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1.
Rev. esp. geriatr. gerontol. (Ed. impr.) ; 55(5): 272-278, sept.-oct. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193032

RESUMO

OBJETIVOS: Analizar si existen diferencias en función de la edad en ansiedad, tristeza, soledad y comorbilidad ansioso-depresiva en personas jóvenes, de mediana edad y mayores confinadas debido a la pandemia de la COVID-19, y explorar la relación entre la autopercepción negativa del envejecimiento y nivel de sintomatología psicológica en función del grupo de edad. MÉTODO: Participan 1.501 personas (rango de edad: 18 a 88 años). Se evaluaron el grado de ansiedad, tristeza y soledad, y la autopercepción del envejecimiento. Se dividió a la muestra en función del grupo de edad y por cuartiles (bajo, intermedios y alto) en ansiedad, tristeza, soledad y autopercepción del envejecimiento. RESULTADOS: Las personas mayores informan de menor ansiedad y tristeza que los de mediana edad y jóvenes, y los de mediana edad de menores niveles que los jóvenes. Los de mediana edad informan de menor soledad, seguidos de los mayores y los jóvenes. Para cada grupo de edad, aquellos con una alta autopercepción negativa del envejecimiento informan de mayor ansiedad, tristeza y soledad. Hay más comorbilidad ansioso-depresiva en jóvenes y menos en mayores; más personas deprimidas en mediana edad, menos mayores con ansiedad, y más mayores y menos jóvenes sin sintomatología ansiosa y depresiva. Para todos los grupos de edad, las personas con comorbilidad ansioso-depresiva son las que tienen puntuaciones altas en autopercepción negativa del envejecimiento. CONCLUSIONES: Las personas mayores informan de menos malestar psicológico que otros grupos de edad. Tener una alta autopercepción negativa del envejecimiento perjudica a la salud psicológica, independientemente de la edad


OBJECTIVES: To analyze differences by age group in anxiety, depression, loneliness and comorbid anxiety and depression in young people, middle aged adults and older adults during the lock-down period at home due to the COVID-19 pandemic, and to explore the association between negative self-perceptions of aging and psychological symptoms controlling by age group. METHOD: Participants are 1501 people (age range 18 to 88 years). Anxiety, sadness, loneliness and self-perceptions of aging were assessed. The sample was divided according to the age group and quartiles (lower, intermediate levels, and higher) of anxiety, sadness, loneliness and self-perceptions of aging. RESULTS: Older adults reported lower levels of anxiety and sadness than middle aged adults, and middle aged adults reported lower levels than younger participants. Middle aged adults reported the lowest loneliness, followed by older adults and younger participants. For each age group, those with more negative self-perceptions of aging reported higher anxiety, sadness and loneliness. More comorbid anxiety and sadness was found in younger adults and less in older adults; more depressed participants in the middle aged group, and more older adults and less younger participants were found in the group with the lowest levels of anxiety and sadness. For all the age groups, participants with high levels of comorbid anxiety and sadness are those who report the highest scores in negative self-perceptions of aging. CONCLUSIONS: Older adults reported lower psychological anxiety, sadness and loneliness than the other age groups. Having negative self-perceptions of aging damage psychological health irrespective of the chronological age


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Infecções por Coronavirus/epidemiologia , Quarentena/psicologia , Envelhecimento/psicologia , Autoimagem , Solidão/psicologia , Depressão/psicologia , Ansiedade/epidemiologia , Adaptação Psicológica , Inquéritos de Morbidade , Pandemias , Fatores Etários , Questionário de Saúde do Paciente/estatística & dados numéricos , Transtornos de Adaptação/epidemiologia
2.
Psicothema ; 32(4): 490-500, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33073754

RESUMO

BACKGROUND: The World Health Organization has highlighted the importance of studying the consequences of the COVID-19 pandemic on mental health. The aim of this study is to examine the role of age in the early psychological responses to the pandemic in a Spanish community sample, focusing on how different generations coped with it. METHOD: An online survey was conducted during the early stages of the quarantine. Sociodemographic, health and behavioral variables were compared for five age groups. Mental health was assessed by the Depression, Anxiety and Stress Scale (DASS-21) and psychological impacts were assessed by the Impact of Event Scale-Revised (IES-R). RESULTS: 3,524 participants were included (Mage = 39.24, SDage = 12.00). Participants aged between 18 and 33 years old showed more hyperactivation and evitation, were more depressed, anxious and stressed. Those aged between 26 and 33 years old showed more intrusion. Those aged between 18 and 25 years old suffered more sleep disturbances, claustrophobia and somatization and maintained worse routines. Elderly people showed better psychological responses in general. CONCLUSIONS: This study provides initial evidence that the negative psychological impact of COVID-19 pandemic hits young people harder. These results should be taken into account when developing specific evidence-based strategies.


