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

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Publikace nespadá pod Ekonomicko-správní fakultu, ale pod Přírodovědeckou fakultu. Oficiální stránka publikace je na webu muni.cz.
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DALECKÁ Andrea PIKHART Hynek BARTOŠKOVÁ Anna ČAPKOVÁ Naděžda BOBÁK Martin

Rok publikování 2023
Druh Článek v odborném periodiku
Časopis / Zdroj Journal of Epidemiology and Community Health
Fakulta / Pracoviště MU

Přírodovědecká fakulta

Citace
www https://jech.bmj.com/content/early/2022/11/22/jech-2022-219412
Doi http://dx.doi.org/10.1136/jech-2022-219412
Klíčová slova COVID-19 pandemic; depressive symptoms; longitudinal studies
Přiložené soubory
Popis 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. 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. 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 (ß=0.052; p=0.006), those with poor self-rated health (ß=0.170; p<0.001), those who experienced death or hospitalisation of a close person (ß=0.064; p<0.001), social deprivation (ß=0.057; p<0.001), delays in healthcare (ß=0.048; p=0.005) and those who suffered from COVID-19 (ß=0.045; p=0.008). 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.
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