scholarly journals COVID-19 and Social Isolation Endangering Psychological Health of Older Adults: Implications for Telepsychiatry

2020 ◽  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Social Isolation ◽  
Psychological Health ◽  
Aging Population ◽  
Well Being ◽  
Severe Illness ◽  
Older Population ◽  
Social Distancing ◽  
Targeted Interventions

Coronavirus disease-19 (COVID-19) has created a public health emergency and had claimed 911,877 lives at the time of writing this manuscript (September 12, 2020). While everybody is at the risk of acquiring infection following the exposure to SARS-CoV-2, older adults are significantly more likely to experience severe illness, life-threatening complications, hospitalizations, and deaths. As the pandemic evolved, social distancing or shielding efforts as primary prevention were instituted to protect the physical health status of the vulnerable population, with no or limited consideration to the psychological health of the older population. Social isolation and loneliness are the long-standing public health concerns among older adults, which appear to be exacerbating amidst the COVID-19 pandemic. Given the pre-existing risk of late-life psychiatric disorders among older individuals, it is critical to determine challenges posed by COVID-19 and associated social distancing protocols as it relates to the psychosocial well-being of the aging population. Such information is imperative to design targeted interventions to fulfill the unmet needs of the older population. Therefore, this review endeavors to identify the healthcare and emotional needs of the aging population during the COVID-19 pandemic in the context of psychological health and social capital. Additionally, this review also identifies the barriers in the uptake of telepsychiatry and highlights the need for promoting remote counseling services among older people to promote their psychosocial well-being.

scholarly journals “Furry tales”: pet ownership’s influence on subjective well-being during Covid-19 times

2021 ◽  
Author(s):  
Svenja Damberg ◽  
Lena Frömbling
Keyword(s):  
Psychological Distress ◽  
Social Isolation ◽  
Psychological Health ◽  
Structural Equation ◽  
Well Being ◽  
Path Model ◽  
Equation Modeling ◽  
Subjective Well Being ◽  
Social Distancing ◽  
Need Support

AbstractThe social distancing required during Covid-19 times tended to make people feel lonelier than usual. Those with pets might, however, have experienced this less, because pets are known for fostering their owners’ subjective well-being. Building on a recently published structural equation model, our study enhances the understanding of subjective well-being by including the construct social distancing during Covid-19 times. In order to answer our research question—How does human-pet relationship need support influence subjective well-being by considering social isolation during Covid-19 times?—we build on the basic needs theory, assuming that humans as well as their pets have an inherent need of autonomy, relatedness, and competence. Using a multivariate data analysis method, namely partial least squares structural equation modeling (PLS-SEM), we establish a path model and examine the relationship between human-pet relationship need support and subjective well-being by including psychological distress and social isolation during Covid-19 times as mediators. We operationalize subjective well-being as a three-dimensional construct consisting of positive affect, happiness, and life satisfaction. In a sample of 215 pet owners in the USA, supporting their need increases subjective well-being, and decreases the psychological distress and loneliness caused by social isolation during Covid-19 times. Furthermore, psychological distress decreases subjective well-being, whereas perceived loneliness during Covid-19 times does not. Our main contributions are to not only enhance our knowledge on the importance of human-pet relationships in critical times, but also to provide policy makers with insights into what influences people’s subjective well-being, which is closely related to their psychological health.

scholarly journals Identifying frail populations for disease risk prediction and intervention planning in the Covid-19 era: a focus on social isolation and psychosocial vulnerability

2020 ◽  
Author(s):  
Chiara Cerami ◽  
Marco Canevelli ◽  
Gaia Santi ◽  
Caterina Galandra ◽  
Alessandra Dodich ◽  
...  
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Health Status ◽  
General Population ◽  
Social Isolation ◽  
Social Vulnerability ◽  
Disease Risk ◽  
Well Being ◽  
Targeted Interventions ◽  
The Impact

Background: The early identification of fragile populations in the Covid-19 era would help governments to allocate resources and plan strategies to contain consequences of the pandemic. Beyond frailty, social vulnerability to environmental stressors, such as the social distancing enforced to reduce the SARS-CoV2 contagion, can modify long-term disease risk and induce health status changes in the general population. Methods: We assessed frailty and social vulnerability indices in 1258 Italian residents during the lockdown phase (March 14-31, 2020) via an on-line survey. We compared indices taking into account age categories (young, middle, older adults and elders) and gender. Results: While frailty showed a linear increase with age and was greater in females than in males, social vulnerability was higher in young adults and elders compared to middle aged and older adults, and in males than females. Both frailty and social vulnerability contributed in explaining the individual perception of the impact of Covid-19 emergency on health, which was further modulated by proactive attitudes/behaviors and social isolation.Conclusions: Social isolation and loneliness following the Covid-19 outbreak may exert dramatic psychosocial effects in the general population. The early detection of vulnerable categories, at risk to become ill and develop long-lasting health status changes, would help in the next future to prevent consequences on general well-being by allocating resources to targeted interventions managing psychosocial distress and increasing young adults and elderly resilience towards the post-Covid-19 crisis.

