Psychosocial Effects of Corona Measures on Patients With Dementia, Mild Cognitive Impairment and Subjective Cognitive Decline

Maurik, Ingrid S. van; Bakker, Els D.; Buuse, S. van den; Gillissen, Freek; Beek, Marleen van de; Lemstra, Evelien; Mank, Arenda; Bosch, Karlijn A. van den; Leeuwenstijn, Mardou van; Bouwman, Femke H.; Scheltens, Philip; Flier, Wiesje M. van der

doi:10.3389/fpsyt.2020.585686

Cited by 58 publications

(86 citation statements)

References 34 publications

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“…Higher variations in social support service hours significantly predicted increased levels of anxiety in people with NCD [ 50 ]. Similar observations were reported by an additional survey where over 30% of symptomatic patients were unable to go to day care or community care services [ 20 ]. Cohen et al [ 23 ] likewise observed that there was a high rate of discontinuation of rehabilitation during the epidemic with 76% of elderly patients with dementia having discontinued physical therapy, 91% occupational therapy, and 77% cognitive rehabilitation.…”

Section: Resultssupporting

confidence: 86%

“…Another cross-sectional study conducted by telephone survey on 139 PLWD showed that 54.7% of them experienced worsened or emerging behavioral disturbances with agitation, aggression, apathy, and depression [ 14 ]. Results from a survey cohort on 121 symptomatic patients with NCD showed that almost half of patients reported an increase of one or more psychological symptoms (e.g., loneliness, anxiety, uncertainty and depression) and over 30% experienced social isolation [ 20 ]. Increases in behavioral symptoms, such as apathy, changes in sleeping behavior and aggression were also noted.…”

Section: Resultsmentioning

confidence: 99%

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Systematic Review on the Mental Health and Treatment Impacts of COVID-19 on Neurocognitive Disorders

Dellazizzo

Léveillé

Landry

et al. 2021

JPM

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Objectives. The COVID-19 pandemic has had many public health impacts, especially on vulnerable individuals including adults with neurocognitive disorders (NCD). With increasing literature, this systematic literature review aimed to address the mental health effects of COVID-19 on people with NCD in addition to examine the impact of the pandemic on treatments/resources for NCD. Methods. A literature search was conducted in the electronic databases of PubMed, PsycINFO, Web of Science and Google Scholar. Studies were included so long as they assessed the mental health or therapeutic effects of COVID-19 on NCD. Results. Among the retrieved articles, 59 met eligibility criteria. First, the pandemic and resulting self-isolation led to many detrimental effects on psychological well-being. Exacerbation and relapses of neurocognitive and behavioral symptoms were observed, as well as emergences of new psychological symptoms (i.e., depression, anxiety). Second, therapeutic and community services for individuals suffering from NCD, such as social support services and outpatient clinics, were disrupted or reduced leading to postponed appointments and evaluations, as well as reduced access to medications. These issues were somewhat palliated with the growth of telemedicine. Conclusion. This systematic review highlights the extent of the effects of the pandemic, and the topics addressed should be taken into consideration by healthcare practitioners, institutions, and policymakers to ensure that proper measures are employed to protect this population from additional harm.

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Section: Resultssupporting

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Systematic Review on the Mental Health and Treatment Impacts of COVID-19 on Neurocognitive Disorders

Dellazizzo

Léveillé

Landry

et al. 2021

JPM

View full text Add to dashboard Cite

show abstract

“…The disruption in routine activities has produced a significant overall decline and a reduced autonomy in daily living activities in care recipients, as reported by their caregivers [34,35]. Coherently, worries of faster cognitive decline have been reported both in patients and in caregivers, and also in cognitively normal individuals, all experiencing increased psychological symptoms [36]. In fact, the most consistent finding reported during the pandemic period regards a higher rate of neuropsychiatric symptoms due to social isolation in people with dementia [19].…”

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Cognition of People with Dementia

