Aged Caregivers in COVID-19: Geriatric Depression and Anxiety Prevalence Related to Psychosocial Characteristics
DOI:
https://doi.org/10.24265/Keywords:
COVID-19, aged caregivers, geriatric depression, anxiety, psychosocial characteristicsAbstract
Background: The COVID-19 pandemic affected aged family caregivers’ access to support resources, increasing the burden of care due to psychological distress. Objective: To describe the prevalence of geriatric depression and anxiety in older adult family caregivers during the COVID-19 pandemic and its association with psychosocial characteristics. Method: Cross-sectional study including 180 family caregivers replying to an online sociodemographic data questionnaire, GAD-7 and GDS-VE scales. Results: Caregivers’ median age was 66 years, 81% female, 71% employed, 57% parents or brothers/sisters and lived with the relative. The prevalence of geriatric depression and anxiety was 46% and 71%, respectively. Anxiety levels were associated with cohabitation with the patient (OR 2.44). A trend between female sex and the presence of anxiety (OR 2.41) was observed. An association was also found between cohabitation with the patient and depression (OR 1.92). Cohabitation with the patient significantly increased the risk of depression (OR 2.22). Conclusions: Cohabitation with the patient was associated with depression and onset of anxiety symptoms, remarkably in femalcaregivers.
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References
Abellan, A., Perez, J., Pujol, R., Sundström, G., Jegermalm, M., & Malmberg, B. (2017). Partner Care, Gender Equality, and Ageing in Spain and Sweden. International Journal of Ageing and Later Life, 11(1), 69-89. https://doi.org/10.3384/ijal.1652-8670.16-305
Alexopoulos, G. S. (2005). Depression in the Elderly. Lancet, 365, 1961-1970. https://doi.org/10.1016/S0140-6736(05)66665-2
Altieri, M., & Santangelo, G. (2021). The Psychological Impact of COVID-19 Pandemic and Lockdown on Caregivers of People with Dementia. American Journal of Geriatric Psychiatry, 29(1), 27-34. https://doi.org/10.1016/j.jagp.2020.10.009
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
Asmundson, G. J. G., & Taylor S. (2020). How Health Anxiety Influences Responses to Viral Outbreaks Like COVID-19: What all Decision-Makers, Health Authorities, and Health Care Professionals Need to Know. Journal of Anxiety Disorders, 71, 102211. https://doi.org/10.1016/j.janxdis.2020.102211
Broxson, J., & Feliciano, L. (2020). Understanding the Impacts of Caregiver Stress. Professional Case Management, 25(4), 213-219. https://doi.org/10.1097/NCM.0000000000000414
Gobierno de la Ciudad Autónoma de Buenos Aires. (2022, junio). Encuesta Anual de Hogares de la Ciudad de Buenos Aires 2022. Síntesis de resultados 2021. https://www.estadisticaciudad.gob.ar/eyc/?p=131036
Carrillo-Cervantes, A. L., Medina-Fernández, I. A., Carreño-Moreno, S., Chaparro-Diaz, L., Cortez-González, L. C., & Medina-Fernández, J. A. (2022). Soledad, ansiedad, depresión y adopción del rol de cuidador de adultos mayores con enfermedad crónica durante la COVID-19. Aquichan, 22(3), e2234. https://doi.org/10.5294/aqui.2022.22.3.4
Cervigni, M., Martino, P., Caycho-Rodríguez, T., Barés, I., Calandra, M., & Gallegos, M. (2022). Impacto psicológico de la pandemia por COVID-19 en adultos mayores de Argentina. Revista Argentina de Ciencias del Comportamiento, 14(2), 64-74. https://doi.org/10.32348/1852.4206.v14.n2.32056
