Determinants of depressive symptoms increase in older persons during the COVID-19 pandemic: evidence from Czech cohort study using repeated assessments

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F75010330%3A_____%2F23%3A00014154" target="_blank" >RIV/75010330:_____/23:00014154 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14310/23:00130079

Result on the web

<a href="https://jech.bmj.com/content/77/2/101" target="_blank" >https://jech.bmj.com/content/77/2/101</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1136/jech-2022-219412" target="_blank" >10.1136/jech-2022-219412</a>

Result language

angličtina

Original language name

Determinants of depressive symptoms increase in older persons during the COVID-19 pandemic: evidence from Czech cohort study using repeated assessments

Original language description

Background Numerous studies reported higher levels of mental health issues during the COVID-19 pandemic but only a minority used repeated measurements. We investigated change in depressive symptoms in the Czech ageing cohort and the impact of pre-existing and COVID-19-related stressors. Methods We used data on 2853 participants (mean age 73.4 years) from the Czech part of the prospective Health, Alcohol and Psychosocial factors In Eastern Europe cohort that participated in postal questionnaire surveys before (September 2017-June 2018) and during the pandemic (October 2020-April 2021). Participants reported their depressive symptoms using the Centre for Epidemiological Studies-Depression Scale including 10 (CESD-10) tool. A principal component analysis (PCA) was used to create representative components of the pandemic-related stressors. The impact of the stressors on change in depressive symptoms was tested using multivariable linear regression, after adjustment for age and potential confounders. Results Three patterns of the pandemic-related stressors ('financial stressors', 'social and perception stressors' and 'death and hospitalisation stressors') were extracted from the PCA. The mean CESD-10 score increased from 4.90 to 5.37 (p<0.001). In fully adjusted models, significantly larger increases in depression score were reported by older people (beta=0.052; p=0.006), those with poor self-rated health (beta=0.170; p<0.001), those who experienced death or hospitalisation of a close person (beta=0.064; p<0.001), social deprivation (beta=0.057; p<0.001), delays in healthcare (beta=0.048; p=0.005) and those who suffered from COVID-19 (beta=0.045; p=0.008). Conclusion This study confirms an increase in depressive symptoms in older persons during the pandemic and identified several pandemic-related risk factors suggesting that public health policies should address this vulnerable group by adopting the preventing strategies.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30304 - Public and environmental health

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Epidemiology and Community Health

ISSN

0143-005X

e-ISSN

1470-2738

Volume of the periodical

77

Issue of the periodical within the volume

2

Country of publishing house

GB - UNITED KINGDOM

Number of pages

7

Pages from-to

101-107

UT code for WoS article

000890992900001

EID of the result in the Scopus database

2-s2.0-85144790993