Individual changes in stress, depression, anxiety, pathological worry, posttraumatic stress, and health anxiety from before to during the COVID-19 pandemic in adults from Southeastern Germany DOI Creative Commons
Theresa F. Wechsler,

Melissa Schmidmeier,

Stefanie C. Biehl

et al.

BMC Psychiatry, Journal Year: 2022, Volume and Issue: 22(1)

Published: Aug. 4, 2022

Many studies have previously compared the prevalence or sample means of distress and mental health problems from before to during COVID-19 pandemic, while results on changes at individual-level, regarding multiple outcome measures are demanded.This online study investigated individual in stress pandemic first lockdown adults Southeastern Germany. This region was selected as it where SARS-CoV-2 documented Germany, also due implementation strict stay-at-home orders social contact prohibitions. From April 10-27, 2020, we collected state their clinical relevance for subareas perceived stress: worries, tension, joy, demands. We information following problems: depression, anxiety, pathological worry, posttraumatic disorder (PTSD), anxiety; well retrospective how participants felt they changed comparison ranging worse better.The analytical comprised 396 adult participants. On average, experienced increases lack problems, but a decrease Perceived symptoms depression (26.0%) PTSD (25.5%) were significantly more frequent than anxiety (particularly acute fear panic) (5.6%), worry (9.8%), (7.3%) (ps<.001). One per 10 (10.4%) reported an increase depressive symptoms, nearly two (18.4%) additionally showed clinically relevant symptom strain lockdown. Interestingly, mainly non-specific associated with general reaction be increased.The findings suggest dissociation particular experience external points need differentiated view impact health, targeted interventions arising frequently pandemic.

Language: Английский

Physical Activity of Children and Adolescents during the COVID-19 Pandemic—A Scoping Review DOI Open Access

Lea Rossi,

Nick Behme,

Christoph Breuer

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(21), P. 11440 - 11440

Published: Oct. 30, 2021

To counteract the COVIC-19 pandemic, many governments have introduced social distancing measures. While these restrictions helped contain virus, it had adverse effects on individuals’ mental and physical health—especially children. The aim of present study is to review evidence COVID-19 children’s activity their determinants. A scoping was conducted in databases PubMed, Web Science, SportDiscus, BISp-Surf. Inclusion criteria were empirical peer-reviewed studies, youth samples, investigation restrictions, investigating changes and/or determinants before during pandemic. Risk bias assessed using checklist by Downs Black. search resulted 1672 which 84 studies included analysis. results highlighted a decrease ranging between −10.8 min/day −91 min/day. If an increase detected, related unstructured outdoor activities. main pandemic age, gender, socioeconomic background, environment. imply that need consider negative restrictive measures act ensure high levels activity.

Language: Английский

Citations

249

Identifying Predictors of University Students’ Wellbeing during the COVID-19 Pandemic—A Data-Driven Approach DOI Open Access
Chang Liu, Melinda McCabe, Andrew Dawson

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(13), P. 6730 - 6730

Published: June 22, 2021

Background: The COVID-19 pandemic has posed risks to public mental health worldwide. University students, who are already recognised as a vulnerable population, at elevated risk of issues given COVID-19-related disruptions higher education. To assist universities in effectively allocating resources the launch targeted, population-level interventions, current study aimed uncover predictors university students’ psychological wellbeing during via data-driven approach. Methods: Data were collected from 3973 Australian students ((median age = 22, aged 18 79); 70.6% female)) five time points 2020. Feature selection was conducted least absolute shrinkage and operator (LASSO) identify comprehensive set variables. Selected variables then entered into an ordinary squares (OLS) model compare coefficients assess statistical significance. Results: Six negative emerged: White/European ethnicity, restriction stress, perceived worry on health, dietary changes, sufficiency distancing communication, social isolation. Physical status, emotional support, resilience positively associated with wellbeing. Social isolation largest effect Notably, age, gender, international educational level did not emerge Conclusion: cost-effectively support student through 2021 beyond, should consider investing internet- tele- based interventions explicitly targeting among students. Course-based online forums well tele-based logotherapy may be promising candidates for improving

Language: Английский

Citations

90

Prevalence and risk factors of psychiatric symptoms and diagnoses before and during the COVID-19 pandemic: findings from the ELSA-Brasil COVID-19 mental health cohort DOI
André R. Brunoni, Paulo Suen, Pedro Starzynski Bacchi

et al.

