Depression and Anxiety in Old Age during the COVID-19 Pandemic: A Comparative Study of Individuals at Cardiovascular Risk and the General Population

Int J Environ Res Public Health. 2023 Feb 8;20(4):2975. doi: 10.3390/ijerph20042975.

Abstract

Our study aims to examine the associations of sociodemographic factors, social support, resilience, and perceptions of the COVID-19 pandemic with late-life depression and anxiety symptoms in a cardiovascular risk group and a matched sample from the German general population during the beginning of the pandemic and draw a comparison regarding psychosocial characteristics. Data of n = 1236 participants (aged 64-81 years) were analyzed, with n = 618 participants showing a cardiovascular risk profile, and n = 618 participants from the general population. The cardiovascular risk sample had slightly higher levels of depressive symptoms and felt more threatened by the virus due to pre-existing conditions. In the cardiovascular risk group, social support was associated with less depressive and anxiety symptoms. In the general population, high social support was associated with less depressive symptoms. Experiencing high levels of worries due to COVID-19 was associated with more anxiety in the general population. Resilience was associated with less depressive and anxiety symptoms in both groups. Compared to the general population, the cardiovascular risk group showed slightly higher levels of depressive symptomatology even at the beginning of the pandemic and may be supported by addressing perceived social support and resilience in prevention programs targeting mental health.

Keywords: COVID-19 pandemic; anxiety; cardiovascular risk; depressive symptoms; old age.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety
  • COVID-19*
  • Cardiovascular Diseases*
  • Depression
  • Heart Disease Risk Factors
  • Humans
  • Pandemics
  • Risk Factors

Grants and funding

The representative survey was supported by the Hans and Ilse Breuer Foundation. This publication is part of the study “AgeWell.de—a multi-centric cluster-randomized controlled prevention trial in primary care” and was funded by the German Federal Ministry for Education and Research (BMBF; grants: 01GL1704A, 01GL1704B, 01GL1704C, 01GL1704D, 01GL1704E, 01GL1704F). This publication is funded by the Open Access Publishing Fund of Leipzig University supported by the German Research Foundation within the program Open Access Publication Funding. The funding sources had no further role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication.