The influence of nationwide COVID-19 lockdown on the functional impairment and long-term survival of dependent people for carrying out basic activities of daily living in a neighborhood of the city of Madrid, Spain: Orcasitas Cohort Longitudinal Study
Frontiers in Public Health,
Год журнала:
2024,
Номер
12
Опубликована: Июль 9, 2024
Background
Prolonged
confinement
can
lead
to
personal
deterioration
at
various
levels.
We
studied
this
phenomenon
during
the
nationwide
COVID-19
lockdown
in
a
functionally
dependent
population
of
Orcasitas
neighborhood
Madrid,
Spain,
by
measuring
their
ability
perform
basic
activities
daily
living
and
mortality
rate.
Methods
A
total
127
patients
were
included
cohort.
Of
cohort,
78.7%
female,
21.3%
male,
mean
age
was
86
years.
All
participants
had
Barthel
index
≤
60.
Changes
from
pre-
post-confinement
3
years
afterward
analyzed,
effect
these
changes
on
survival
assessed
(2020–2023).
Results
The
functional
assessment
showed
significant
improvement
independence
over
pre-confinement
for
both
score
(
t
=
−5.823;
p
<
0.001)
classification
level
z
−2.988;
0.003).
This
progressively
disappeared
following
years,
40.9%
cohort
died
period.
These
outcomes
associated
with
−3.646;
dependence
(hazard
ratio
2.227;
CI
1.514–3.276).
Higher
observed
among
men
(HR
1.745;
1.045–2.915)
those
severe
2.169;
1.469–3.201).
Setting
cutoff
point
40
provided
best
detection
risk
death
dependence.
Conclusions
Home
due
pandemic
awakened
form
resilience
face
adversity
adults.
is
good
predictor
medium-
long-term
useful
method
detecting
populations
health
planning.
purpose.
To
certain
extent,
non-institutionalized
an
invisible
population.
Future
studies
should
analyze
causes
high
observed.
Язык: Английский
Longitudinal associations among resilience, social isolation, and gender in U.S. Iraq and Afghanistan–era veterans
Journal of Traumatic Stress,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 14, 2024
Negative
mental
health
outcomes
are
prevalent
among
veterans
exposed
to
military-related
stressors
and
associated
with
social
isolation.
Limited
research
exists
on
resilience
following
military
separation
its
impact
isolation
in
veterans.
We
examined
against
2-year
longitudinal
associations
indicators;
gender
differences
were
also
explored.
U.S.
(N
=
351,
70.4%
men)
who
deployed
the
wars
around
Iraq
Afghanistan
September
11,
2001,
terrorist
attacks
(9/11)
recruited
as
part
of
a
assessment
study
examining
predictors
postdeployment
adjustment.
Using
residualization
approach,
was
approximated
low
stressor
reactivity
(SR),
calculated
by
regressing
onto
exposure.
Military-related
significantly
posttraumatic
stress
disorder
(PTSD)
related
both
events
during
post-9/11
deployment
(deployment
event)
outside
(other
event),
functional
disability,
depression.
After
correcting
for
multiple
comparisons,
only
SR
derived
from
depressive
symptoms
predicted
more
closeness
difficulties
relationships
longitudinally,
B
0.50,
q
.023.
Women
demonstrated
higher
than
men
regarding
other
event-related
PTSD
symptoms,
-0.52,
<
.001;
-0.28,
.028;
depression,
-0.34,
.012.
Results
suggest
that
depressogenic
likely
endorse
discomfort
those
lower
reactivity.
may
be
impacted
nondeployment
traumatic
distress,
psychosocial
dysfunction,
depression
response
stressors.
Язык: Английский