Assuntos
Adaptação Psicológica , Envelhecimento/psicologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Pandemias , Pneumonia Viral/psicologia , Adolescente , Adulto , Idoso , Ansiedade/etiologia , Atitude Frente a Saúde , Estudos Transversais , Depressão/etiologia , Feminino , Hábitos , Comportamentos Relacionados com a Saúde , Humanos , Acontecimentos que Mudam a Vida , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Amostragem , Índice de Gravidade de Doença , Fatores Socioeconômicos , Espanha , Estresse Psicológico/etiologia , Inquéritos e Questionários , Adulto Jovem
4.
J Am Med Dir Assoc ; 21(10): 1365-1370.e7, 2020 10.
Artigo em Inglês | MEDLINE | ID: covidwho-803008

RESUMO

During the first few months of the coronavirus disease 2019 (COVID-19) pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. As Canada emerges from its first wave of the pandemic, nursing homes across the country have cautiously started to reopen these settings, yet there is broad criticism that emerging visitor policies are overly restrictive, inequitable, and potentially harmful. We reviewed the nursing home visitor policies for Canada's 10 provinces and 3 territories as well as international policies and reports on the topic to develop 10 provi-informed, data-driven, and expert-reviewed guidance for the re-opening of Canadian nursing homes to family caregivers and visitors.


Assuntos
Infecções por Coronavirus/prevenção & controle , Solidão/psicologia , Casas de Saúde/organização & administração , Pandemias/prevenção & controle , Segurança do Paciente/normas , Pneumonia Viral/prevenção & controle , Isolamento Social/psicologia , Envelhecimento/psicologia , Betacoronavirus , Canadá , Infecções por Coronavirus/epidemiologia , Gerenciamento Clínico , Política de Saúde , Humanos , Pneumonia Viral/epidemiologia
5.
J Am Med Dir Assoc ; 21(10): 1365-1370.e7, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32981662

RESUMO

During the first few months of the coronavirus disease 2019 (COVID-19) pandemic, Canadian nursing homes implemented strict no-visitor policies to reduce the risk of introducing COVID-19 in these settings. There are now growing concerns that the risks associated with restricted access to family caregivers and visitors have started to outweigh the potential benefits associated with preventing COVID-19 infections. Many residents have sustained severe and potentially irreversible physical, functional, cognitive, and mental health declines. As Canada emerges from its first wave of the pandemic, nursing homes across the country have cautiously started to reopen these settings, yet there is broad criticism that emerging visitor policies are overly restrictive, inequitable, and potentially harmful. We reviewed the nursing home visitor policies for Canada's 10 provinces and 3 territories as well as international policies and reports on the topic to develop 10 provi-informed, data-driven, and expert-reviewed guidance for the re-opening of Canadian nursing homes to family caregivers and visitors.


Assuntos
Infecções por Coronavirus/prevenção & controle , Solidão/psicologia , Casas de Saúde/organização & administração , Pandemias/prevenção & controle , Segurança do Paciente/normas , Pneumonia Viral/prevenção & controle , Isolamento Social/psicologia , Envelhecimento/psicologia , Betacoronavirus , Canadá , Infecções por Coronavirus/epidemiologia , Gerenciamento Clínico , Política de Saúde , Humanos , Pneumonia Viral/epidemiologia
7.
Epidemiol Psychiatr Sci ; 29: e158, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32792036

RESUMO

AIMS: Early diagnosis and treatment of depression are associated with better prognosis. We used baseline data of the Canadian Longitudinal Study on Aging (2012-2015; ages 45-85 years) to examine differences in prevalence and predictors of undiagnosed depression (UD) between immigrants and non-immigrants at baseline and persistent and/or emerging depressive symptoms (DS) 18 months later. At this second time point, we also examined if a mental health care professional (MHCP) had been consulted. METHODS: We excluded individuals with any prior mood disorder and/or current anti-depressive medication use at baseline. UD was defined as the Center for Epidemiological Studies Depression 10 score ⩾10. DS at 18 months were defined as Kessler 10 score ⩾19. The associations of interest were examined in multivariate logistic regression models. RESULTS: Our study included 4382 immigrants and 18 620 non-immigrants. The mean age (standard deviation) in immigrants was 63 (10.3) years v. 65 (10.7) years in non-immigrants and 52.1% v. 57.1% were male. Among immigrants, 12.2% had UD at baseline of whom 34.2% had persistent DS 18 months later v. 10.6% and 31.4%, respectively, among non-immigrants. Female immigrants were more likely to have UD than female non-immigrants (odds ratio 1.50, 95% confidence interval 1.25-1.80) but no difference observed for men. The risk of persistent DS and consulting an MHCP at 18 months did not differ between immigrants and non-immigrants. CONCLUSIONS: Female immigrants may particularly benefit from depression screening. Seeking mental health care in the context of DS should be encouraged.


