Joseph Letha Mullamkuzhy
Nurse Practitioner, Geriatric Research Education and Clinical Center, Durham VA Healthcare System, Durham, NC 27705, United States.
World J Virol. 2022 May 25;11(3):129-136. doi: 10.5501/wjv.v11.i3.129.
Older adults faced unique challenges in the pandemic due to their increased vulnerability to coronavirus disease 2019 (COVID-19) and its complications. Pandemic-related restrictions such as physical distancing, stay-at-home orders, lock-down, and mandatory face cover affected older adults in unique ways. Additionally, older adults experienced psychosocial concerns related to discrimination based on ageism and emotional distress from exposure to conflicting messages in the media. They experienced several forms of loss and associated grief and survivor guilt. Pandemic added to their loneliness and social isolation. Furthermore, older adults experienced the fear and anxiety related to COVID and the fear of contracting the disease and dying from it. Pandemic experience included events potential to generate the desire and capability for suicide. Several studies report varying symptoms such as loneliness, anxiety, and depression among older adults during the pandemic. However, during the initial months of the pandemic, there were reports on coping and resilience among this population. The impact of COVID-19 on older adults' mental health may have long-term implications. This narrative review examines the impact of COVID-19 on older adults' mental health and psychosocial wellbeing. Additionally, the review highlights various factors that affected their psychosocial wellbeing during the COVID-19 pandemic.
由于老年人对2019冠状病毒病(COVID-19)及其并发症的易感性增加,他们在疫情中面临着独特的挑战。与疫情相关的限制措施,如保持社交距离、居家令、封锁和强制佩戴口罩,对老年人产生了独特的影响。此外,老年人还经历了与年龄歧视相关的社会心理问题,以及因接触媒体中相互矛盾的信息而产生的情绪困扰。他们经历了多种形式的丧失以及相关的悲伤和幸存者内疚感。疫情加剧了他们的孤独感和社会隔离。此外,老年人还经历了与COVID相关的恐惧和焦虑,以及感染该疾病并因此死亡的恐惧。疫情经历包括一些有可能引发自杀欲望和能力的事件。几项研究报告了疫情期间老年人出现的各种症状,如孤独、焦虑和抑郁。然而,在疫情最初的几个月里,有报道称这一人群具有应对能力和恢复力。COVID-19对老年人心理健康的影响可能具有长期意义。这篇叙述性综述探讨了COVID-19对老年人心理健康和社会心理福祉的影响。此外,该综述还强调了在COVID-19大流行期间影响他们社会心理福祉的各种因素。