Chiu, M. Y. L., Leung, C. L. K., Li, B. K. K., Yeung, D., & Lo, T. W. (2022). Family Caregiving During the COVID-19 Pandemic: Factors Associated with Anxiety and Depression of Carers for Community-Dwelling Older Adults in Hong Kong. BMC Geriatrics, 22(125). https://doi.org/10.1186/s12877-021-02741-6
Cipriani, G., Di Fiorino, M., & Cammisuli, D. M. (2022). Dementia in the Era of COVID-19. Some Considerations and Ethical Issues. Psychogeriatrics, 22(1), 132-136. https://doi.org/10.1111/psyg.12773
Cobos, R. A., & Vázquez, L. T. (2023). Impacto psicológico en cuidadores de adultos mayores durante la pandemia del COVID19 en Lima 2022: determinando el síndrome de sobrecarga del cuidador, depresión, ansiedad y factores asociados [tesis de licenciatura, Universidad Peruana Cayetano Heredia]. Repositorio institucional. https://hdl.handle.net/20.500.12866/13984
Covinsky, K. E., Newcomer, R., Fox, P., Wood, J., Sands, L., Dane, K., & Yaffe, K. (2003). Patient and Caregiver Characteristics Associated with Depression in Caregivers of Patients with Dementia. Journal of General Internal Medicine, 18, 1006-1014. https://doi.org/10.1111/j.1525-1497.2003.30103.x
García-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Pérez-Páramo, M., López-Gómez, V., et al. (2010). Cultural Adaptation into Spanish of the Generalized Anxiety Disorder-7 (GAD-7) Scale as a Screening Tool. Health Qual Life Outcomes 8, 8. https://doi.org/10.1186/1477-7525-8-8
Green, S. B. (1991). How Many Subjects Does It Take to Do a Regression Analysis? Multivariate Behavioral Research, 26(3), 499-510. https://doi.org/10.1207/s15327906mbr2603_7
Herrera, E. J., Laguado, E., & Pereira, L. J. (2020). Daños en salud mental de cuidadores familiares de personas con Alzheimer. Gerokomos, 31(2), 68-70. https://doi.org/10.4321/S1134-928X2020000200002
Hummel, J., Weisbrod, C., Boesch, L., Himpler, K., Hauer, K., Hautzinger, M., Gaebel, A., Zieschang, T., Fickelscherer, A., Diener, S., Dutzi, I., Krumm, B., Oster, P., & Kopf, D. (2017). AIDE–Acute Illness and Depression in Elderly Patients. Cognitive Behavioral Group Psychotherapy in Geriatric Patients with Comorbid Depression: A Randomized, Controlled Trial. Journal of the American Medical Directors Association, 18(4), 341-349. https://doi.org/10.1016/j.jamda.2016.10.009
Mares-Rico, K. F., Cardona-Ramírez, V. L., Franco-Álvarez, D. M., Medina-Fernández, I. A., Medina-Fernández, J. A., & Carrillo-Cervantes, A. L. (2022). Ansiedad, depresión y soledad en cuidadores de personas con enfermedad crónica. Index de Enfermería, 31(3), 166-169. https://doi.org/10.58807/indexenferm20225150
Martín, A., & Rivera, J. (2022). Provisión de cuidados a personas mayores dependientes en los entornos rurales en España. EHQUIDAD. Revista Internacional de Políticas de Bienestar y Trabajo Social, 18, 11-40. https://doi.org/10.15257/ehquidad.2022.0011
Martín, J. M. (2017). Dependencia y Cuidados (Informe España, capítulo 3). Universidad Pontificia Comillas. http://www.informe-espana.es/wp-content/uploads
Martínez, J., Onís, M. C., Dueñas, R., Albert, C., Aguado, C., & Luque, R. (2002). Spanish version of the Abbreviated Yesavage Questionnaire (GDS) for Screening for Depression in People Over 65 Years of Age: Adaptation and Validation. Medifam, 12, 26-40.
Martínez, S. (2020). Síndrome del cuidador quemado. Revista Clínica de Medicina de Familia, 13(1), 97-100.
Mélo, C., De Araújo, E. G., Lacerda, A. R. E., Ferreira, C. D. L., Leitão, R. G. M., Feitosa, R., Farias, G., Coelho, T., Silva, J., & Piagge, C. S. L. (2022). Impacts of the COVID-19 Pandemic on the Mental Health of the Elderly: An Integrative Review. Research, Society and Development, 11(11), e71111133255. https://doi.org/10.33448/rsd-v11i11.33255
Messina, A., Lattanzi, M., Albanese, E., & Fiordelli, M. (2022). Caregivers of People with Dementia and Mental Health During COVID-19: Findings from a Cross-Sectional Study. BMC Geriatrics, 22(56). https://doi.org/10.1186/s12877-022-02752-x
Ministerio de salud de Argentina. (2020a). Reportes sobre COVID-19 en Argentina. https://www.argentina.gob.ar/salud/epidemiologia/vigilancia-epidemiologica/reportes-sobre-covid-19-en-argentina
Ministerio de Salud de Argentina. (2020b). Llegaron al país las primeras vacunas SPUTNIK V. https://www.argentina.gob.ar/noticias/llegaron-al-pais-las-primeras-vacunas-sputnik-v
Miranda, Y., Álvarez, M. E., Álvarez, H. J., Jaimes, D., & Alvarado, E. R. (2020). Factores que desencadenan depresión en el adulto mayor de la comunidad de Santiaguito Maxda, Estado de México. Dilemas contemporáneos: educación, política y valores, 8. https://doi.org/10.46377/dilemas.v8i.2478
Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Stress, Anxiety, and Depression Levels in the Initial Stage of the COVID-19 Outbreak in a Population Sample in the Northern Spain. Cadernos de Saúde Pública, 36(4), e00054020. https://doi.org/10.1590/0102-311X00054020
Park, M. B., & Kim, S. M. (2022). The Influence of Cohabitation Type on the Psychological Vulnerability of Family Caregivers of People with Dementia: Results from a Community Health Survey of 324,078 People in Korea. Archives of Gerontology and Geriatrics, 98, 104558. https://doi.org/10.1016/j.archger.2021.104558
Perlado, F. (1995). Support for Alzheimer's Caregivers. Revista de Gerontología, 47-53.
Ploeg, J., Northwood, M., Duggleby, W., McAiney, C. A., Chambers, T., Peacock, S., Fisher, K., Ghosh, S., Markle-Reid, M., Swindle, J., Williams, A., & Triscott, J. (2020). Caregivers of Older Adults with Dementia and Multiple Chronic Conditions: Exploring their Experiences with Significant Changes. Dementia, 19(8), 2601-2620. https://doi.org/10.1177/1471301219834423
Russo, M. J., Cohen, G., Campos, J., & Allegri, R. F. (2021). COVID-19 y adultos mayores con deterioro cognitivo: ¿puede influir el aislamiento social en la enfermedad? Neurología Argentina, 13(3), 159-169. https://doi.org/10.1016/j.neuarg.2021.06.003
Sabo, K. & Chin, E. (2021). Self-Care Needs and Practices for the Older Adult Caregiver: An Integrative Review. Geriatric Nursing, 42(2), 570-581. https://doi.org/10.1016/j.gerinurse.2020.10.013
Salcedo, M., Morales, S., Treviño, C. L., Rarmírez, B., López, A., Robles, R., Bosch, A., Beristain, A., & Palafox, G. (2022). Riesgos a la salud mental de las personas cuidadoras durante la pandemia por COVID-19 en México. Acta de investigación psicológica, 12(3), 18-31. https://doi.org/10.22201/fpsi.20074719e.2022.3.459
Schapira, M. (2020). Impacto psicosocial de la pandemia por COVID-19 en adultos mayores con demencia y sus cuidadores. Revista Argentina de Salud Pública, 12, e4. https://rasp.msal.gov.ar/index.php/rasp/article/view/524
Semere, W., Makaroun, L. K., Beach, S., Schillinger, D., & Rosland, A. M. (2022). Family Caregivers Navigating the Health Care System: Evolving Roles During the COVID-19 Pandemic. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 40(2), 268-273. https://doi.org/10.1037/fsh0000688
Siti, R. (2023). Descripción de la Carga de Cuidado de una familia con un anciano en riesgo de demencia. Enfermería Global, 22(1), 426-447. https://doi.org/10.6018/eglobal.537891
Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092-1097. https://doi.org/10.1001/archinte.166.10.1092
Stagnaro, J. C., Cía, A., Vázquez, N., Vommaro, H., Nemirovsky, M., Serfaty, E., Sustas, S., Medina, M., Benjet, C., Aguilar-Gaxiola, S., & Kessler, R. (2018). Epidemiological Study of Mental Health in the General Population of the Argentine Republic. Vertex, 29(142), 275-299.
