The Association of Age With Depression, Anxiety, and Posttraumatic Stress Symptoms During the COVID-19 Pandemic in Spain: The Role of Loneliness and Prepandemic Mental Disorder
| Autor: | Aina Gabarrell-Pascuet, Ai Koyanagi, Mireia Felez-Nobrega, Paula Cristóbal-Narváez, Philippe Mortier, Gemma Vilagut, Beatriz Olaya, Jordi Alonso, Josep Maria Haro, Joan Domènech-Abella |
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| Rok vydání: | 2022 |
| Předmět: |
COVID-19 = coronavirus disease 2019
GAD = generalized anxiety disorder Depression Loneliness Posttraumatic stress disorder COVID-19 Major depressive disorder Anxiety PCL5 = PTSD Checklist for DSM-5 Stress Disorders Post-Traumatic Psychiatry and Mental health Age Generalized anxiety disorder Cross-Sectional Studies Spain PHQ = Patient Health Questionnaire Depression Scale Humans PTSD = posttraumatic stress disorder MDD = major depressive disorder Pandemics Applied Psychology Aged |
| Zdroj: | Psychosomatic medicine. 85(1) |
| ISSN: | 1534-7796 |
| Popis: | Objective: Older adults may be at lower risk of common mental disorders than younger adults during the coronavirus disease 2019 (COVID-19) pandemic. Previous research has shown shown differences by age in psychosocial well-being during the pandemic and have highlighted the moderating effect of prepandemic mental disorders on that association. In this line, we examined the association of age with self-reported symptoms of loneliness, depression, anxiety, and posttraumatic stress, as well as potential roles of loneliness symptoms and prepandemic mental disorders on the association between age and mental disorder symptoms. Methods: Cross-sectional data of 2000 adults in Spain interviewed by telephone during the COVID-19 pandemic (February-March 2021) were analyzed. Depression, anxiety, and posttraumatic stress were measured with the eight-item Patient Health Questionnaire, the seven-item Generalized Anxiety Disorder Scale, and the four-item checklist for Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition), respectively. Loneliness was measured with the three-item University of California at Los Angeles Loneliness Scale. Several regression models were constructed to assess factors related to loneliness and mental disorders. Results: According to cutoff points used, 12.4% of participants revealed depression, 11.9% revealed anxiety, and 11.6% revealed posttraumatic stress. Age was negatively related to mental disorder symptoms and loneliness. Loneliness was associated with higher levels of mental disorder symptoms. This association was stronger in younger adults without prepandemic mental disorders and in older adults with them. The association between age and loneliness was stronger in those with prepandemic mental disorders. Loneliness mediated the association of age with mental disorder symptoms. Conclusions: Interventions focused on loneliness could alleviate the impact of the COVID-19 pandemic on mental health. This work was supported by the Instituto de Salud Carlos III (ISCIII), Ministry of Science, Innovation and Universities, Government of Spain (MCIU), (grant number COV20/00711). Philippe Mortier has a Sara Borrell research contract awarded by the ISCIII (CD18/00049). Aina Gabarrell-Pascuet’s work is supported by the Secretariat of Universities and Research of the Generalitat de Catalunya and the European Social Fund (2021 FI_B 00839). Joan Domènech-Abella has a ‘Juan de la Cierva’ research contract awarded by the MCIU (FJC2019-038955-I). His work is also supported by the Centro de Investigación Biomédica Red de Salud Mental (CIBERSAM) and the PGC2018-094324-B-I00 research project, funded by the MCIU, the State Research Agency (AEI), and the European Regional Development Fund (ERDF). |
| Databáze: | OpenAIRE |
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