Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults
Background: Functioning of Social Behavioral Rhythms (SBRs) may affect resilience toward stressful events across different age groups. However, the impact of SBRs on the coronavirus disease of 2019 (COVID-19) in elder people is yet to ascertain, representing the aim of the present report. Design an...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-03-01
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| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | https://www.jphres.org/index.php/jphres/article/view/2768 |
| _version_ | 1797967372854755328 |
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| author | Mauro Giovanni Carta Michele Fornaro Luigi Minerba Massimiliano Pau Fernanda Velluzzi Laura Atzori Cesar Ivan Aviles Gonzalez Ferdinando Romano Roberto Littera Luchino Chessa Davide Firinu Stefano Del Giacco Angelo Restivo Simona Deidda Germano Orrù Alessandra Scano Simona Onali Ferdinando Coghe Goce Kalcev Giulia Cossu |
| author_facet | Mauro Giovanni Carta Michele Fornaro Luigi Minerba Massimiliano Pau Fernanda Velluzzi Laura Atzori Cesar Ivan Aviles Gonzalez Ferdinando Romano Roberto Littera Luchino Chessa Davide Firinu Stefano Del Giacco Angelo Restivo Simona Deidda Germano Orrù Alessandra Scano Simona Onali Ferdinando Coghe Goce Kalcev Giulia Cossu |
| author_sort | Mauro Giovanni Carta |
| collection | DOAJ |
| description |
Background: Functioning of Social Behavioral Rhythms (SBRs) may affect resilience toward stressful events across different age groups. However, the impact of SBRs on the coronavirus disease of 2019 (COVID-19) in elder people is yet to ascertain, representing the aim of the present report.
Design and methods: Follow-up of a peer-reviewed randomized controlled trial on exercise on old adults (³65 years), concurrent to the onset of the pandemic-related lockdown. Post-RCT evaluations occurred after further 12 and 36 weeks since the beginning of the lockdown phase. People with Major Depressive Episode (MDE) at week-48 (follow-up endpoint) were deemed as cases, people without such condition were considered controls. MDE was ascertained using the Patient Health Questionnaire-9 (PHQ-9); SBRs functioning at week 12 onward, through the Brief Symptom Rating Scale (BSRS).
Results: Seventy-nine individuals (53.2%, females) entered the RCT-follow-up phase. The frequency of MDE did not significantly change before versus during lockdown (OR 2.60, CI95%=0.87-9.13). People with BSRS>1 standard deviation of the whole sample score at week-12 had an inflated risk of DE during lockdown (OR=5.6, 95%CI: 1.5-21.4) compared to those with lower BSRS scores. Such odd hold after excluding individuals with MDD at week-12. The post-hoc analysis could be potentially affected by selection bias.
Conclusions: Overall, older adults were resilient during the first phase of the pandemic when functioning of pre-lockdown was still preserved, in contrast to the subsequent evaluations when the impairment of daily rhythms was associated with impaired reliance.
