A pandemic toll in frail older adults: Higher odds of incident and persistent common mental disorders in the ELSA-Brasil COVID-19 mental health cohort.
J Affect Disord
; 325: 392-398, 2023 03 15.
Article
in English
| MEDLINE | ID: covidwho-2165465
ABSTRACT
INTRODUCTION:
We aimed to investigate the association of frailty with persistent and incident common mental disorders (CMD) in older adults during the pandemic.METHODS:
We included 706 older adults who participated in the onsite wave of the ELSA-Brasil study (2017-2019) and the online COVID-19 assessment (May-July 2020). CMD were assessed in both waves by the Clinical Interview Schedule-Revised. Frailty was defined according to the physical phenotype and Frailty Index in the 2017-2019 wave. Logistic regression was used to investigate the association of frailty with persistent and incident CMD, adjusted for sociodemographics.RESULTS:
Frailty according to both definitions were associated with persistent CMD (Frailty Index OR = 8.61, 95 % CI = 4.08-18.18; physical phenotype OR = OR = 23.67, 95 % CI = 7.08-79.15), and incident CMD (Frailty Index OR = 2.79, 95 % CI = 1.15-6.78; physical phenotype OR = 4.37, 95 % CI = 1.31-14.58). The exclusion of exhaustion (that overlaps with psychiatric symptoms) from the frailty constructs did not change the association between frailty and persistent CMD, although the associations with indent CMD were no longer significant.LIMITATIONS:
Fluctuations in CMD status were not captured between both assessments.CONCLUSION:
Frailty status before the COVID-19 outbreak was associated with higher odds of persistent and incident CMD in older adults during the pandemic first wave. Identifying individuals at higher risk of mental burden can help prioritize resources allocation and management.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Frailty
/
COVID-19
/
Mental Disorders
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Topics:
Long Covid
Limits:
Aged
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
J Affect Disord
Year:
2023
Document Type:
Article
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