9
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Directional Effects of Social Isolation and Quality of Life on Anxiety Levels Among Community-Dwelling Older Adults During a COVID-19 Lockdown

      brief-report

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          The COVID-19 lockdown could see older adults facing increased anxiety levels due to social isolation. Additionally, the lockdown could be more difficult for those with lower Quality of Life (QoL). We aim to understand predictive factors of older adult's anxiety symptoms during the lockdown as it is a main psychological concern of COVID-19.

          Methods

          Four hundred eleven participants (M age = 68.95, S.D. = 5.60) completed questionnaires at two time points — before the pandemic and during the lockdown period. Cross-lagged analysis was carried out on two structural equation models – social isolation and anxiety symptoms, and QoL and anxiety symptoms.

          Results

          Baseline social isolation was associated with more anxiety symptoms at follow-up. However, baseline anxiety symptoms were not associated with social isolation subsequently. For QoL and anxiety symptoms, the relationship was bidirectional.

          Conclusion

          Older adults who were previously socially isolated and had a lower QoL are particularly vulnerable to the negative psychological impacts of the COVID-19 lockdown.

          Related collections

          Most cited references11

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations

          The Coronavirus Disease 2019 (COVID-19) epidemic emerged in Wuhan, China, spread nationwide and then onto half a dozen other countries between December 2019 and early 2020. The implementation of unprecedented strict quarantine measures in China has kept a large number of people in isolation and affected many aspects of people’s lives. It has also triggered a wide variety of psychological problems, such as panic disorder, anxiety and depression. This study is the first nationwide large-scale survey of psychological distress in the general population of China during the COVID-19 epidemic.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found
            Is Open Access

            Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis

            Research indicates that social isolation and loneliness increase the risk of mental disorders, but less is known about the distinct contributions of different aspects of isolation. We aimed to distinguish the pathways through which social disconnectedness (eg, small social network, infrequent social interaction) and perceptions of social isolation (eg, loneliness, perceived lack of support) contribute to anxiety and depression symptom severity in community-residing older adults aged 57-85 years at baseline.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Perceived social isolation and cognition.

              Social species, from Drosophila melanogaster to Homo sapiens, fare poorly when isolated. Homo sapiens, an irrepressibly meaning-making species, are, in normal circumstances, dramatically affected by perceived social isolation. Research indicates that perceived social isolation (i.e. loneliness) is a risk factor for, and may contribute to, poorer overall cognitive performance, faster cognitive decline, poorer executive functioning, increased negativity and depressive cognition, heightened sensitivity to social threats, a confirmatory bias in social cognition that is self-protective and paradoxically self-defeating, heightened anthropomorphism and contagion that threatens social cohesion. These differences in attention and cognition impact on emotions, decisions, behaviors and interpersonal interactions that can contribute to the association between loneliness and cognitive decline and between loneliness and morbidity more generally.
                Bookmark

                Author and article information

                Journal
                Am J Geriatr Psychiatry
                Am J Geriatr Psychiatry
                The American Journal of Geriatric Psychiatry
                American Association for Geriatric Psychiatry. Published by Elsevier Inc.
                1064-7481
                1545-7214
                9 April 2021
                December 2021
                9 April 2021
                : 29
                : 12
                : 1274-1279
                Affiliations
                [1 ]Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore (SKHS, RM, JY), Singapore, Singapore
                [2 ]Academic Development Department, Duke-NUS Medical School (RM), Singapore, Singapore
                Author notes
                [* ]Send correspondence and reprint requests to Savannah Kiah Hui Siew, B.Sc. Hons., Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Tahir Foundation Building (MD1), Research Dry Laboratories (North), #12-01, 12 Science Drive 2, Singapore, Singapore 117549
                Article
                S1064-7481(21)00287-6
                10.1016/j.jagp.2021.03.012
                8594953
                33992523
                9ccbf761-263d-42f3-8340-8c416109260a
                © 2021 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 28 December 2020
                : 26 March 2021
                : 30 March 2021
                Categories
                Brief Report

                covid-19,older adults,longitudinal,cross-lagged,well-being
                covid-19, older adults, longitudinal, cross-lagged, well-being

                Comments

                Comment on this article