Tondo

Sarasso

Serra

et al. 2021

IJERPH

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(1) Background: To limit the COVID-19 outbreak, the Italian government implemented social restrictions that may have had psychological and cognitive repercussions on people with dementia. We aimed to analyze cognitive decline during the pandemic year in people evaluated in a memory clinic in northern Italy, the epicenter of COVID-19 spread. (2) Methods: A single-center retrospective study was carried out, including individuals with annual follow-up evaluated in three different years (2020-GROUP, 2019-GROUP, 2018-GROUP). We performed an intergroup comparison of cognitive decline over a one-year follow-up, and an intragroup comparison in the 2020-GROUP to analyze the five-year cognitive decline trajectory, as measured by the MMSE. (3) Results: The 2020-GROUP showed a significant loss of MMSE points per year in the considered follow-up period compared with the 2019-GROUP and 2018-GROUP (p = 0.021). Demographics, clinical features, and the other analyzed variables, including rate of diagnosis, therapy, and comorbidities, did not significantly differ between groups. The five-year cognitive decline trajectory confirmed a significant worsening of cognitive decline between 2019 and 2020 (p < 0.001), while the decrease in MMSE scores was not statistically significant between previous time points. (4) Conclusions: COVID-19 pandemic measures have induced a significant worsening of cognitive decline in people with dementia, needing more careful assistance to minimize the adverse effects of social isolation in case of future lockdowns.

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“…In the United States, 24% of community-dwelling older adults were estimated to be socially isolated [ 6 ]. Recently, these numbers have increased rapidly across the globe due to the COVID-19 pandemic, especially among people with cognitive impairment [ 7 ]. In a recent Dutch study, more than half of the community-dwelling participants with cognitive decline reported not having any face-to-face contact with friends (52%) or family (57%) during the pandemic [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recently, these numbers have increased rapidly across the globe due to the COVID-19 pandemic, especially among people with cognitive impairment [ 7 ]. In a recent Dutch study, more than half of the community-dwelling participants with cognitive decline reported not having any face-to-face contact with friends (52%) or family (57%) during the pandemic [ 7 ]. This kind of social isolation can negatively affect their mental and physical health [ 8 , 9 ], mortality [ 10 ], well-being, and quality of life [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Technological Interventions on Social Participation of Community-Dwelling Older Adults with and without Dementia: A Systematic Review

Heins

Boots

Koh

et al. 2021

JCM

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Social isolation in community-dwelling older adults with dementia is a growing health issue that can negatively affect health and well-being. To date, little attention has been paid to the role of technology in improving their social participation. This systematic review aims to provide a systematic overview of the effects of technological interventions that target social participation in community-dwelling older adults with and without dementia. The scientific databases Medline (PubMed), PsycINFO, CINAHL, Web of Science, and the Cochrane Library were systematically searched and independently screened by two reviewers. Results were synthesized narratively. The methodological quality of included studies was independently assessed by two reviewers. In total, 36 studies of varying methodological quality were identified. Most studies evaluated social networking technology and ICT training programs. Three studies focused on people with dementia. Quantitative findings showed limited effects on loneliness, social isolation, and social support. Nevertheless, several benefits related to social participation were reported qualitatively. Social interaction, face-to-face contact, and intergenerational engagement were suggested to be successful elements of technological interventions in improving the social participation of community-dwelling older adults. Rigorous studies with larger sample sizes are highly needed to evaluate the long-term effects of technology on the multidimensional concept of social participation.

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Psychosocial Effects of Corona Measures on Patients With Dementia, Mild Cognitive Impairment and Subjective Cognitive Decline

Cited by 58 publications

References 34 publications

Systematic Review on the Mental Health and Treatment Impacts of COVID-19 on Neurocognitive Disorders

Systematic Review on the Mental Health and Treatment Impacts of COVID-19 on Neurocognitive Disorders

The Impact of the COVID-19 Pandemic on the Cognition of People with Dementia

The Effects of Technological Interventions on Social Participation of Community-Dwelling Older Adults with and without Dementia: A Systematic Review

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