The Impact of COVID‑19 Pandemic on Older People Mental Health
DOI:
https://doi.org/10.51338/rppsm.253Keywords:
COVID-19, Pandemic, Mental Health, SARS‑CoV‑2, AgedAbstract
Since the disease caused by the SARS‑CoV‑2 virus was declared a pandemic by the World Health Organization, countries around the globe adopted measures of social distancing to limit the spread of the virus. Although social distancing measures are essential preventive mechanisms, they can promote feelings of loneliness and influence the onset or exacerbation of psychiatric disorders. Current knowledge about the impact of COVID‑19 on mental health – and specifically on mental health of the geriatric population ‑ is still scarce. With this non‑systematic review of literature we intend to analyze the impact of COVID‑19 pandemic, especially the containment measures enacted, on elderly’s mental health; we also aim to review measures that can mitigate this impact. There will probably be an increase in mental disorders as a result of the pandemic witch may be particularly relevant in the elderly. Recommendations to maintain the physical and mental health of the elderly have been suggested, focusing on non‑pharmacological measures.Downloads
References
Grolli RE, Mingoti ME, Bertollo AG, Luzardo AR, Quevedo J, Réus GZ, et al. Impact of COVID‑19 in the mental health in elderly: psychological and biological updates. Mol Neurobiol. 2021;58:1905–16. doi: 10.1007/s12035‑020‑02249‑x.
Moccia F, Gerbino A, Lionetti V, Miragoli M, Munaron LM, Pagliaro P, et al. COVID‑19‑associated cardiovascular morbidity in older adults: a position paper from the Italian Society of Cardiovascular Researches. Geroscience. 2020;42:1021–49. doi: 10.1007/s11357‑020‑00198‑w.
Fontes WH, Júnior JG, de Vasconcelos CA, da Silva CG, Gadelha MS. Impacts of the SARS‑CoV‑2 pandemic on the mental health of the elderly. Front Psychiatry. 2020;11:841. doi: 10.3389/fpsyt.2020.00841.
Wong SYS, Zhang D, Sit RWS, Yip BHK, Chung RY, Wong CKM, et al. Impact of COVID‑19 on loneliness, mental health, and health service utilisation: a prospective cohort study of older adults with multimorbidity in primary care. Br J Gen Pract. 2020;70:e817–24. doi: 10.3399/bjgp20X713021.
World Health Organization. Mental Health of older adults. 2017. [accessed June 2021] Available at: https:// www.who.int/en/news‑room/fact‑sheets/detail/mental‑health‑of‑older‑adults.
Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396:413–46. doi: 10.1016/S0140‑6736(20)30367‑6.
Gonçalves‑Pereira M, Prina AM, Cardoso AM, da Silva JA, Prince M, Xavier M. The prevalence of late‑life depression in a Portuguese community sample: A 10/66 Dementia Research Group study. J Affect Disord. 2019;246:674–81. doi: 10.1016/j.jad.2018.12.067.
Gonçalves‑Pereira M, Verdelho A, Prina M, Marques MJ, Xavier M. How Many People Live with Dementia in Portugal? A Discussion Paper of National Estimates. Port J Public Health. 2021;39:58–68. 9. Mukhtar S. Psychological impact of COVID‑19 on older adults. Curr Med Res Pract. 2020;10:201. doi: 10.1016/j.cmrp.2020.07.016.
Friedler B, Crapser J, McCullough L. One is the deadliest number: the detrimental effects of social isolation on cerebrovascular diseases and cognition. Acta Neuropathol. 2015;129:493–509.
Lee EE, Depp C, Palmer BW, Glorioso D, Daly R, Liu J, et al. High prevalence and adverse health effects of loneliness in community‑dwelling adults across the lifespan: role of wisdom as a protective factor. Int Psychogeriatrics. 2019;31:1447–62. doi: 10.1017/S1041610218002120.
