Mental Health Status of Psychogeriatric Patients During the 2019 New Coronavirus Disease (COVID-19) Pandemic and Effects on Caregiver Burden

Penteado, Camila T.; Loureiro, Júlia Cunha; Pais, Marcos Vasconcelos; Carvalho, Cláudia Lopes; Sant'Ana, Lívea F. G.; Valiengo, Leandro; Stella, Florindo; Forlenza, Orestes Vicente

doi:10.3389/fpsyt.2020.578672

Cited by 27 publications

(28 citation statements)

References 54 publications

(66 reference statements)

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“…Caring for a person at home can be a source of emotional distress, especially for the youth ( 27 ). As reported by our findings, in the time of the COVID-19 lockdown restrictions, being forced to stay together and sharing the same living space for many weeks/months resulted in a worsening of the burden of the caregiver with a higher prevalence of sleep disturbance in males than in females.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in COVID-19 Lockdown Impact on Mental Health of Undergraduate Students

et al. 2022

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Background: Prolonged university closures and social distancing-imposed measures due to the COVID-19 pandemic obliged students to at-home learning with online lectures and educational programs promoting potential social isolation, loneliness, hopelessness, and episodes of clinical decompensation.Methods: A web-based cross-sectional survey was carried out in a university institute in Milan, Northern Italy, to assess the COVID-19 lockdown impact on the mental health of the undergraduate students. We estimated the odds ratios (OR) and the corresponding 95% confidence intervals (CI) using adjusted logistic regression models.Results: Of the 8,177 students, 12.8% reported depressive symptoms, 25.6% anxiety, 8.7% insomnia, and 10.6% reported impulsive tracts, with higher proportions among females than males. Mental health symptoms were positively associated with caring for a person at home, a poor housing quality, and a worsening in working performance. Among males compared with females, a poor housing quality showed a stronger positive association with depressive symptoms and impulsivity, and a worsening in the working performance was positively associated with depressive and anxiety symptoms. In addition, the absence of private space was positively associated with depression and anxiety, stronger among males than females.Conclusions: To our knowledge, this is the first multidisciplinary consortium study, involving public mental health, environmental health, and architectural design. Further studies are needed to confirm or refute our findings and consequent recommendations to implement well-being interventions in pandemic conditions.

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Section: Discussionmentioning

confidence: 99%

Gender Differences in COVID-19 Lockdown Impact on Mental Health of Undergraduate Students

et al. 2022

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“…How this influenced both outcome measures and intervention sessions was not known. Apathy has been reported as one of the most affected symptoms in patients with Alzheimer disease [ 95 ] and increased caregiver burden in patients with neuropsychiatric symptoms [ 96 ] during the pandemic. Participants also had severely restricted visitations from family and friends at times during the research period, which may have exacerbated the symptoms and reduced the likelihood of statistically significant outcomes of the intervention.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Reminiscence Therapy Using Virtual Reality on Apathy in Residential Aged Care: Multisite Nonrandomized Controlled Trial