Psychological Medicine, Journal Year: 2021, Volume and Issue: unknown, P. 1 - 12

Published: April 21, 2021

Abstract Background There is mixed evidence on increasing rates of psychiatric disorders and symptoms during the coronavirus disease 2019 (COVID-19) pandemic in 2020. We evaluated pandemic-related psychopathology psychiatry diagnoses their determinants Brazilian Longitudinal Study Health (ELSA-Brasil) São Paulo Research Center. Methods Between pre-pandemic ELSA-Brasil assessments 2008–2010 (wave-1), 2012–2014 (wave-2), 2016–2018 (wave-3) three 2020 (COVID-19 waves May–July, July–September, October–December), common symptoms, depressive, anxiety, mental (CMDs) were compared using Clinical Interview Scheduled-Revised (CIS-R) Depression Anxiety Stress Scale-21 (DASS-21). Multivariable generalized linear models, adjusted by age, gender, educational level, ethnicity identified variables associated with an elevated risk for disorders. Results In 2117 participants (mean age 62.3 years, 58.2% females), CMDs depressive did not significantly change over time, oscillating from 23.5% to 21.1%, 3.3% 2.8%, respectively; whereas rate anxiety decreased (2008–2010: 13.8%; 2016–2018: 9.8%; 2020: 8%). was a decrease along wave-COVID depression [ β = −0.37, 99.5% confidence interval (CI) −0.50 −0.23], ( CI −0.48 −0.26), stress −0.48, −0.64 −0.33) (all p s < 0.001). Younger female sex, lower non-white ethnicity, previous increased odds disorders, self-evaluated good health quality relationships risk. Conclusion No consistent worsening our cohort found. Indeed, slightly Risk factors representing socioeconomic disadvantages

Language: Английский

Citations

73

Effectiveness of Technology Interventions in Addressing Social Isolation, Connectedness, and Loneliness in Older Adults: Systematic Umbrella Review DOI Creative Commons
Eric Balki, Niall Hayes, Carol Holland

et al.

JMIR Aging, Journal Year: 2022, Volume and Issue: 5(4), P. e40125 - e40125

Published: Sept. 13, 2022

Background The global population of older adults (aged >60 years) is expected to triple 2 billion by 2050. Proportionate rises in affected loneliness and social isolation (or connectedness) are expected. Rapid deployability changes have increased the availability technological devices, creating new opportunities for adults. Objective This study aimed identify, synthesize, critically appraise effectiveness technology interventions improving connectedness assessing quality reviews, common observations, derivable themes. Methods Following guidelines PRISMA (Preferred Reporting Items Systematic Reviews Meta-Analyses), 4 databases (PsycINFO, PubMed, Embase, MEDLINE) were searched between February 2020 March 2022. We identified reviews with aged ≥50 years community residential settings, reporting outcomes related impact technologies on disconnectedness inclusion criteria based population, intervention, context, outcomes, schema—review-type articles (systematic, meta-analyses, integrative, scoping)—and digital included. Grading Recommendations, Assessment, Development, Evaluations (GRADE) was used measure strength outcome recommendations including risk bias. covered 326 primary studies 79,538 participants. Findings extracted, synthesized, organized according emerging Results Overall, 972 publications met initial search criteria, 24 our criteria. Revised Assessment Multiple assess analysis. Eligible (3/24, 12%) excluded because their low scores (<22). included dedicated information communications (ICT; 11/24, 46%), videoconferencing (4/24, 17%), computer or internet training 12%), telecare (2/24, 8%), networking sites robotics (2/27, 8%). Although found improve connectedness, its depended design improved shorter durations, longer times, facilitation existing relationships. ICT showed best results, followed training. Social achieved mixed results. Robotics augmented reality promising results but lacked sufficient data informed conclusions. overall GRADE medium very low. Conclusions Technology can specific rates favor videoconferencing, limited evidence, as indicated ratings. Future intervention should carefully methodological certainty measures. lack randomized controlled trials underlying (<28%) suboptimal methodologies findings. virtual warrant further research. Low highlight need high-quality research these areas. Trial Registration PROSPERO CRD42022363475; https://tinyurl.com/mdd6zds

