Shapira Stav, Yeshua-Katz Daphna, Cohn-Schwartz Ella, Aharonson-Daniel Limor, Sarid Orly, Clarfield A Mark
School of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, P.O. Box 653, Beer Sheva, Israel.
PREPARD Center for Emergency Response Research, Ben Gurion University of the Negev, P.O. Box 653, Beer Sheva, Israel.
Internet Interv. 2021 Apr;24:100368. doi: 10.1016/j.invent.2021.100368. Epub 2021 Jan 27.
While effective in reducing infections, social distancing during the COVID-19 outbreak may carry ill effects on the mental health of older adults. The present study explored the efficacy of a short-term digital group intervention aimed at providing seniors with the tools and skills necessary for improving their coping ability during these stressful times. A total of 82 community-dwelling adults aged between 65 aged 90 (M = 72 years, SD = 5.63) were randomized to either an intervention group ( = 64) or a wait-list control group ( = 18). The intervention comprised online guided sessions in small groups in which behavioral and cognitive techniques were learned and practiced via the ZOOM videoconferencing platform. Loneliness and depression levels were measured pre- and post-participation. The results demonstrated a significant improvement in the intervention group in terms of both loneliness and depressive symptoms, compared with the control group. Results of mixed effect models indicated a medium ameliorative effect on loneliness ( = 0.58), while that for depressive symptoms was only marginally significant and smaller in size ( = 0.43). Our intervention presents a relatively simple and effective technique that can be efficiently utilized to support older adults both during emergencies such as the COVID-19 outbreak, as well as in more routine times for older adults who live alone or reside in remote areas.
虽然社交距离在减少感染方面有效,但在新冠疫情期间实施社交距离可能会对老年人的心理健康产生不良影响。本研究探讨了一种短期数字团体干预措施的效果,该干预旨在为老年人提供在这些压力时期提高应对能力所需的工具和技能。共有82名年龄在65岁至90岁之间的社区居住成年人(M = 72岁,SD = 5.63)被随机分为干预组(n = 64)或等待名单对照组(n = 18)。干预包括通过ZOOM视频会议平台进行的小组在线指导课程,在课程中学习和实践行为和认知技巧。在参与前后测量孤独感和抑郁水平。结果表明,与对照组相比,干预组在孤独感和抑郁症状方面均有显著改善。混合效应模型的结果表明,对孤独感有中等改善效果(d = 0.58),而对抑郁症状的改善效果仅略微显著且效应量较小(d = 0.43)。我们的干预措施提供了一种相对简单有效的技术,可在新冠疫情等紧急情况下有效用于支持老年人,也可在独居或居住在偏远地区的老年人的更常规时期使用。