Publication: Impact of the COVID-19 pandemic on older adults living in long-term care centers in Thailand, and risk factors for post-traumatic stress, depression, and anxiety
Issued Date
2021-12-01
Resource Type
ISSN
15732517
01650327
01650327
Other identifier(s)
2-s2.0-85114184321
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Affective Disorders. Vol.295, (2021), 353-365
Suggested Citation
Maytinee Srifuengfung, Kitikan Thana-udom, Woraphat Ratta-apha, Sudsabuy Chulakadabba, Naratip Sanguanpanich, Natee Viravan Impact of the COVID-19 pandemic on older adults living in long-term care centers in Thailand, and risk factors for post-traumatic stress, depression, and anxiety. Journal of Affective Disorders. Vol.295, (2021), 353-365. doi:10.1016/j.jad.2021.08.044 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77539
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Title
Impact of the COVID-19 pandemic on older adults living in long-term care centers in Thailand, and risk factors for post-traumatic stress, depression, and anxiety
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Abstract
Background: There is a lack of data concerning impact of COVID-19 among older adults (OA) living at long-term care (LTC) centers. This study investigated how COVID-19 has affected this population. The prevalence of and risk factors for post-traumatic stress, depression, and anxiety were investigated. Methods: A semi-structured interview to determine the effect of COVID-19 was conducted to 200 OA at two government LTC centers. The 17-item Post-traumatic Stress Disorder Checklist, the 9-item Patient Health Questionnaire, and the 7-item Generalized Anxiety Disorder Scale were used to evaluate post-traumatic stress, depression, and anxiety, respectively. Results: Most OA reported moderate or severe impact of COVID-19. The most impacted area was financial due to decreased support from outside the center. Seventy percent of OA reported no or mild psychological stress from COVID-19; however, 5.5% had post-traumatic stress, 7.0% had depression, and 12.0% had anxiety. Higher psychological stress from COVID-19 and having respiratory tract infection symptoms were independently associated with post-traumatic stress, depression, and anxiety. Receiving COVID-19 news via social media was independently associated with post-traumatic stress and depression. Having psychiatric comorbidity was independently associated with depression. Conclusions: OA living in LTC centers reported moderate or severe impact from COVID-19, especially financial, but relatively low psychological stress. Psychological stress from COVID-19, having respiratory tract infection symptoms, and receiving COVID-19 news via social media were risk factors for psychological disorders. Limitations: The data reflected the post-outbreak period. There is limitation in the generalizability of the results for other countries with different health care systems.