Vahia IV, Jeste DV, Reynolds CF. Older adults and the mental health effects of COVID‑19. JAMA. 2020:324;2253–4. doi: 10.1001/jama.2020.21753.
García‑Portilla P, de la Fuente Tomás L, Bobes‑Bascarán T, Jiménez Treviño L, Zurrón Madera P, Suárez Álvarez M, et al. Are older adults also at higher psychological risk from COVID‑19? Aging Ment Health. 2021;25:1297‑304. doi: 10.1080/13607863.2020.1805723.
Klaiber P, Wen JH, DeLongis A, Sin NL. The ups and downs of daily life during COVID‑19: Age differences in affect, stress, and positive events. J Gerontol B Psychol Sci Soc Sci. 2021; 76:e30‑e37. doi: 10.1093/geronb/gbaa096.
Van Tilburg TG, Steinmetz S, Stolte E, van der Roest H, de Vries DH. Loneliness and mental health during the COVID‑19 pandemic: A study among Dutch older adults. J Gerontol B Psychol Sci Soc Sci. 2021;76:e249–55. doi: 10.1093/geronb/gbaa111.
Röhr S, Reininghaus U, Riedel‑Heller SG. Mental wellbeing in the German old age population largely unaltered during COVID‑19 lockdown: results of a representative survey. BMC Geriatr. 2020;20:489 doi: 10.1186/s12877‑020‑01889‑x.
de Almeida TC, Heitor MJ, Santos O, Costa A, Virgolino A, Rasga C, et al. Relatório Final: SM‑Covid19–Saúde Mental em Tempos de Pandemia. Lisboa, Inst Nac Saúde Doutor Ricardo Jorge. 2020. [accessed June 2021] Available at: http://hdl.handle.net/10400.18/7245
Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID‑19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7:547–60. doi: 10.1016/S2215‑0366(20)30168‑1.
Sepúlveda‑Loyola W, Rodríguez‑Sánchez I, Pérez‑Rodríguez P, Ganz F, Torralba R, Oliveira DV, et al. Impact of Social Isolation Due to COVID‑19 on Health in Older People: Mental and Physical Effects and Recommendations. J Nutr Health Aging. 2020;24:938–47. doi: 10.1007/s12603‑020‑1469‑2.
Creese B, Khan Z, Henley W, O’Dwyer S, Corbett A, Da Silva MV, et al. Loneliness, physical activity, and mental health during COVID‑19: a longitudinal analysis of depression and anxiety in adults over the age of 50 between 2015 and 2020. Int Psychogeriatrics. 2021;33:505–14. doi: 10.1017/S1041610220004135.
Rios‑González CM, Palacios JM. Symptoms of anxiety and depression during the outbreak of COVID‑19 in Paraguay 2020. In: SciELO Preprints. https://doi.org/10.1590/SciELOPreprints.152
Meng H, Xu Y, Dai J, Zhang Y, Liu B, Yang H. Analyze the psychological impact of COVID‑19 among the elderly population in China and make corresponding suggestions. Psychiatry Res. 2020;289:112983. doi: 10.1016/j.psychres.2020.112983.
Yildirim H, Işik K, Aylaz R. The effect of anxiety levels of elderly people in quarantine on depression during covid‑19 pandemic. Soc Work Public Health. 2021;36:194‑204. doi: 10.1080/19371918.2020.1868372.
Robbins R, Weaver MD, Czeisler MÉ, Barger LK, Quan SF, Czeisler CA. Associations between changes in daily behaviors and self‑reported feelings of depression and anxiety about the COVID‑19 pandemic among older adults. J Gerontol B Psychol Sci Soc Sci. 2021:gbab110. doi: 10.1093/geronb/gbab110.
Draper BM. Suicidal behaviour and suicide prevention in later life. Maturitas. 2014; 79: 179‑83.