Language: Английский

Citations

60

Impact of the COVID-19 pandemic on depression, anxiety, loneliness, and satisfaction in the German general population: a longitudinal analysis DOI Creative Commons
Nora Hettich, Theresa M. Entringer,

Hannes Kroeger

et al.

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2022, Volume and Issue: 57(12), P. 2481 - 2490

Published: June 9, 2022

Cross-sectional studies found high levels of depression and anxiety symptoms, loneliness during the first wave COVID-19 pandemic. Reported increases were lower in longitudinal population-based findings. Studies including positive outcomes are rare. This study analyzed changes mental health loneliness, satisfaction.Respondents German Socio-Economic Panel (N = 6038) surveyed pre-pandemic (2017/2019) (June 2020) second (January February 2021) Self-report screeners assessed life satisfaction. Difference scores analysed using ANCOVAs focusing on time, gender, age groups.Depression symptoms satisfaction increased from to wave, but declined pandemic wave. Loneliness decreased Young adults women reported more distress even after controlling for scores, education, income. All effects remained stable when self-reported previous diagnosis or region residence.Increases decreases showed little variation. Of concern strong being important targets interventions. Main risk factors young female gender.

Language: Английский

Citations

57

A review of mental health disparities during COVID-19: Evidence, mechanisms, and policy recommendations for promoting societal resilience DOI Creative Commons
Anna M. Parenteau, Chase Boyer, Lillian Campos

et al.

Development and Psychopathology, Journal Year: 2022, Volume and Issue: 35(4), P. 1821 - 1842

Published: Sept. 13, 2022

Social and economic inequality are chronic stressors that continually erode the mental physical health of marginalized groups, undermining overall societal resilience. In this comprehensive review, we synthesize evidence greater increases in symptoms during COVID-19 pandemic among socially or economically groups United States, including (a) people who low income experiencing homelessness, (b) racial ethnic minorities, (c) women lesbian, gay, bisexual, transgender, queer, questioning (LGBTQ+) communities, (d) immigrants migrants, (e) children with a history childhood adversity, (f) isolated lonely. Based on evidence, propose reducing social would promote population resilience to future crises. Specifically, concrete, actionable recommendations for policy, intervention, practice bolster five "pillars" resilience: (1) safety equity, (2) accessible healthcare, services, (3) combating injustice promoting respect diversity, inclusion, (4) child family protection (5) cohesion. Although recent exposed accentuated steep inequalities within our society, efforts rebuild offer opportunity re-envision policy reduce multiple forms collective benefit.

Language: Английский

Citations

50

Review: Interventions addressing loneliness amongst university students: a systematic review DOI Creative Commons
Olivia Betty Ellard,

Christina Dennison,

Helena Tuomainen

et al.

Child and Adolescent Mental Health, Journal Year: 2022, Volume and Issue: 28(4), P. 512 - 523

Published: Dec. 10, 2022

Background Loneliness is detrimental to mental health, with university students at higher risk of feeling lonely than other population groups. However, little research has explored interventions reduce loneliness among students. This review identifies the characteristics and effectiveness targeting university/college Methods PsycINFO, Medline, ASSIA Web Science were searched from inception using keywords linked ‘loneliness’, ‘intervention’ ‘students’. Relevant peer nonpeer‐reviewed English‐language articles on studies implementing an intervention as outcome investigating undergraduate or postgraduate a education institution included for quality analysis narrative synthesis. Risk bias was assessed both study level level. Results Twenty‐eight included, comprising 25 quantitative three qualitative studies, covering 37 interventions, most implemented in United States. Interventions based psychoeducation, social support groups, increasing interaction reflective exercises. The age participants ( n = 2339) ranged 17.62 (mean 20.63) years. Evidence RCTs suggests that influenced outcomes, but magnitude benefit unclear. Across 80% (16/20) either exercises, 50% (7/14) psychoeducation deemed effective reducing loneliness. Most measured quantitatively delivered group setting, which two thirds considered scores, regardless intervention. Conclusions Universities have choice help campus virtually. Ones promoting connectedness appear be more successful. More high‐quality larger number countries are needed, taking vulnerable student groups into consideration.

