-
Something wrong with this record ?
Determinants of depressive symptoms increase in older persons during the COVID-19 pandemic: evidence from Czech cohort study using repeated assessments
A. Dalecká, H. Pikhart, A. Bartošková, N. Čapková, M. Bobák
Language English Country England, Great Britain
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
ProQuest Central
from 1979-06-01 to 6 months ago
Nursing & Allied Health Database (ProQuest)
from 1979-06-01 to 6 months ago
Health & Medicine (ProQuest)
from 1979-06-01 to 6 months ago
Psychology Database (ProQuest)
from 1979-06-01 to 6 months ago
Public Health Database (ProQuest)
from 1979-06-01 to 6 months ago
- MeSH
- COVID-19 * epidemiology MeSH
- Depression epidemiology MeSH
- Cohort Studies MeSH
- Humans MeSH
- Pandemics MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Check Tag
- Humans MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
BACKGROUND: Numerous studies reported higher levels of mental health issues during the COVID-19 pandemic but only a minority used repeated measurements. We investigated change in depressive symptoms in the Czech ageing cohort and the impact of pre-existing and COVID-19-related stressors. METHODS: We used data on 2853 participants (mean age 73.4 years) from the Czech part of the prospective Health, Alcohol and Psychosocial factors In Eastern Europe cohort that participated in postal questionnaire surveys before (September 2017-June 2018) and during the pandemic (October 2020-April 2021). Participants reported their depressive symptoms using the Centre for Epidemiological Studies-Depression Scale including 10 (CESD-10) tool. A principal component analysis (PCA) was used to create representative components of the pandemic-related stressors. The impact of the stressors on change in depressive symptoms was tested using multivariable linear regression, after adjustment for age and potential confounders. RESULTS: Three patterns of the pandemic-related stressors ('financial stressors', 'social and perception stressors' and 'death and hospitalisation stressors') were extracted from the PCA. The mean CESD-10 score increased from 4.90 to 5.37 (p<0.001). In fully adjusted models, significantly larger increases in depression score were reported by older people (β=0.052; p=0.006), those with poor self-rated health (β=0.170; p<0.001), those who experienced death or hospitalisation of a close person (β=0.064; p<0.001), social deprivation (β=0.057; p<0.001), delays in healthcare (β=0.048; p=0.005) and those who suffered from COVID-19 (β=0.045; p=0.008). CONCLUSION: This study confirms an increase in depressive symptoms in older persons during the pandemic and identified several pandemic-related risk factors suggesting that public health policies should address this vulnerable group by adopting the preventing strategies.
Department of Epidemiology and Public Health University College London London UK
National Institute of Public Health Prague Czech Republic
RECETOX Faculty of Science Masaryk University Brno Czech Republic
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc23004389
- 003
- CZ-PrNML
- 005
- 20241203102336.0
- 007
- ta
- 008
- 230418s2023 enk f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1136/jech-2022-219412 $2 doi
- 035 __
- $a (PubMed)36414404
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a enk
- 100 1_
- $a Dalecká, Andrea $u RECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic andrea.dalecka@recetox.muni.cz $1 https://orcid.org/0000000298087444 $7 xx0234974
- 245 10
- $a Determinants of depressive symptoms increase in older persons during the COVID-19 pandemic: evidence from Czech cohort study using repeated assessments / $c A. Dalecká, H. Pikhart, A. Bartošková, N. Čapková, M. Bobák
- 520 9_
- $a BACKGROUND: Numerous studies reported higher levels of mental health issues during the COVID-19 pandemic but only a minority used repeated measurements. We investigated change in depressive symptoms in the Czech ageing cohort and the impact of pre-existing and COVID-19-related stressors. METHODS: We used data on 2853 participants (mean age 73.4 years) from the Czech part of the prospective Health, Alcohol and Psychosocial factors In Eastern Europe cohort that participated in postal questionnaire surveys before (September 2017-June 2018) and during the pandemic (October 2020-April 2021). Participants reported their depressive symptoms using the Centre for Epidemiological Studies-Depression Scale including 10 (CESD-10) tool. A principal component analysis (PCA) was used to create representative components of the pandemic-related stressors. The impact of the stressors on change in depressive symptoms was tested using multivariable linear regression, after adjustment for age and potential confounders. RESULTS: Three patterns of the pandemic-related stressors ('financial stressors', 'social and perception stressors' and 'death and hospitalisation stressors') were extracted from the PCA. The mean CESD-10 score increased from 4.90 to 5.37 (p<0.001). In fully adjusted models, significantly larger increases in depression score were reported by older people (β=0.052; p=0.006), those with poor self-rated health (β=0.170; p<0.001), those who experienced death or hospitalisation of a close person (β=0.064; p<0.001), social deprivation (β=0.057; p<0.001), delays in healthcare (β=0.048; p=0.005) and those who suffered from COVID-19 (β=0.045; p=0.008). CONCLUSION: This study confirms an increase in depressive symptoms in older persons during the pandemic and identified several pandemic-related risk factors suggesting that public health policies should address this vulnerable group by adopting the preventing strategies.
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a senioři nad 80 let $7 D000369
- 650 12
- $a COVID-19 $x epidemiologie $7 D000086382
- 650 _2
- $a kohortové studie $7 D015331
- 650 _2
- $a deprese $x epidemiologie $7 D003863
- 650 _2
- $a pandemie $7 D058873
- 651 _2
- $a Česká republika $x epidemiologie $7 D018153
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a práce podpořená grantem $7 D013485
- 700 1_
- $a Pikhart, Hynek $u RECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic $u Department of Epidemiology and Public Health, University College London, London, UK
- 700 1_
- $a Bartošková, Anna $u RECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic $7 mub20241225433
- 700 1_
- $a Čapková, Naděžda $u National Institute of Public Health, Prague, Czech Republic
- 700 1_
- $a Bobák, Martin $u RECETOX, Faculty of Science, Masaryk University, Brno, Czech Republic $u Department of Epidemiology and Public Health, University College London, London, UK
- 773 0_
- $w MED00002661 $t Journal of epidemiology and community health $x 1470-2738 $g Roč. 77, č. 2 (2023), s. 101-107
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/36414404 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20230418 $b ABA008
- 991 __
- $a 20241203102332 $b ABA008
- 999 __
- $a ok $b bmc $g 1924836 $s 1190598
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2023 $b 77 $c 2 $d 101-107 $e 20221122 $i 1470-2738 $m Journal of epidemiology and community health $n J Epidemiol Community Health $x MED00002661
- LZP __
- $a Pubmed-20230418
