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Monday, January 30, 2023

Older people with asthma at higher risk of depression during Covid: Study

Health & FitnessOlder people with asthma at higher risk of depression during Covid: Study

A recent prospective study of nearly 2,000 Canadian older adults published online in the journal Breathing medicine found that older adults with asthma were at higher risk for depression during the COVID-19 pandemic.

For older adults with asthma who had experienced depression in the past, the numbers were alarming, with nearly one-half experiencing a recurrence of depression during the fall of 2020, higher than the recurrence rate among their peers. was significantly higher in those who did not have asthma. . who were alone. A fairly high rate of depression.

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“When considering height Comorbidity between asthma and depression Prior to the pandemic, coupled with the isolation associated with long periods of lockdown and the stress of being labeled as high risk for severe COVID-19-related outcomes, it is not surprising that this population has been more vulnerable during the pandemic. experienced a rapid decline in mental health,” says first author Andy McNeil, a research assistant at the Factor-Inventash Faculty of Social Work (FIFSW) and the Institute for Life Course and Aging, University of Toronto.

This sample comes from the Canadian Longitudinal Study on Aging, a national longitudinal study of older Canadians. Using longitudinal data, this study was able to distinguish between those with a pre-epidemic history of depression (n=770) and those who had an epidemiologic history of depression among 2,017 respondents with asthma. (n=1247) had never experienced depression before.

Although respondents with a history of depression were at greatest risk, 1 in 7 with no history of depression prior to the pandemic were depressed during the fall of 2020, which the pandemic caused asthma. with many previously raised mentally healthy older adults.

“The epidemic has had detrimental consequences for the mental health of older adults, particularly those who also have chronic health conditions, such as asthma,” says co-author Grace Lee, Ph.D. . candidate at the University of Victoria. “It is important for clinicians and health care professionals to screen their asthmatic patients for depressive symptoms, even in those who have not previously exhibited depressive symptoms. of.”

Although there is a growing body of research indicating higher rates of depression during the pandemic, few prior studies have focused specifically on frailty in people with asthma. The researchers identified several factors that were associated with a higher risk of depression in this population, such as experiencing barriers to accessing health care. These findings may help inform key points of intervention to support this population.

“The pandemic has severely impacted access to health care services, particularly in the United States,” says senior author Professor Esim Fuller Thompson at the University of Toronto’s FIFSW and director of the Institute for Life Course and Aging. may be harmful to older adults with chronic diseases, including asthma.” “This underscores the critical importance of ensuring health care, even in the absence of personal services.”

Respondents with asthma who experienced increased family conflict during the pandemic were found to have a higher risk of depression by autumn 2020.

“High levels of family conflict are already a known risk factor for depression in later life. The epidemic had the additional effect of severely disrupting coping mechanisms that may help prevent interpersonal conflict, such as social support and time spent outside the home, which in turn increases depression,” says co-author Ying Jiang, senior epidemiologist at the Public Health Agency of Canada.

The researchers also found that a loss of income or inability to access essential goods or food during a pandemic was associated with depression among people with asthma.

“Economic disruption and loss of income, particularly early in the pandemic, had a devastating impact on many Canadian households whose mental health is at risk,” says co-author Margaret D. Groh, scientific manager at the Public Health Agency of Canada. There were effects.”

The research was published in the journal Respiratory Medicine. The study included 2,017 participants from the Canadian Longitudinal Study on Aging (CLSA) with Asthma, who participated in the baseline view (2011-2015), follow-up 1 view (2015-2018) and during the epidemic (September to December). provided the data. 2020). This research was supported, in part, by grant #172862 from the Canadian Institutes of Health Research (CIHR). (PI Esme Fuller-Thomson)

“As life gradually returns to normal after the pandemic, it’s still important to consider the potential long-term effects on mental health,” McNeil said. “We hope these findings can help inform targeted screening and effective treatments such as cognitive behavioral therapy to help older adults with asthma who are experiencing depression.”

This story was published without editing the text from a wire agency feed. Only the title has been changed.

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