which constitute risk factors ...

    Abstract Background: With the outbreak of COVID-19, government measures including social distancing and restrictions of social contacts were imposed to slow the spread of the virus. Since older adults are at increased risk of severe disease, they were particularly affected by these restrictions. These may negatively affect mental health by loneliness and social isolation, which constitute risk factors for depressiveness. We aimed to analyse the impact of perceived restriction due to government measures on depressive symptoms and investigated stress as mediator in an at-risk-population in Germany.
    Methods: Data were collected in April 2020 from the population of the
    Results: We analysed data from 810 older adults (mean age = 69.9, SD = 5). Feeling restricted due to COVID-19 government measures was linked to increased depressiveness (
    Conclusion: We found evidence that feeling restricted due to COVID-19 government measures is associated with higher levels of depressive symptoms in older adults at increased risk for dementia. The association is mediated by perceived stress. Furthermore, social support was significantly associated with less depressive symptoms. Thus, it is of high relevance to consider possible adverse effects of government measures related to COVID-19 on mental health of older people.
    MeSH term(s) Humans ; Aged ; COVID-19/epidemiology ; COVID-19/psychology ; Cross-Sectional Studies ; Mental Health ; SARS-CoV-2 ; Government ; Primary Health Care ; Dementia
    Language English
    Publishing date 2023-05-22
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1141433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Older Adults' Loneliness in Early COVID-19 Social Distancing: Implications of Rurality.

    Fuller, Heather R / Huseth-Zosel, Andrea

    The journals of gerontology. Series B, Psychological sciences and social sciences

    2021  Volume 77, Issue 7, Page(s) e100–e105

    Abstract: ... negative implications for loneliness. Interventions to address older adults' social isolation and ... to social isolation. Rural older adults experienced a significantly smaller increase in loneliness than their nonrural ... of loneliness. In this mixed-methods study we examine changes in older adults' loneliness due ...

    Abstract Objectives: Older adults face greater health risks due to coronavirus disease 2019 (COVID-19), yet preventative social distancing measures may cause increased social isolation, potentially heightening risk of loneliness. In this mixed-methods study we examine changes in older adults' loneliness due to social distancing, explore variability in perceptions, and identify whether such changes differ by rurality.
    Methods: A Midwestern sample of 76 older adults aged 70-97 (mean age = 82; 74% female; 95% White; 39% rural) completed a phone interview about their experiences with social distancing due to COVID-19. Interviews were conducted during early weeks of regional social distancing. Participants completed retrospective and current assessments of loneliness, including providing explanations of their responses.
    Results: On average, loneliness increased during early social distancing, yet variability was evident. Those experiencing increased loneliness described a feeling of loss or lack of control, whereas those experiencing stability in loneliness identified adaptability in social connection modes or feeling accustomed to social isolation. Rural older adults experienced a significantly smaller increase in loneliness than their nonrural counterparts.
    Discussion: These findings suggest nuanced experiences among older adults, but generally negative implications for loneliness. Interventions to address older adults' social isolation and loneliness during COVID-19 are warranted.
    MeSH term(s) Aged ; Aged, 80 and over ; COVID-19/epidemiology ; Female ; Humans ; Loneliness ; Male ; Physical Distancing ; Retrospective Studies ; Social Isolation
    Language English
    Publishing date 2021-04-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1223664-0
    ISSN 1758-5368 ; 1079-5014
    ISSN (online) 1758-5368
    ISSN 1079-5014
    DOI 10.1093/geronb/gbab053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The sequel to COVID-19

    Bhandari, Sudhir / Shaktawat, Ajit Singh / Patel, Bhoopendra / Dube, Amitabh / Kakkar, Shivankan / Tak, Amit / Gupta, Jitendra / Rankawat, Govind

    Journal of Ideas in Health; Vol 3 No Special; 205-212 ; 2645-9248

    the antithesis to life

    2020  Volume 1, Issue : COVID-19 Related Special Issue- September 2020

    Abstract: ... COVID-19–Related Infodemic and Its Impact on Public Health: A Global Social Media Analysis. Am J Trop ... on social interactions and opioid receptors in adult rats: behavioural and autoradiographic studies. Eur J Neurosci. 1999 ... The pandemic of COVID-19 has afflicted every individual and has initiated a cascade of directly or ...

    Abstract The pandemic of COVID-19 has afflicted every individual and has initiated a cascade of directly or indirectly involved events in precipitating mental health issues. The human species is a wanderer and hunter-gatherer by nature, and physical social distancing and nationwide lockdown have confined an individual to physical isolation. The present review article was conceived to address psychosocial and other issues and their aetiology related to the current pandemic of COVID-19. The elderly age group has most suffered the wrath of SARS-CoV-2, and social isolation as a preventive measure may further induce mental health issues. Animal model studies have demonstrated an inappropriate interacting endogenous neurotransmitter milieu of dopamine, serotonin, glutamate, and opioids, induced by social isolation that could probably lead to observable phenomena of deviant psychosocial behavior. Conflicting and manipulated information related to COVID-19 on social media has also been recognized as a global threat. Psychological stress during the current pandemic in frontline health care workers, migrant workers, children, and adolescents is also a serious concern. Mental health issues in the current situation could also be induced by being quarantined, uncertainty in business, jobs, economy, hampered academic activities, increased screen time on social media, and domestic violence incidences. The gravity of mental health issues associated with the pandemic of COVID-19 should be identified at the earliest. Mental health organization dedicated to current and future pandemics should be established along with Government policies addressing psychological issues to prevent and treat mental health issues need to be developed. References World Health Organization (WHO) Coronavirus Disease (COVID-19) Dashboard. 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    Keywords covid19
    Subject code 360
    Language English
    Publishing date 2020-10-01
    Publisher Saad Ahmed Ali Al-EZZI
    Publishing country tr
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: The trajectory of loneliness in response to COVID-19

    Luchetti, Martina / Lee, Ji Hyun / Aschwanden, Damaris / Sesker, Amanda / Strickhouser, Jason E / Terracciano, Antonio / Sutin, Angelina R

    Am Psychol

    Abstract: ... 19, p < .01). Older adults reported less loneliness overall compared to younger age groups but had ... COVID-19), but there is concern that these measures will increase feelings of loneliness, particularly ... Social distancing and "stay-at-home" orders are essential to contain the coronavirus outbreak ...

    Abstract Social distancing and "stay-at-home" orders are essential to contain the coronavirus outbreak (COVID-19), but there is concern that these measures will increase feelings of loneliness, particularly in vulnerable groups. The present study examined change in loneliness in response to the social restriction measures taken to control the coronavirus spread. A nationwide sample of American adults (N = 1,545; 45% women; ages 18 to 98, M = 53.68, SD = 15.63) was assessed on three occasions: in late January/early February 2020 (before the outbreak), in late March (during the President's initial "15 Days to Slow the Spread" campaign), and in late April (during the "stay-at-home" policies of most states). Contrary to expectations, there were no significant mean-level changes in loneliness across the three assessments (d = .04, p > .05). In fact, respondents perceived increased support from others over the follow-up period (d = .19, p < .01). Older adults reported less loneliness overall compared to younger age groups but had an increase in loneliness during the acute phase of the outbreak (d = .14, p < .05). Their loneliness, however, leveled off after the issuance of stay-at-home orders. Individuals living alone and those with at least one chronic condition reported feeling lonelier at baseline but did not increase in loneliness during the implementation of social distancing measures. Despite some detrimental impact on vulnerable individuals, in the present sample, there was no large increase in loneliness but remarkable resilience in response to COVID-19. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #610553
    Database COVID19

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  10. Article ; Online: Social Networks in Limbo. The Experiences of Older Adults During COVID-19 in Ghana.

    Asante, Emmanuel Akwasi / Awuviry-Newton, Kofi / Abekah-Carter, Kwamina

    Frontiers in public health

    2021  Volume 9, Page(s) 772933

    Abstract: ... of social networks. The findings provide a deeper understanding of the impact of COVID-19 on older adults' quality ... older adults through in-depth interviews on older adults' social network experiences during COVID-19 ... interaction to COVID-19 preventive measures, such as social distancing and the limitation of face-to-face ...

    Abstract While studies exploring COVID-19 and its global influence have begun, social networks and support among older adults in low-and middle-income countries, such as Ghana have been inadequate despite its enormous relevance. Thus, the study presents the voices of older adults in Jamestown, Accra and their social networks during the COVID-19 pandemic in Ghana. Using a phenomenological approach, data were collected from 15 older adults through in-depth interviews on older adults' social network experiences during COVID-19 pandemic situation. Older adults generally struggled to maintain connections with their family members, friends, neighbors, and the community, especially during the lockdown. They ascribed their limited interaction to COVID-19 preventive measures, such as social distancing and the limitation of face-to-face meetings imposed by the government. Loneliness, stress, and depression are also linked to the breakdown of social networks. The findings provide a deeper understanding of the impact of COVID-19 on older adults' quality of life. It emerged that the Ghanaian society could reconsider the professional services of gerontologists, social workers, community outreach workers, and philanthropists in mitigating loneliness, stress, and depression among older adults in current and future pandemics.
    MeSH term(s) Aged ; COVID-19 ; Communicable Disease Control ; Ghana/epidemiology ; Humans ; Pandemics ; Quality of Life ; SARS-CoV-2 ; Social Networking ; Social Support
    Language English
    Publishing date 2021-11-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2021.772933
    Database MEDical Literature Analysis and Retrieval System OnLINE

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