Salud Mental

Social connections and depressive symptoms among older adults during the initial lockdown period for COVID-19

##plugins.themes.bootstrap3.article.main##

Sara Estefania Solis-López
Virgilio Hernández-Ruiz
Hélène Amieva
Jose Alberto Avila-Funes

Abstract

Introduction. Little information from developing countries during the first lockdown for COVID-19 is available. We hypothesized that the use of communication tools, and not living alone would provide a protective effect against DS.

Objective. To determine the association between social connections and depressive symptoms (DS) during the first lockdown period among Mexican community-dwelling older adults.

Method. Cross-sectional phone survey including 269 participants aged 65 years or older. Participants were asked about their social connections and the presence of DS during the first lockdown for COVID-19.

Results. Mean age was 83.2 (SD = 6.7). Compared with those without DS, those with DS reported a greater number of phone calls or videocalls although this was not statistically significant. However, when stratifying by housing situation, only the participants who lived alone and that received less calls from friends had more DS (p = .04).

Discussion and conclusion. Living alone allowed the participants not to have much contact with family and this caused friends to represent the most important social relationship outside the home. We hypothesize that the means to stay socially active for older adults in Latin America are different and have a different impact. Because, DS only were present among the participants who reported living alone and having fewer calls from friends during the confinement period.
Keywords:
Depressive symptoms, COVID-19, social connections, older adults

References

Bethlehem, J. (2010). Selection bias in web surveys. International Statistical Review, 78(2), 161-188. doi: 10.1111/j.1751-5823.2010.00112.x

Birt, L., Griffiths, R., Charlesworth, G., Higgs, P., Orrell, M., Leung, P., & Poland, F. (2020). Maintaining Social Connections in Dementia: A Qualitative Synthesis. Qualitative Health Research, 30(1), 23-42. doi: 10.1177/1049732319874782

Bonsaksen, T., Thygesen, H., Leung, J., Ruffolo, M., Schoultz, M., Price, D., & Østertun Geirdal, A. (2021). Video-Based Communication and Its Association with Loneliness, Mental Health and Quality of Life among Older People during the COVID-19 Outbreak. International Journal of Environmental Research and Public Health, 18(12), 6284. doi: 10.3390/ijerph18126284

Buenaventura, R. D., Ho, J. B., & Lapid, M. I. (2020). COVID-19 and mental health of older adults in the Philippines: a perspective from a developing country. International Psychogeriatrics, 32(10), 1129-1133. doi: 10.1017/S1041610220000757

Cipolleta, S., & Gris, F. (2021). Older People’s Lived Perspectives of Social Isolation during the First Wave of the COVID-19 Pandemic in Italy. International Journal of Environmental Research and Public Health, 18(22), 11832. doi: 10.3390/ ijerph182211832

Fraser, S., Lagacé, M., Bongué, B., Ndeye, N., Guyot, J., Bechard, L., … Tougas, F. (2020). Ageism and COVID-19: what does our society's response say about us?. Age Ageing, 49(5), 692-695. doi: 10.1093/ageing/afaa097

Hernández-Ruiz, V., Meillon, C., Avila-Funes, J.-A, Bergua, V., Dartigues, J.-F., Koleck, M., … Amieva, H. (2021). Older Adults and the COVID-19 Pandemic, What About the Oldest Old? The PACOVID Population-Based Survey. Frontiers in Psychiatry, 12, 711583. doi: 10.3389/fpsyt.2021.711583

Ibarra-Nava, I., Cardenas-de la Garza, J. A., Ruiz-Lozano, R. E., & Salazar-Montalvo, R. G. (2020). Mexico and the COVID-19 Response. Disaster Medicine and Public Health Preparedness, 14(4), e17-e18. doi: 10.1017/dmp.2020.260

Käll, A., Jägholm, S., Hesser, H., Andersson, F., Mathaldi, A., Norkvist, B. T., … Andersson, G. (2020). Internet-Based Cognitive Behavior Therapy for Loneliness: A Pilot Randomized Controlled Trial. Behavior Therapy, 51(1), 54-68. doi: 10.1016/j.beth.2019.05.001

Kinsella, K., Velkoff, V. A., & U.S. Census Bureau, (2002). Living arrangements. Aging Clinical and Experimental Research, 14(6), 431-438. doi: 10.1007/bf03327344

Navarrete-Reyes, A. P., & Avila-Funes, J. A. (2020). Staying in a Burning House: Perks and Perils of a Hotline in the Times of COVID-19. Journal of the American Geriatrics Society, 68(5), E10-E11. doi: 10.1111/jgs.16479

Noone, C., McSharry, J., Smalle, M., Burns, A., Dwan, K., Devane, D., & Morrisey, E. C. (2020). Video calls for reducing social isolation and loneliness in older people: a rapid review. Cochrane Database of Systematic Reviews, 5, (5), CD013632. doi: 10.1002/14651858.CD013632

Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. doi: 10.1177/014662167700100306

Robb, C. E., Jager, C. A., Ahmadi-Abhari, S., Giannakopoulou, P., Udeh-Momoh, C., McKeand, J., … Middleton, L. (2020). Associations of Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults in London, UK. Frontiers in Psychiatry, 11, 591120. doi: 10.3389/fpsyt.2020.591120

Röhr, S., Reininghaus, U., & Riedel-Heller, S. G. (2020). Mental wellbeing in the German old age population largely unaltered during COVID- 19 lockdown: results of a representative survey. BMC Geriatrics, 20(1),489. doi: 10.1186/s12877-020-01889-x

Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., … Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health, 5(1), e62-e70. doi: 10.1016/S2468-2667(19)30230-0

Stevic, A., Schmuck, D., Matthes, J., & Karsay, K. (2021). ‘Age Matters’: A panel study investigating the influence of communicative and passive smartphone use on well-being. Behaviour & Information Technology, 40(2), 176-190. doi: 10.1080/0144929X.2019.1680732

Tanskanen, J., & Anttila, T. (2016). A Prospective Study of Social Isolation, Loneliness, and Mortality in Finland. American Journal of Public Health, 106(11), 2042-2048. doi: 10.2105/AJPH.2016.303431

Tyler, C. M., McKee, G. B., Alzueta, E., Perrin, P. B., Kingsley, K., Baker, F. C., & Arango-Lasprilla, J. C. (2021). A Study of Older Adults' Mental Health across 33 Countries during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 18(10), 5090. doi: 10.3390/ijerph18105090

van Tilburg, T. G., Steinmetz, S., Stolte, E., van der Roest, H., & de Vries, D. H. (2021). Loneliness and mental health during the COVID-19 pandemic: A study among Dutch older adults. The Journals of Gerontology, 76(7), e249-e255. doi: 10.1093/geronb/gbaa111

World Health Organization. (2020). Mental health and psychosocial considerations during the COVID-19 outbreak. World Health Organization.