The course of psychiatric symptoms in older age bipolar disorder during the COVID-19 pandemic

International Journal of Bipolar Disorders

Research

Nicole Korten¹  Sigfried Schouws¹  Almar Kok²  Melis Orhan³  Dore Loef³  Patricia van Oppen³  Ralph Kupka⁴  Annemiek Dols⁵ 

[1] Geestelijke Gezondheidszorg (GGZ), InGeest Specialized Mental Health Care, Amsterdam, The Netherlands;Geestelijke Gezondheidszorg (GGZ), InGeest Specialized Mental Health Care, Amsterdam, The Netherlands;Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, The Netherlands;Geestelijke Gezondheidszorg (GGZ), InGeest Specialized Mental Health Care, Amsterdam, The Netherlands;Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, Amsterdam, The Netherlands;Geestelijke Gezondheidszorg (GGZ), InGeest Specialized Mental Health Care, Amsterdam, The Netherlands;Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, Amsterdam, The Netherlands;Altrecht GGZ, Utrecht, The Netherlands;Geestelijke Gezondheidszorg (GGZ), InGeest Specialized Mental Health Care, Amsterdam, The Netherlands;Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, Amsterdam, The Netherlands;Amsterdam Neuroscience, Amsterdam, The Netherlands;

关键词: Bipolar disorder;    COVID-19;    Older adults;    Depressive;    Anxiety;    Mania;   

DOI  :  10.1186/s40345-022-00274-4

 received in 2022-02-14, accepted in 2022-11-07,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe COVID-19 pandemic gives us the unique opportunity to study the course of psychiatric symptoms and resilience in older adults with bipolar disorder (OABD) whilst experiencing a collective long lasting stressor. The aim of this study was to investigate the course of depressive, manic and anxiety symptoms in OABD during the first six months of COVID-19 and how loneliness and mastery are associated with this course. Mastery is defined as the control one experiences over one’s life and environment. Resilience is defined as adaptation to challenging life conditions encompassing several aspects of personal resources.MethodsIn April 2020 (n = 81), June 2020 (n = 66) and September 2020 (n = 51), participants were included from the Dutch Older Bipolars (DOBi) cohort study.ResultsDepressive, manic and anxiety symptoms increased over all timepoints. Participants with a higher sense of mastery experienced a greater increase in depressive and anxiety symptoms. Loneliness did not interact with the course of these symptoms.ConclusionsOABD were resilient in the first months of COVID-19 outbreak, however depressive, manic and anxiety symptoms increased as the pandemic continued. Treatment strategies in coping with long lasting stressful events should include the focus on sense of mastery.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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