Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

MacNeil, Andie; Li, Grace; Jiang, Ying; Groh, Margaret de; Fuller‐Thomson, Esme

doi:10.1016/j.rmed.2022.107003

Cited by 6 publications

(5 citation statements)

References 25 publications

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“…6,9 Similar trends have been identified among individuals with other chronic illnesses, such as epilepsy and asthma, where increased restrictions in healthcare services, barriers to accessing physicians, and pandemicdriven cancellations of consultations were associated with in increases in depression. 18,31 This underlines the importance of maintaining healthcare accessibility to ensure continuation of care for those with chronic health conditions during periods of disruption.…”

Section: Discussionmentioning

confidence: 99%

“…As has been described elsewhere, 18,19 this study is based on data from the CLSA, a large national study that recruited from the Canadian population aged 45-85 years in 10 provinces between 2011 and 2015. 20,21 Respondents were excluded if they lived in one of Canada's three territories, on an Aboriginal reserve, or in a long-term care facility, as well as members of the armed forces, people who could not communicate in English or French, and people with severe cognitive impairment.…”

Section: Data Sourcementioning

confidence: 99%

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Depression during the COVID‐19 pandemic among older adults with stroke history: Findings from the Canadian Longitudinal Study on Aging

MacNeil,

Li,

Gulati

et al. 2024

Int J Geriat Psychiatry

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ObjectivesThe COVID‐19 pandemic and accompanying public health measures exacerbated many known risk factors for depression, while also increasing numerous health‐related stressors for people with stroke history. Using a large longitudinal sample of older adults, the current study examined the prevalence of incident and recurrent depression among participants with stroke history, and also identified factors that were associated with depression during the pandemic among this population.MethodsData came from four waves of the Canadian Longitudinal Study on Aging's (CLSA) comprehensive cohort (n = 577 with stroke history; 46.1% female; 20.8% immigrants; mean age = 74.56 SD = 9.19). The outcome of interest was a positive screen for depression, based on the CES‐D‐10, collected during the 2020 CLSA COVID autumn questionnaire. Bivariate and multivariate logistic regression analyses were conducted to identify factors that were associated with depression.ResultsApproximately 1 in 2 (49.5%) participants with stroke history and a history of depression experienced a recurrence of depression early in the pandemic. Among those without a history of depression, approximately 1 in 7 (15.0%) developed depression for the first time during this period. The risk of depression was higher among immigrants, those who were lonely, those with functional limitations, and those who experienced COVID‐19 related stressors, such as increased family issues, difficulty accessing healthcare, and becoming ill or having a loved one become ill or die during the pandemic.ConclusionsInterventions that target those with stroke history, both with and without a history of depression, are needed to buffer against the stressors of the COVID‐19 pandemic and support the mental health of this population.

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Section: Discussionmentioning

confidence: 99%

Section: Data Sourcementioning

confidence: 99%

Depression during the COVID‐19 pandemic among older adults with stroke history: Findings from the Canadian Longitudinal Study on Aging

MacNeil,

Li,

Gulati

et al. 2024

Int J Geriat Psychiatry

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“…As has been described elsewhere [ 20 , 21 ], data were drawn from the Baseline, Follow-up 1, COVID Spring 2020, and COVID Autumn 2020 waves of the comprehensive cohort of Canadian Longitudinal Study on Aging (CLSA). The CLSA is a national study of Canadian residents aged 45 to 85 between 2011 and 2015 across 10 provinces [ 22 , 23 ].…”

Section: Methodsmentioning

confidence: 99%

Depression during the COVID-19 pandemic among older Canadians with peptic ulcer disease: Analysis of the Canadian Longitudinal Study on Aging

Fuller-Thomson,

Dolhai,

MacNeil

et al. 2023

PLoS ONE

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The COVID-19 pandemic and associated public health measures have exacerbated many known risk factors for depression that may be particularly concerning for individuals with chronic health conditions, such as peptic ulcer disease (PUD). In a large longitudinal sample of older adults with PUD, the current study examined the incidence of depression during the pandemic among those without a pre-pandemic history of depression (n = 689) and the recurrence of depression among those with a history of depression (n = 451). Data came from four waves of the Canadian Longitudinal Study on Aging (CLSA). Multivariate logistic regression analyses were conducted to identify factors associated with incident and recurrent depression. Among older adults with PUD and without a history of depression, approximately 1 in 8 (13.0%) developed depression for the first time during the COVID-19 pandemic. Among those with a history of depression, approximately 1 in 2 (46.6%) experienced depression during the pandemic. The risk of incident depression and recurrent depression was higher among those who were lonely, those with functional limitations, and those who experienced an increase in family conflict during the pandemic. The risk of incident depression only was higher among women, individuals whose income did not satisfy their basic needs, those who were themselves ill and/or those whose loved ones were ill or died during the pandemic, and those who had disruptions to healthcare access during the pandemic. The risk of recurrent depression only was higher among those with chronic pain and those who had difficulty accessing medication during the pandemic. Implications for interventions are discussed.

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“…As has been described elsewhere, 29 , 30 the CLSA is a large national study that recruited Canadian older adults aged 45 to 85 years. 31 , 32 Participation in the CLSA cohort is voluntary and all individuals provided written informed consent.…”

Section: Methodsmentioning

confidence: 99%

Breathless and Blue in the Canadian Longitudinal Study on Aging: Incident and Recurrent Depression Among Older Adults with COPD During the COVID-19 Pandemic

Taunque,

Li,

MacNeil

et al. 2023

COPD

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Background and Objectives The COVID-19 pandemic and related public health measures intensified risk factors for depression and concurrently heightened numerous health-related stressors for individuals with Chronic Obstructive Pulmonary Disease (COPD). Utilizing a comprehensive longitudinal sample of Canadian older adults, this study examined the incidence and recurrence of depression among older adults with COPD, and identified factors that were associated with depression during the pandemic among this population. Methods Data came from four phases of the Canadian Longitudinal Study on Aging (CLSA) (n=875 with COPD). The primary outcome of interest was a positive screen for depression based on the CES-D-10, during autumn of 2020. Bivariate and multivariate logistic regression analyses were performed to identify factors that were associated with depression. Results Approximately 1 in 6 (17%) respondents with COPD and no lifetime history of depression developed depression for the first time during the early stages of the pandemic. Approximately 1 in 2 (52%) participants with COPD and a history of depression experienced a recurrence of depressive symptoms during this period. Loneliness, functional limitations, and family conflict were associated with a higher risk of both incident and recurrent depression. The risk of incident depression only was higher among those who had difficulty accessing healthcare resources. The risk of recurrent depression only was higher among women, those with a post-secondary education, and those with more adverse childhood experiences. Conclusion Screening and interventions aimed at individuals with COPD, both with and without a history of depression, are warranted to potentially mitigate the mental health impacts of the COVID-19 pandemic.

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Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

Cited by 6 publications

References 25 publications

Depression during the COVID‐19 pandemic among older adults with stroke history: Findings from the Canadian Longitudinal Study on Aging

Depression during the COVID‐19 pandemic among older adults with stroke history: Findings from the Canadian Longitudinal Study on Aging

Depression during the COVID-19 pandemic among older Canadians with peptic ulcer disease: Analysis of the Canadian Longitudinal Study on Aging

Breathless and Blue in the Canadian Longitudinal Study on Aging: Incident and Recurrent Depression Among Older Adults with COPD During the COVID-19 Pandemic

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