Saredakis¹,

Keage²,

Corlis³

et al. 2021

J Med Internet Res

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Background Apathy is a frequent and underrecognized neurological disorder symptom. Reduced goal-directed behavior caused by apathy is associated with poor outcomes for older adults in residential aged care. Recommended nonpharmacological treatments include person-centered therapy using information and communication technology. Virtual reality (VR) in the form of head-mounted displays (HMDs) is a fully immersive technology that provides access to a wide range of freely available content. The use of VR as a therapy tool has demonstrated promise in the treatment of posttraumatic stress disorder and anxiety. In addition, VR has been used to improve conditions including depression, anxiety, cognitive function, and balance in older adults with memory deficits, Alzheimer disease, and Parkinson disease. Research using VR for the symptoms of apathy in older adults living in residential aged care facilities is limited. Objective This study aims to examine whether using HMDs as a tool for reminiscence therapy improves the symptoms of apathy compared with using a laptop computer and physical items with older adults living in residential aged care. Methods In this multisite trial, 43 participants were allocated to one of three groups: reminiscence therapy intervention using VR in the form of HMDs, reminiscence therapy using a laptop computer supplemented by physical items if required (active control), and a usual care (passive control) group. The primary outcome was apathy, and the secondary outcomes included cognition and depression. The side effects of using HMDs were also measured in the VR group. Results Mixed model analyses revealed no significant group interaction over time in outcomes between the VR and laptop groups (estimate=−2.24, SE 1.89; t40=−1.18; P=.24). Pooled apathy scores in the two intervention groups compared with the passive control group also revealed no significant group interaction over time (estimate=−0.26, SE 1.66; t40=−0.16; P=.88). There were no significant secondary outcomes. Most participants in the VR group stated that they would prefer to watch content in VR than on a flat screen (Χ22=11.2; P=.004), side effects from HMD use were negligible to minimal according to the Simulator Sickness Questionnaire cutoff scores. Conclusions Although there were no significant results in outcome measures, this study found that participants engaged in the research and enjoyed the process of reminiscing using both forms of technology. It was found that VR can be implemented in an aged care setting with correct protocols in place. Providing residents in aged care with a choice of technology may assist in increasing participation in activities. We cannot dismiss the importance of immediate effects while the therapy was in progress, and this is an avenue for future research. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12619001510134; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378564. International Registered Report Identifier (IRRID) RR2-DOI: 10.1136/bmjopen-2020-046030

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“…Moreover, patients were more likely to exhibit exacerbations of behavioral and psychological symptoms in dementia (BPSD) scores ( p = 0.002) [ 15 ]. A cross-sectional study by Penteado et al [ 21 ] found increases in mood symptoms, sleep problems, and psychotic disturbances. More specifically, their elderly group comprising of 71 individuals primarily with mild or major NCD showed increases in anxiety (65%), feeling of insecurity (44%), discouragement (36%) and irritability (35%).…”

Section: Resultsmentioning

confidence: 99%

“…A functional decline was noticed in 19 patients and was mainly described in terms of dependence in personal care and housekeeping [ 14 ]. According to caregivers’ reports in the cross-sectional study by Penteado et al [ 21 ], 34 elders showed changes in cognitive status, suggesting cognitive decline. An increase in psychotic symptoms may have likewise led to an increase in the need of medications for patients with NCD during the pandemic.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review on the Mental Health and Treatment Impacts of COVID-19 on Neurocognitive Disorders

Dellazizzo

Léveillé

Landry

et al. 2021

JPM

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Objectives. The COVID-19 pandemic has had many public health impacts, especially on vulnerable individuals including adults with neurocognitive disorders (NCD). With increasing literature, this systematic literature review aimed to address the mental health effects of COVID-19 on people with NCD in addition to examine the impact of the pandemic on treatments/resources for NCD. Methods. A literature search was conducted in the electronic databases of PubMed, PsycINFO, Web of Science and Google Scholar. Studies were included so long as they assessed the mental health or therapeutic effects of COVID-19 on NCD. Results. Among the retrieved articles, 59 met eligibility criteria. First, the pandemic and resulting self-isolation led to many detrimental effects on psychological well-being. Exacerbation and relapses of neurocognitive and behavioral symptoms were observed, as well as emergences of new psychological symptoms (i.e., depression, anxiety). Second, therapeutic and community services for individuals suffering from NCD, such as social support services and outpatient clinics, were disrupted or reduced leading to postponed appointments and evaluations, as well as reduced access to medications. These issues were somewhat palliated with the growth of telemedicine. Conclusion. This systematic review highlights the extent of the effects of the pandemic, and the topics addressed should be taken into consideration by healthcare practitioners, institutions, and policymakers to ensure that proper measures are employed to protect this population from additional harm.

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Mental Health Status of Psychogeriatric Patients During the 2019 New Coronavirus Disease (COVID-19) Pandemic and Effects on Caregiver Burden

Cited by 27 publications

References 54 publications

Gender Differences in COVID-19 Lockdown Impact on Mental Health of Undergraduate Students

Gender Differences in COVID-19 Lockdown Impact on Mental Health of Undergraduate Students

The Effect of Reminiscence Therapy Using Virtual Reality on Apathy in Residential Aged Care: Multisite Nonrandomized Controlled Trial

Systematic Review on the Mental Health and Treatment Impacts of COVID-19 on Neurocognitive Disorders

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