scholarly journals Impacts of the Pandemic on Older Adults’ Social Isolation

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 950-950
Author(s):  
Stephanie MacLeod
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Social Isolation ◽  
Social Connectedness ◽  
Early Research ◽  
Severe Illness ◽  
Social Distancing ◽  
Virus Exposure ◽  
Key Terms

Abstract The risk of COVID-19 exposure and likelihood of severe illness have been critical concerns among older adults during the pandemic. Meanwhile, social distancing has worsened social isolation, with severe impacts on connectedness among seniors. Effects of the pandemic may lead to an extended crisis, with impacts on health outcomes. Our primary purpose was to summarize emerging research describing impacts of the pandemic on social isolation and related health outcomes among older adults. A streamlined search was conducted to fit the scope of this review, with key terms determined to identify relevant publications. Common research databases and mainstream resources were utilized. We focused on research published or released since the start of 2020, primarily rapidly reviewed studies, to align with the timing of the pandemic. Early research suggests that the pandemic has worsened social isolation among older adults. Social isolation is now more urgent, as many seniors lost their usual connections due to social distancing. While these measures help to prevent virus exposure, this approach must be balanced with maintaining social connectedness. Thus, a “COVID-19 paradox” has emerged: safety protocols protect older adults but concurrently place them at risk of social isolation. Adapted approaches are urgently needed to safely address the consequences of a potential long-term social recession.

scholarly journals COVID-19 Era Social Isolation among Older Adults

Geriatrics ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 52
Author(s):  
Stephanie MacLeod ◽  
Rifky Tkatch ◽  
Sandra Kraemer ◽  
Annette Fellows ◽  
Michael McGinn ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Connectedness ◽  
Severe Illness ◽  
Nursing Facilities ◽  
Safety Measures ◽  
Health Crisis ◽  
Social Distancing ◽  
Virus Exposure

Risk of COVID-19 exposure and more severe illness are serious concerns for older adults. Social distancing has worsened existing social isolation, with severe impacts on connectedness among seniors. The pandemic is threatening to cause an extended health crisis, with impacts including serious health consequences. Our primary purpose is to summarize emerging research describing the impacts of the pandemic on social isolation among older adults. A streamlined search was conducted to fit the scope of this literature review. Common research databases and mainstream resources and websites were utilized to identify research published or released in 2020 to align with the pandemic. Early research indicates that the pandemic has worsened social isolation among older adults. Social isolation has become urgent, as seniors have lost their usual connections due to social distancing. While safety measures are critical to prevent virus exposure, this approach must be balanced with maintaining social connectedness. The pandemic highlights the importance of social connections, with significant impacts on both community-living older adults and those in nursing facilities. Safety protocols have created a paradox of reduced risk along with greater harm. Consequently, adapted approaches are urgently needed to address the consequences of a long-term social recession.

scholarly journals Social connection as a public health adaptation to extreme heat events

2020 ◽  
Vol 111 (6) ◽  
pp. 876-879 ◽  
Author(s):  
Amani Kafeety ◽  
Sarah B. Henderson ◽  
Amy Lubik ◽  
Jesse Kancir ◽  
Tom Kosatsky ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Social Isolation ◽  
Well Being ◽  
Extreme Heat ◽  
Public Health Issue ◽  
Social Connection ◽  
Extreme Heat Events ◽  
Wide Range ◽  
Heat Events

AbstractClimate change is an increasingly important public health issue, reflected in morbidity and mortality outcomes during extreme heat events. At the same time, the harms of social isolation with respect to a wide range of health outcomes are becoming better understood. Given that older adults are at higher risk during hot weather and at higher risk of social isolation, they are among those at highest risk for adverse impacts of extreme heat events. While specific strategies to reduce heat exposure have been described in the literature and promoted in public health practice, these may not be readily available to socially isolated older adults. As such, it is crucial to identify key approaches to address risk due to social isolation in the aging population, and to acknowledge their limitations and barriers. Interventions rooted in social connection, a concept widely applied in interventions for public health and social well-being, should be applied as a tool for adaptation to extreme heat events.

