Sancassiani Federica, Cossu Giulia, Cantone Elisa, Romano Ferdinando, Perra Alessandra, Urban Antonio, Pinna Samantha, Del Giacco Stefano, Littera Roberto, Firinu Davide, Chessa Luchino, Tramontano Enzo, Nardi Antonio Egidio, Carta Mauro Giovanni
Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Department of Public Health and Infectious Diseases, University of Rome "La Sapienza", 00185 Roma, Italy.
J Clin Med. 2024 Mar 29;13(7):2005. doi: 10.3390/jcm13072005.
: The disruption of social rhythms was found to be associated with depressive disorders during the COVID-19 pandemic; lower rates of these disorders were surprisingly found in old adults. The present study aims to verify the stability of social rhythms during lockdown in a sample of elderly people. : Controlled cohort study (secondary analyses) of a previous randomized-controlled trial with the first evaluation in April 2019 (T0) and then 48 weeks later (T1) during the lockdown. The regulation of social and behavioral rhythms was measured through the Brief Social Rhythms Scale (BSRS); the Patient Health Questionnaire-9 (PHQ9) was adopted to detect relevant depressive symptoms. : 93 elderlies (73.36 ± 4.97 years old, 50.5% females) were evaluated at T0 and T1. Neither the total score of BSRS nor any of the 10 items showed a statistically significant difference comparing the two survey periods. The frequency of relevant depressive symptoms was 5.3% at T0 and 6.4% at T1 (OR = 0.8, CI95% 0.2-24). : Among elderlies who did not show an increased risk of depression during the lockdown, social and behavioral rhythms remained exceptionally stable during the same period. Considering previous evidence about rhythms dysregulation preceding depression, their stability may be considered a factor of resilience.
研究发现，在新冠疫情期间，社会节奏的紊乱与抑郁症有关；令人惊讶的是，老年人中这些疾病的发病率较低。本研究旨在验证老年人群样本在封锁期间社会节奏的稳定性。：对一项先前的随机对照试验进行对照队列研究（二次分析），该试验于2019年4月进行首次评估（T0），然后在封锁期间48周后（T1）进行评估。通过简短社会节奏量表（BSRS）测量社会和行为节奏的调节情况；采用患者健康问卷-9（PHQ9）来检测相关的抑郁症状。：在T0和T1对93名老年人（73.36±4.97岁，50.5%为女性）进行了评估。比较两个调查时期，BSRS的总分以及10个项目中的任何一项均未显示出统计学上的显著差异。相关抑郁症状的发生率在T0时为5.3%，在T1时为6.4%（OR=0.8，95%CI 0.2-24）。：在封锁期间未表现出抑郁症风险增加的老年人中[此处原文elderlies表述有误，应为elderly people]，社会和行为节奏在同一时期保持异常稳定。考虑到先前关于抑郁症之前节奏失调的证据，它们的稳定性可被视为一种恢复力因素。
