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在新冠疫情危机期间,居住在养老院的阿尔茨海默病患者中存在高度的抑郁和焦虑情绪。

High depression and anxiety in people with Alzheimer's disease living in retirement homes during the covid-19 crisis.

作者信息

El Haj Mohamad, Altintas Emin, Chapelet Guillaume, Kapogiannis Dimitrios, Gallouj Karim

机构信息

Nantes Université, Univ Angers, Laboratoire de Psychologie des Pays de la Loire (LPPL - EA 4638), F-44000 Nantes, France; Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France; Institut Universitaire de France, Paris, France.

Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France; Laboratoire PSITEC - Psychologie: Interactions Temps Émotions Cognition, Université Lille Nord de France - 59000 Lille - France.

出版信息

Psychiatry Res. 2020 Sep;291:113294. doi: 10.1016/j.psychres.2020.113294. Epub 2020 Jul 13.

Abstract

To cope with Covid-19 and limits its spread among residents, retirement homes have prohibited physical contact between residents and families and friend and, in some cases, even between residents or between residents and caregivers. We investigated the effects of measures against Covid-19 on the mental health of participants with Alzheimer's disease (AD) who live in retirement homes in France. We instructed on-site caregivers to assess depression and anxiety in participants with mild AD who live in retirement homes. Fifty-eight participants consented to participate in the study. The participants rated their depression and anxiety during and before the Covid-19 crisis. Participants reported higher depression (p = .005) and anxiety (p = .004) during than before the Covid-19 crisis. These increases can be attributed to the isolation of the residents and/or to the drastic changes in their daily life and care they receive. While, in their effort to prevent infections, retirement homes are forced to physically separate residents from the outside world and to drastically reduce residents' activities, these decisions are likely to come at a cost to residents with AD and their mental health.

摘要

为应对新冠疫情并限制其在居民中的传播,养老院禁止居民与家人及朋友进行身体接触,在某些情况下,甚至禁止居民之间或居民与护理人员之间的身体接触。我们调查了法国养老院中针对新冠疫情的措施对患有阿尔茨海默病(AD)的参与者心理健康的影响。我们指示现场护理人员对居住在养老院的轻度AD参与者的抑郁和焦虑情况进行评估。58名参与者同意参与该研究。参与者对他们在新冠疫情危机期间及之前的抑郁和焦虑程度进行了评分。参与者报告称,与新冠疫情危机之前相比,危机期间的抑郁程度更高(p = 0.005),焦虑程度也更高(p = 0.004)。这些增加可归因于居民的隔离和/或他们日常生活及所接受护理的剧烈变化。虽然为了预防感染,养老院被迫让居民与外界进行物理隔离,并大幅减少居民的活动,但这些决定可能会给患有AD的居民及其心理健康带来代价。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1286/7357507/eb5952607a1c/gr1_lrg.jpg

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