Santini ZI, Jose PE, Cornwell EY, Koyanagi A, Nielsen L, Hinrichsen C, et al. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020;5:e62–70. doi: 10.1016/S2468‑2667(19)30230‑0.
Wand APF, Zhong BL, Chiu HFK, Draper B, De Leo Di. COVID‑19: The implications for suicide in older adults. Int Psychogeriatrics. 2020;32:1225–30. doi: 10.1017/S1041610220000770.
Pirkis J, John A, Shin S, DelPozo‑Banos M, Arya V, Analuisa‑Aguilar P, et al. Suicide trends in the early months of the COVID‑19 pandemic: an interrupted time‑series analysis of preliminary data from 21 countries. Lancet Psychiatry. 2021;8:579–88. doi: 10.1016/S2215‑0366(21)00091‑2.
Eguchi A, Nomura S, Gilmour S, Harada N, Sakamoto H, Ueda P, et al. Suicide by gender and 10‑year age groups during the COVID‑19 pandemic vs previous five years in Japan: An analysis of national vital statistics. Psychiatry Res. 2021;305:114173. doi: 10.1016/j.psychres.2021.114173.
Louie LLC, Chan W‑C, Cheng CPW. Suicidal risk in older patients with depression during COVID‑19 pandemic: A case‑control study. East Asian Arch Psychiatry. 2021;31:3–8.
Sarangi A, Fares S, Eskander N. Suicide trends in the elderly during the ongoing COVID‑19 Pandemic‑A public health urgency. Southwest Respir Crit Care Chronicles. 2021;9:31–6.
Iodice F, Cassano V, Rossini PM. Direct and indirect neurological, cognitive, and behavioral effects of COVID‑19 on the healthy elderly, mild‑cognitive‑impairment, and Alzheimer’s disease populations. Neurol Sci. 2021;42:455‑65. doi: 10.1007/s10072‑020‑04902‑8.
CDC Coronavirus Disease 2019 (COVID‑19)‑prevention & treatment. Centers for Diseases Control and Prevention. [accessed March 2021] Available at: https://www.cdc.gov/coronavirus/2019‑ncov/need‑extra‑precautions/caregivers‑dementia.html.
Curelaru A, Marzolf SJ, Provost JK, Zeon HH. Social isolation in dementia: the effects of COVID‑19. J Nurse Pract. 2021; 17:950‑3. doi: 10.1016/j.nurpra.2021.05.002.
Inouye SK. The importance of delirium and delirium prevention in older adults during lockdowns. JAMA. 2021;325:1779–80. doi: 10.1001/jama.2021.2211.
Stafford J, Howard R, Dalman C, Kirkbride JB. The incidence of nonaffective, nonorganic psychotic disorders in older people: a population‑based cohort study of 3 million people in Sweden. Schizophr Bull. 2019;45:1152–60. doi: 10.1093/schbul/sby147.
Brown E, Gray R, Monaco S Lo, O’Donoghue B, Nelson B, Thompson A, et al. The potential impact of COVID‑19 on psychosis: a rapid review of contemporary epidemic and pandemic research. Schizophr Res. 2020;222:79–87. doi: 10.1016/j.schres.2020.05.005.
Deshpande S, Livingstone A. First- onset psychosis in older adults: social isolation influence during COVID pandemic–a UK case series. Prog Neurol Psychiatry. 2021;25:14–8.
Lee K, Jeong GC, Yim J. Consideration of the psychological and mental health of the elderly during COVID‑19: A theoretical review. Int J Environ Res Public Health. 2020;17:8098. doi: 10.3390/ijerph17218098.
Solmi M, Estradé A, Thompson T, Agorastos A, Radua J, Cortese S, et al. The collaborative outcomes study on health and functioning during infection times in adults (COH‑FIT‑Adults): Design and methods of an international online survey targeting physical and mental health effects of the COVID‑19 pandemic. J Affect Disord. 2022;299:393–407. doi: 10.1016/j.jad.2021.07.048.
