‘I am more stressed if my infection affects others’: development of a COVID-19-related stress scale in older people and examination of its validity and associations with mental health risks
2024

COVID-19 Stress in Older Adults

Sample size: 4674 publication Evidence: high

Author Information

Author(s): Liu Tianyin PhD, Sze Lesley Cai Yin MSocSc, Yiu Eric Kwok Lun MA, Wong Edwin Lok Yan MScoSc, Leung Dara Kiu Yi PhD, Kwok Wai-wai MClinPsy, Tang Jennifer PhD, Xu Jiaqi PhD, Wong Gloria PhD, Lum Terry PhD

Primary Institution: The Hong Kong Polytechnic University

Hypothesis

What do older people perceive as stressful during COVID-19 and how are these stressors related to mental health risks?

Conclusion

Older adults in Hong Kong perceived stress related to COVID-19 primarily from concerns about family and community rather than direct infection.

Supporting Evidence

  • Pre-existing mental health conditions were associated with higher stress.
  • Loneliness had the strongest association with stress levels.
  • Older age and living alone were negatively associated with stress.

Takeaway

Older people felt more stressed about how COVID-19 affected their families and communities than about getting sick themselves.

Methodology

The study used a Delphi method to develop a COVID-19-related stress scale and a cross-sectional telephone survey to validate it.

Potential Biases

Participants were recruited from mental health service centers, which may not represent the general older adult population.

Limitations

The study's cross-sectional design limits causal inferences, and reliance on telephone surveys may exclude those with severe hearing loss.

Participant Demographics

Mean age of 75.63 years, 75.6% female, 37.5% lived alone, 17% had pre-existing mental health conditions.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1192/bjo.2024.769

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication