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1.
BMC Geriatr ; 22(1): 636, 2022 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-35918634

RESUMO

BACKGROUND: Evidence supports loneliness and social isolation as a strong risk factor for poor mental and physical health outcomes for older adults. The COVID-19 pandemic necessitated older adults isolate themselves for a prolonged duration. The Faculty of Medicine at the University of Toronto established the Student-Senior Isolation Prevention Partnership (SSIPP), a volunteer program involving telephone calls between medical students and older adults. METHODS: A mixed methods pre-post study design included collecting quantitative data from older adults using the UCLA Loneliness Scale and the Warwick-Edinburgh Mental Well-being Scale. The study included 29 medical students and 47 older adults. The medical students filled out a questionnaire on self-perceived knowledge of social isolation, perception of seniors, attitudes towards seniors, and likelihood to engage in specialties focusing on older adults. Interviews were conducted with both the older adults and the medical students to understand each groups' experiences and perspectives with taking part in the SSIPP program. RESULTS: Participation in the program resulted in significant changes for medical students in areas such as increasing their likelihood to engage in care for older adults (p < .001), improving their knowledge of social isolation for seniors (p < .001), and the value of addressing social isolation in older adults (p < .001). The interviews conducted with the medical students support these findings and provide insight into contributing factors. Loneliness and mental well-being scales did not show significant changes for older adults however, our interviews revealed they considered the program to be valuable. CONCLUSIONS: Our results showed that after the communication outreach program, medical students' perceptions were positively influenced towards older adults and they were more likely to pursue a career concentrated on older adults. The qualitative analysis revealed older adults valued the program. Timing and consistency of calls were factors identified by this group as having practical importance.


Assuntos
COVID-19 , Estudantes de Medicina , Idoso , COVID-19/epidemiologia , Humanos , Solidão , Pandemias , Isolamento Social
2.
Multimedia | Recursos Multimídia | ID: multimedia-9850

RESUMO

Neste período pós pandemia abundam problemas como ansiedade, síndrome do pânico, estados depressivos, desânimo e desesperança, desencadeados pelo medo e isolamento social. O cuidado da saúde mental sempre foi reconhecido como um dos pontos fortes do tratamento homeopático. Esta live – Homeopatia no cuidado da saúde mental - tem o objetivo de explicitar abordagem homeopática desses transtornos e proporcionar acalento, esperança e a possibilidade de viver os novos tempos de modo a realizar os mais altos fins de nossa existência, como desejava Hahnemann – o pai da Homeopatia.


Assuntos
Homeopatia , Saúde Mental , Isolamento Social , Transtorno de Adição à Internet , Autoimagem , COVID-19/psicologia , Transtornos Mentais
3.
Nutrients ; 14(14)2022 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-35889809

RESUMO

Dietary composition is associated with the differential prevalence of psychiatric disorders; the Western diet confers increased risk, while the Mediterranean diet appears to reduce risk. In nonhuman primates, anxiety-like behaviors and social isolation have been linked to both Western diet consumption and increased inflammatory disease risk, and recent evidence suggests that diet composition may affect immune system function in part through its effects on behavior. This is particularly important in the context of the global COVID-19 pandemic in which social isolation has been associated with disease. Here, we examined the effects of Western- and Mediterranean-like diets on social behavior in a randomized, 34-month preclinical trial in middle-aged female cynomolgus macaques (Macaca fascicularis). Diet induced rapid and persistent changes in a suite of behaviors. After just three months of experimental diet consumption, a composite measure of diet-altered behavior (DAB) significantly differed between the two diets (p = 0.014) and remained different throughout the 24-month experimental observation period (p = 2.2 × 10-8). Monkeys fed the Western diet spent more time alone (FDR = 4.4 × 10-5) and displayed more anxiety behavior (FDR = 0.048), whereas monkeys fed the Mediterranean diet spent more time resting (FDR = 0.0013), attentive (FDR = 0.017), and in body contact with groupmates (FDR = 4.1 × 10-8). These differences were largely due to changes in behavior of animals fed the Mediterranean diet, while Western-diet-fed-animals exhibited similar behaviors compared to the eight-month baseline period, during which all monkeys consumed a common laboratory diet. These observations provide experimental support in a nonhuman primate model, demonstrating a potential therapeutic benefit of the Mediterranean diet consumption to reduce social isolation and anxiety and thus mitigate social isolation-associated disorders that often accompany illness and disability.


