Anxiety, Depression, and Other Factors Associated With Voice Handicaps in Active Older People During the COVID-19 Pandemic.

ABSTRACT

During the COVID-19 pandemic, older people had to remain isolated, which could cause not only anxiety and depression but also voice and communication problems and lifestyle, demographic, and socioeconomic changes. This study aimed to analyze the influence of anxiety and depression and other associated factors on the voice handicap of active older adults during the COVID-19 pandemic. This cross-sectional and analytical research approached older people enrolled at a reference health care unit for this age group in Recife. Demographic, socioeconomic, and lifestyle data were surveyed with interviews. Mental health measures were obtained with the Self-Reporting Questionnaire, State-Trait Anxiety Inventory, and Geriatric Depression Scale. Voice handicap was assessed with the Voice Handicap Index. Analyses were performed with descriptive and inferential statistics. The study compared older people with lesser and greater voice handicaps, using the chi-square and Wald tests. The association was assessed according to the binary and multivariate logistic regression model. Altogether, 91 older people with a mean age of 69 years participated in the research, most of whom (54.9%) did not have voice handicaps. Trait anxiety (P = 0.031) and age (P = 0.036) were associated with voice handicaps. Active older adults with higher trait anxiety were five times as likely to have voice handicaps (odds ratio = 5.151) as those with low trait anxiety. Moreover, the ones with more advanced age were 10% more likely to have voice handicaps (odds ratio = 1.100) than younger participants. It is concluded that, during the pandemic, voice handicap in active older people was associated with trait anxiety and age.