Assuntos
Envelhecimento/psicologia , Depressão/etnologia , Emigrantes e Imigrantes/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Comportamento de Busca de Ajuda , Serviços de Saúde Mental/estatística & dados numéricos , Adulto , Fatores Etários , Idoso , Canadá/epidemiologia , Depressão/epidemiologia , Depressão/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Acesso aos Serviços de Saúde , Humanos , Estudos Longitudinais , Masculino , Saúde Mental , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Fatores Sexuais
8.
Med Clin North Am ; 104(5): 895-908, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32773053

RESUMO

Geriatric patients are not just older adult patients. Aging brings about unique physiologic, psychological, and sociologic changes within individuals. Recognition of these unique characteristics and measuring for their impact; instituting mitigating strategies; using age-specific anesthetic measures; and performing a systematic, algorithmic care model in the postoperative period overseen by a multidisciplinary team brings about enhanced outcomes and improved quality of care for this expanding group of patients.


Assuntos
Envelhecimento , Cuidados Pós-Operatórios/métodos , Complicações Pós-Operatórias , Procedimentos Cirúrgicos Operatórios , Idoso , Envelhecimento/fisiologia , Envelhecimento/psicologia , Avaliação Geriátrica/métodos , Humanos , Seleção de Pacientes , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/prevenção & controle , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Procedimentos Cirúrgicos Operatórios/métodos
9.
Aging (Albany NY) ; 12(15): 15186-15195, 2020 08 12.
Artigo em Inglês | MEDLINE | ID: mdl-32788424

RESUMO

Italy was the first European nation to be affected by COVID-19. The biggest cluster of cases occurred in Lombardy, the most populous Italian region, and elderly men were the population hit in the hardest way. Besides its high infectivity, COVID-19 causes a severe cytokine storm and old people, especially those with comorbidities, appear to be the most vulnerable, presumably in connection to inflammaging. In centenarians inflammaging is much lower than predicted by their chronological age and females, presenting survival advantage in almost all centenarian populations, outnumber males, a phenomenon particularly evident in Northern Italy. Within this scenario, we wondered if: a) the COVID-19 mortality in centenarians was lower than that in people aged between 50 and 80 and b) the mortality from COVID-19 in nonagenarians and centenarians highlighted gender differences.We checked COVID-19-related vulnerability/mortality at the peak of infection (March 2020), using data on total deaths (i.e. not only confirmed COVID-19 cases). Our conclusion is that excess mortality increases steadily up to very old ages and at the same time men older than 90 years become relatively more resilient than age-matched females.


Assuntos
Envelhecimento , Betacoronavirus/fisiologia , Infecções por Coronavirus , Serviços de Saúde para Idosos/estatística & dados numéricos , Inflamação , Mortalidade , Pandemias , Pneumonia Viral , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Envelhecimento/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Feminino , Necessidades e Demandas de Serviços de Saúde , Disparidades nos Níveis de Saúde , Humanos , Inflamação/epidemiologia , Inflamação/virologia , Itália/epidemiologia , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/imunologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Saúde Pública/métodos , Fatores Sexuais , Populações Vulneráveis
10.
Psychol Aging ; 35(5): 639-653, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32744847