Assuntos
COVID-19 , Dieta Mediterrânea , Animais , Ansiedade , Feminino , Humanos , Macaca fascicularis , Pandemias , Isolamento Social
4.
BMC Geriatr ; 22(1): 620, 2022 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-35883170

RESUMO

BACKGROUND: Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isolation mediated the association. METHODS: Eight thousand nine hundred sixty-two participants from Guangzhou Biobank Cohort Study were included. Data on self-reported hearing status, the 15-item Geriatric Depression Scale (GDS-15), social isolation and potential confounders were collected by face-to-face interview. RESULTS: The mean (standard deviation) age of participants was 60.2 (7.8) years. The prevalence of poor and fair hearing was 6.8% and 60.8%, respectively. After adjusting for age, sex, household income, education, occupation, smoking, alcohol use, self-rated health, comorbidities, compared with participants who had normal hearing, those with poor hearing (ß = 0.74, 95% confidence interval (CI) 0.54, 0.94) and fair hearing (ß = 0.59, 95% CI 0.48, 0.69) had higher scores of GDS-15. After similar adjustment, those with poor hearing (odds ratio (OR) = 2.13, 95% CI 1.65, 2.74) or fair hearing (OR = 1.68, 95% CI 1.43, 1.99) also showed higher odds of depressive symptoms. The association of poor and fair hearing with depressive symptoms attenuated slightly but not substantially after additionally adjusting for social isolation. In the mediation analysis, the adjusted proportion of the association mediated through social isolation was 9% (95% CI: 6%, 22%). CONCLUSION: Poor hearing was associated with a higher risk of depressive symptoms, which was only partly mediated by social isolation. Further investigation of the underlying mechanisms is warranted.


Assuntos
Depressão , Perda Auditiva , Idoso , China/epidemiologia , Estudos de Coortes , Estudos Transversais , Depressão/complicações , Depressão/diagnóstico , Depressão/epidemiologia , Perda Auditiva/diagnóstico , Perda Auditiva/epidemiologia , Humanos , Isolamento Social
5.
Sensors (Basel) ; 22(13)2022 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-35808440

RESUMO

Loneliness and social isolation are subjective measures associated with the feeling of discomfort and distress. Various factors associated with the feeling of loneliness or social isolation are: the built environment, long-term illnesses, the presence of disabilities or health problems, etc. One of the most important aspect which could impact feelings of loneliness is mobility. In this paper, we present a machine-learning based approach to classify the user loneliness levels using their indoor and outdoor mobility patterns. User mobility data has been collected based on indoor and outdoor sensors carried on by volunteers frequenting an elderly nursing house in Tampere region, Finland. The data was collected using Pozyx sensor for indoor data and Pico minifinder sensor for outdoor data. Mobility patterns such as the distance traveled indoors and outdoors, indoor and outdoor estimated speed, and frequently visited clusters were the most relevant features for classifying the user's perceived loneliness levels.Three types of data used for classification task were indoor data, outdoor data and combined indoor-outdoor data. Indoor data consisted of indoor mobility data and statistical features from accelerometer data, outdoor data consisted of outdoor mobility data and other parameters such as speed recorded from sensors and course of a person whereas combined indoor-outdoor data had common mobility features from both indoor and outdoor data. We found that the machine-learning model based on XGBoost algorithm achieved the highest performance with accuracy between 90% and 98% for indoor, outdoor, and combined indoor-outdoor data. We also found that Lubben-scale based labelling of perceived loneliness works better for both indoor and outdoor data, whereas UCLA scale-based labelling works better with combined indoor-outdoor data.


