Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore (SKHS, RM, JY), Singapore, Singapore.
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore (SKHS, RM, JY), Singapore, Singapore; Academic Development Department, Duke-NUS Medical School (RM), Singapore, Singapore.
Am J Geriatr Psychiatry. 2021 Dec;29(12):1274-1279. doi: 10.1016/j.jagp.2021.03.012. Epub 2021 Apr 9.
The COVID-19 lockdown could see older adults facing increased anxiety levels due to social isolation. Additionally, the lockdown could be more difficult for those with lower Quality of Life (QoL). We aim to understand predictive factors of older adult's anxiety symptoms during the lockdown as it is a main psychological concern of COVID-19.
Four hundred eleven participants (M = 68.95, S.D. = 5.60) completed questionnaires at two time points - before the pandemic and during the lockdown period. Cross-lagged analysis was carried out on two structural equation models - social isolation and anxiety symptoms, and QoL and anxiety symptoms.
Baseline social isolation was associated with more anxiety symptoms at follow-up. However, baseline anxiety symptoms were not associated with social isolation subsequently. For QoL and anxiety symptoms, the relationship was bidirectional.
Older adults who were previously socially isolated and had a lower QoL are particularly vulnerable to the negative psychological impacts of the COVID-19 lockdown.
由于社交隔离，COVID-19 封锁可能会导致老年人的焦虑水平上升。此外，对于生活质量较低的人来说，封锁可能更加困难。我们旨在了解老年人在封锁期间焦虑症状的预测因素，因为这是 COVID-19 的主要心理关注点。
411 名参与者（M=68.95，S.D.=5.60）在两个时间点完成了问卷调查 - 大流行前和封锁期间。对两个结构方程模型 - 社交隔离和焦虑症状，以及生活质量和焦虑症状进行了交叉滞后分析。
基线社交隔离与随访时的更多焦虑症状相关。然而，基线焦虑症状与随后的社交隔离无关。对于生活质量和焦虑症状，两者之间的关系是双向的。
以前社交隔离且生活质量较低的老年人特别容易受到 COVID-19 封锁的负面心理影响。
