Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience

COVID-19 represents an overwhelming stressor to mental health. Elderly individuals are particularly at risk, but it is still unclear whether the risk is equally distributed among men and women. The aim of this study was to define gender differences in persistent psychiatric symptoms after COVID-19 i...

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Main Authors: Delfina Janiri, Matteo Tosato, Alessio Simonetti, Silvia Montanari, Beatrice Terenzi, Antonello Catinari, Lorenzo De Mori, Gaspare Filippo Ferrajoli, Georgios D. Kotzalidis, Francesco Landi, Roberto Bernabei, Gabriele Sani
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Journal of Personalized Medicine
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Online Access:https://www.mdpi.com/2075-4426/12/12/2016
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author Delfina Janiri
Matteo Tosato
Alessio Simonetti
Silvia Montanari
Beatrice Terenzi
Antonello Catinari
Lorenzo De Mori
Gaspare Filippo Ferrajoli
Georgios D. Kotzalidis
Francesco Landi
Roberto Bernabei
Gabriele Sani
author_facet Delfina Janiri
Matteo Tosato
Alessio Simonetti
Silvia Montanari
Beatrice Terenzi
Antonello Catinari
Lorenzo De Mori
Gaspare Filippo Ferrajoli
Georgios D. Kotzalidis
Francesco Landi
Roberto Bernabei
Gabriele Sani
author_sort Delfina Janiri
collection DOAJ
description COVID-19 represents an overwhelming stressor to mental health. Elderly individuals are particularly at risk, but it is still unclear whether the risk is equally distributed among men and women. The aim of this study was to define gender differences in persistent psychiatric symptoms after COVID-19 illness and to test their association with resilience factors. <b>Methods:</b> We assessed 348 individuals aged >65 years at a multidisciplinary post-COVID-19 service. Mood and anxiety symptoms were investigated, as well as psychological distress and resilience, as assessed with the Kessler-10 (K10) Scale and the Connor-Davidson Resilience Scale (CD-RISC), respectively. Multivariate and linear regression analyses were used to test the distribution patterns of psychiatric symptoms and resilience factors. <b>Results:</b> In the total sample, 214 (61.5%) were men (a mean age of 73.25 years ±6.04) and 134 (38.5%) were women (a mean age of 72.69 years ±6.43; <i>p</i> = 0.407). Men and women significantly differed in marital status (<i>χ</i><sup>2</sup> = 25.17; <i>p</i> < 0.001, more men were married), living alone (<i>χ</i><sup>2</sup> = 11.62; <i>p</i> < 0.01, fewer men were living alone), hospitalization during COVID-19 illness (<i>χ</i><sup>2</sup> = 12.35; <i>p</i> < 0.001, more men were hospitalized during COVID-19), and subjective health status before COVID-19 infection (<i>χ</i><sup>2</sup> = 4.32; <i>p</i> < 0.001, men reporting better subjective health than women). Women reported more psychiatric symptoms and fewer resilience factors than men. Low resilience levels significantly predicted psychological distress in both men and women. <b>Conclusions:</b> The female elderly population affected by COVID-19 showed a greater vulnerability to psychiatric symptoms. Our data point to the need to strengthen resilience resources, especially in women.
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spelling doaj.art-b67e1ba65d7947d884dbd88d34db78862023-11-24T16:02:11ZengMDPI AGJournal of Personalized Medicine2075-44262022-12-011212201610.3390/jpm12122016Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and ResilienceDelfina Janiri0Matteo Tosato1Alessio Simonetti2Silvia Montanari3Beatrice Terenzi4Antonello Catinari5Lorenzo De Mori6Gaspare Filippo Ferrajoli7Georgios D. Kotzalidis8Francesco Landi9Roberto Bernabei10Gabriele Sani11Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyGeriatrics Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs (NESMOS), Sapienza University of Rome, Via di Grottarossa 1035-1039, 00189 Rome, ItalyGeriatrics Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, ItalyGeriatrics Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Francesco Vito 1, 00168 Rome, ItalyDepartment of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, ItalyCOVID-19 represents an overwhelming stressor to mental health. Elderly individuals are particularly at risk, but it is still unclear whether the risk is equally distributed among men and women. The aim of this study was to define gender differences in persistent psychiatric symptoms after COVID-19 illness and to test their association with resilience factors. <b>Methods:</b> We assessed 348 individuals aged >65 years at a multidisciplinary post-COVID-19 service. Mood and anxiety symptoms were investigated, as well as psychological distress and resilience, as assessed with the Kessler-10 (K10) Scale and the Connor-Davidson Resilience Scale (CD-RISC), respectively. Multivariate and linear regression analyses were used to test the distribution patterns of psychiatric symptoms and resilience factors. <b>Results:</b> In the total sample, 214 (61.5%) were men (a mean age of 73.25 years ±6.04) and 134 (38.5%) were women (a mean age of 72.69 years ±6.43; <i>p</i> = 0.407). Men and women significantly differed in marital status (<i>χ</i><sup>2</sup> = 25.17; <i>p</i> < 0.001, more men were married), living alone (<i>χ</i><sup>2</sup> = 11.62; <i>p</i> < 0.01, fewer men were living alone), hospitalization during COVID-19 illness (<i>χ</i><sup>2</sup> = 12.35; <i>p</i> < 0.001, more men were hospitalized during COVID-19), and subjective health status before COVID-19 infection (<i>χ</i><sup>2</sup> = 4.32; <i>p</i> < 0.001, men reporting better subjective health than women). Women reported more psychiatric symptoms and fewer resilience factors than men. Low resilience levels significantly predicted psychological distress in both men and women. <b>Conclusions:</b> The female elderly population affected by COVID-19 showed a greater vulnerability to psychiatric symptoms. Our data point to the need to strengthen resilience resources, especially in women.https://www.mdpi.com/2075-4426/12/12/2016COVID-19depressionanxietygenderwomenresilience
spellingShingle Delfina Janiri
Matteo Tosato
Alessio Simonetti
Silvia Montanari
Beatrice Terenzi
Antonello Catinari
Lorenzo De Mori
Gaspare Filippo Ferrajoli
Georgios D. Kotzalidis
Francesco Landi
Roberto Bernabei
Gabriele Sani
Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience
Journal of Personalized Medicine
COVID-19
depression
anxiety
gender
women
resilience
title Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience
title_full Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience
title_fullStr Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience
title_full_unstemmed Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience
title_short Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience
title_sort post covid 19 psychiatric symptoms in the elderly the role of gender and resilience
topic COVID-19
depression
anxiety
gender
women
resilience
url https://www.mdpi.com/2075-4426/12/12/2016
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