ArticleJournal of affective disorders2022
Social isolation transitions and psychological distress among older adults in rural China: A longitudinal study before and during the COVID-19 pandemic.
Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Changes in mental health outcomes of middle-aged and older adults during the COVID-19 pandemic: A scoping review.PloS one · 2026Article
- Article
- Changes in the Emergency Department Visits Among the Older Adults With Dementia Before, and After the Nationwide Social Distancing Measures: An Interrupted Time Series Analysis.International journal of geriatric psychiatry · 2025Article
- Assessing the impact of COVID-19 on middle-aged and older females in China: a comparative study of urban-rural disparities.BMC public health · 2025Article
- Changes in well-being among socially isolated older people during the COVID-19 pandemic: An outcome-wide analysis.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Social isolation, loneliness, and subjective wellbeing among Chinese older adults during the COVID-19 pandemic.Frontiers in public health · 2024Article
- Moderation effects of loneliness between fatalism and wellbeing during the COVID-19 pandemic.Scientific reports · 2023Article
- Incidence and persistence of psychological distress during the COVID-19 pandemic among individuals with and without disability.Journal of psychosomatic research · 2023Article
- Translation and psychometric properties of the Mandarin Chinese version of the COVID-19 Impact Scale in college students.Frontiers in psychiatry · 2023Article
- Loneliness, ageism, and mental health: The buffering role of resilience in seniors.International journal of clinical and health psychology : IJCHPArticle
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8 authors.
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Abstract
backgroundThe COVID-19 pandemic could increase the number of older adults who are socially isolated including community-dwelling older adults, and result in the secondary damage of mental health. This study aimed to examine the longitudinal association between social isolation transitions and psychological distress among the community-dwelling older adults before and during the COVID-19 pandemic in rural China.
methodsA total of 2749 community-dwelling older adults aged 60 years and older in rural Shandong, China were included. We used the generalized estimating equations (GEE) model to estimate the impact of social isolation transitions on psychological distress before and during the COVID-19 pandemic.
resultsThe percentage of high and very high psychological distress (K10 ≥ 22) was 23.54% and 31.36% before and during the COVID-19 pandemic, respectively, indicating a 7.82% increase (P < 0.001). Compared with the group remaining nonisolated, "became socially isolated" and "remained isolated" groups were more likely to have a deterioration of psychological distress after experiencing the COVID-19 pandemic (became socially isolated: b = 0.92, P < 0.001; remained isolated: b = 0.98, P < 0.001). LIMITATIONS: The main variables in this study were measured by self-report information, which might result in recall bias.
conclusionsDuring the COVID-19 pandemic, psychological distress increased among the community-dwelling older adults in rural China. There was a significant risk of psychological distress among those who had transitioned from nonisolation before the pandemic to social isolation after experiencing the pandemic, thus intervention on social isolation process during the pandemic may be important to protect older adults' mental health.
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