scholarly journals Social Isolation, Loneliness and Well-being in the Covid-19 Crisis: A Look at Nursing Home Residents in Luxembourg

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 957-958
Author(s):  
Isabelle Albert ◽  
Martine Hoffmann ◽  
Anna Kornadt ◽  
Elke Murdock ◽  
Josepha Nell
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Social Isolation ◽  
Care Home ◽  
Nursing Home Residents ◽  
Well Being ◽  
Severe Illness ◽  
Subjective Well Being ◽  
Regulatory Strategies ◽  
Negative Side Effects

Abstract During the COVID-19 crisis, older adults, in particular those with underlying health conditions, were at a special risk for severe illness and mortality, and efforts were made to shield them from exposure to the virus. While measures of physical distancing and reduction of in-person contacts were necessary to prevent contraction, they hit residents of care settings particularly hard since visits from family and friends were banned and the risk for loneliness and social isolation increased. In the present study, we therefore gave the voice to nursing home residents and focused on their perceived loneliness and subjective well-being during the crisis. We were both interested in difficulties but also in personal resources and resilience factors that might protect older adults from negative mental health outcomes and help to maintain subjective well-being. A sample of N = 76 residents in care homes in the Grand Duchy of Luxembourg were interviewed by use of a standardized questionnaire during July and August 2020. Participants reported on their loneliness and life satisfaction during the crisis, on their self-regulatory strategies as well as on personal and social resources (e.g. self-efficacy, generativity, social support). Data will be analyzed by use of regression analysis to predict loneliness and well-being by risk and protective factors. Results will be discussed applying a life-span developmental and systemic perspective to understand the mutual interplay of individual, social and institutional resources to mitigate negative side effects of protective measures on care home residents.

scholarly journals Association of self-perceived income sufficiency with cognitive impairment among older adults: a population-based study in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
T. Muhammad ◽  
Shobhit Srivastava ◽  
T. V. Sekher
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Psychological Health ◽  
Daily Living ◽  
Basic Needs ◽  
Well Being ◽  
Asset Ownership ◽  
Increased Risk

Abstract Background Greater cognitive performance has been shown to be associated with better mental and physical health and lower mortality. The present study contributes to the existing literature on the linkages of self-perceived income sufficiency and cognitive impairment. Study also provides additional insights on other socioeconomic and health-related variables that are associated with cognitive impairment in older ages. Methods Data for this study is derived from the 'Building Knowledge Base on Population Ageing in India'. The final sample size for the analysis after removing missing cases was 9176 older adults. Descriptive along with bivariate analyses were presented to show the plausible associations of cognitive impairment with potential risk factors using the chi-square test. Also, binary logistic regression analysis was performed to provide the relationship between cognitive impairment and risk factors. The software used was STATA 14. Results About 43% of older adults reported that they had no source of income and 7.2% had income but not sufficient to fulfil their basic needs. Older adults with income but partially sufficient to fulfil their basic needs had 39% significantly higher likelihood to suffer from cognitive impairment than older adults who had sufficient income [OR: 1.39; OR: 1.21–1.59]. Likelihood of cognitive impairment was low among older adults with asset ownership than older adults with no asset ownership [OR: 0.83; CI: 0.72–0.95]. Again, older adults who work by compulsion (73.3%) or felt mental or physical stress due to work (57.6%) had highest percentage of cognitive impairment. Moreover, older adults with poor self-rated health, low instrumental activities of daily living, low activities of daily living, low subjective well-being and low psychological health were at increased risk for cognitive impairment. Conclusion The study highlights the pressing need for care and support and especially financial incentives in the old age to preserve cognitive health. Further, while planning geriatric health care for older adults in India, priority must be given to financially backward, with no asset ownership, with poor health status, older-older, widowed, and illiterate older individuals, as they are more vulnerable to cognitive impairment.

scholarly journals The Effects of Technological Interventions on Social Participation of Community-Dwelling Older Adults with and without Dementia: A Systematic Review

2021 ◽  
Vol 10 (11) ◽  
pp. 2308
Author(s):  
Pascale Heins ◽  
Lizzy M. M. Boots ◽  
Wei Qi Koh ◽  
An Neven ◽  
Frans R. J. Verhey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Social Isolation ◽  
Social Participation ◽  
Methodological Quality ◽  
Well Being ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Technological Interventions ◽  
Community Dwelling Older Adults

Social isolation in community-dwelling older adults with dementia is a growing health issue that can negatively affect health and well-being. To date, little attention has been paid to the role of technology in improving their social participation. This systematic review aims to provide a systematic overview of the effects of technological interventions that target social participation in community-dwelling older adults with and without dementia. The scientific databases Medline (PubMed), PsycINFO, CINAHL, Web of Science, and the Cochrane Library were systematically searched and independently screened by two reviewers. Results were synthesized narratively. The methodological quality of included studies was independently assessed by two reviewers. In total, 36 studies of varying methodological quality were identified. Most studies evaluated social networking technology and ICT training programs. Three studies focused on people with dementia. Quantitative findings showed limited effects on loneliness, social isolation, and social support. Nevertheless, several benefits related to social participation were reported qualitatively. Social interaction, face-to-face contact, and intergenerational engagement were suggested to be successful elements of technological interventions in improving the social participation of community-dwelling older adults. Rigorous studies with larger sample sizes are highly needed to evaluate the long-term effects of technology on the multidimensional concept of social participation.

scholarly journals Older Adults’ Adaptations to the Call for Social Distancing and Use of Technology: Insights From Socioemotional Selectivity Theory and Lived Experiences

2021 ◽  
pp. 073346482199686
Author(s):  
Shoshana H. Bardach ◽  
Elizabeth K. Rhodus ◽  
Kelly Parsons ◽  
Allison K. Gibson
Keyword(s):  
Older Adults ◽  
Technology Use ◽  
Technology Training ◽  
Well Being ◽  
Socioemotional Selectivity Theory ◽  
Structured Interviews ◽  
Socioemotional Selectivity ◽  
Social Distancing ◽  
Use Of Technology ◽  
Comparison Approach

Social distancing guidelines during COVID can be isolating, especially for older adults, with potential for poor health outcomes. Technology offers opportunities for remote connection, yet, older adults’ use of and perspectives on technology during this time remain largely unknown. The purpose of this study was to gain insight into older adults’ technology use and preferences to inform the development of a technology training intervention to support older adult well-being. Semi-structured interviews were conducted with 30 older adults. Interviews were analyzed using an iterative, constant comparison approach. Findings were consistent with Socioemotional Selectivity Theory; respondents were primarily interested in technology to support emotionally meaningful goals. Participants indicated limited interest in technology training, referencing diminished future time perspectives to explain disinterest. Findings suggest that efforts to encourage older adults’ expanded technology adoption should highlight how use supports emotionally meaningful goals and provide low-effort, timely training, tied to specific and clear applications.

scholarly journals Management of bio-psycho-social frailty to reduce hospital use and improve survival of older adults

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Liotta ◽  
N Accarino ◽  
S Orlando ◽  
S Gentili ◽  
E Terracciano ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Outcomes ◽  
Social Isolation ◽  
Hospital Care ◽  
Admission Rate ◽  
Term Care ◽  
Hospital Admission Rate ◽  
Starting Point ◽  
The Impact

Abstract Background Ageing of population is associated to the increase of care demand. Many health systems are still centered on hospital care, that sometime is not appropriate. The shift from hospital to community care requires a new model of service delivery. Aim of this paper is to assess the impact of a community service based on the assessment of frailty, on mortality and use of hospital care by older adults. Methods A cohort made up by 8,592 over-75 subjects (67.1% female, mean age 84.5; SD ± 5.29) has been assessed once a year for bio-psycho-social frailty by the administration of the Short Functional Geriatric Evaluation questionnaire. The enrolled subjects were involved in a Community-based pro-Active Monitoring Program which provides interventions aimed at reducing social isolation. Mortality, use of hospital care and use of residential long-term care have been recorded during the follow up and separate and cumulative incidence rate was measured. Results The sample was stratified in Robust (37.5%), Pre-frail (24.0%), Frail, (29.5%) and Very Frail (9.1%) individuals. Mortality, Hospital admission rate and Residential LTC admission rate were higher in the very frails than among the other groups. However, according to social isolation, the integrated subjects at the baseline assessment, showed the highest incidence of negative events: 29.5%, 20.8%, 21.0%, .and 20.8% for integrated, mild isolated, moderate isolated and severely isolated individuals respectively (p < 0.001). The logistic regression analysis, adjusted for age, gender and level of frailty, confirmed the protective role of reducing social isolation among isolated individuals compared with integrated ones (OR: 0.729; CL95% 0.673-0.720). Conclusions The assessment of bio-psycho-social frailty could be the starting point for effective intervention at community level, like the program mentioned above. Management of frailty may lead to an improvement of public health outcomes. Key messages Intervention dealing with social isolation are able to revert the increase of mortality related to the lack of social resources. Management of frailty may lead to an improvement of public health outcomes.

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