Skip to main content
Top
Published in: BMC Geriatrics 1/2022

Open Access 01-12-2022 | Mood Disorders | Research

The impact of social quarantine on the living status and mental health of the elderly in the Wuhan community: one year after Wuhan COVID-19 blockade

Authors: Lisha Dai, Fang Xiong, Wentian Li

Published in: BMC Geriatrics | Issue 1/2022

Login to get access

Abstract

Purpose

In order to control the corona virus disease-2019 (COVID-19) pandemic, many countries have adopted social quarantine policies, with older adults in Wuhan suffering the longest and most severe conditions. But few studies have explored the impact of this on the mental health of older adults in Wuhan. The purpose of this paper is to examine changes in the residential status and mental health of this group when 1 year after the social isolation policies in Wuhan.

Method

A cross-sectional study with convenience sampling was conducted to assess the questionnaire of older adults in a total of 21 streets in 5 central and 2 distant urban districts of Wuhan. Using a self-compiled living status questionnaire, the Patient Health Questionnaire-9, the General Anxiety Disorder-7, the PTSD Checklist-Civilian Version, the UCLA Loneliness Scale and the Social Support Rating Scale, our survey evaluated the living status, depression, anxiety, post-traumatic stress symptoms, loneliness and social support of all the participants.

Results

A total of 400 valid samples were obtained. One year after experiencing social isolation, older adults had not changed much from their pre-epidemic living status and mostly lived with their partners. They had satisfactory social support (33.86 ± 6.92) and low levels of depression (3.12 ± 4.30), anxiety (1.52 ± 3.19) and post-traumatic stress symptoms (21.41 ± 7.39), but there were moderate levels of loneliness (38.27 ± 9.31). Among them, depression, anxiety and post-traumatic stress symptoms were significantly higher (ps < 0.05) in older adults who were COVID-19 close contacts while experiencing social isolation.