Assuntos
Benchmarking , Solidão , Idoso , Algoritmos , Humanos , Aprendizado de Máquina , Isolamento Social
6.
J Nutr Health Aging ; 26(7): 675-680, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35842757

RESUMO

OBJECTIVES: Thus far, some empirical studies have investigated the association between oral health and loneliness as well as social isolation. However, a systematic review and meta-analysis is lacking synthesizing this evidence. Hence, our purpose was to close this knowledge gap. DESIGN: Systematic review and meta-analysis. SETTING AND PARTICIPANTS: Observational studies examining the association between oral health and loneliness or social isolation were included. Disease-specific samples were excluded. METHODS: We searched three electronic databases (PubMed, PsycINFO, CINAHL), and did an additional hand search. Data extraction covered methods, sample characteristics and main findings. To evaluate study quality/risk of bias, the NIH tool was used. Study selection, data extraction and assessment of study quality were each conducted by two reviewers. RESULTS: Seven studies were included in our current work. Several cross-sectional studies and one longitudinal study reported an association between poorer oral health and higher loneliness as well as higher social isolation. The quality of the studies was mostly fair, with two studies of high quality. The pooled OR was 1.47 (95% CI: 1.24-1.75) among the studies with adult samples. CONCLUSION: Most of the included studies demonstrated an association between oral health and loneliness or social isolation. There is a lack of high quality studies on these associations; in particular, future studies should use longitudinal data to clarify the directionality between oral health and loneliness or social isolation. Prospero registration number: CRD42021268116.


Assuntos
Solidão , Saúde Bucal , Estudos Transversais , Humanos , Estudos Longitudinais , Isolamento Social
7.
Artigo em Inglês | MEDLINE | ID: mdl-35805261

RESUMO

Numerous studies have addressed the indirect consequences of the COVID-19 pandemic for children such as social isolation or increases in reported child maltreatment. Research on the economic and sociopolitical consequences is scarce as they can only be evaluated with a time lag. To improve our understanding of future, long-term developments in the context of the COVID-19 pandemic, we gathered findings from the still unexploited empirical literature on the aftermath of earlier pandemics, epidemics, and other infectious disease outbreaks. On top of this, we scrutinized research on past economic crises to interpret the link between changes in the economy and the health of children. Many of the side effects of battling the spread of the current pandemic, such as school closures, the stigma of infection, or conflicts about vaccines, are not novel and have already been documented in connection with previous infectious disease outbreaks. Results highlight that changes in the financial situation of families and socio-political challenges affect the situation and daily routine of children and youth in the long term. In consequence, the already pronounced socioeconomic inequalities will likely further increase. On top of this, due to reduced revenues, child protective services are likely to face challenges in the availability of human and financial resources.


Assuntos
COVID-19 , Adolescente , COVID-19/epidemiologia , Criança , Humanos , Pandemias/prevenção & controle , Política Pública , SARS-CoV-2 , Isolamento Social
8.
Artigo em Inglês | MEDLINE | ID: mdl-35805576

RESUMO

Cross-sectional studies about the association between social integration, social exclusion, and vaccination behavior among internal migrants in China are lacking. In this study, we aimed to explore the association between the influenza vaccination behavior and social integration as well as social exclusion in China based on a cross-sectional study. We included 12,467 participants aged 15 years old or above from the 2017 Migrant Population Dynamic Monitoring Survey (MDMS). We used univariate analysis and logistic regression models to access the association between social integration, exclusion status, and influenza vaccination rates. Results suggested that the association between social integration and the vaccination rate was significantly positive. Moving between different districts impact on people's mental health and their health performance. Significant association between influenza vaccination behavior and education attainment, income status, health record, and awareness of basic public health services program was reported. Therefore, in order to reduce the incidence of influenza disease and increase the vaccination rate, policymakers and the public should promote social integration for internal migrants. Meanwhile, our finding also implies possible strategies to promote COVID-19 vaccination.