Language: Английский

Citations

40

The Impact of Loneliness and Social Isolation on Cognitive Aging: A Narrative Review DOI Creative Commons

Jade Guarnera,

Eva Yuen, Helen Macpherson

et al.

Journal of Alzheimer s Disease Reports, Journal Year: 2023, Volume and Issue: 7(1), P. 699 - 714

Published: June 13, 2023

Social concepts such as loneliness and social isolation are fairly new factors that have been recently gaining attention to their involvement in changes cognitive function association with dementia. The primary aim of this narrative review was describe the current understanding how influence aging they linked Studies shown there is an between loneliness, isolation, reduced function, older adults, across multiple domains, well a heightened risk Numerous underlying neural biomechanisms including cortisol secretion brain volume alterations (e.g., white/grey matter, hippocampus) may contribute these relationships. However, due poor quality research, mixed inconclusive findings, issues accurately defining measuring more consistent high-quality interventions needed determine whether studies addressing can impact longer term This especially important given long-term COVID-19 pandemic on people yet be fully understood.

Language: Английский

Citations

38

Social isolation, loneliness, and inflammation: A multi-cohort investigation in early and mid-adulthood DOI Creative Commons
Timothy Matthews, Line Jee Hartmann Rasmussen, Antony Ambler

et al.

Brain Behavior and Immunity, Journal Year: 2023, Volume and Issue: 115, P. 727 - 736

Published: Nov. 21, 2023

Social isolation and loneliness have been associated with poor health increased risk for mortality, inflammation might explain this link. We used data from the Danish TRIAGE Study of acutely admitted medical patients (N = 6,144, mean age 60 years), two population-representative birth cohorts: New Zealand Dunedin Longitudinal 881, 45) UK Environmental Risk (E-Risk) Twin 1448, 18), to investigate associations social three markers systemic inflammation: C-reactive protein (CRP), interleukin-6 (IL-6), a newer marker, soluble urokinase plasminogen activator receptor (suPAR), which is thought index chronic inflammation. In Study, socially isolated (those living alone) had significantly higher median levels suPAR (but not CRP or IL-6) compared by themselves. prospectively measured in childhood was longitudinally CRP, IL-6, adulthood (at 45 18 E-Risk Study), but only remained after controlling covariates. participants who reported at 38 elevated 45. contrast, reporting did show any conclusion, robustly adulthood, both general population. It particular inflammation, evident consistently stronger than other biomarkers.

Language: Английский

Citations

24

Understanding Technology Use During the COVID-19 Pandemic Through the Lens of Age-Friendly Cities and Communities: An International, Multi-Centre Study DOI Creative Commons
Hannah R. Marston, Vishnunarayan Girishan Prabhu, Loredana Ivan

et al.

COVID, Journal Year: 2025, Volume and Issue: 5(1), P. 7 - 7

Published: Jan. 3, 2025

Research on age-friendly cities and communities (AFCC) has primarily taken a qualitative approach. This article extends insights from quantitative perspective to understand the international perspectives of community living well-being during COVID-19 pandemic. Employing an intersectional approach, this online survey aimed human behaviour within AFCC. contextualises digital practices impact technology experienced through city lens adults aged 18–50+ years in different types communities. Using original dataset collected 2020 2021 across 11 sites 13 languages, study gathered responses sample size 3422 participants. Findings indicate that 50+ reported significantly lower loneliness scores, higher scores compared below 40. Factors including gender, education level, marital employment status were found significantly. From perspective, individuals rural areas small towns than those metros cities. These findings contribute ongoing discourse AFCC have potential aid policy intended reduce improve public health pandemic preparedness planning.

Language: Английский

Citations

1