Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany.
Health and Ageing Research Team (HART), School of Psychology, Massey University, Palmerston North 4474, New Zealand.
Int J Environ Res Public Health. 2023 Feb 8;20(4):2975. doi: 10.3390/ijerph20042975.
Our study aims to examine the associations of sociodemographic factors, social support, resilience, and perceptions of the COVID-19 pandemic with late-life depression and anxiety symptoms in a cardiovascular risk group and a matched sample from the German general population during the beginning of the pandemic and draw a comparison regarding psychosocial characteristics. Data of = 1236 participants (aged 64-81 years) were analyzed, with = 618 participants showing a cardiovascular risk profile, and = 618 participants from the general population. The cardiovascular risk sample had slightly higher levels of depressive symptoms and felt more threatened by the virus due to pre-existing conditions. In the cardiovascular risk group, social support was associated with less depressive and anxiety symptoms. In the general population, high social support was associated with less depressive symptoms. Experiencing high levels of worries due to COVID-19 was associated with more anxiety in the general population. Resilience was associated with less depressive and anxiety symptoms in both groups. Compared to the general population, the cardiovascular risk group showed slightly higher levels of depressive symptomatology even at the beginning of the pandemic and may be supported by addressing perceived social support and resilience in prevention programs targeting mental health.
我们的研究旨在探讨社会人口因素、社会支持、韧性以及对 COVID-19 大流行的看法与心血管风险人群和德国一般人群中与大流行初期的老年抑郁和焦虑症状的关联，并就心理社会特征进行比较。共分析了 = 1236 名参与者（年龄 64-81 岁）的数据，其中 = 618 名参与者具有心血管风险特征， = 618 名参与者来自一般人群。心血管风险样本的抑郁症状水平略高，由于存在先前存在的疾病，他们感到病毒的威胁更大。在心血管风险组中，社会支持与较少的抑郁和焦虑症状相关。在一般人群中，较高的社会支持与较少的抑郁症状相关。由于 COVID-19 而产生的高度担忧与一般人群中的更多焦虑相关。在两组中，韧性与较少的抑郁和焦虑症状相关。与一般人群相比，即使在大流行初期，心血管风险组的抑郁症状水平也略高，针对心理健康的预防计划可以通过解决感知到的社会支持和韧性来为其提供支持。