Assuntos
COVID-19 , Influenza Humana , Migrantes , Adolescente , Vacinas contra COVID-19 , China/epidemiologia , Estudos Transversais , Humanos , Influenza Humana/prevenção & controle , Integração Social , Isolamento Social , Vacinação
9.
Comput Math Methods Med ; 2022: 4940946, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35832133

RESUMO

In terms of social and psychological health of enterostomy patients during hospitalization and discharge transition period, the degree of social isolation in patients during discharge transition period is higher than that during hospitalization period, which is usually manifested by poor self-perception of body image changes. Self-esteem (shame) frustration, severe negative emotions, low psychosocial adjustment, and other factors are closely related to postoperative complications, coping self-efficacy, social support level, family living conditions, and other influencing factors. This is an important reason why patients are difficult to adapt to ostomy life and low quality of life. At present, it is believed that the social isolation related evaluation scale can be used to understand the status quo of patients with social isolation and provide nursing guidance, so as to better cope with the adverse medical outcomes caused by social isolation.


Assuntos
Enterostomia , Qualidade de Vida , Adaptação Psicológica , Enterostomia/efeitos adversos , Enterostomia/psicologia , Humanos , Alta do Paciente , Qualidade de Vida/psicologia , Isolamento Social , Apoio Social , Inquéritos e Questionários
10.
BMC Psychiatry ; 22(1): 477, 2022 07 16.
Artigo em Inglês | MEDLINE | ID: mdl-35842596

RESUMO

BACKGROUND: Social withdrawal (hikikomori) has become an internationally recognized phenomenon, but its pathology and related factors are not yet fully known. We previously conducted a statistical case-control study on adolescent patients with hikikomori in Japan, which revealed the non-specificity of pathology in patients with hikikomori. Further, environmental factors, such as the lack of communication between parents and Internet overuse, were found to be significant predictors of hikikomori severity. Here, we aimed to conduct a similar preliminary case-control study in France and to compare the results with those from the study conducted in Japan. METHODS: Parents of middle school students who underwent psychiatric outpatient treatment for hikikomori (n = 10) and control group parents (n = 115) completed the Child Behavior Checklist to evaluate their child's psychopathological characteristics and the Parental Assessment of Environment and Hikikomori Severity Scales, as in our previous study in Japan. We compared the descriptive statistics and intergroup differences in France with those from the previous study conducted in Japan. In the multiple regression analysis to find predictors of hikikomori severity in French and also Japanese subjects, the same dependent and independent variables were chosen for the present study (both differed from the previous study). These were used in order to make accurate intercountry comparisons. RESULTS: The comparisons revealed no differences in the pathology of hikikomori between Japan and France. Specifically, both studies found similarly increased scores for all symptom scales, with no specific bias. However, the statistical predictors of hikikomori severity in France (lack of communication between parents and child and lack of communication with the community) differed from those in Japan (lack of communication between parents). CONCLUSION: Hikikomori in Japan and France could be considered essentially the same phenomenon; moreover, our findings demonstrated the universal non-specificity and unbiasedness of the hikikomori pathology. This suggests that hikikomori is not a single clinical category with a specific psychopathology; instead, it is a common phenotype with various underlying pathologies. However, different strategies may be required in each country to prevent the onset and progression of hikikomori.


Assuntos
Transtornos Mentais , Isolamento Social , Estudos de Casos e Controles , França , Humanos , Japão , Transtornos Mentais/psicologia , Fobia Social , Vergonha , Isolamento Social/psicologia
11.
PLoS One ; 17(7): e0270472, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35849569

