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新冠疫情封锁对70岁及以上老年人健康和心理社会功能的影响

The Effects of COVID-19 Lockdown on Health and Psychosocial Functioning in Older Adults Aged 70 and Over.

作者信息

Docherty Sarah, Haskell-Ramsay Crystal F, McInnes Lynn, Wetherell Mark A

机构信息

Department of Psychology, Northumbria University, Newcastle upon Tyne, UK.

出版信息

Gerontol Geriatr Med. 2021 Sep 6;7:23337214211039974. doi: 10.1177/23337214211039974. eCollection 2021 Jan-Dec.

Abstract

The COVID-19 pandemic led to a state-imposed lockdown in the UK; there are many psychosocial consequences of pandemics, with older adults potentially at an increased risk. The current study assessed psychosocial functioning in a sample of older adults in the UK with baseline data collected pre-lockdown and follow-up 12 weeks later during lockdown. Thus, allowing investigation of the effect of COVID-19 and associated lockdown on psychosocial well-being. Thirty-five older adults (Mean age = 76.06, sex = 12 males) participated in this repeated measures study. A final follow-up was then conducted post-lockdown to capture any factors that were viewed as helpful to well-being during lockdown. From pre- to during lockdown, perceived stress, well-being, depressive symptoms, mood disturbance and memory were all significantly worsened. There were significant improvements in self-reported physical health symptoms, social interaction, time spent engaging in physical activity and certain aspects of relationship quality. Follow-up showed that well-being, depression and mood were still negatively affected post-lockdown. Given the sample were all 'healthy' at baseline in comparison to established norms, there may be greater impairment in more vulnerable populations. Support for older populations is needed to mitigate the negative effects shown, particularly in light of the endurance of some of these effects post-lockdown.

摘要

新冠疫情导致英国实施了国家强制封锁;疫情有许多心理社会影响,老年人可能面临更高风险。本研究评估了英国一组老年人的心理社会功能,在封锁前收集基线数据,并在封锁12周后的随访中收集数据。这样就可以调查新冠疫情及相关封锁对心理社会幸福感的影响。35名老年人(平均年龄 = 76.06岁,男性12名)参与了这项重复测量研究。然后在封锁后进行了最终随访,以找出在封锁期间被认为有助于幸福感的任何因素。从封锁前到封锁期间,感知压力、幸福感、抑郁症状、情绪障碍和记忆力均显著恶化。自我报告的身体健康症状、社交互动、进行体育活动的时间以及关系质量的某些方面有显著改善。随访显示,封锁后幸福感、抑郁和情绪仍受到负面影响。鉴于与既定标准相比,样本在基线时均“健康”,在更脆弱的人群中可能会有更大的损害。需要为老年人群体提供支持,以减轻所显示的负面影响,特别是考虑到其中一些影响在封锁后仍持续存在。

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