Experiences of American Older Adults with Pre-existing Depression During the Beginnings of the COVID-19 Pandemic: A Multicity, Mixed-Methods Study

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Megan E HammEric J Lenze

Abstract

To determine the effect of the COVID-19 pandemic on the mental health of older adults with pre-existing major depressive disorder (MDD). Participants were 73 community-living older adults with pre-existing MDD (mean age 69 [SD 6]) in Los Angeles, New York, Pittsburgh, and St Louis. During the first 2 months of the pandemic, the authors interviewed participants with a semistructured qualitative interview evaluating access to care, mental health, quality of life, and coping. The authors also assessed depression, anxiety, and suicidality with validated scales and compared scores before and during the pandemic. Five themes from the interviews highlight the experience of older adults with MDD: 1) They are more concerned about the risk of contracting the virus than the risks of isolation. 2) They exhibit resilience to the stress and isolation of physical distancing. 3) Most are not isolated socially, with virtual contact with friends and family. 4) Their quality of life is lower, and they worry their mental health will suffer with continued physical distancing. 5) They are outraged by an inadequate governmental response to the pandemic. Depression, anxiety, and suicidal ideation symptom scores did not differ from scores before the pa...Continue Reading

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Citations

Nov 21, 2020·JAMA : the Journal of the American Medical Association·Ipsit V VahiaCharles F Reynolds
Nov 23, 2020·European Archives of Psychiatry and Clinical Neuroscience·E B Mukaetova-Ladinska, G Kronenberg
Dec 4, 2020·Health Promotion International·Aisling McGrathNoel Richardson
Jan 9, 2021·Social Work in Public Health·Hilal YildirimRukuye Aylaz
Nov 27, 2020·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Joan M Cook
Nov 7, 2020·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Bret R RutherfordSteven P Roose
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Software Mentioned

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