ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2022
Psychological and Functional Impact of COVID-19 in Long-Term Care Facilities: The COVID-A Study.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Global prevalence of post-COVID-19 condition: a systematic review and meta-analysis of prospective evidence.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Pooled it
- How to protect long-term care facilities from pandemic-like events? - A systematic review on the effectiveness of non-pharmacological measures to prevent viral respiratory infections.BMC infectious diseases · 2024Pooled it
- High-risk profiles for functional and cognitive decline following COVID-19 confinement in nursing home residents: A multicentre observational studyAnales del sistema sanitario de Navarra · 2026Observational
- Risk factors associated with depressive symptoms among institutionalized elderly in Lebanon.Scientific reports · 2026Article
- Feasibility of implementing Dignity Therapy in Dutch nursing homes: A pre-post study exploring potential effects on dignity, depression, and self-esteem.Palliative & supportive care · 2026Article
- Article
- Predictors of change in sleep disturbance in Canadian long-term care facilities: a longitudinal analysis based on interRAI assessments.European geriatric medicine · 2025Article
- Article
- Health, functioning and social engagement among older people living in long-term care facilities during the COVID-19 lockdown in Finland: a register-based cohort study.BMC public health · 2025Article
- How did COVID-19 lockdown impact the health of older adults in nursing homes? A scoping review.BMC geriatrics · 2024Article
- Article
- Timely Yet Long Overdue: Canadian Standards for Long-Term Care Homes.Canadian geriatrics journal : CGJ · 2024Article
- Post-covid-19 conditions in adults: systematic review and meta-analysis of health outcomes in controlled studies.BMJ medicine · 2024Article
- The influence of nationwide COVID-19 lockdown on the functional impairment and long-term survival of dependent people for carrying out basic activities of daily living in a neighborhood of the city of Madrid, Spain: Orcasitas Cohort Longitudinal Study.Frontiers in public health · 2024Article
- Long COVID in long-term care: a rapid realist review.BMJ open · 2023Review
- Consequences of contact restrictions for long-term care residents during the first months of COVID-19 pandemic: a scoping review.European journal of ageing · 2023Article
- The impact of protective measures against COVID-19 on the wellbeing of residents in nursing homes and their relatives: a rapid review.BMC geriatrics · 2023Review
- Nurses' Experiences of Care in Portuguese Nursing Homes during the COVID-19 Pandemic: A Focus Group Study.International journal of environmental research and public health · 2023Article
- Relationships between Physical Activity and Selected Chronic Diseases among Functionally Independent Long-Term Care Residents during the Post-Lockdown Period in Croatia.International journal of environmental research and public health · 2023Observational
- The effect of volunteer-led activities on the quality of life of volunteers, residents, and employees of a long-term care institution: a cohort study.BMC geriatrics · 2023Article
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Authors and funding
30 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the psychological and functional sequelae of the COVID-19 pandemic among older adults living in long term care facilities (LTCFs).
designCohort longitudinal study SETTING ANT
participantsA total of 215 residents ≥ 65 years without moderate-to-severe cognitive impairment, living in five LTCFs in Albacete (Spain). MEASUREMENTS: Baseline on-site data were collected between March - June 2020 and three-month follow-up between June to September 2020. Symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), and sleep disturbances were measured as psychological variables. Disability in basic activities of daily living (BADL), ambulation and frailty were assessed as functional variables. Differences were analyzed in relation to level of comorbidity and test positivity for COVID-19.
resultsAt baseline, residents with COVID-19 presented worse functionality, higher frailty levels and malnutrition risk compared to non-COVID-19 residents. At three-month follow-up, higher rates of clinically significant depressive symptoms (57.7%), anxiety symptoms (29.3%), PTSD symptoms (19.1%) and sleep disturbances (93.0%) were found among residents regardless of COVID status. Thus, among 215 residents, 101 (47%) experienced a decline in BADL from baseline to the 3-month follow-up (median functional loss = 5 points in Barthel Index). In multivariate analyses, COVID-19 status did not explain either the functional or the ambulation loss. By contrast, residents with low comorbidity and COVID-19 presented higher PTSD symptoms (effect 2.58; 95% CI 0.93 to 4.23) and anxiety symptoms (effect 2.10; 95% CI 0.48 to 3.73) compared to the low comorbidity/non-COVID19 group.
conclusionCOVID-19 pandemic was associated, after three-months, with high psychological impact in older adults in LTCFs., specifically with higher post-traumatic stress and anxiety symptoms. Functional decline did not differ in relation to COVID-19 status but could be related to isolation strategies used for pandemic control.
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