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A pandemic toll in frail older adults : higher odds of incident and persistent common mental disorders in the ELSA-Brasil COVID-19 mental health cohort

Claudia Szlejf, Claudia Kimie Suemoto, Alessandra Carvalho Goulart, Itamar de Souza Santos, Pedro Starzynski Bacchi, Daniel Fatori, Laís Boralli Razza (UGent) , Maria Carmen Viana, Paulo Andrade Lotufo, Isabela Martins Benseñor, et al.
(2023) JOURNAL OF AFFECTIVE DISORDERS. 325. p.392-398
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Abstract
Introduction: We aimed to investigate the association of frailty with persistent and incident common mental disorders (CMD) in older adults during the pandemic. Methods: We included 706 older adults who participated in the onsite wave of the ELSA-Brasil study (2017-2019) and the online COVID-19 assessment (May-July 2020). CMD were assessed in both waves by the Clinical Interview Schedule-Revised. Frailty was defined according to the physical phenotype and Frailty Index in the 2017-2019 wave. Logistic regression was used to investigate the association of frailty with persistent and incident CMD, adjusted for sociodemographics. Results: Frailty according to both definitions were associated with persistent CMD (Frailty Index: OR = 8.61, 95 % CI = 4.08-18.18; physical phenotype: OR = OR = 23.67, 95 % CI = 7.08-79.15), and incident CMD (Frailty Index: OR = 2.79, 95 % CI = 1.15-6.78; physical phenotype OR = 4.37, 95 % CI = 1.31-14.58). The exclusion of exhaustion (that overlaps with psychiatric symptoms) from the frailty constructs did not change the association between frailty and persistent CMD, although the associations with indent CMD were no longer significant. Limitations: Fluctuations in CMD status were not captured between both assessments. Conclusion: Frailty status before the COVID-19 outbreak was associated with higher odds of persistent and incident CMD in older adults during the pandemic first wave. Identifying individuals at higher risk of mental burden can help prioritize resources allocation and management.
Keywords
Psychiatry and Mental health, Clinical Psychology, Older adults, Mental disorders, Frailty, COVID-19

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MLA
Szlejf, Claudia, et al. “A Pandemic Toll in Frail Older Adults : Higher Odds of Incident and Persistent Common Mental Disorders in the ELSA-Brasil COVID-19 Mental Health Cohort.” JOURNAL OF AFFECTIVE DISORDERS, vol. 325, Elsevier BV, 2023, pp. 392–98, doi:10.1016/j.jad.2023.01.028.
APA
Szlejf, C., Suemoto, C. K., Goulart, A. C., Santos, I. de S., Bacchi, P. S., Fatori, D., … Brunoni, A. R. (2023). A pandemic toll in frail older adults : higher odds of incident and persistent common mental disorders in the ELSA-Brasil COVID-19 mental health cohort. JOURNAL OF AFFECTIVE DISORDERS, 325, 392–398. https://doi.org/10.1016/j.jad.2023.01.028
Chicago author-date
Szlejf, Claudia, Claudia Kimie Suemoto, Alessandra Carvalho Goulart, Itamar de Souza Santos, Pedro Starzynski Bacchi, Daniel Fatori, Laís Boralli Razza, et al. 2023. “A Pandemic Toll in Frail Older Adults : Higher Odds of Incident and Persistent Common Mental Disorders in the ELSA-Brasil COVID-19 Mental Health Cohort.” JOURNAL OF AFFECTIVE DISORDERS 325: 392–98. https://doi.org/10.1016/j.jad.2023.01.028.
Chicago author-date (all authors)
Szlejf, Claudia, Claudia Kimie Suemoto, Alessandra Carvalho Goulart, Itamar de Souza Santos, Pedro Starzynski Bacchi, Daniel Fatori, Laís Boralli Razza, Maria Carmen Viana, Paulo Andrade Lotufo, Isabela Martins Benseñor, and André Russowsky Brunoni. 2023. “A Pandemic Toll in Frail Older Adults : Higher Odds of Incident and Persistent Common Mental Disorders in the ELSA-Brasil COVID-19 Mental Health Cohort.” JOURNAL OF AFFECTIVE DISORDERS 325: 392–398. doi:10.1016/j.jad.2023.01.028.
Vancouver
1.
Szlejf C, Suemoto CK, Goulart AC, Santos I de S, Bacchi PS, Fatori D, et al. A pandemic toll in frail older adults : higher odds of incident and persistent common mental disorders in the ELSA-Brasil COVID-19 mental health cohort. JOURNAL OF AFFECTIVE DISORDERS. 2023;325:392–8.
IEEE
[1]
C. Szlejf et al., “A pandemic toll in frail older adults : higher odds of incident and persistent common mental disorders in the ELSA-Brasil COVID-19 mental health cohort,” JOURNAL OF AFFECTIVE DISORDERS, vol. 325, pp. 392–398, 2023.
@article{01GZHPP52J5XMTXD4HR8JPA80X,
  abstract     = {{Introduction: We aimed to investigate the association of frailty with persistent and incident common mental disorders (CMD) in older adults during the pandemic. Methods: We included 706 older adults who participated in the onsite wave of the ELSA-Brasil study (2017-2019) and the online COVID-19 assessment (May-July 2020). CMD were assessed in both waves by the Clinical Interview Schedule-Revised. Frailty was defined according to the physical phenotype and Frailty Index in the 2017-2019 wave. Logistic regression was used to investigate the association of frailty with persistent and incident CMD, adjusted for sociodemographics. Results: Frailty according to both definitions were associated with persistent CMD (Frailty Index: OR = 8.61, 95 % CI = 4.08-18.18; physical phenotype: OR = OR = 23.67, 95 % CI = 7.08-79.15), and incident CMD (Frailty Index: OR = 2.79, 95 % CI = 1.15-6.78; physical phenotype OR = 4.37, 95 % CI = 1.31-14.58). The exclusion of exhaustion (that overlaps with psychiatric symptoms) from the frailty constructs did not change the association between frailty and persistent CMD, although the associations with indent CMD were no longer significant. Limitations: Fluctuations in CMD status were not captured between both assessments. Conclusion: Frailty status before the COVID-19 outbreak was associated with higher odds of persistent and incident CMD in older adults during the pandemic first wave. Identifying individuals at higher risk of mental burden can help prioritize resources allocation and management.}},
  author       = {{Szlejf, Claudia and Suemoto, Claudia Kimie and Goulart, Alessandra Carvalho and Santos, Itamar de Souza and Bacchi, Pedro Starzynski and Fatori, Daniel and Boralli Razza, Laís and Viana, Maria Carmen and Lotufo, Paulo Andrade and Benseñor, Isabela Martins and Brunoni, André Russowsky}},
  issn         = {{0165-0327}},
  journal      = {{JOURNAL OF AFFECTIVE DISORDERS}},
  keywords     = {{Psychiatry and Mental health,Clinical Psychology,Older adults,Mental disorders,Frailty,COVID-19}},
  language     = {{eng}},
  pages        = {{392--398}},
  publisher    = {{Elsevier BV}},
  title        = {{A pandemic toll in frail older adults : higher odds of incident and persistent common mental disorders in the ELSA-Brasil COVID-19 mental health cohort}},
  url          = {{http://doi.org/10.1016/j.jad.2023.01.028}},
  volume       = {{325}},
  year         = {{2023}},
}
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