RESUMO

Sometimes, we intentionally evaluate stimuli to assess whether we recognize them, whereas, at other times, stimuli automatically elicit recognition despite our efforts to ignore them. If multiple stimuli are encountered in the same environment, intentional recognition judgments can be biased by unintentional recognition of to-be-ignored stimuli. Aging is associated with increased distractibility and impaired intentional retrieval processes, which can make older adults more susceptible to distraction-induced recognition biases. We measured recognition memory performance, event-related potentials (ERPs), and electroencephalography oscillations in old (age range = 60-74) and young (age range = 18-24) adults to investigate how aging affects unintentional and intentional memory processes, and how these processes interact over time to produce distraction-induced recognition biases. Older participants had poorer intentional recognition memory, but the biasing effect of unintentional distractor recognition was similar across age groups. ERP effects related to intentional and unintentional recognition that were strongly expressed in the younger group were reduced or absent in the older group. Furthermore, the older group showed qualitatively different ERP activity during intentional recognition compared with the younger group. However, similar patterns of theta and alpha oscillations were found in both age groups, who showed theta power increases for both intentional and unintentional recognition, whereas alpha power was enhanced for intentional recognition but reduced for unintentional recognition. Overall, the findings show that unintentional and intentional recognition involve multiple dissociable memory processes that have different time-courses and functional characteristics and are differentially affected by aging. Whereas aging has strong effects on the neurocognitive mechanisms underlying intentional recognition memory, unintentional recognition mechanisms are less affected. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Envelhecimento/psicologia , Transtornos Neurocognitivos/etiologia , Reconhecimento Psicológico/fisiologia , Idoso , Feminino , Humanos , Masculino
11.
Psychol Aging ; 35(5): 676-696, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32744850

RESUMO

Available evidence suggests enhanced spontaneous emotion regulation in healthy aging, but the effects of specific strategies and the associated age-related neural mechanisms remain unclear. In this study, younger and older participants rated the emotional content of negative and neutral images, after explicit instructions or implicit priming to engage emotional suppression as an emotion regulation strategy, while functional magnetic resonance imaging (fMRI) data were recorded. Participants' memory for the images was also tested 1 week later. Behaviorally, younger and older adults were similarly successful in using explicit suppression to inhibit immediate emotional responses. However, this was associated with reduced long-term memory only for younger adults. fMRI data showed dissociable activity in the lateral prefrontal cortex (PFC) coupled with similar activity in the amygdala in younger and older adults after the engagement of emotional suppression. Results also identified a lateral-to-medial shift in the functional connectivity of the PFC in aging, linked to the engagement of explicit suppression. Regarding memory, younger adults uniquely showed bilateral modulation of encoding-related activity in the hippocampus (HC), as well as a left-lateralized decrease of the HC-PFC functional connectivity after explicit emotional suppression. This is consistent with diminished involvement of typical mechanisms associated with emotional memory because of successful engagement of explicit suppression in younger adults. Taken together, these findings identified similar and differential effects of suppression on immediate emotional responses and long-term memory for emotional information, in younger and older adults, and provide insights into the neural mechanisms by which younger and older adults adaptively cope with emotional challenges. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Envelhecimento/psicologia , Emoções/fisiologia , Imagem por Ressonância Magnética/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
12.
Psychol Aging ; 35(6): 881-893, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32816506

RESUMO

The present study investigated age-related differences in the ability to constrain attention to the current task, without contamination (bleeding) from an upcoming decision. Each experiment included two blocks of trials. During Block 1, participants initially incidentally encoded a list of high- and low-frequency words, after which they pronounced aloud the studied words intermixed with a new set of words during a test phase. Block 2 was identical to Block 1 with the exception that after pronouncing each word aloud, participants made an additional decision (episodic recognition decision in Experiments 1 and 2 and animacy decision in Experiment 3). In the first two experiments, older adults showed disproportionate slowing in their response times to pronounce the words when they additionally had to make a recognition judgment afterward (Block 2) compared to when they only pronounced the words aloud (Block 1). Importantly, the difference between high-frequency and low-frequency words (the word frequency effect) was disproportionately attenuated for older adults in Block 2 compared to Block 1 and compared to younger adults. These results suggest that older adults experience greater cross-task bleeding than younger adults because word frequency has opposing effects in pronunciation and recognition tasks. As predicted, this age modulation of the word frequency effect in pronunciation performance was not replicated in Experiment 3 when participants made an animacy judgment, wherein word frequency effects act in concert with those of the pronunciation task. Discussion focuses on age-related differences in the ability to constrain attention to a current task. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Envelhecimento/psicologia , Atenção/fisiologia , Tempo de Reação/fisiologia , Reconhecimento Psicológico , Idoso , Feminino , Humanos , Julgamento , Idioma , Masculino , Análise e Desempenho de Tarefas
13.
PLoS One ; 15(8): e0237166, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32745148

RESUMO

This study aims to clarify the factors associated with the gradual withdrawal from society in older adults. We defined the stages of follow-up difficulty based on four follow-up surveys on non-respondents of longitudinal mail surveys in community-dwelling older adults to examine the main factors associated with the stages of follow-up difficulty. We conducted a follow-up mail survey (FL1) with respondents of a baseline survey, and three more follow-up surveys with the non-respondents of each previous survey: simplified mail (FL2), postcard (FL3), and home visit surveys (FL4). The respondents of each follow-up survey were defined as a stage of follow-up difficulty; their characteristics concerning social participation and interaction at baseline in each stage were analyzed. The number of respondents in the FL1, FL2, FL3, and FL4 stages and non-respondents (NR) were as follows: 2,361; 462; 234; 84; and 101, respectively. Participation in hobby groups in FL2 and FL3, sports groups in FL4, and neighborhood association and social isolation in NR were significantly associated with the stage of follow-up difficulty. Based on these results, we conclude that the following factors are associated with each stage of follow-up difficulty: 1) a decline in instrumental activities of daily living in the FL2 and FL3 stages, 2) dislike for participating in physical activity such as sports in the FL4 stage, and 3) social isolation, not even belonging to a neighborhood association due to low social interaction in the NR group.


Assuntos
Atividades Cotidianas , Envelhecimento/psicologia , Vida Independente/estatística & dados numéricos , Perda de Seguimento , Comportamento Social , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Participação da Comunidade , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Inquéritos e Questionários/estatística & dados numéricos
14.
Soins Gerontol ; 25(144): 34-37, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32792240

RESUMO

Older people are often victims of stereotypes that have detrimental consequences, ageism with its negative and discriminatory attitudes based on age alone. It is therefore essential to be able to communicate accurately, respectfully and sympathetically with older people. The words used are important components of the care relationship. Society as a whole must act on itself and its language in order to fight against ageism and become more inclusive.


Assuntos
Ageismo , Envelhecimento/psicologia , Estereotipagem , Idoso , Humanos
15.
J Nutr Health Aging ; 24(7): 692-695, 2020.
Artigo em Inglês | MEDLINE | ID: covidwho-401339

RESUMO

The SARS-CoV-2 infection is particularly associated with negative outcomes (i.e., serious disease, death) in frail older people, independently of where they live. Furthermore, the period of pandemic (with its lockdowns, social distancing, fragmentation of care…) has significantly changed the environment in which older people live. It is likely that, when the pandemic will be over, an acceleration of the aging process will be observed for many persons, independently of whether they have been infected or not by the SARS-CoV-2. The World report on ageing and health, published by the World Health Organization, proposes the concept of intrinsic capacity (i.e., the composite of all the physical and mental capacities of the individual) as central for healthy ageing. The routine assessment of biological age through constructs such as intrinsic capacity might have allowed a better understanding of the functional trajectories and vulnerabilities of the individual, even during a catastrophic event as the one we are currently living. In the present article, we describe how COVID-19 has affected the persons' intrinsic capacity, and how the wide adoption of the intrinsic capacity model may support the modernization of our systems and bring them closer to the individual.


Assuntos
Envelhecimento/psicologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Envelhecimento Saudável , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Idoso , Idoso de 80 Anos ou mais , Humanos , Pandemias , Isolamento Social
16.
Aging (Albany NY) ; 12(15): 15186-15195, 2020 08 12.
Artigo em Inglês | MEDLINE | ID: covidwho-713796

RESUMO

Italy was the first European nation to be affected by COVID-19. The biggest cluster of cases occurred in Lombardy, the most populous Italian region, and elderly men were the population hit in the hardest way. Besides its high infectivity, COVID-19 causes a severe cytokine storm and old people, especially those with comorbidities, appear to be the most vulnerable, presumably in connection to inflammaging. In centenarians inflammaging is much lower than predicted by their chronological age and females, presenting survival advantage in almost all centenarian populations, outnumber males, a phenomenon particularly evident in Northern Italy. Within this scenario, we wondered if: a) the COVID-19 mortality in centenarians was lower than that in people aged between 50 and 80 and b) the mortality from COVID-19 in nonagenarians and centenarians highlighted gender differences.We checked COVID-19-related vulnerability/mortality at the peak of infection (March 2020), using data on total deaths (i.e. not only confirmed COVID-19 cases). Our conclusion is that excess mortality increases steadily up to very old ages and at the same time men older than 90 years become relatively more resilient than age-matched females.


