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405 - Emotional Resilience of Older Adults During COVID-19: A Systematic Review of Studies of Stress and Well-Being

Published online by Cambridge University Press:  01 November 2021

Evelina Sterina
Affiliation:
Emory University School of Medicine, 100 Woodruff Circle, Suite 231, Atlanta, GA, 30329. Electronic address: evelina.sterina@gmail.com.
Adriana P. Hermida
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Danielle J. Gerberi
Affiliation:
Mayo Clinic Library, Mayo Clinic, Rochester, MN, USA.
Maria I. Lapid
Affiliation:
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
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Abstract

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Objectives:

To examine post-traumatic stress, depression, anxiety, and well-being in older adults under quarantine in the context of epidemics.

Methods:

A systematic review of CINAHL, Ovid EBM Reviews, Ovid Embase, Ovid Medline, Ovid PsycINFO, Scopus, and Web of Science databases from 2000-2020 was conducted. Keywords included coronavirus, epidemic, quarantine, stress, mental health, and similar terms. Included studies enrolled participants under quarantine, quantitatively measured of mental health or psychological well-being, and characterized outcomes by age.

Results:

Of 894 initial results, 20 studies met criteria and were included in the analysis. Studies comprise a total of 106,553 participants from eight countries, age range 6-100, involved two epidemics (COVID- 19, SARS), and used 27 tools used to assess psychological responses to quarantine. The majority (70%) of the studies utilized recruited participants through online surveys, utilizing open web and snowball recruitment. Of the 20 studies, one found greater distress in older adults relative to younger adults on a COVID-19 distress scale, one study found no significant differences, and 18 studies found lower negative outcomes in older participants in at least one metric.

Conclusions:

Older adults in this review generally have lower stress and less negative emotions under quarantine than younger adults. It is unknown how this compares to the pre-pandemic state. More representative and longitudinal studies are needed to better measure the impact of quarantine on the mental health of older adults.

Clinical Implications:

As existing scales may not capture the full extent of pandemic’s psychological effects on older adults, clinicians must be vigilant in monitoring older adults’ mental health in quarantine.

Type
OnDemand Free/Oral Communications
Copyright
© International Psychogeriatric Association 2021