Psychological Well-Being of Older Adults With Cognitive Deterioration During Quarantine: Preliminary Results From the GeroCovid Initiative

Coin, Alessandra; Devita, Maria; Trevisan, Caterina; Biasin, Francesca; Terziotti, Camilla; Signore, Susanna Del; Fumagalli, Stefano; Gareri, Pietro; Mossello, Enrico; Volpato, Stefano; Monzani, Fabio; Bellelli, Giuseppe; Zia, Gianluca; Ranhoff, Anette Hylen; Incalzi, Raffaele Antonelli

doi:10.3389/fmed.2021.715294

Cited by 7 publications

(23 citation statements)

References 37 publications

(59 reference statements)

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“…This was attributed to older adults being at higher risk for severe disease, fear of the unknown, loss of friends and family, and restrictions to prevent the spread of the virus. Those with cognitive impairments and dementia also experienced symptoms of depression, stress, and had difficulty coping despite perceptions of reduced awareness (Coin et al, 2021; Murukesu et al, 2021). Although, Murukesu et al found that providing supportive services, counseling, and daily exercise were effective measures for promoting psychological well‐being among older adults, the reality was many of these resources were reduced during the pandemic due to insufficient staffing and funding to include socioeconomic and political barriers.…”

Section: Discussionmentioning

confidence: 99%

“…The COVID‐19 pandemic is a global crisis; therefore available research provided a broad perspective on the well‐being of older adults from 13 different countries using a variety of research designs, methods, and measurements. The majority of studies recruited participants from sources such as community centers, geriatric organizations, physician practices, national databases, and social media with only three studies examining long‐term care residents (Coin et al, 2021; López et al, 2020; Matteucci, 2021). Two major themes from the literature review will be discussed which includes psychological well‐being and social well‐being along with various concepts associated with these themes.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Older adults with dementia and other forms are cognitive impairment are often characterized as having diminished awareness of events. Two studies investigated older adults with cognitive decline and their response to the pandemic (Coin et al, 2021; Murukesu et al, 2021). Coin et al, in a retrospective design of long‐term care residents, evaluated the psychological well‐being of 250 older adults with dementia in Italy and found depression was higher and coping was limited for those with greater cognitive impairment.…”

Section: Literature Reviewmentioning

confidence: 99%

“…A common instrument used to measure psychological well‐being was the Positive and Negative Effect Scale (PNAS) (Carriedo et al, 2020; Ebert et al, 2020; Whitehead, 2021; Whitehead & Torossian, 2021) followed by the Affect Validation Index (Jiang, 2020) and the Ryff's Psychological Well‐being Scales (López et al, 2020). Depression was assessed using several different measures to include the Patient Health Questionaire‐9 (PHQ‐9 (Abu‐Kamel & Alnazly, 2021; Giebel et al, 2021; Kredel & Perry, 2021); the Depression Anxiety Stress Scale (DASS) (Coin et al, 2021); Mini Mental State Examination (MSE) (Coin et al, 2021; Kredel & Perry, 2021); 10‐item Center for Epidemiological Studies for Depression (Hajek & König, 2021); and the Geriatric Depression Scale‐14 (GDS‐14) (Murukesu et al, 2021). Four different tools were used to evaluate anxiety: (1) Anxiety Stress Scale (Coin et al, 2021); (2) Beck's Anxiety Inventory (BAI) Birditt et al, 2021); (3) Generalized Anxiety Disorder (Biebel et al, 2021; Giebel et al, 2021); and (4) the Geriatric Anxiety Inventory (GAI) (Sirin et al, 2021) whereas the Perceived Stress Scale (PSS) was applied across five different studies (Chen et al, 2021; Coin et al, 2021; Jiang, 2020; Whitehead, 2021; Whitehead & Torossian, 2021).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Four studies evaluated QOL applying measures such as the RAND‐36 for QOL (Chen et al, 2021); Warwick‐Edinburgh Mental Well‐Being Scale‐13 (Giebel et al, 2021); Satisfaction with Life Scale (Hajek & König, 2021); and the EuroQOL (EQ‐5D‐5L; Siette et al, 2021). Two studies used the Coping Orientation of Problems Experienced (COPE) instrument (Coin et al, 2021; Murukesu et al, 2021) whereas resilience was measured using the Connor‐Davidson Resilience Scale (Carriedo et al, 2020) or the Brief Resilient‐Coping Scale (López et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

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The impact of COVID‐19 on the psychosocial well‐being of older adults: A literature review

