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COVID-19 疫情期间老年人的情绪困扰:了解 COVID-19 大流行对老年人心理的纵向影响。

Emotional distress among older adults during the COVID-19 outbreak: understanding the longitudinal psychological impact of the COVID-19 pandemic.

机构信息

Department of Psychology, School of Medicine, Universidad San Pablo-CEU, CEU Universities, Madrid, Spain.

Department of Basic Psychology, Universidad Autónoma de Madrid, Madrid, Spain.

出版信息

Psychogeriatrics. 2022 Jan;22(1):77-83. doi: 10.1111/psyg.12781. Epub 2021 Oct 29.

Abstract

BACKGROUND

Older adults have proven their ability to overcome adversities throughout their life. This study aims to assess the impact of the COVID-19 pandemic on older adults' psychological distress (anxiety and depression) over time.

METHODS

A community-dwelling Spaniard population (N = 192) completed a survey and reported on their sociodemographic characteristics, appraisal and personal resources. Older adults took part in a longitudinal online survey collected in April 2020 (during the lockdown restrictions) and at two subsequent time points 3 and 9 months after baseline (without lockdown restrictions and during the third wave of the pandemic respectively).

RESULTS

Older adults did not evidence higher emotional distress than during the initial lockdown. Furthermore, depression remained stable and anxiety significantly decreased. Results also suggest that some sociodemographic characteristics, appraisals and personal resources are relevant. Older participants showed less anxiety than younger ones. Furthermore, being a male, resilience, and acceptance were related with the decrease of anxiety. Otherwise, fear of the COVID-19 outbreak and depression were related with the increase of anxiety.

CONCLUSION

Older adults may adapt to the adverse pandemic impact by using more adaptive resources that reduce their distress. Efforts to ameliorate older adults' anxiety by focusing on older adults' personal resources should be considered.

摘要

背景

老年人在一生中已经证明了他们克服逆境的能力。本研究旨在评估 COVID-19 大流行对老年人心理困扰(焦虑和抑郁)随时间的影响。

方法

一个居住在社区的西班牙人群(N=192)完成了一项调查,并报告了他们的社会人口统计学特征、评估和个人资源。老年人参与了一项纵向在线调查,该调查于 2020 年 4 月(在封锁限制期间)和基线后 3 个月和 9 个月进行了两次后续调查(分别在没有封锁限制和大流行的第三波期间)。

结果

与最初的封锁相比,老年人并没有表现出更高的情绪困扰。此外,抑郁保持稳定,焦虑显著下降。研究结果还表明,一些社会人口统计学特征、评估和个人资源是相关的。年长的参与者比年轻的参与者表现出更少的焦虑。此外,男性、韧性和接受度与焦虑的减少有关。相反,对 COVID-19 爆发的恐惧和抑郁与焦虑的增加有关。

结论

老年人可能通过使用更具适应性的资源来适应不利的大流行影响,从而减轻他们的痛苦。应该考虑通过关注老年人的个人资源来改善老年人的焦虑。

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