Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging
Purpose: Individuals with diabetes have an elevated risk of depression. The occurrence of the COVID-19 pandemic may have further impacted the mental health of patients living with diabetes. This study aims to examine: 1) factors associated with the development of depression during the COVID-19 pande...
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| Format: | Article |
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Elsevier
2024-12-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950307824000626 |
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| author | ZhiDi Deng, B.Sc, PharmD Grace Li, PhD Maria E. Rowsell, MSW, RSW Dorina Cadar Esme Fuller-Thomson, PhD |
| author_facet | ZhiDi Deng, B.Sc, PharmD Grace Li, PhD Maria E. Rowsell, MSW, RSW Dorina Cadar Esme Fuller-Thomson, PhD |
| author_sort | ZhiDi Deng, B.Sc, PharmD |
| collection | DOAJ |
| description | Purpose: Individuals with diabetes have an elevated risk of depression. The occurrence of the COVID-19 pandemic may have further impacted the mental health of patients living with diabetes. This study aims to examine: 1) factors associated with the development of depression during the COVID-19 pandemic among individuals with diabetes without a history of depression; and 2) factors associated with the persistence or recurrence of depression during the pandemic among those with diabetes, and a pre-pandemic history of depression. Methods: Secondary analysis of four waves of the Canadian Longitudinal Study on Aging surveys. Canadian residents between the ages of 45–85 were recruited in 2012–2015 and subsequently completed three follow-up surveys. A total of 2,730 individuals with diabetes were included in this study. Results: Among those without a prior history of depression, the incidence of new depression was 12.9 % (95 % CI 11.3–14.4 %) during the pandemic. Among those with a history of depression, approximately half (48.5 %; 95 % CI 45.4–51.7 %) were depressed during the pandemic. Factors associated with increased risk of incident and recurrent depression during the pandemic among older adults with diabetes include being female, greater educational attainment, higher income/savings, functional limitations, loneliness/social isolation, chronic pain, family conflict, and difficulties accessing health care. Conclusion: Among Canadians living with diabetes, both the incidence and recurrence of depression increased during the pandemic. Continued efforts to support the psychological well-being of older adults with diabetes are needed. |
| format | Article |
| id | doaj-art-d418b28ca6f44f23b19340a9a6a7f3db |
| institution | Kabale University |
| issn | 2950-3078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-d418b28ca6f44f23b19340a9a6a7f3db2024-12-13T11:09:40ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782024-12-0114100065Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on agingZhiDi Deng, B.Sc, PharmD0Grace Li, PhD1Maria E. Rowsell, MSW, RSW2Dorina Cadar3Esme Fuller-Thomson, PhD4Faculty of Medicine and Dentistry, University of Alberta, 8440 112St. NW, Edmonton, AB T6G 2R7, CanadaDepartment of Sociology, University of Victoria, Victoria, BC, V8W 3P5, CanadaInstitute for Life Course and Aging, University of Toronto, 246 Bloor St W, Toronto, ON M5S 1V4, CanadaCentre for Dementia Studies, Department of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, BN1 9RY, UKInstitute for Life Course and Aging, University of Toronto, 246 Bloor St W, Toronto, ON M5S 1V4, