Evidence map›Paper›PMID 32682619›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2020

Experiences of American Older Adults with Pre-existing Depression During the Beginnings of the COVID-19 Pandemic: A Multicity, Mixed-Methods Study.

Megan E Hamm, Patrick J Brown, Jordan F Karp, Emily Lenard, Flor Cameron, Alicia Dawdani, Helen Lavretsky, J Philip Miller, Benoit H Mulsant, Vy T Pham and 3 more

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 10 pooled it
21.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 10 syntheses or guidelines pooled it, 141 citations in OpenAlex.

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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Megan E HammUniversity of Pittsburgh, Department of General Internal Medicine, Pittsburgh, PA. Electronic address: Mehst52@pitt.edu.
Patrick J BrownColumbia University College of Physicians and Surgeons and the New York State Psychiatric Institute, New York, NY.
Jordan F KarpUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA.
Emily LenardWashington University in St. Louis, School of Medicine, St. Louis, MO.
Flor CameronUniversity of Pittsburgh, Department of General Internal Medicine, Pittsburgh, PA.
Alicia DawdaniUniversity of Pittsburgh, Department of General Internal Medicine, Pittsburgh, PA.
Helen LavretskyUniversity of California, Los Angeles, Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA.
J Philip MillerWashington University in St. Louis, Division of Biostatistics, St. Louis, MO.
Benoit H MulsantUniversity of Toronto, Department of Psychiatry, Toronto, ON, Canada.
Vy T PhamWashington University in St. Louis, School of Medicine, St. Louis, MO.
Charles F ReynoldsUniversity of Pittsburgh, School of Medicine, Pittsburgh, PA.
Steven P RooseColumbia University College of Physicians and Surgeons and the New York State Psychiatric Institute, New York, NY.
Eric J LenzeWashington University in St. Louis, School of Medicine, St. Louis, MO.
University of Pittsburgh · USWashington University in St. Louis · USColumbia University · USNeurobehavioral Systems · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effect of the COVID-19 pandemic on the mental health of older adults with pre-existing major depressive disorder (MDD).

participantsParticipants were 73 community-living older adults with pre-existing MDD (mean age 69 [SD 6]) in Los Angeles, New York, Pittsburgh, and St Louis. DESIGN AND MEASUREMENTS: During the first 2 months of the pandemic, the authors interviewed participants with a semistructured qualitative interview evaluating access to care, mental health, quality of life, and coping. The authors also assessed depression, anxiety, and suicidality with validated scales and compared scores before and during the pandemic.

resultsFive themes from the interviews highlight the experience of older adults with MDD: 1) They are more concerned about the risk of contracting the virus than the risks of isolation. 2) They exhibit resilience to the stress and isolation of physical distancing. 3) Most are not isolated socially, with virtual contact with friends and family. 4) Their quality of life is lower, and they worry their mental health will suffer with continued physical distancing. 5) They are outraged by an inadequate governmental response to the pandemic. Depression, anxiety, and suicidal ideation symptom scores did not differ from scores before the pandemic.

conclusionMost older adults with pre-existing MDD show resilience in the first 2 months of the COVID-19 pandemic but have concerns about the future. Policies and interventions to provide access to medical services and opportunities for social interaction are needed to help to maintain mental health and quality of life as the pandemic continues.

Indexed as

Suicidal IdeationAgedAnxietyBetacoronavirusComorbidityCoronavirus InfectionsCOVID-19FemaleHumansMajor Depressive DisorderMalePandemicsPneumonia, ViralQualitative ResearchQuality of LifeSARS-CoV-2anxietyCovid-19 Pandemicdepressionresilience

Identifiers

PMID32682619
PMCPMC7305766
OpenAlexW3036710506

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.