COVID-19-related social support service closures and mental well-being in older adults and those affected by dementia: a UK longitudinal survey.
Adult
Aged
Aged, 80 and over
Anxiety
/ epidemiology
COVID-19
/ prevention & control
Caregivers
/ psychology
Dementia
/ psychology
Depression
/ epidemiology
Female
Health Facility Closure
Humans
Longitudinal Studies
Male
Mental Health
Middle Aged
Social Support
Social Work
United Kingdom
/ epidemiology
Young Adult
COVID-19
dementia
mental health
old age psychiatry
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
17 01 2021
17 01 2021
Historique:
entrez:
18
1
2021
pubmed:
19
1
2021
medline:
2
2
2021
Statut:
epublish
Résumé
The COVID-19 pandemic has had a major impact on delivery of social support services. This might be expected to particularly affect older adults and people living with dementia (PLWD), and to reduce their well-being. To explore how social support service use by older adults, carers and PLWD, and their mental well-being changed over the first 3 months since the pandemic outbreak. Unpaid dementia carers, PLWD and older adults took part in a longitudinal online or telephone survey collected between April and May 2020, and at two subsequent timepoints 6 and 12 weeks after baseline. Participants were asked about their social support service usage in a typical week prior to the pandemic (at baseline), and in the past week at each of the three timepoints. They also completed measures of levels of depression, anxiety and mental well-being. 377 participants had complete data at all three timepoints. Social support service usage dropped shortly after lockdown measures were imposed at timepoint 1 (T1), to then increase again by T3. The access to paid care was least affected by COVID-19. Cases of anxiety dropped significantly across the study period, while cases of depression rose. Well-being increased significantly for older adults and PLWD from T1 to T3. Access to social support services has been significantly affected by the pandemic, which is starting to recover slowly. With mental well-being differently affected across groups, support needs to be put in place to maintain better well-being across those vulnerable groups during the ongoing pandemic.
Sections du résumé
BACKGROUND
The COVID-19 pandemic has had a major impact on delivery of social support services. This might be expected to particularly affect older adults and people living with dementia (PLWD), and to reduce their well-being.
AIMS
To explore how social support service use by older adults, carers and PLWD, and their mental well-being changed over the first 3 months since the pandemic outbreak.
METHODS
Unpaid dementia carers, PLWD and older adults took part in a longitudinal online or telephone survey collected between April and May 2020, and at two subsequent timepoints 6 and 12 weeks after baseline. Participants were asked about their social support service usage in a typical week prior to the pandemic (at baseline), and in the past week at each of the three timepoints. They also completed measures of levels of depression, anxiety and mental well-being.
RESULTS
377 participants had complete data at all three timepoints. Social support service usage dropped shortly after lockdown measures were imposed at timepoint 1 (T1), to then increase again by T3. The access to paid care was least affected by COVID-19. Cases of anxiety dropped significantly across the study period, while cases of depression rose. Well-being increased significantly for older adults and PLWD from T1 to T3.
CONCLUSIONS
Access to social support services has been significantly affected by the pandemic, which is starting to recover slowly. With mental well-being differently affected across groups, support needs to be put in place to maintain better well-being across those vulnerable groups during the ongoing pandemic.
Identifiants
pubmed: 33455941
pii: bmjopen-2020-045889
doi: 10.1136/bmjopen-2020-045889
pmc: PMC7813330
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e045889Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
BMC Geriatr. 2017 Jan 5;17(1):5
pubmed: 28056843
Aging Ment Health. 2020 Sep 1;:1-8
pubmed: 32870024
J Appl Gerontol. 2016 Dec;35(12):1302-1324
pubmed: 25800460
Aging Ment Health. 2020 Sep 21;:1-8
pubmed: 32954794
Lancet Public Health. 2020 May;5(5):e256
pubmed: 32199471
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Am J Geriatr Psychiatry. 2020 Jul;28(7):712-721
pubmed: 32331845
Aging Ment Health. 2017 Apr;21(4):379-388
pubmed: 26471453
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
BMC Geriatr. 2020 Jan 3;20(1):5
pubmed: 31900113
Scand J Public Health. 2015 Nov;43(7):721-7
pubmed: 26041133
Int J Geriatr Psychiatry. 2020 Sep 18;:
pubmed: 32946619
BMC Geriatr. 2020 Sep 9;20(1):333
pubmed: 32900360
PLoS One. 2019 Aug 1;14(8):e0220195
pubmed: 31369590
Br J Psychiatry. 2020 Oct;217(4):543-546
pubmed: 32654678
J Nutr Health Aging. 2020;24(5):456-458
pubmed: 32346678
BMC Geriatr. 2018 Jun 4;18(1):131
pubmed: 29866102