Sundström, G., Jegermalm, M., Abellán, A., Ayala, A., Pérez, J., Pujol, R., & Souto, J. (2018). Men and Older Persons also Care, but How Much? Assessing Amounts of Caregiving in Spain and Sweden. International Journal of Ageing and Later Life, 12(1), 69-89. https://doi.org/10.3384/ijal.1652-8670.17356
Tartaglini, M. F., & Stefani, D. (2006). Cuidador informal de pacientes con demencia: avances de investigaciones en los últimos 20 años. Acta Psiquiátrica y Psicológica de América latina, 52(1), 9-18.
Tartaglini, M. F., Dillon, C., Hermida, P. D., Feldberg, C., Somale, V., & Stefani, D. (2017). Prevalence of Geriatric Depression and Alexithymia and their Association with Sociodemographic Characteristics in a Sample of Elderly Persons Living in Buenos Aires, Argentina. Revista Brasileira de Geriatria e Gerontologia, 20(4), 516-524. https://doi.org/10.1590/1981-22562017020.160126
Tartaglini, M. F., Caruso, D., Hermida, P. D., Feldberg, C., Somale, M. V., & Stefani, D. (2019, July 14). Geriatric Depression and Alexithymia in Family Caregivers of Patients with Dementia: A Cross Sectional Study [conference]. Alzheimer´s Association International Conference. https://ri.conicet.gov.ar/handle/11336/130351
Tartaglini, M. F. (2020). Older Adults: The New Family Caregivers. https://blogs.iadb.org/salud/es/adultos-mayores-los-nuevos-cuidadores-familiares/
Tartaglini, M. F., Hermida, P. D., Ofman, S. D., Feldberg, C., & Freiberg-Hoffmann, A. (2021). Yesavage’s Geriatric Depression Questionnaire (GDS-VE): Analysis of its Internal Structure in Older Adults Living in Buenos Aires, Argentina. Psicología, Conocimiento y Sociedad, 11(2), 99-121. https://doi.org/10.26864/pcs.v11.n2.5
Tartaglini, M. F. (2024). Impact of Pandemic Covid-19 in Argentine: Research and interventions of the partner organizations that the Innovation, Care and Public Policies Forum. In Dabove, M. I. (dir.). Adult Support and Care: From Guardianship to Personal Autonomy (1st ed., pp. 459-469). https://accionespositivas.com.ar/wp-content/book/acciones-positivas-2024.pdf#page=45
Vitaliano, P. P., Zhang, J., & Scanlan, J. M. (2003). Is Caregiving Hazardous to One's Physical Health? A Meta-Analysis. Psychological Bulletin, 129(6), 946-972. https://doi.org/10.1037/0033-2909.129.6.946
Wister, A., Li, L., Mitchell, B., Wolfson, C., McMillan, J., Griffith, L. E., Kirkland, S., Raina, P., & Canadian Longitudinal Study on Aging (CLSA) Team. (2022). Levels of Depression and Anxiety Among Informal Caregivers During the COVID-19 Pandemic: A Study Based on the Canadian Longitudinal Study on Aging. The Journals of Gerontology. Series B, 77(9), 1740-1757. https://doi.org/10.1093/geronb/gbac035
World Health Organization. (2017). Integrated Care for Older People. Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity. World Health Organization. http://www.who.int/iris/handle/10665/258981
World Health Organization. (2020, 11 March). WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
World Health Organization. (2023, 18 December). Social Determinants of Health. Progress on the Global Report on the Social Determinants of Health Equity [assembly session]. 154th World Health Assembly. https://www.who.int/teams/social-determinants-of-health/equity-and-health
Yesavage, J. A. (1988). Geriatric Depression Scale. Psychopharmacology Bulletin, 24(4), 709-711.
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Copyright (c) 2025 María Florencia Tartaglini, Silvina Lidia Heisecke, Paula Daniela Hermida, Carolina Feldberg, Silvia Deborah Ofman, María Verónica Somale, Diego Caruso

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