Conclusion

One year after experiencing Wuhan’s harsh social isolation, older adults in the Wuhan community did not experience significant symptoms of depression, anxiety or post-traumatic stress, but loneliness has increased and the mental health of older adults who were COVID-19 close contacts needs attention.
Appendix
Available only for authorised users
Literature
1.
go back to reference Santomauro DF, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021. Santomauro DF, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021.
2.
go back to reference Lau H, et al. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. J Travel Med. 2020. Lau H, et al. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. J Travel Med. 2020.
3.
go back to reference Collaborative TC. Psychological impacts and post-traumatic stress disorder among people under COVID-19 quarantine and isolation: A global survey. Int J Environ Res Public Health. 2021;18(11):5719.CrossRef Collaborative TC. Psychological impacts and post-traumatic stress disorder among people under COVID-19 quarantine and isolation: A global survey. Int J Environ Res Public Health. 2021;18(11):5719.CrossRef
4.
go back to reference Huy NT, et al. Perceived stress of quarantine and isolation during COVID-19 pandemic: a global survey. Front Psych. 2021:651. Huy NT, et al. Perceived stress of quarantine and isolation during COVID-19 pandemic: a global survey. Front Psych. 2021:651.
5.
6.
go back to reference Lee SM, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123–7.PubMedPubMedCentralCrossRef Lee SM, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123–7.PubMedPubMedCentralCrossRef
7.
go back to reference Banerjee D. The impact of Covid-19 pandemic on elderly mental health. Int J Geriatr Psych. 2020;35(12):1466–7.CrossRef Banerjee D. The impact of Covid-19 pandemic on elderly mental health. Int J Geriatr Psych. 2020;35(12):1466–7.CrossRef
8.
go back to reference Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239–42.PubMedCrossRef Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239–42.PubMedCrossRef
9.
go back to reference Cheng Y, et al. Analysis on prevention and control of some infectious diseases in the elderly aged 60 years and above in China and countermeasure recommendation. Zhonghua Liu Xing Bing Xue Za Zhi. 2021;42(1):28–32.PubMed Cheng Y, et al. Analysis on prevention and control of some infectious diseases in the elderly aged 60 years and above in China and countermeasure recommendation. Zhonghua Liu Xing Bing Xue Za Zhi. 2021;42(1):28–32.PubMed
10.
go back to reference Meng H, et al. Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry Res. 2020;289:112983.PubMedPubMedCentralCrossRef Meng H, et al. Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry Res. 2020;289:112983.PubMedPubMedCentralCrossRef
11.
go back to reference Qiu J, et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General psychiatry. 2020;33(2):e100213.PubMedPubMedCentralCrossRef Qiu J, et al. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General psychiatry. 2020;33(2):e100213.PubMedPubMedCentralCrossRef
12.
go back to reference Richardson SJ, et al. Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities. Age Ageing. 2020;49(6):901–6.PubMedCrossRef Richardson SJ, et al. Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities. Age Ageing. 2020;49(6):901–6.PubMedCrossRef
13.
go back to reference Yan Y, et al. Prevalence of depressive and anxiety symptoms among Chinese older adults during the COVID-19 pandemic: A systematic review and meta-analysis. J Geriatr Psychiatry Neurol. 2022;35(2):182–95.PubMedCrossRef Yan Y, et al. Prevalence of depressive and anxiety symptoms among Chinese older adults during the COVID-19 pandemic: A systematic review and meta-analysis. J Geriatr Psychiatry Neurol. 2022;35(2):182–95.PubMedCrossRef
14.
go back to reference Martin A, et al. Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. Gen Hosp Psychiatry. 2006;28(1):71–7.PubMedCrossRef Martin A, et al. Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. Gen Hosp Psychiatry. 2006;28(1):71–7.PubMedCrossRef
15.
go back to reference Wang W, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. Gen Hosp Psychiatry. 2014;36(5):539–44.PubMedCrossRef Wang W, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population. Gen Hosp Psychiatry. 2014;36(5):539–44.PubMedCrossRef
16.
go back to reference Spitzer RL, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.PubMedCrossRef Spitzer RL, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.PubMedCrossRef
17.
go back to reference He XY, et al. Reliability and validity of a generalized anxiety scale in general hospital outpatients. Shanghai Arch Psychiatry. 2010;22:200–3. He XY, et al. Reliability and validity of a generalized anxiety scale in general hospital outpatients. Shanghai Arch Psychiatry. 2010;22:200–3.
18.
go back to reference Ruggiero KJ, et al. Psychometric properties of the PTSD Checklist-Civilian Version. J Trauma Stress. 2003;16(5):495–502.PubMedCrossRef Ruggiero KJ, et al. Psychometric properties of the PTSD Checklist-Civilian Version. J Trauma Stress. 2003;16(5):495–502.PubMedCrossRef
19.
go back to reference Brewin CR. Systematic review of screening instruments for adults at risk of PTSD. J Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies. 2005;18(1):53–62.CrossRef Brewin CR. Systematic review of screening instruments for adults at risk of PTSD. J Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies. 2005;18(1):53–62.CrossRef
20.
go back to reference Yang XY, et al. The research on the reliability and validity of PCL-C and influence factors. China Journal of Health Psychology. 2007;15(1):6–9. Yang XY, et al. The research on the reliability and validity of PCL-C and influence factors. China Journal of Health Psychology. 2007;15(1):6–9.
