COVID-19 post-vaccination depression in older Israeli adults: the role of negative world assumptions

Greenblatt‐Kimron, Lee; Ben–Ezra, Menachem; Palgi, Yuval

doi:10.1017/gmh.2022.11

Cited by 6 publications

(8 citation statements)

References 24 publications

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“…Additionally, our results suggest that in comparison with those suffering from CPTSD with those who do not reach the PTSD cutoff level, married older adults reported higher levels of CPTSD. This finding was unexpected as previous research focusing on the benefits of marriage reported links between marriage with better mental health, including higher life satisfaction (Fu and Noguchi, 2016) and lower depression and anxiety (Purba and Fitriana, 2019). Nonetheless, the current findings may be understood in light of the pandemic era, whereby researchers questioned whether being married served as a buffer to the stresses and policies foisted by COVID-19 (Purba et al, 2021), as fear, worry, and fundamental existential survival became paramount, which may result in the loss of the essential support provided by marital bonding (Maiti et al, 2020).…”

Section: Discussionmentioning

confidence: 58%

Factors associated with ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder among older adults during the COVID-19 pandemic

Greenblatt‐Kimron¹,

Ben–Ezra²,

Shacham³

et al. 2023

Camb. prisms Glob. ment. health

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ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD have been understudied in the older population. The study focused on the associations between traumatic exposure before the pandemic, COVID-19 worries, depression, and loneliness with current PTSD and CPTSD among older adults. A random sample of five hundred and twelve Israeli older adults (Mage = 72.67 ± 3.81, range 68-87) was recruited using a Web-based survey company (Ipanel, Israel). Participants completed questionnaires of demographic details, self-rated health, COVID-19 worries, trauma exposure, depressive symptoms, level of loneliness, PTSD, and CPTSD. Univariate logistic regression revealed that trauma exposure, COVID-19 worries, depression, and loneliness were associated with PTSD. Multinomial regression revealed that only trauma exposure was associated with PTSD among older adults with PTSD compared with those not reaching the PTSD cutoff level. In the comparison between older adults suffering from CPTSD with those not reaching the PTSD cutoff level, being married, higher levels of trauma exposure, COVID-19 worries, depression, and loneliness were associated with a higher risk of CPTSD. Results suggest that specific factors may be significant psychological correlates of CPTSD symptoms among older adults during the COVID-19 pandemic. Identifying these factors could assist practitioners in tailoring more effective interventions. Impact statementPosttraumatic stress disorder (PTSD) and ICD-11 complex PTSD (CPTSD) are considered under-researched disorders in the older population, particularly factors associated with CPTSD in old age. This study is unique as it aims to provide insight into the differences between older adults suffering from PTSD with those suffering from CPTSD. The study focused on factors associated with current PTSD and CPTSD among older adults exposed to a traumatic event before the COVID-19 pandemic. This study differentiated between three groups of older adults at the end of the fifth wave of the COVID-19 pandemic in Israel: those with no diagnosis of PTSD, those who reached the PTSD cutoff, and those who exhibited CPTSD. Participants with PTSD reported higher levels of trauma exposure, COVID-19 worries, depression, and loneliness relative to those not reaching the PTSD cutoff level. Moreover, participants with CPTSD displayed higher levels of loneliness, COVID-19 worries, exposure to trauma, and depression relative to those not reaching the PTSD cutoff level. The study underscores that older adults suffering from trauma are at risk for adverse outcomes in the face of global disasters, such as the COVID-19 pandemic. Furthermore, there is a significant risk for those suffering from CPTSD, distinguishing them as particularly vulnerable to the adverse effects of global disasters. It seems that complex trauma is significantly more related to mental health factors among older adults, which has clinical implications for practitioners. The study highlights the need for further research in the field of CPTSD among older adults to enha...

