Measuring the Effects of Social Isolation and Dissatisfaction on Depressive Symptoms during the COVID-19 Pandemic: The Moderating Role of Sleep and Physical Activity

Vargas, Iván; Howie, Erin K.; Muench, Alexandria; Perlis, Michael L.

doi:10.3390/brainsci11111449

Cited by 17 publications

(11 citation statements)

References 63 publications

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“…For older adults with anxious symptomatology, they are likely to experience a sense of unhappiness due to constant worry about the possible consequences of the COVID-19 pandemic. These concerns may include health complications, lack of social interaction, and lifestyle changes, which contribute to their perception of unhappiness 62 , 63 . While in the second time of confinement by COVID-19, there was a greater number of overlapping items between both clusters, such as "Depressive mood (D1)", "Restless sleep (D3)", and "Anhedonia (D6)".…”

Section: Discussionmentioning

confidence: 99%

Network analysis of anxiety and depressive symptoms during the COVID-19 pandemic in older adults in the United Kingdom

Ramos-Vera,

García O’Diana,

Basauri-Delgado

et al. 2024

Sci Rep

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The health crisis caused by COVID-19 in the United Kingdom and the confinement measures that were subsequently implemented had unprecedented effects on the mental health of older adults, leading to the emergence and exacerbation of different comorbid symptoms including depression and anxiety. This study examined and compared depression and anxiety symptom networks in two specific quarantine periods (June–July and November–December) in the older adult population in the United Kingdom. We used the database of the English Longitudinal Study of Aging COVID-19 Substudy, consisting of 5797 participants in the first stage (54% women) and 6512 participants in the second stage (56% women), all over 50 years of age. The symptoms with the highest centrality in both times were: “Nervousness (A1)” and “Inability to relax (A4)” in expected influence and predictability, and “depressed mood (D1”; bridging expected influence). The latter measure along with "Irritability (A6)" overlapped in both depression and anxiety clusters in both networks. In addition, a the cross-lagged panel network model was examined in which a more significant influence on the direction of the symptom "Nervousness (A1)" by the depressive symptoms of "Anhedonia (D6)", "Hopelessness (D7)", and "Sleep problems (D3)" was observed; the latter measure has the highest predictive capability of the network. The results report which symptoms had a higher degree of centrality and transdiagnostic overlap in the cross-sectional networks (invariants) and the cross-lagged panel network model of anxious and depressive symptomatology.

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Section: Discussionmentioning

confidence: 99%

Network analysis of anxiety and depressive symptoms during the COVID-19 pandemic in older adults in the United Kingdom

Ramos-Vera,

García O’Diana,

Basauri-Delgado

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…This study only included male and female participants; thus, we did not consider non-binary gender status in our analysis. Additionally, other factors, such as mental illness (e.g., anxiety) [ 5 ] and sleep quality [ 54 ] that could influence social networks and physical activity during a pandemic, were not examined, which may have affected the results. The study also did not assess multiple types of online social network influences that may impact physical activity, such as use of Instagram, Twitter, LinkedIn, or other social networking sites.…”

Section: Discussionmentioning

confidence: 99%

The Association between Gender and Physical Activity Was Partially Mediated by Social Network Size during COVID-19

Kuzmik

Liu

Cuffee

et al. 2022

IJERPH

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The COVID-19 pandemic has disrupted physical activity, particularly among women. Limited research has explored how social network support may explain gender-based variations in physical activity during COVID-19. The purpose of this study was to examine the mediating role of social networks in the association between gender and physical activity during a pandemic. This cross-sectional survey assessed whether social network characteristics (i.e., in-person social network size, frequency of in-person social network interactions, and online friend network size) mediate the relationship between gender and either past-week or past-year physical activity. Multiple mediation analyses were conducted to determine the indirect effect of gender on physical activity through social networks. Among 205 participants, women (n = 129) were significantly less physically active (β = −73.82; p = 0.02) than men (n = 76) and reported significantly more Facebook friends (β = 0.30; p < 0.001) than men, which was inversely associated with past-week physical activity (β = −64.49; p = 0.03). Additionally, the indirect effect of gender on past-week physical activity through Facebook friends was significant (β = −19.13; 95% CI [−40.45, −2.09]). Findings suggest that social media sites such as Facebook could be used to encourage physical activity among women during a pandemic.

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“…Hearing loss may lead to communication difficulties, and subsequent feelings of being emotionally isolated and social isolated [6,[18][19][20]. It has been shown that social isolation is one of risk factors for depression [21][22][23][24], and the association between hearing loss and depressive symptoms was attenuated after adjustment for social engagement [25]. Therefore, social isolation may mediate the association between hearing loss and depression.…”

Section: Open Accessmentioning

confidence: 99%

Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role

Hao

Wang

Jiang

et al. 2022

Preprint

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Background: Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isolation mediated the association.Methods: 8,962 participants from Guangzhou Biobank Cohort Study were included. Data on self-reported hearing status, the 15-item Geriatric Depression Scale (GDS-15), social isolation and potential confounders were collected by face-to-face interview.Results: The mean (standard deviation) age of participants was 60.2 (7.8) years. The prevalence of poor and fair hearing was 6.8% and 60.8%, respectively. After adjusting for age, sex, household income, education, occupation, smoking, alcohol use, self-rated health, comorbidities, compared with participants who had normal hearing, those with poor hearing (β=0.74, 95% confidence interval (CI) 0.54, 0.94) and fair hearing (β=0.59, 95% CI 0.48, 0.69) had higher scores of GDS-15. After similar adjustment, those with poor hearing (odds ratio (OR)=2.13, 95% CI 1.65, 2.74) or fair hearing (OR=1.68, 95% CI 1.43, 1.99) also showed higher odds of depressive symptoms. The association of poor and fair hearing with depressive symptoms attenuated slightly but not substantially after additionally adjusting for social isolation. In the mediation analysis, the adjusted proportion of the association mediated through social isolation was 9% (95% CI: 6%, 22%).Conclusion: Poor hearing was associated with a higher risk of depressive symptoms, which was only partly mediated by social isolation. Further investigation of the underlying mechanisms is warranted.

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Measuring the Effects of Social Isolation and Dissatisfaction on Depressive Symptoms during the COVID-19 Pandemic: The Moderating Role of Sleep and Physical Activity

Cited by 17 publications

References 63 publications

Network analysis of anxiety and depressive symptoms during the COVID-19 pandemic in older adults in the United Kingdom

Network analysis of anxiety and depressive symptoms during the COVID-19 pandemic in older adults in the United Kingdom

The Association between Gender and Physical Activity Was Partially Mediated by Social Network Size during COVID-19

Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role

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