RESUMO

The Covid-19 pandemic has been recognised to affect families' socio-emotional well-being. Collecting the views of families in diverse socio-economic contexts can contribute to understanding their specific needs and resources in relation to the Covid-19 pandemic. The overarching objective of the current research was to explore the views and experiences of families in relation to the Covid-19 pandemic, who were living in the Republic of Ireland, including in areas designated as disadvantaged. In Study 1, the objective was to explore changes, difficulties, and concerns experienced by parents of children up to six years old during the pandemic, and related associations with socio-demographic characteristics. Data were collected from 168 parents/carers via an online questionnaire, and examined using conceptual content analysis. The most frequently identified experiences related to restrictions, social isolation, negative impacts on parents' emotional and psychological well-being, negative impacts on children's emotional well-being and development, concerns with physical health, uncertainty about the future, and positive changes regarding family time and activities. Associations were found with parents' age and work situation, and family's income and composition. In Study 2, the objective was to explore the views of children, parents, and service providers about the impact of the Covid-19 pandemic on families' life, and relevant supports. Data were collected from 50 children aged between eight and 17 years old, 17 parents, and 20 service providers through focus group discussions, and examined using thematic analysis. The participants reported experiences related to challenges with online education, uncertainty regarding children's education, food poverty, and children's socio-emotional health. The findings of both studies reinforced the importance of implementing measures to promote parents' and children's socio-emotional well-being, combat educational inequalities, and ensure economic and employment security.


Assuntos
COVID-19 , Adolescente , COVID-19/epidemiologia , Cuidadores , Criança , Humanos , Pandemias , Pais/psicologia , Isolamento Social
12.
Artigo em Inglês | MEDLINE | ID: mdl-35866312

RESUMO

OBJECTIVES: Social isolation imposes risks to an individual's psychological well-being. However, few studies have examined the role of resilience on these associations among older Chinese Americans, the fastest-growing aging population across all racial/ethnic groups in the United States. We aim to examine the associations of social isolation with indicators of psychological well-being and the mediating role of resilience in these associations. METHODS: Data were derived from 398 Chinese older adults aged over 55 residing in Honolulu, Hawaii, in 2018. Psychological well-being was measured by psychological distress, life satisfaction, and happiness. Multivariate linear regressions and ordered logistic regressions were conducted. RESULTS: Social isolation was positively associated with psychological distress and negatively associated with life satisfaction and happiness (all p < 0.05). By contrast, resilience was associated with lower levels of psychological distress and higher levels of life satisfaction and happiness (all p < 0.05). Moreover, the findings supported our hypothesis that resilience mediated the association between social isolation and psychological well-being. With regard to social isolation, resilience contributed to 32.0% of its association with distress, 24.9% of the association with life satisfaction, and 16.3% of the association with happiness. CONCLUSION: Our findings revealed a significant association between social isolation and psychological well-being and the mediating role of resilience in the association of older Chinese Americans in Hawaii. The study findings expand our understanding of psychological resources in older Chinese Americans and emphasize the importance of developing intervention programs to foster social connection and resilience among an understudied population.


Assuntos
Angústia Psicológica , Resiliência Psicológica , Idoso , Envelhecimento , Americanos Asiáticos , Felicidade , Humanos , Isolamento Social , Apoio Social , Estados Unidos
13.
Minerva Surg ; 77(4): 348-353, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35856886

RESUMO

BACKGROUND: During COVID-19 pandemic, hospitals changed visitation policy to limit the infection spread. We aimed to evaluate the impact of evolving visitation policy on short-term surgical outcomes. METHODS: All adult patients who underwent colorectal surgery between January 1st, 2020, and May 12th, 2020, at our institution were included. Patients were divided into: before implementing the no visitor allowed policy (VA) or no visitor allowed policy (NVA) groups, based on the hospital admission date.. The primary outcomes were 30-day readmission rate and length of stay (LOS). RESULTS: A total of 439 patients were included. Of them, 128 (29.2%) patients had surgery during the NVA policy, and 311 (70.8%) patients underwent surgery during VA policy. Patients who had surgery during the NVA policy were more likely to have emergency surgery and a longer operation time. However, the other baseline characteristics, surgical approach, underlying disease, extent of resection, and the need for intraoperative blood transfusion were comparable between the two groups. There was no difference between both groups regarding the 30-day readmission rate (10.3% vs. 7.8% in the NVA group; P>0.05) and median LOS (4 days vs. 3 days in the NVA group; P>0.05). CONCLUSIONS: Restricting inpatient visitors for patients undergoing colorectal surgery was not associated with increased postoperative complications and readmission rates. LOS was similar between the two groups. This strategy can be safely implemented in cases of crisis. Further studies are needed to confirm these findings.