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Section: Discussionmentioning

confidence: 58%

Factors associated with ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder among older adults during the COVID-19 pandemic

Greenblatt‐Kimron¹,

Ben–Ezra²,

Shacham³

et al. 2023

Camb. prisms Glob. ment. health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Older adults need to be encouraged/supported for increased physical activity and social engagements for their physical and mental health benefits. Studies of older adults in Brazil and Israel showed that depressive symptoms increased or still prevailed even after getting vaccinated ( Greenblatt-Kimron et al, 2022 ; Vidal Bravalhieri et al, 2022 ). Increased physical activity might also be an effective strategy for boosting antibody responses.…”

Section: Discussionmentioning

confidence: 99%

Older Adults’ Frequency of Going Outside during the COVID-19 Pandemic: Associations with Physical Distancing, Health Status, and Fall Risk Factors

2022

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Research shows significant health benefits of going outside in late life. Using the 2019 and 2020 National Health and Aging Trend Study and its 2020 COVID-19 supplemental survey ( N = 3,857, age 70+), we examined changes in the past-month frequency of going outside one’s home/building during the COVID-19 pandemic in 2020 compared to the same time in 2019. We found that 57.0% reported no change in the frequency of going outside, 32.0% went out less frequently, and 11.0% went out more frequently. Logistic regression models showed that decreased frequency was associated with higher frequency of going outside in 2019, avoidance of contact with those outside their household (AOR = 1.51, 95% CI = 1.10, 2.06), dementia diagnosis, mobility device use, self-rated health (AOR = .85, 95% CI = .75–.97), and being 90+ years of age, female, non-Hispanic Black or Hispanic, divorced/separated. Older adults are likely to benefit from going outside more often when they can safely do so.

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“…Links were reported between the COVID-19 pandemic and depression among older adults [ 2 ]. Older age was established as a threat for COVID-19 complications [ 2 ], with studies during the pandemic showing that older adults displayed depressive symptoms, anxiety [ 5 ], peritraumatic distress [ 6 ], post-traumatic stress disorder [ 7 ], and depression even after receiving the vaccination [ 8 ]. Moreover, a link was found between loneliness with depressed mood and increased use of antidepressant medication among older adults during the first COVID-19 lockdown in the UK [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Depressive symptoms are perilous to older adults’ overall health [ 4 ], with studies reporting links between the COVID-19 pandemic and depression in older adults [ 2 ]. Beck’s [ 11 ] cognitive developmental model of depression proposes that depressive symptoms embody negative interpretations of life events as demonstrated during the pandemic, with a relationship found between older adults holding negative world assumptions and a 4.4 times higher probability for clinical depressive symptoms than those with positive world assumptions [ 8 ]. Of particular significance to the current study, psychosocial resources, namely optimism and social support, were found to buffer depression among older adults during the pandemic [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Depression and Medicine Use among Older Adults during the COVID-19 Pandemic: The Role of Psychosocial Resources and COVID-19 Perceived Susceptibility

Greenblatt‐Kimron

Shinan-Altman

Alperin

et al. 2023

IJERPH

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A relationship was found between the COVID-19 pandemic and depression among older adults and between depressed mood and increased use of antidepressant medication among older adults during the pandemic. With the aim of broadening the understanding of these relationships, the study examined whether COVID-19 perceived susceptibility mediates the relationship between psychosocial resources (optimism and perceived social support) and depressive symptoms and medication use. Participants included 383 older adults (M = 71.75, SD = 6.77) reporting on socio-demographics, health characteristics, depression, optimism, social support, and COVID-19 perceived susceptibility. Medication use was retrieved from participants medical files. Lower optimism, lower social support, and higher COVID-19 perceived susceptibility were associated with greater depression, related with higher medication use. The findings emphasize the buffering effect of psychosocial resources on the adverse effects of depression affecting older adults during the COVID-19 pandemic, and consequently, the increased use of medication in this population. Practitioners should focus interventions on enhancing optimism and expanding social support among older adults. Moreover, interventions focused on alleviating depression among older adults should aim at improving perceptions of perceived susceptibility in the older population.

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COVID-19 post-vaccination depression in older Israeli adults: the role of negative world assumptions

Cited by 6 publications

References 24 publications

Factors associated with ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder among older adults during the COVID-19 pandemic

Factors associated with ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder among older adults during the COVID-19 pandemic

Older Adults’ Frequency of Going Outside during the COVID-19 Pandemic: Associations with Physical Distancing, Health Status, and Fall Risk Factors

Depression and Medicine Use among Older Adults during the COVID-19 Pandemic: The Role of Psychosocial Resources and COVID-19 Perceived Susceptibility

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