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| first_indexed | 2024-04-11T02:30:12Z |
| format | Article |
| id | doaj.art-5a2f474499fd4b70b7ac8e3fe88de2ad |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T02:30:12Z |
| publishDate | 2022-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-5a2f474499fd4b70b7ac8e3fe88de2ad2023-01-02T21:40:08ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362022-03-0111210.4081/jphr.2022.2768Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adultsMauro Giovanni Carta0Michele Fornaro1Luigi Minerba2Massimiliano Pau3Fernanda Velluzzi4Laura Atzori5Cesar Ivan Aviles Gonzalez6Ferdinando Romano7Roberto Littera8Luchino Chessa9Davide Firinu10Stefano Del Giacco11Angelo Restivo12Simona Deidda 13Germano Orrù14Alessandra ScanoSimona Onali15Ferdinando Coghe16Goce Kalcev17 Giulia Cossu18Department of Medical Science and Public Health, University of CagliariDepartment of Psychiatry, Federico II University of NaplesDepartment of Medical Science and Public Health, University of CagliariDepartment of Mechanical, Chemical and Materials Engineering, University of CagliariDepartment of Medical Science and Public Health, University of CagliariDepartment of Medical Science and Public Health, University of CagliariUniversidad Popular del Cesar, ValleduparUniversity La Sapienza, RomeUnit of Medical Genetics, R. Binaghi Hospital, Local Public Health and Social Care Unit (ASSL) of Cagliari, Sardinian Regional Company for the Protection of Health (ATS Sardegna), CagliariDepartment of Medical Science and Public Health, University of CagliariDepartment of Medical Science and Public Health, University of CagliariDepartment of Medical Science and Public Health, University of CagliariDepartment of Surgical Sciences, University of CagliariDepartment of Surgical Sciences, University of CagliariDepartment of Surgical Sciences, University of CagliariDepartment of Medical Science and Public Health, University of CagliariClinical Chemical and Microbiology Laboratory, University Hospital of CagliariInternational Ph.D in Innovation Sciences and Technologies, University of CagliariDepartment of Medical Science and Public Health, University of Cagliari Background: Functioning of Social Behavioral Rhythms (SBRs) may affect resilience toward stressful events across different age groups. However, the impact of SBRs on the coronavirus disease of 2019 (COVID-19) in elder people is yet to ascertain, representing the aim of the present report. Design and methods: Follow-up of a peer-reviewed randomized controlled trial on exercise on old adults (³65 years), concurrent to the onset of the pandemic-related lockdown. Post-RCT evaluations occurred after further 12 and 36 weeks since the beginning of the lockdown phase. People with Major Depressive Episode (MDE) at week-48 (follow-up endpoint) were deemed as cases, people without such condition were considered controls. MDE was ascertained using the Patient Health Questionnaire-9 (PHQ-9); SBRs functioning at week 12 onward, through the Brief Symptom Rating Scale (BSRS). Results: Seventy-nine individuals (53.2%, females) entered the RCT-follow-up phase. The frequency of MDE did not significantly change before versus during lockdown (OR 2.60, CI95%=0.87-9.13). People with BSRS>1 standard deviation of the whole sample score at week-12 had an inflated risk of DE during lockdown (OR=5.6, 95%CI: 1.5-21.4) compared to those with lower BSRS scores. Such odd hold after excluding individuals with MDD at week-12. The post-hoc analysis could be potentially affected by selection bias. Conclusions: Overall, older adults were resilient during the first phase of the pandemic when functioning of pre-lockdown was still preserved, in contrast to the subsequent evaluations when the impairment of daily rhythms was associated with impaired reliance. https://www.jphres.org/index.php/jphres/article/view/2768Social and behavioral rhythmsMajor Depressive DisorderHealth-Related Quality of LifeCovid-19Resilience |
| spellingShingle | Mauro Giovanni Carta Michele Fornaro Luigi Minerba Massimiliano Pau Fernanda Velluzzi Laura Atzori Cesar Ivan Aviles Gonzalez Ferdinando Romano Roberto Littera Luchino Chessa Davide Firinu Stefano Del Giacco Angelo Restivo Simona Deidda Germano Orrù Alessandra Scano Simona Onali Ferdinando Coghe Goce Kalcev Giulia Cossu Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults Journal of Public Health Research Social and behavioral rhythms Major Depressive Disorder Health-Related Quality of Life Covid-19 Resilience |
| title | Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults |
| title_full | Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults |
| title_fullStr | Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults |
| title_full_unstemmed | Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults |
| title_short | Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults |
| title_sort | previous functional social and behavioral rhythms affect resilience to covid 19 related stress among old adults |
| topic | Social and behavioral rhythms Major Depressive Disorder Health-Related Quality of Life Covid-19 Resilience |
| url | https://www.jphres.org/index.php/jphres/article/view/2768 |
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