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COVID-19 psychological impact in patients with depressive disorder: Differences based on their age

Published online by Cambridge University Press:  13 August 2021

E. Martín Gil*
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain
M. Valtueña-García
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain
L. González-Blanco
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain
F. Dal Santo
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain
C. Moya-Lacasa
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain
C. Álvarez Vázquez
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain
C. Martínez-Cao
Affiliation:
Department Of Psychiatry, University of Oviedo, Oviedo, Spain
L. García-Alvarez
Affiliation:
Department Of Psychiatry, University of Oviedo, Oviedo, Spain Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain
M.P. García-Portilla
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain
P.A. Saiz
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain
J. Bobes
Affiliation:
Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain
*
*Corresponding author.

Abstract

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Introduction

COVID-19 pandemic and lockdown have provoked a considerable psychological impact in Spain. Some studies have reported greater psychological impact in the younger population. To date, no previous study has focused on depressive disorder (DD) patients based on their age.

Objectives

To describe the psychological impact on DD according to age.

Methods

Cross-sectional study of an online survey available from 19 to 26 March 2020. Out of a total of 21207 respondents, 608 (2.9%) reported suffering from DD (mean age ±SD = 41.2 years±14.07 [18-82], 80.6% women). The subsample (608) was divided according to age, “youngsters” <45 (57.4%)/ “elders” ≥45. DASS-21 and IES scales were employed. Statistical analyses: Chi-square, t-Student test.

Results

Both groups did not differ (p>0.05) in sex, having COVID-19 symptoms, having family/friends infected, or income changes. While youngsters were single more frequently (68.8% vs 14.3%, χ² = 179.7, p<0.001), elders had somatic illness more frequently (64.8% vs 39.7% χ² =30.401, p<0.001). Youngsters obtained higher scores in depression (4.69 vs 4.1, T=5.413, p<0.001), anxiety (2.86 vs 1.97, T=5.249, p<0.001) and stress (4.48 vs 3.17, T=6.355, p<0.001) DASS-21 subscales, as in intrusive (3.42 vs 3.05, T=1.984, p=0.048) and avoidant (4.64 vs 4.11, T=3.056, p=0.002) IES scores.

Conclusions

Despite the group of elders with depression being more vulnerable to severe COVID-19 disease and presenting more frequently somatic comorbidities, younger depressive patients suffered more from depressive, anxiety, stress and avoidant symptoms and intrusive thoughts, in line with previous reports in the general population.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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