Urazan Juan Camilo, Padilla Nubia Esperanza, Borda Miguel German, Pinilla Jonnathan, Fernandez Marcelo Abraham Gaete, Fan Marcela Veliz
Corporación Universitaria Iberoamericana, BOGOTA, Colombia.
Universidad Manuela Beltran, BOGOTA, Colombia.
Alzheimers Dement. 2021 Dec;17 Suppl 12(Suppl 12):e058652. doi: 10.1002/alz.058652.
Ending December 2019, the world had to face to COVID-19. Latin America and the Caribbean suffered the effects where the contiguous and the number of deaths has been significant. Studies indicate that older adults with some degree of cognitive impairment are at greater risk of worsening their cognitive status and mental health, for this reason it's exposed that social isolation and loneliness has harmful effects on the health of this population. This mini-review inquires on the effects of COVID-19 due to social isolation on neuropsychiatric symptoms (NPS) in Latin American older adults with and without dementia.
A search was carried out in PubMed, SCOPUS, and ScienceDirect identifying all articles published up to July 31, 2021 using the keywords "social isolation", "lockdown", "quarantine", "COVID-19",, "neuropsychiatric symptoms ", "neurobehavioral", "dementia"," mild cognitive impairment "," Older People ", "aging", "elderly". Two independent reviewers screened and selected appropriate articles and a third researcher helped resolve disagreements. The selected articles met the following criteria: written in English, Spanish or Portuguese, original article; focused on elderly subjects, articles that provided information on the NPS effects in Latin American populations during the COVID-19 pandemic. The review was based on the PRISMA Statement and used the SIGN criteria.
From 61 articles recovered from electronic databases (PubMed, Science Direct and Scopus) 10 of them were chosen for this review. The majority of the articles reported in a general way a negative impact on the mental health of the population in Latin America. They referred to a significant increase in the anxiety and depression symptoms. The majority of the articles were studies developed in Brazil, Argentina and Chile.
The COVID-19 has shown a negative impact on the mental health of older adults. Latin America is a region with important socio-sanitary problems which increase the impact of the pandemic in SNP, especially in older adults. It's necessary to increase the studies in Latin America that glimpse the real situation in the region.
截至2019年12月，全球不得不面对新冠疫情。拉丁美洲和加勒比地区受到了影响，感染人数和死亡人数众多。研究表明，患有某种程度认知障碍的老年人更有可能使其认知状况和心理健康恶化，因此，有证据表明社会隔离和孤独对这一人群的健康有有害影响。本综述探讨了新冠疫情导致的社会隔离对拉丁美洲患有和未患痴呆症的老年人神经精神症状（NPS）的影响。
在PubMed、SCOPUS和ScienceDirect数据库中进行检索，使用关键词“社会隔离”“封锁”“隔离”“新冠疫情”“神经精神症状”“神经行为”“痴呆症”“轻度认知障碍”“老年人”“老龄化”“老年”，检索截至2021年7月31日发表的所有文章。两名独立评审员筛选并选择合适的文章，第三名研究人员协助解决分歧。入选文章符合以下标准：用英语、西班牙语或葡萄牙语撰写的原创文章；关注老年受试者，提供新冠疫情期间拉丁美洲人群中NPS影响信息的文章。本综述基于PRISMA声明并采用SIGN标准。
从电子数据库（PubMed、ScienceDirect和Scopus）检索到的61篇文章中，挑选出10篇用于本综述。大多数文章总体上报告了对拉丁美洲人群心理健康的负面影响。它们提到焦虑和抑郁症状显著增加。大多数文章是在巴西、阿根廷和智利开展的研究。
新冠疫情对老年人的心理健康产生了负面影响。拉丁美洲是一个存在重要社会卫生问题的地区，这增加了疫情在神经精神症状方面的影响，尤其是对老年人。有必要增加在拉丁美洲开展的研究，以了解该地区的实际情况。
