The mental health impact of the COVID-19 pandemic on older adults: a systematic review and meta-analysis.
Background Early in the COVID-19 pandemic, many experts pointed to potential adverse mental health effects for older adults. By contrast, many studies in young to middle-aged adults found older age to be associated with reduced mental burden. However, a systematic review on older adults is missing....
| Publicado en: | Age & Ageing Vol. 52; no. 9; pp. 1 - 13 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Sep2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=172443440&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 172443440 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Sep2023 vid: 52 iid: 9 pid: 622 pub: Oxford University Press / USA artinfo: ui: 172443440 10.1093/ageing/afad170 ppf: 1 ppct: 12 formats: tig: atl: The mental health impact of the COVID-19 pandemic on older adults: a systematic review and meta-analysis. aug: au: Schäfer, Sarah K Lindner, Saskia Kunzler, Angela M Meerpohl, Jörg J Lieb, Klaus affil: Leibniz Institute for Resilience Research , Mainz , Germany Department of Clinical Psychology, Psychotherapy and Diagnostics, Technische Universität Braunschweig , Braunschweig , Germany Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz , Mainz , Germany Institute for Evidence in Medicine, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg , Germany su: Sex distribution COVID-19 pandemic Psychological distress Old age Online information services Psychology information storage & retrieval systems Meta-analysis Confidence intervals Medical information storage & retrieval systems Systematic reviews Descriptive statistics MEDLINE sug: subj: Sex distribution COVID-19 pandemic Psychological distress Old age Online information services Psychology information storage & retrieval systems Meta-analysis Confidence intervals Medical information storage & retrieval systems Systematic reviews Descriptive statistics MEDLINE keyword: COVID-19 mental health meta-analysis old age older adults older people systematic review COVID-19 mental health meta-analysis old age older adults older people systematic review ab: Background Early in the COVID-19 pandemic, many experts pointed to potential adverse mental health effects for older adults. By contrast, many studies in young to middle-aged adults found older age to be associated with reduced mental burden. However, a systematic review on older adults is missing. Objectives To comprehensively assess the pandemic's mental health impact on older adults. Data sources We searched nine databases from December 2019 to April 2022. Study selection We included longitudinal and repeated cross-sectional studies assessing pre- and/or peri-pandemic mental distress and/or positive mental health indicators (e.g. wellbeing) on at least two occasions. Data synthesis We identified 108 studies comprising 102,136 participants (≥60 years). After removal of outliers, there was a small increase in mental distress from pre-to-peri-pandemic assessments, standardised mean difference (SMD) = 0.10, 95% confidence interval (CI) [0.01, 0.18]. Furthermore, a small peri-pandemic decrease in anxiety symptoms was observed, whereas other symptoms remained unchanged. For positive mental health indicators, wellbeing and quality of life showed an initial decrease, whereas overall positive mental health increased during the pandemic, SMD = 0.08, 95% CI [0.01, 0.15]. Being female was related to larger peri-pandemic increases in mental distress. Conclusions Based on many studies, this review demonstrated small decreases in mental health during early stages of the pandemic in older adults, with evidence for later recovery. These findings are similar to those for younger adults and correct earlier claims that older adults are at particular risk for negative mental health consequences. The results ask for further research into resilience and adaptation processes in older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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