Assuntos
Envelhecimento , Betacoronavirus/fisiologia , Infecções por Coronavirus , Serviços de Saúde para Idosos/estatística & dados numéricos , Inflamação , Mortalidade , Pandemias , Pneumonia Viral , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Envelhecimento/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Feminino , Necessidades e Demandas de Serviços de Saúde , Disparidades nos Níveis de Saúde , Humanos , Inflamação/epidemiologia , Inflamação/virologia , Itália/epidemiologia , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/imunologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Saúde Pública/métodos , Fatores Sexuais , Populações Vulneráveis
18.
J Nutr Health Aging ; 24(7): 692-695, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32744562

RESUMO

The SARS-CoV-2 infection is particularly associated with negative outcomes (i.e., serious disease, death) in frail older people, independently of where they live. Furthermore, the period of pandemic (with its lockdowns, social distancing, fragmentation of care…) has significantly changed the environment in which older people live. It is likely that, when the pandemic will be over, an acceleration of the aging process will be observed for many persons, independently of whether they have been infected or not by the SARS-CoV-2. The World report on ageing and health, published by the World Health Organization, proposes the concept of intrinsic capacity (i.e., the composite of all the physical and mental capacities of the individual) as central for healthy ageing. The routine assessment of biological age through constructs such as intrinsic capacity might have allowed a better understanding of the functional trajectories and vulnerabilities of the individual, even during a catastrophic event as the one we are currently living. In the present article, we describe how COVID-19 has affected the persons' intrinsic capacity, and how the wide adoption of the intrinsic capacity model may support the modernization of our systems and bring them closer to the individual.


Assuntos
Envelhecimento/psicologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Envelhecimento Saudável , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Idoso , Idoso de 80 Anos ou mais , Humanos , Pandemias , Isolamento Social
19.
Z Gerontol Geriatr ; 53(5): 382-388, 2020 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-32647990

RESUMO

BACKGROUND: Even though the effects of cultural activities on active and positive ageing have been extensively examined, spatial aspects have hardly been considered by research in this field. OBJECTIVES: Instead of understanding active ageing as a result of cultural education, this article focuses on practices of (active) ageing in cultural education programs for older adults. We examined the meanings of space and spatial arrangements in which cultural education takes place and how these spatial aspects limit or enable active ageing. MATERIAL AND METHODS: The article is based on six qualitative case studies of programs for cultural education for older adults. In programs, such as a yodel seminar or a theater workshop, data were collated by participatory observation and qualitative interviews with the participants and trainers of each program. All data were analyzed using situational analysis. RESULTS: We found that the spaces where the programs took place had a special meaning to the older participants. This was mainly because these spaces where not exclusively designed for target groups of older adults. The experience of the program was not only characterized by these meanings but also by how these spaces were used within the program. Active ageing was realized through the appropriation of new spaces and specific spatial arrangements. CONCLUSION: This article shows how spatial arrangements and the experience of (active) ageing are intertwined. To foster active ageing, cultural education programs need to provide spaces which can be used accordingly. For environmental gerontology, this paper highlights the necessity to consider the symbolic dimension of spaces and environments in research.


Assuntos
Envelhecimento/psicologia , Educação/métodos , Meio Ambiente , Geriatria/educação , Vida Independente/psicologia , Comportamento Espacial , Humanos , Pesquisa Qualitativa , Meio Social
20.
Epidemiol Psychiatr Sci ; 29: e145, 2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32684193

RESUMO

The population surviving to old age in sub-Saharan Africa (SSA) is increasing rapidly in consonance with the rest of the world. Nevertheless, the sub-region offers unique challenges to survival across the lifespan. The determinants of health and ageing in SSA are thus likely different from those in higher income countries. The need to explore pressing epidemiological and health service challenges of older people living in SSA in the context of multiple social changes and rapid ageing of the population provided the rationale for the Ibadan Study of Ageing (ISA). This article appraises ISA findings in relation to late-life depression. It concludes that healthcare policies in SSA need to deliberately prioritise the treatment of depression and other mental health problems in late-life in order to stem the neglect of older people's mental health in the region.


Assuntos
Envelhecimento/psicologia , Depressão/epidemiologia , Transtorno Depressivo Maior/epidemiologia , Qualidade de Vida , Determinantes Sociais da Saúde , Idoso , Idoso de 80 Anos ou mais , Depressão/etiologia , Depressão/psicologia , Transtorno Depressivo Maior/etiologia , Transtorno Depressivo Maior/psicologia , Feminino , Disparidades nos Níveis de Saúde , Humanos , Incidência , Masculino , Saúde Mental , Nigéria/epidemiologia , Prevalência , População Rural , Fatores Socioeconômicos , População Urbana
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