Correlates to psychological distress in frail older community-dwellers undergoing lockdown during the COVID-19 pandemic.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
23 06 2022
Historique:
received: 08 08 2021
accepted: 20 04 2022
entrez: 23 6 2022
pubmed: 24 6 2022
medline: 28 6 2022
Statut: epublish

Résumé

This study identifies correlates of the lockdown's psychological distress in frail older community-dwellers (Catalonia, Spain). Participants from a community frailty intervention program, with a comprehensive geriatric assessment within the 12-months pre-lockdown and COVID-19 free during the first pandemic wave (March-May 2020), underwent a phone assessment past the lockdown to assess COVID-19-related emotional distress (DME) as well as other sociodemograhic, clinical and psychosocial factors. Of the 94 frail older adults (age = 82,34 ± 6,12 years; 68,1% women; 38,3% living alone), 84,9% were at risk of experiencing moderate-to-high psychological distress, according to the backward stepwise logistic regression model obtained (χ2 = 47,007, p < 0,001, Nagelkerke R These findings suggest that it is necessary to favour a prior overall health status and to empower frail older community-dwellers in the use of a broad repertoire of coping strategies in the face of adversity to foster mental health and keep at bay the potential emotional impact of the situation generated by the COVID pandemic.

Sections du résumé

BACKGROUND
This study identifies correlates of the lockdown's psychological distress in frail older community-dwellers (Catalonia, Spain).
METHODS
Participants from a community frailty intervention program, with a comprehensive geriatric assessment within the 12-months pre-lockdown and COVID-19 free during the first pandemic wave (March-May 2020), underwent a phone assessment past the lockdown to assess COVID-19-related emotional distress (DME) as well as other sociodemograhic, clinical and psychosocial factors.
RESULTS
Of the 94 frail older adults (age = 82,34 ± 6,12 years; 68,1% women; 38,3% living alone), 84,9% were at risk of experiencing moderate-to-high psychological distress, according to the backward stepwise logistic regression model obtained (χ2 = 47,007, p < 0,001, Nagelkerke R
DISCUSSION
These findings suggest that it is necessary to favour a prior overall health status and to empower frail older community-dwellers in the use of a broad repertoire of coping strategies in the face of adversity to foster mental health and keep at bay the potential emotional impact of the situation generated by the COVID pandemic.

Identifiants

pubmed: 35739478
doi: 10.1186/s12877-022-03072-w
pii: 10.1186/s12877-022-03072-w
pmc: PMC9223249
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

516

Informations de copyright

© 2022. The Author(s).

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Auteurs

Carmina Castellano-Tejedor (C)

Parc Sanitari Pere Virgili, Area of Intermediate Care, REFiT BCN Research Group, Gregal 0, 08030, Barcelona, Spain. ninacastej@yahoo.es.
RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain. ninacastej@yahoo.es.
GIES Research Group, Basic Psychology Department, Autonomous University of Barcelona, Bellaterra, Spain. ninacastej@yahoo.es.

Laura M Pérez (LM)

Parc Sanitari Pere Virgili, Area of Intermediate Care, REFiT BCN Research Group, Gregal 0, 08030, Barcelona, Spain.
RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.

Luis Soto-Bagaria (L)

Parc Sanitari Pere Virgili, Area of Intermediate Care, REFiT BCN Research Group, Gregal 0, 08030, Barcelona, Spain.
RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.

Ester Risco (E)

Parc Sanitari Pere Virgili, Area of Intermediate Care, REFiT BCN Research Group, Gregal 0, 08030, Barcelona, Spain.
RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.

Maria Victoria Mazo (MV)

RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.
Primary Healthcare Center Barceloneta, Atenció Primària Pere Virgili, Barcelona, Spain.

Ana Gómez (A)

Primary Healthcare Center Bordeta-Magòria, Institut Català de La Salut, Barcelona, Spain.

Daniel Salvador (D)

Fundació Privada Avismón-Catalunya, Barcelona, Spain.

Javier Yanguas (J)

Programa de Mayores. Fundación "La Caixa", Barcelona, Spain.

María B Enfedaque (MB)

Institut Català de La Salut, ICS, Barcelona, Spain.

Alessandro Morandi (A)

RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.
Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy.
Department of Clinical Sciences and Community Health, Università Di Milano, Milan, Italy.

Mariona Font (M)

RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.

Vanessa Davey (V)

RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.

Marco Inzitari (M)

Parc Sanitari Pere Virgili, Area of Intermediate Care, REFiT BCN Research Group, Gregal 0, 08030, Barcelona, Spain.
RE-FiT Barcelona Research Group. Vall d'Hebron Institute of Research and Parc Sanitari Pere Virgili, Barcelona, Spain.
Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), Barcelona, Spain.

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