The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults
Background: Older adults are at a greater risk for contracting and experiencing severe illness from COVID-19 and may be further affected by pandemic-related precautions (e.g., social distancing and isolation in quarantine). However, the longitudinal impact of the COVID-19 pandemic on older adults is...
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Aging Neuroscience |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2022.999107/full |
| _version_ | 1811186591074353152 |
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| author | Hanna K. Hausman Hanna K. Hausman Yunfeng Dai Andrew O’Shea Andrew O’Shea Vanessa Dominguez Vanessa Dominguez Matthew Fillingim Matthew Fillingim Kristin Calfee Kristin Calfee Daniela Carballo Daniela Carballo Cindy Hernandez Cindy Hernandez Sean Perryman Sean Perryman Jessica N. Kraft Jessica N. Kraft Nicole D. Evangelista Nicole D. Evangelista Emily J. Van Etten Samantha G. Smith Pradyumna K. Bharadwaj Hyun Song Eric Porges Eric Porges Steven T. DeKosky Steven T. DeKosky Georg A. Hishaw Michael Marsiske Michael Marsiske Ronald Cohen Ronald Cohen Gene E. Alexander Gene E. Alexander Samuel S. Wu Adam J. Woods Adam J. Woods |
| author_facet | Hanna K. Hausman Hanna K. Hausman Yunfeng Dai Andrew O’Shea Andrew O’Shea Vanessa Dominguez Vanessa Dominguez Matthew Fillingim Matthew Fillingim Kristin Calfee Kristin Calfee Daniela Carballo Daniela Carballo Cindy Hernandez Cindy Hernandez Sean Perryman Sean Perryman Jessica N. Kraft Jessica N. Kraft Nicole D. Evangelista Nicole D. Evangelista Emily J. Van Etten Samantha G. Smith Pradyumna K. Bharadwaj Hyun Song Eric Porges Eric Porges Steven T. DeKosky Steven T. DeKosky Georg A. Hishaw Michael Marsiske Michael Marsiske Ronald Cohen Ronald Cohen Gene E. Alexander Gene E. Alexander Samuel S. Wu Adam J. Woods Adam J. Woods |
| author_sort | Hanna K. Hausman |
| collection | DOAJ |
| description | Background: Older adults are at a greater risk for contracting and experiencing severe illness from COVID-19 and may be further affected by pandemic-related precautions (e.g., social distancing and isolation in quarantine). However, the longitudinal impact of the COVID-19 pandemic on older adults is unclear. The current study examines changes in health behaviors, psychosocial factors, and cognitive functioning in a large sample of older adults using a pre-pandemic baseline and longitudinal follow-up throughout 9 months of the COVID-19 pandemic.Methods: One hundred and eighty-nine older adults (ages 65-89) were recruited from a multisite clinical trial to complete additional virtual assessments during the COVID-19 pandemic. Mixed effects models evaluated changes in health behaviors, psychosocial factors, and cognitive functioning during the pandemic compared to a pre-pandemic baseline and over the course of the pandemic (i.e., comparing the first and last COVID-19 timepoints).Results: Compared to their pre-pandemic baseline, during the pandemic, older adults reported worsened sleep quality, perceived physical health and functioning, mental health, slight increases in depression and apathy symptoms, reduced social engagement/perceived social support, but demonstrated better performance on objective cognitive tasks of attention and working memory. Throughout the course of the pandemic, these older adults reported continued worsening of perceived physical health and function, fewer depression symptoms, and they demonstrated improved cognitive performance. It is important to note that changes on self-report mood measures and cognitive performance were relatively small regarding clinical significance. Education largely served as a protective factor, such that greater years of education was generally associated with better outcomes across domains.Conclusions: The present study provides insights into the longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in a population disproportionately affected by the virus. Replicating this study design in a demographically representative older adult sample is warranted to further inform intervention strategies targeting older adults negatively impacted by the COVID-19 pandemic. |
| first_indexed | 2024-04-11T13:48:00Z |
| format | Article |
| id | doaj.art-0d28dc1038984b51949432b19084b439 |
| institution | Directory Open Access Journal |
| issn | 1663-4365 |
| language | English |
| last_indexed | 2024-04-11T13:48:00Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Aging Neuroscience |
| spelling | doaj.art-0d28dc1038984b51949432b19084b4392022-12-22T04:20:51ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652022-11-011410.3389/fnagi.2022.999107999107The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adultsHanna K. Hausman0Hanna K. Hausman1Yunfeng Dai2Andrew O’Shea3Andrew O’Shea4Vanessa Dominguez5Vanessa Dominguez6Matthew Fillingim7Matthew Fillingim8Kristin Calfee9Kristin Calfee10Daniela Carballo11Daniela Carballo12Cindy Hernandez13Cindy Hernandez14Sean Perryman15Sean Perryman16Jessica N. Kraft17Jessica N. Kraft18Nicole D. Evangelista19Nicole D. Evangelista20Emily J. Van Etten21Samantha G. Smith22Pradyumna K. Bharadwaj23Hyun Song24Eric Porges25Eric Porges26Steven T. DeKosky27Steven T. DeKosky28Georg A. Hishaw29Michael Marsiske30Michael Marsiske31Ronald Cohen32Ronald Cohen33Gene E. Alexander34Gene E. Alexander35Samuel S. Wu36Adam J. Woods37Adam J. Woods38Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesDepartment of Biostatistics, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, FL,, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Neuroscience, College of