Evidence map›Paper›PMID 37283986›Full record

ArticleFrontiers in public health2023

COVID-19 government measures and their impact on mental health: a cross-sectional study of older primary care patients in Germany.

Felix G Wittmann, Andrea Zülke, Alexander Pabst, Melanie Luppa, Jochen René Thyrian, Anika Kästner, Wolfgang Hoffmann, Hanna Kaduszkiewicz, Juliane Döhring, Catharina Escales and 9 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

19 authors at 9 institutions in 1 country.

Felix G WittmannInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Andrea ZülkeInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Alexander PabstInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Melanie LuppaInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Jochen René ThyrianInstitute for Community Medicine, University Medicine Greifswald (UMG), Greifswald, Germany.
Anika KästnerInstitute for Community Medicine, University Medicine Greifswald (UMG), Greifswald, Germany.
Wolfgang HoffmannInstitute for Community Medicine, University Medicine Greifswald (UMG), Greifswald, Germany.
Hanna KaduszkiewiczInstitute of General Practice, University of Kiel, Kiel, Germany.
Juliane DöhringInstitute of General Practice, University of Kiel, Kiel, Germany.
Catharina EscalesInstitute of General Practice, University of Kiel, Kiel, Germany.
Jochen GensichenInstitute of General Practice/Family Medicine, University Hospital of LMU Munich, Munich, Germany.
Isabel ZöllingerInstitute of General Practice/Family Medicine, University Hospital of LMU Munich, Munich, Germany.
Robert Philipp KosilekInstitute of General Practice/Family Medicine, University Hospital of LMU Munich, Munich, Germany.
Birgitt WieseHannover Medical School, Institute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover, Germany.
Anke OeyHannover Medical School, Institute for General Practice, Work Group Medical Statistics and IT-Infrastructure, Hannover, Germany.
Hans-Helmut KönigDepartment of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Christian BrettschneiderDepartment of Health Economics and Health Service Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Thomas FreseInstitute of General Practice and Family Medicine, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Steffi G Riedel-HellerInstitute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany.
Leipzig University · DEChristian-Albrechts-Universität zu Kiel · DEGerman Center for Neurodegenerative Diseases · DELudwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DEUniversität Hamburg · DELMU Klinikum · DEMartin Luther University Halle-Wittenberg · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the outbreak of COVID-19, government measures including social distancing and restrictions of social contacts were imposed to slow the spread of the virus. Since older adults are at increased risk of severe disease, they were particularly affected by these restrictions. These may negatively affect mental health by loneliness and social isolation, which constitute risk factors for depressiveness. We aimed to analyse the impact of perceived restriction due to government measures on depressive symptoms and investigated stress as mediator in an at-risk-population in Germany. Methods: Data were collected in April 2020 from the population of the Results: We analysed data from 810 older adults (mean age = 69.9, SD = 5). Feeling restricted due to COVID-19 government measures was linked to increased depressiveness ( Conclusion: We found evidence that feeling restricted due to COVID-19 government measures is associated with higher levels of depressive symptoms in older adults at increased risk for dementia. The association is mediated by perceived stress. Furthermore, social support was significantly associated with less depressive symptoms. Thus, it is of high relevance to consider possible adverse effects of government measures related to COVID-19 on mental health of older people.

Indexed as

COVID-19DementiaAgedCross-Sectional StudiesGovernmentHumansMental HealthPrimary Health CareSARS-CoV-2COVID-19depressiongovernment measuresolder peoplesocial supportstress

Identifiers

PMID37283986
PMCPMC10239963
OpenAlexW4377205865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.