Evidence map›Paper›PMID 39665850›Full record

ArticleMilitary medicine2025

A Brief Report on Sex-Specific Differences in Persistent Depression, Anxiety, and Loneliness Among Canadian Veterans During the COVID-19 Pandemic.

Colleen Webber, Alyson L Mahar, Kate St Cyr, Heidi Cramm, Christina Reppas-Rindlisbacher, Shailee Siddhpuria, Julie Hallet, Paula A Rochon, Nicola T Fear

Abstract read
In one paragraph

Article in Military medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. The health and well-being of older Veterans in Canada: A scoping review.Journal of military, veteran and family health · 2026
    Article
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

9 authors.

Colleen WebberOttawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada.ORCID 0000-0001-9193-5386
Alyson L MaharSchool of Nursing, Queen's University, Cataraqui Building, Kingston, ON K7L 3N6, Canada.ORCID 0000-0002-6862-3760
Kate St CyrDalla Lana School of Public Health, University of Toronto, Health Sciences Building, Toronto, ON M5T 3M7, Canada.ORCID 0000-0002-5858-7612
Heidi CrammSchool of Rehabilitation Therapy, Queen's University, Louise D. Acton Building, Kingston, ON K7L 3N6, Canada.ORCID 0000-0002-8805-063X
Christina Reppas-RindlisbacherDivision of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.ORCID 0000-0001-7731-3185
Shailee SiddhpuriaDepartment of Undergraduate Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0003-2760-9185
Julie HalletDepartment of Surgery, University of Toronto, Toronto, ON M5G 2C4, Canada.ORCID 0000-0001-5108-1072
Paula A RochonDivision of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.ORCID 0000-0002-5973-4151
Nicola T FearKing's Centre for Military Health Research, Academic Department of Military Mental Health, King's College London, London, England SE5 9RJ, UK.ORCID 0000-0002-5792-2925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOlder adults are at increased risk of severe illness and mortality from Coronavirus disease of 2019 (COVID-19) infection. However, public health strategies aimed at reducing spread of COVID-19 may have resulted in increased mental health symptoms, particularly among older adults. Currently, little is known about whether older Veterans were more likely to experience persistent mental health symptoms during the COVID-19 pandemic than non-Veterans. The objectives of the current study were to (1) compare differences in persistent symptoms of anxiety, depression, and loneliness among a sample of Canadian Armed Forces Veterans and non-Veterans ≥55 years of age and (2) to evaluate potential sex-specific differences in persistent mental health symptoms. MATERIAL AND

methodsThe data for this study are drawn from a longitudinal survey of Canadian adults (55 years and older) during the COVID-19 pandemic. Ethical approval was received from the Women's College Hospital Research Ethics Board. Participants completed a baseline survey of sociodemographic, mental health-related, and COVID-19-related variables in May 2020 and 8 follow-up surveys monthly between May 2020 and January 2021. Modified Poisson regression models with robust standard errors were used to estimate risk of persistent symptoms of anxiety, depression, and loneliness.

resultsEight hundred twenty-nine participants (13.7% [n = 114] Veterans) were included in the analysis of persistent depressive symptoms, 859 participants (14.0% [n = 120] Veterans) were included in the analysis of persistent anxiety symptoms, and 862 (13.9% [n = 120] Veterans) were included in the analysis of persistent symptoms of loneliness. When comparing male Veterans and non-Veterans, there were small but statistically insignificant differences in persistent symptoms of anxiety (adjusted relative risk [aRR], 0.59; 95% confidence interval [CI], 0.24-1.46), depression (aRR, 1.54; 95% CI, 0.63-3.77), or loneliness (aRR, 0.79; 95% CI, 0.36-1.75); similar small but statistically insignificant differences were observed in persistent symptoms of anxiety (aRR, 1.26; 95% CI, 0.51-3.09), depression (aRR, 1.16; 95% CI, 0.49-2.73), and loneliness (aRR, 1.33; 95% CI, 0.61-2.90) when comparing female Veterans to female non-Veterans.

conclusionsQualitative, but statistically nonsignificant sex-specific differences in persistent symptoms of anxiety, depression, and loneliness during the early months of the COVID-19 pandemic were observed in this study comparing Veterans and non-Veterans. Additional sex-stratified analyses using larger samples or qualitative interviews may be useful in understanding the unique mental health experiences of older men, women, and gender diverse Veterans during the COVID-19 pandemic.

Indexed as

AnxietyCOVID-19DepressionLonelinessVeteransAgedCanadaFemaleHumansLongitudinal StudiesMaleMiddle AgedPandemicsSex FactorsSurveys and Questionnaires

Identifiers

PMID39665850
PMCPMC12016028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.