Depression Symptoms Amongst Older Brazilian and Chinese Women Submitted to Different Social Distancing Measures Rigidness During COVID-19 Outbreak

Overview

Journal Curr Aging Sci

Publisher Bentham Science Publishers

Specialty Geriatrics

Date 2023 Oct 31

PMID 37904567

Authors

Lucimere Bohn

Clarice Martins Lucena

Andre Pereira Dos Santos

Sitong Chen

Pedro Pugliesi Abdalla

Affiliations

Soon will be listed here.

Abstract

Background: It is plausible that depression symptoms and disrupting sleep quality were differently affected according to the rigidity of social distancing during the COVID-19 outbreak.

Objective: To describe and compare depression symptoms and sleep quality amongst older Brazilian and Chinese women who were submitted to different social distancing measures (less rigid (Brazil) versus more rigid (China)).

Methods: This observational cross-sectional study assessed urban older women who underwent home confinement with less (Brazil; n=1015) or more (China; n=644) rigidity. Socio-demographic correlates, general health information, depression symptoms [Geriatric Depression Scale (GDS- 15)], and sleep quality [Pittsburgh Sleep Quality Index (PSQI)] were assessed through interviews.

Results: 1659 older women (66.74 ± 5.48 years old; 38.8% Chinese; 61.2% Brazilian) were included for analysis. 22% of Brazilians and 19.6% of Chinese women presented depression symptoms. The frequency of bad sleepers was 56.4% and 37.7% amongst Brazilian and Chinese older women, respectively. After adjusting for socio-demographic variables, general health status, and PSQI global score, Chinese women had a significantly higher score of depression symptoms (3.88 ± 0.13) compared to the Brazilians (3.26 ± 0.10; p < 0.001).

Conclusion: The frequency of poor sleep quality was very high regardless of the country. After adjusting for confounders and sleep quality, older Chinese women had a significantly superior score of depression symptoms exacerbating psychological distress by confinement rigidness.

References

Arthur A, Savva G, Barnes L, Borjian-Boroojeny A, Dening T, Jagger C . Changing prevalence and treatment of depression among older people over two decades. Br J Psychiatry. 2019; 216(1):49-54. PMC: 7557614. DOI: 10.1192/bjp.2019.193. View

Chao A, Wadden T, Clark J, Hayden K, Howard M, Johnson K . Changes in the Prevalence of Symptoms of Depression, Loneliness, and Insomnia in U.S. Older Adults With Type 2 Diabetes During the COVID-19 Pandemic: The Look AHEAD Study. Diabetes Care. 2021; 45(1):74-82. PMC: 8753763. DOI: 10.2337/dc21-1179. View

Blazer D . Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci. 2003; 58(3):249-65. DOI: 10.1093/gerona/58.3.m249. View

Volkert J, Schulz H, Harter M, Wlodarczyk O, Andreas S . The prevalence of mental disorders in older people in Western countries - a meta-analysis. Ageing Res Rev. 2012; 12(1):339-53. DOI: 10.1016/j.arr.2012.09.004. View

Herrera M, Elgueta R, Fernandez M, Giacoman C, Leal D, Marshall P . A longitudinal study monitoring the quality of life in a national cohort of older adults in Chile before and during the COVID-19 outbreak. BMC Geriatr. 2021; 21(1):143. PMC: 7908522. DOI: 10.1186/s12877-021-02110-3. View

Meng H, Xu Y, Dai J, Zhang Y, Liu B, Yang H . Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry Res. 2020; 289:112983. PMC: 7151427. DOI: 10.1016/j.psychres.2020.112983. View

Shader R . COVID-19 and Depression. Clin Ther. 2020; 42(6):962-963. PMC: 7184005. DOI: 10.1016/j.clinthera.2020.04.010. View

Santini Z, Jose P, York Cornwell E, Koyanagi A, Nielsen L, Hinrichsen C . Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020; 5(1):e62-e70. DOI: 10.1016/S2468-2667(19)30230-0. View

Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusebio E . Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020; 74:81-85. PMC: 7366086. DOI: 10.1016/j.sleep.2020.07.012. View

10.

Brand S, Kalak N, Gerber M, Kirov R, Puhse U, Holsboer-Trachsler E . High self-perceived exercise exertion before bedtime is associated with greater objectively assessed sleep efficiency. Sleep Med. 2014; 15(9):1031-6. DOI: 10.1016/j.sleep.2014.05.016. View

11.

Pan C, Cong X, Zhou H, Li J, Sun H, Xu Y . Self-Reported Sleep Quality, Duration, and Health-Related Quality of Life in Older Chinese: Evidence From a Rural Town in Suzhou, China. J Clin Sleep Med. 2017; 13(8):967-974. PMC: 5529133. DOI: 10.5664/jcsm.6696. View

12.

Abdalla P, de Queiroz Neto E, de Souza Lage A, Gomes S, de Freitas M, Pedro-Costa S . Sleep Quality and Quality of Life Among Older Adults During COVID-19 Pandemic: A Cross-Sectional Study. Curr Aging Sci. 2022; 15(2):186-196. DOI: 10.2174/1874609815666220304195647. View

13.

Jiao J, Shi L, Zhang Y, Chen H, Wang X, Yang M . Core policies disparity response to COVID-19 among BRICS countries. Int J Equity Health. 2022; 21(1):9. PMC: 8771192. DOI: 10.1186/s12939-021-01614-z. View

14.

Bohn L, Gomes S, de Queiroz Neto E, de Souza Lage A, de Freitas M, Magalhaes F . Predictors of Lower Depression Levels in Older Adults During COVID-19 Lockdown. J Appl Gerontol. 2021; 40(11):1407-1416. DOI: 10.1177/07334648211025116. View

15.

Lipschitz D . Screening for nutritional status in the elderly. Prim Care. 1994; 21(1):55-67. View

16.

Almeida O, Almeida S . [Reliability of the Brazilian version of the ++abbreviated form of Geriatric Depression Scale (GDS) short form]. Arq Neuropsiquiatr. 1999; 57(2B):421-6. DOI: 10.1590/s0004-282x1999000300013. View

17.

Huang F, Wang H, Wang Z, Zhang J, Du W, Jia X . Is geriatric depression scale a valid instrument to screen depression in Chinese community-dwelling elderly?. BMC Geriatr. 2021; 21(1):310. PMC: 8120904. DOI: 10.1186/s12877-021-02266-y. View

18.

Bertolazi A, Fagondes S, Hoff L, Dartora E, Miozzo I, de Barba M . Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2010; 12(1):70-5. DOI: 10.1016/j.sleep.2010.04.020. View

19.

Fontes F, Goncalves M, Maia S, Pereira S, Severo M, Lunet N . Reliability and validity of the Pittsburgh Sleep Quality Index in breast cancer patients. Support Care Cancer. 2017; 25(10):3059-3066. DOI: 10.1007/s00520-017-3713-9. View

20.

Guo S, Sun W, Liu C, Wu S . Structural Validity of the Pittsburgh Sleep Quality Index in Chinese Undergraduate Students. Front Psychol. 2016; 7:1126. PMC: 4976124. DOI: 10.3389/fpsyg.2016.01126. View