Medicine, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesBrain Imaging, Behavior and Aging Laboratory, Department of Psychology and Evelyn F. McKnight Brain Institute, University of Arizona, Tucson, AZ, United StatesBrain Imaging, Behavior and Aging Laboratory, Department of Psychology and Evelyn F. McKnight Brain Institute, University of Arizona, Tucson, AZ, United StatesBrain Imaging, Behavior and Aging Laboratory, Department of Psychology and Evelyn F. McKnight Brain Institute, University of Arizona, Tucson, AZ, United StatesBrain Imaging, Behavior and Aging Laboratory, Department of Psychology and Evelyn F. McKnight Brain Institute, University of Arizona, Tucson, AZ, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, United StatesDepartment of Psychiatry, Neuroscience and Physiological Sciences Graduate Interdisciplinary Programs, and BIO5 Institute, University of Arizona and Arizona Alzheimer’s Disease Consortium, Tucson, AZ, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesBrain Imaging, Behavior and Aging Laboratory, Department of Psychology and Evelyn F. McKnight Brain Institute, University of Arizona, Tucson, AZ, United StatesDepartment of Psychiatry, Neuroscience and Physiological Sciences Graduate Interdisciplinary Programs, and BIO5 Institute, University of Arizona and Arizona Alzheimer’s Disease Consortium, Tucson, AZ, United StatesDepartment of Biostatistics, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, FL,, United StatesCenter for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United StatesDepartment of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United StatesBackground: Older adults are at a greater risk for contracting and experiencing severe illness from COVID-19 and may be further affected by pandemic-related precautions (e.g., social distancing and isolation in quarantine). However, the longitudinal impact of the COVID-19 pandemic on older adults is unclear. The current study examines changes in health behaviors, psychosocial factors, and cognitive functioning in a large sample of older adults using a pre-pandemic baseline and longitudinal follow-up throughout 9 months of the COVID-19 pandemic.Methods: One hundred and eighty-nine older adults (ages 65-89) were recruited from a multisite clinical trial to complete additional virtual assessments during the COVID-19 pandemic. Mixed effects models evaluated changes in health behaviors, psychosocial factors, and cognitive functioning during the pandemic compared to a pre-pandemic baseline and over the course of the pandemic (i.e., comparing the first and last COVID-19 timepoints).Results: Compared to their pre-pandemic baseline, during the pandemic, older adults reported worsened sleep quality, perceived physical health and functioning, mental health, slight increases in depression and apathy symptoms, reduced social engagement/perceived social support, but demonstrated better performance on objective cognitive tasks of attention and working memory. Throughout the course of the pandemic, these older adults reported continued worsening of perceived physical health and function, fewer depression symptoms, and they demonstrated improved cognitive performance. It is important to note that changes on self-report mood measures and cognitive performance were relatively small regarding clinical significance. Education largely served as a protective factor, such that greater years of education was generally associated with better outcomes across domains.Conclusions: The present study provides insights into the longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in a population disproportionately affected by the virus. Replicating this study design in a demographically representative older adult sample is warranted to further inform intervention strategies targeting older adults negatively impacted by the COVID-19 pandemic.https://www.frontiersin.org/articles/10.3389/fnagi.2022.999107/fullCOVID-19older adultshealth behaviorspsychosocialcognition |
| spellingShingle | Hanna K. Hausman Hanna K. Hausman Yunfeng Dai Andrew O’Shea Andrew O’Shea Vanessa Dominguez Vanessa Dominguez Matthew Fillingim Matthew Fillingim Kristin Calfee Kristin Calfee Daniela Carballo Daniela Carballo Cindy Hernandez Cindy Hernandez Sean Perryman Sean Perryman Jessica N. Kraft Jessica N. Kraft Nicole D. Evangelista Nicole D. Evangelista Emily J. Van Etten Samantha G. Smith Pradyumna K. Bharadwaj Hyun Song Eric Porges Eric Porges Steven T. DeKosky Steven T. DeKosky Georg A. Hishaw Michael Marsiske Michael Marsiske Ronald Cohen Ronald Cohen Gene E. Alexander Gene E. Alexander Samuel S. Wu Adam J. Woods Adam J. Woods The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults Frontiers in Aging Neuroscience COVID-19 older adults health behaviors psychosocial cognition |
| title | The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults |
| title_full | The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults |
| title_fullStr | The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults |
| title_full_unstemmed | The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults |
| title_short | The longitudinal impact of the COVID-19 pandemic on health behaviors, psychosocial factors, and cognitive functioning in older adults |
| title_sort | longitudinal impact of the covid 19 pandemic on health behaviors psychosocial factors and cognitive functioning in older adults |
| topic | COVID-19 older adults health behaviors psychosocial cognition |
| url | https://www.frontiersin.org/articles/10.3389/fnagi.2022.999107/full |
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