Assuntos
COVID-19 , Neoplasias Colorretais , Adulto , COVID-19/epidemiologia , Neoplasias Colorretais/cirurgia , Humanos , Pandemias , Isolamento Social , Resultado do Tratamento
14.
Sci Signal ; 15(743): eaadd9512, 2022 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-35857634

RESUMO

The neurological effects of social isolation stress differ between males and females.


Assuntos
Caracteres Sexuais , Isolamento Social , Feminino , Humanos , Masculino , Transdução de Sinais , Estresse Psicológico
15.
Artigo em Inglês | MEDLINE | ID: mdl-35886625

RESUMO

BACKGROUND: Research shows a connection between stress and depression, but there is little differentiation between areas of stress, making it difficult to identify and address specific areas in the context of public health measures. We utilized a multi-dimensional approach to chronic stress to better understand the relationship between different areas of stress and depression. METHODS: We conducted linear regression analyses and used data from a sub-sample of the LIFE-Adult-Study (N = 1008) to analyze the connection between nine different areas of chronic stress (TICS) and depression (CES-D). In the second analysis, we controlled for sociodemographic variables, personality, physical activity, and social support. RESULTS: There was a significant positive association between the stress domains Excessive Demands from Work, Lack of Social Recognition, Social Isolation, and Chronic Worrying and depression and a significant negative association between Pressure to Perform and depression. After adding control variables, only Pressure to Perform, Social Isolation, and Chronic Worrying remained significant predictors. CONCLUSIONS: By focusing on the connections between chronic stress and depression, researchers can help identify the areas that matter most and contribute to the creation of meaningful and efficient interventions. On the basis of our results, measures for the prevention of depression that focus on the reduction of worrying and social isolation are recommended.


Assuntos
Ansiedade , Depressão , Depressão/epidemiologia , Isolamento Social , Apoio Social
16.
Chaos ; 32(7): 073132, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35907743

RESUMO

Studies to date on the role of social exclusion in public cooperation have mainly focused on the peer or pool sanctioning types of excluding free-riders from the share of common goods. However, the exclusive behaviors are not necessarily performed by individuals or local organizations but may rather be implemented by a centralized enforcement institution at a global scale. Besides, previous modeling methods of either peer or pool exclusion often presuppose some particular forms of feedback between the individual or collective efforts and the efficiency of social exclusion and, therefore, cannot comprehensively evaluate their effects on the evolution of cooperation in the social dilemma situations. Here, we construct a general model of global exclusion by considering the successful construction of the centralized exclusive institution as an arbitrary non-decreasing and smooth function of the collective efforts made by the global excluders and then theoretically analyze its potential impacts in the replicator dynamics of the public goods game. Interestingly, we have shown that, despite the presence of both the first- and second-order free-riding problems, global exclusion can indeed lead to the emergence or even stabilization of public cooperation without the support of any other evolutionary mechanism. In addition, we have also observed rich dynamical behaviors, such as the occurrence of a global or local family of neutrally stable closed orbits revolving around a nonlinear center or the existence of stable heteroclinic cycles between defectors, cooperators as well as global excluders, which give rise to a classification of up to 21 different phases.


Assuntos
Comportamento Cooperativo , Isolamento Social , Evolução Biológica , Teoria do Jogo , Humanos
17.
Curr Opin Psychiatry ; 35(5): 305-310, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35787541

RESUMO

PURPOSE OF REVIEW: Social isolation and loneliness are known contributors to all-cause mortality as well as a range of physical and mental health conditions. Therefore, this article reviews current literature pertaining to the effects of social isolation and loneliness on physical and mental health during the current COVID-19 pandemic. RECENT FINDINGS: Social isolation and loneliness contribute to a myriad of physical and mental health conditions. Specifically social isolation and loneliness contribute to the development of cardiovascular disease, diabetes mellitus, and cancer. However, most research indicated that poor lifestyle factors explained most of the association. Social isolation and loneliness are also associated with cognitive problems including dementia, immune system problems, and mental health conditions. Further social isolation and loneliness also spur behavioral issues that significantly affect physical and mental health. SUMMARY: Evidence suggests that social isolation and loneliness have significant consequences on the physical and mental health of the individual and that the move toward ending all protections against COVID-19 has significant implications for the vulnerable. Further the similarities between the effects of social isolation and loneliness are compared to some of the conditions evident in long-COVID.


Assuntos
COVID-19 , Solidão , COVID-19/complicações , Humanos , Solidão/psicologia , Saúde Mental , Pandemias , Isolamento Social/psicologia
18.
Sci Rep ; 12(1): 12543, 2022 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-35869182

RESUMO

Since March of 2020, billions of people worldwide have been asked to limit their social contacts in an effort to contain the spread of the SARS-CoV-2 virus. However, little research has been carried out to date on the impact of such social distancing measures on the social isolation levels of the population. In this paper, we study the impact of the pandemic on the social isolation of the Spanish population, by means of 32,359 answers to a citizen survey collected over a period of 7 months. We uncover (1) a significant increase in the prevalence of social isolation in the population, reaching almost 26%; (2) gender and age differences, with the largest prevalence of isolation among middle-aged individuals; (3) a strong relationship between economic impact and social isolation; and (4) differences in social isolation, depending on the number of COVID-19 protection measures and on the perception of coronavirus infection risk by our participants. Our research sheds quantitative light on the sociological impact of the pandemic, and enables us to identify key factors in the interplay between the deployment of non-pharmaceutical interventions to contain the spread of an infectious disease and a population's levels of social isolation.


Assuntos
COVID-19 , COVID-19/epidemiologia , Humanos , Pessoa de Meia-Idade , Pandemias/prevenção & controle , SARS-CoV-2 , Isolamento Social , Espanha/epidemiologia
20.
Dement Geriatr Cogn Disord ; 51(3): 279-284, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35830828

RESUMO

INTRODUCTION: The COVID-19 pandemic has affected people's lives and caused changes in habits. The World Health Organization recommends social isolation as a way of minimizing the risk of contagion of the disease. OBJECTIVE: The aim of the study was to assess the impact of social isolation due to COVID-19 pandemic on the physical and mental health of older adults and to investigate how anthropometric, functional, and clinical aspects are associated with this process. METHODS: Fifty healthy older adults were followed-up during 5 months. The subjects had their physical and mental health assessed during social isolation (pre-vaccine situation) and after the opening of stores and activities in the municipality (post-vaccine situation). Physical evaluation was performed using the 30-s sit and stand test. Participants' mental health was assessed with the Geriatric Depression Scale and the Loneliness Index. In this methodological design, muscle strength, depressive symptoms, and loneliness index were subject to pre-post analyses. In addition, these variables were included as outcomes in linear regression models. Participants' anthropometric, functional, and clinical factors were included as predictors of the statistical model. RESULTS: Participants' scores at baseline were consistent with mild depressive symptoms and low loneliness. The muscle strength of the subjects was appropriate to their ages. After 5 months of social isolation, all variables declined, but with statistical significance only for depressive symptoms (p = 0.017, effect size of 0.11). Anthropometric, functional, and clinical factors explained 42.8% of depressive symptoms, 22.3% of loneliness, and 30.2% of muscle strength in the elderly. DISCUSSION/CONCLUSION: Older adults presented baseline scores consistent with mild depressive symptoms and low loneliness. The muscular strength of the subjects was appropriate for their ages. After 5 months of social isolation, all variables declined. Anthropometric, functional, and clinical factors explained a substantial part of the depressive symptoms, loneliness, and muscular strength in the elderly. Health care professionals should be aware of performing a wide assessment in subjects' lives to ensure better health status.


Assuntos
COVID-19 , Idoso , Brasil/epidemiologia , Depressão/psicologia , Seguimentos , Humanos , Saúde Mental , Pandemias/prevenção & controle , Isolamento Social/psicologia
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