Depressive Symptoms and Coping Strategies in Community-Dwelling Older People Amidst the COVID-19 Pandemic: A Mixed-Method Study.

Autor: Cheung JC; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Liu T; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Lu S; Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong., Chui CH; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Leung DKY; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Au WSH; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Kwok WW; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong., Lum T; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.; Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong., Wong G; Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.; Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong.
Jazyk: angličtina
Zdroj: Journal of gerontological social work [J Gerontol Soc Work] 2022 Nov-Dec; Vol. 65 (8), pp. 866-882. Date of Electronic Publication: 2022 Apr 12.
DOI: 10.1080/01634372.2022.2061662
Abstrakt: This study aimed to examine depressive symptoms of community-dwelling older people amidst COVID-19 and explore how naturally occurring coping strategies were associated with depression. A mixed-method cross-sectional telephone survey was conducted with 375 older people aged 60 years and above between March and May 2020 in Hong Kong. Trained social workers interviewed participants and assessed depressive symptoms with the Patient Health Questionnaire-9 (PHQ-9). Attribute coding and thematic analysis were adopted for qualitative data analyses. Generalized linear models (GLM) were used to examine the effects of demographics, self-reported risk factors and coping strategies on PHQ-9 scores. Participants' average PHQ-9 score was 1.9 ( SD  = 2.9), suggesting a low risk for depression in general. Over half of the participants reported adaptive coping strategies, including learning new things, staying physically, mentally, and socially active, and having a positive mind-set. GLM results indicated that living with family members (other than spouse) and/or others, maladaptive coping, and self-reported risk factors were significantly associated with higher PHQ-9 scores, while adaptive coping was significantly associated with lower PHQ-9 scores. Our study contributed to the growing literature on older people's resilience and adaptive coping during the pandemic, and the results may have implications for mental health promotion and community care.
Databáze: MEDLINE