Toronto Metropolitan University
Browse

How Did the COVID-19 Lockdown Pandemic Affect the Depression Symptomatology in Mediterranean Older Adults with Metabolic Syndrome?

Download (457.63 kB)
journal contribution
posted on 2024-08-08, 14:40 authored by Indira Paz-Graniel, Nancy Babio, Stephanie NishiStephanie Nishi, Miguel Ángel Martínez-González, Dolores Corella, Montserrat Fitó, Alfredo Martinez, Ángel M. Alonso-Gómez, Julia Warnberg, Jesús Vioque, Dora Romaguera, José López Miranda, Ramón Estruch, Francisco J. Tinahones, José Manuel Santos-Lozano, J. Luís Serra-Majem, Aurora Bueno Cavanillas, Josep A. Tur, Vicente Martín-Sánchez, Xavier Pintó, Miguel Delgado-Rodriguez, Pilar Matía-Martín, Josep Vidal, Cristina Calderon-Sanchez, Lidia Daimiel, Emili Ros, Fernando Fernandez-Aranda, Estefania Toledo, Cristina Valle-Hita, Jose V. Sorlí, Camille Lassale, Antonio García-Rios, Alejandro Oncina-Canovas, Francisco Javier Barón LópezFrancisco Javier Barón López, M. Ángeles Zulet, Elena Rayó, Rosa Casasús, Esther Thomas-Carazo, Lucas Tojal-Sierra, Miguel Damas-Fuentes, Miguel Ruiz-CanelaMiguel Ruiz-Canela, Sara De las Heras-Delgado, Rebeca Fernández-Carrión, Olga Castañer, Patricia J. Peña-Orihuela, Sandra González-Palacios, Pilar Buil-Cosiales, Albert Goday, Jordi Salas-Salvadó

Background and Aims. To control the COVID-19 spread, in March 2020, a forced home lockdown was established in Spain. In the present study, we aimed to assess the effect of mobility and social COVID-19-established restrictions on depressive symptomatology in older adults with metabolic syndrome. We hypothesize that severe restrictions might have resulted in detrimental changes in depressive symptomatology. Methods. 2,312 PREDIMED-Plus study participants (men = 53.9%; mean age = 64.9 ± 4.8 years) who completed a COVID-19 lockdown questionnaire to assess the severity of restrictions/lockdown and the validated Spanish version of the Beck Depression Inventory-II (BDI-II) during the three established phases concerning the COVID-19 lockdown in Spain (prelockdown, lockdown, and postlockdown) were included in this longitudinal analysis. Participants were categorized according to high or low lockdown severity. Analyses of covariance were performed to assess changes in depressive symptomatology across lockdown phases. Results. No significant differences in participant depression symptomatology changes were observed between lockdown severity categories (low/high) at the studied phases. During the lockdown phase, participants showed a decrease in BDI-II score compared to the prelockdown phase (mean (95% CI), -0.48 (-0.24, -0.72), P < 0.001); a nonsignificantly larger decrease was observed in participants allocated in the low-lockdown category (low: -0.59 (-0.95, -0.23), high: -0.43 (-0.67, -0.19)). Similar decreases in depression symptomatology were found for the physical environment dimension. The post- and prelockdown phase BDI-II scores were roughly similar. Conclusions. The COVID-19 pandemic lockdown was associated with a decrease in depressive symptomatology that returned to prelockdown levels after the lockdown. The degree of lockdown was not associated with depressive symptomatology. The potential preventive role of the physical environment and social interactions on mental disorders during forced home lockdown should be further studied. This trial is registered with ISRCTN89898870. Retrospectively registered on 24 July 2014.

History

Language

English

Usage metrics

    Faculty of Community Services

    Licence

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC