AI Article Synopsis
- The study investigates how the COVID-19 pandemic affected depression rates among older adults with a history of stroke, revealing an increase in both new and recurrent depression cases during this time.
- Using data from the Canadian Longitudinal Study on Aging, it found that nearly half of participants with a history of depression relapsed, while about 15% of those without prior depression developed it for the first time.
- Factors such as immigration status, loneliness, functional limitations, and COVID-related stressors were linked to higher depression risks, highlighting the need for targeted mental health interventions for stroke survivors.
Article Abstract
Objectives: The COVID-19 pandemic and accompanying public health measures exacerbated many known risk factors for depression, while also increasing numerous health-related stressors for people with stroke history. Using a large longitudinal sample of older adults, the current study examined the prevalence of incident and recurrent depression among participants with stroke history, and also identified factors that were associated with depression during the pandemic among this population.
Methods: Data came from four waves of the Canadian Longitudinal Study on Aging's (CLSA) comprehensive cohort (n = 577 with stroke history; 46.1% female; 20.8% immigrants; mean age = 74.56 SD = 9.19). The outcome of interest was a positive screen for depression, based on the CES-D-10, collected during the 2020 CLSA COVID autumn questionnaire. Bivariate and multivariate logistic regression analyses were conducted to identify factors that were associated with depression.
Results: Approximately 1 in 2 (49.5%) participants with stroke history and a history of depression experienced a recurrence of depression early in the pandemic. Among those without a history of depression, approximately 1 in 7 (15.0%) developed depression for the first time during this period. The risk of depression was higher among immigrants, those who were lonely, those with functional limitations, and those who experienced COVID-19 related stressors, such as increased family issues, difficulty accessing healthcare, and becoming ill or having a loved one become ill or die during the pandemic.
Conclusions: Interventions that target those with stroke history, both with and without a history of depression, are needed to buffer against the stressors of the COVID-19 pandemic and support the mental health of this population.
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| http://dx.doi.org/10.1002/gps.6062 | DOI Listing |
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