Seckman

2022

J of Nursing Scholarship

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Introduction The novel coronavirus SARS‐CoV2 (COVID‐19) was declared a global pandemic in 2020 with the greatest risk to older adults. Prolonged restrictions and isolation threaten the social and emotional welfare of vulnerable groups with concerns focused on the long‐term impact of this pandemic on the health and well‐being of aging populations. Purpose Using the Socioemotional Selectivity Theory (STT) as a conceptual framework, the purpose of this literature review was to explore the impact of COVID‐19 on the psychological and social well‐being of older adults. Methods Numerous academic and healthcare‐related databases were searched to yield 24 relevant primary research articles, published during the pandemic (2020–2022), for analysis. Results/Conclusions Overall results indicated the pandemic had a significant negative affect on the psychological and social well‐being of older adults to include those with cognitive impairments and dementia despite perceptions of reduced awareness. There were significant differences between age groups with older adults reporting greater emotional stability and coping skills than younger cohorts. Although supportive services and the use of technology‐enhanced well‐being these resources were reduced during the pandemic due to lack of trained staff, funding, and other socioeconomic or political barriers. The SST proposes that feelings of satisfaction, a sense of belonging, and purpose are important for emotional well‐being but the pandemic challenged these goals and, for many, resulted in stress, anxiety, and depression. Clinical Relevance Healthcare providers and policymakers need to be aware of the negative consequences triggered by the prolonged pandemic and take measures to provide services that support the psychosocial well‐being of older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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The impact of COVID‐19 on the psychosocial well‐being of older adults: A literature review

Seckman

2022

J of Nursing Scholarship

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Social genomics, cognition, and well-being during the COVID-19 pandemic

Bateman,

Krishnamurthy,

Quillen

et al. 2023

Preprint

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Introduction - Adverse psychosocial Adverse psychosocial exposure is associated with increased proinflammatory gene expression and reduced type-1 interferon gene expression, a profile known as the conserved transcriptional response to adversity (CTRA). Little is known about CTRA activity in the context of cognitive impairment, although chronic inflammatory activation has been posited as one mechanism contributing to late-life cognitive decline. Methods - We studied 171 community-dwelling older adults from the Wake Forest Alzheimers Disease Research Center who answered questions via a telephone questionnaire battery about their perceived stress, loneliness, well-being, and impact of COVID-19 on their life, and who provided a self-collected dried blood spot sample. Of those, 148 had adequate samples for mRNA analysis, and 143 were included in the final analysis, which including participants adjudicated as having normal cognition (NC, n = 91) or mild cognitive impairment (MCI, n = 52) were included in the analysis. Mixed effect linear models were used to quantify associations between psychosocial variables and CTRA gene expression. Results - In both NC and MCI groups, eudaimonic well-being (typically associated with a sense of purpose) was inversely associated with CTRA gene expression whereas hedonic well-being (typically associated with pleasure seeking) was positively associated. In participants with NC, coping through social support was associated with lower CTRA gene expression, whereas coping by distraction and reframing was associated with higher CTRA gene expression. CTRA gene expression was not related to coping strategies for participants with MCI, or to either loneliness or perceived stress in either group. Discussion - Eudaimonic and hedonic well-being remain important correlates of molecular markers of stress, even in people with MCI. However, prodromal cognitive decline appears to moderate the significance of coping strategies as a correlate of CTRA gene expression. These results suggest that MCI can selectively alter biobehavioral interactions in ways that could potentially affect the rate of future cognitive decline and may serve as targets for future intervention efforts.

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Frailty, psychological well‐being, and social isolation in older adults with cognitive impairment during the SARS‐CoV‐2 pandemic: data from the GeroCovid initiative

Terziotti,

Ceolin,

Devita

et al. 2023

Psychogeriatrics

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BackgroundThe containment measures linked to the COVID‐19 pandemic negatively affected the phyco‐physical well‐being of the population, especially older adults with neurocognitive disorders (NCDs). This study aims to evaluate whether the frailty of NCD patients was associated with different changes in multiple health domains, in particular in relation to loneliness and social isolation, pre‐ and post‐lockdown.Materials and MethodsPatients were recruited from 10 Italian Centers for Cognitive Disorders and Dementia. Data were collected in the pre‐pandemic period (T0), during the pandemic lockdown (T1), and 6–9 months post‐lockdown (T2). The UCLA Loneliness Scale‐3, Activities of Daily Living (ADL), Instrumental ADL (IADL), Mini‐Mental State Examination, and Neuropsychiatric Inventory (NPI) were administered. Caregivers' burden was also tested. Patients were categorized as non‐frail, pre‐frail, and frail according to the Fatigue, Resistance, Ambulation, Illness, and Loss of Weight scale.ResultsThe sample included 165 subjects (61.9% women, mean age 79.5 ± 4.9 years). In the whole sample, the ADL, IADL, and NPI scores significantly declined between T0 and T2. There were no significative variations in functional and cognitive domains between the frail groups. During lockdown we recorded higher Depression Anxiety Stress Scales and Perceived Stress Scale scores in frail people. In multivariable logistic regression, frailty was associated with an increase in social isolation, and a loss of IADL.ConclusionsWe observed a global deterioration in functional and neuro‐psychiatric domains irrespective of the degree of frailty. Frailty was associated with the worsening of social isolation during lockdown. Frail patients and their caregivers seemed to experience more anxiety and stress disorders during SARS‐CoV‐2 pandemic.

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Psychological Well-Being of Older Adults With Cognitive Deterioration During Quarantine: Preliminary Results From the GeroCovid Initiative

Cited by 7 publications

References 37 publications

The impact of COVID‐19 on the psychosocial well‐being of older adults: A literature review

The impact of COVID‐19 on the psychosocial well‐being of older adults: A literature review

Social genomics, cognition, and well-being during the COVID-19 pandemic

Frailty, psychological well‐being, and social isolation in older adults with cognitive impairment during the SARS‐CoV‐2 pandemic: data from the GeroCovid initiative

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