21.
go back to reference Russell DW. UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. J Pers Assess. 1996;66(1):20–40.PubMedCrossRef Russell DW. UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. J Pers Assess. 1996;66(1):20–40.PubMedCrossRef
22.
go back to reference Perry GR. Loneliness and coping among tertiary-level adult cancer patients in the home. Cancer Nurs. 1990;13(5):293–302.PubMedCrossRef Perry GR. Loneliness and coping among tertiary-level adult cancer patients in the home. Cancer Nurs. 1990;13(5):293–302.PubMedCrossRef
23.
go back to reference Wang DF. Reliability and validity of the loneliness scale. Chinese J Clin Psych. 1995;3:23–5. Wang DF. Reliability and validity of the loneliness scale. Chinese J Clin Psych. 1995;3:23–5.
24.
go back to reference Shuiyuan X. The theoretical basis and research application of Social Support Scale. J Clin Psychiatry. 1994;02:98–100. Shuiyuan X. The theoretical basis and research application of Social Support Scale. J Clin Psychiatry. 1994;02:98–100.
25.
go back to reference Wang C, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729.PubMedPubMedCentralCrossRef Wang C, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17(5):1729.PubMedPubMedCentralCrossRef
26.
go back to reference Rong J, et al. Prevalence rate of depression in Chinese elderly from 2010 to 2019: a meta analysis. Chin J Evidence-Based Med. 2020;20(1):26–31. Rong J, et al. Prevalence rate of depression in Chinese elderly from 2010 to 2019: a meta analysis. Chin J Evidence-Based Med. 2020;20(1):26–31.
27.
go back to reference XL D, WM S, YF Y. Status and influencing of anxiety among community elderly in Jiangxi. Mod Prev Med. 2016;43(13):2378–81. XL D, WM S, YF Y. Status and influencing of anxiety among community elderly in Jiangxi. Mod Prev Med. 2016;43(13):2378–81.
28.
go back to reference XJ K, et al. Anxiety and depression status and influencing factors of community elderly in Wuhan. 2018;38(10):2529–31. XJ K, et al. Anxiety and depression status and influencing factors of community elderly in Wuhan. 2018;38(10):2529–31.
29.
go back to reference Carstensen LL, Fung HH, Charles ST. Socioemotional Selectivity Theory and the Regulation of Emotion in the Second Half of Life. Motiv Emot. 2003;27(2):103–23.CrossRef Carstensen LL, Fung HH, Charles ST. Socioemotional Selectivity Theory and the Regulation of Emotion in the Second Half of Life. Motiv Emot. 2003;27(2):103–23.CrossRef
31.
go back to reference Rutherford BR, et al. The COVID-19 Pandemic as a Traumatic Stressor: Mental Health Responses of Older Adults With Chronic PTSD. Am J Geriatr Psychiatry. 2021;29(2):105–14.PubMedCrossRef Rutherford BR, et al. The COVID-19 Pandemic as a Traumatic Stressor: Mental Health Responses of Older Adults With Chronic PTSD. Am J Geriatr Psychiatry. 2021;29(2):105–14.PubMedCrossRef
32.
go back to reference Ruimeng G, Huanxia S, Jianzhong L. Investigation and Correlation Analysis of Social Support and Mental Health in Community-dwelling Elderly People. Chinese Gen Pract. 2019;22(5):570–4. Ruimeng G, Huanxia S, Jianzhong L. Investigation and Correlation Analysis of Social Support and Mental Health in Community-dwelling Elderly People. Chinese Gen Pract. 2019;22(5):570–4.
33.
go back to reference Lakey B, Orehek E. Relational regulation theory: a new approach to explain the link between perceived social support and mental health. Psychol Rev. 2011;118(3):482–95.PubMedCrossRef Lakey B, Orehek E. Relational regulation theory: a new approach to explain the link between perceived social support and mental health. Psychol Rev. 2011;118(3):482–95.PubMedCrossRef
35.
go back to reference Krendl AC, Perry BL. The Impact of Sheltering in Place During the COVID-19 Pandemic on Older Adults’ Social and Mental Well-Being. J Gerontol: Series B. 2020;76(2):e53–8.CrossRef Krendl AC, Perry BL. The Impact of Sheltering in Place During the COVID-19 Pandemic on Older Adults’ Social and Mental Well-Being. J Gerontol: Series B. 2020;76(2):e53–8.CrossRef
36.
go back to reference Ying X, et al. Current situation of loneliness and social isolation of the elderly in the community and its influencing factors. J Nurs Trainning. 2021;36(9):769–74. Ying X, et al. Current situation of loneliness and social isolation of the elderly in the community and its influencing factors. J Nurs Trainning. 2021;36(9):769–74.
37.
go back to reference Fakoya OA, McCorry NK, Donnelly M. Loneliness and social isolation interventions for older adults: a scoping review of reviews. BMC Public Health. 2020;20(1):129.PubMedPubMedCentralCrossRef Fakoya OA, McCorry NK, Donnelly M. Loneliness and social isolation interventions for older adults: a scoping review of reviews. BMC Public Health. 2020;20(1):129.PubMedPubMedCentralCrossRef
38.
go back to reference Child ST, Lawton L. Loneliness and social isolation among young and late middle-age adults: Associations with personal networks and social participation. Aging Ment Health. 2019;23(2):196–204.PubMedCrossRef Child ST, Lawton L. Loneliness and social isolation among young and late middle-age adults: Associations with personal networks and social participation. Aging Ment Health. 2019;23(2):196–204.PubMedCrossRef
Metadata
Title
The impact of social quarantine on the living status and mental health of the elderly in the Wuhan community: one year after Wuhan COVID-19 blockade
Authors
Lisha Dai
Fang Xiong
Wentian Li
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-03560-z

Other articles of this Issue 1/2022

BMC Geriatrics 1/2022 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine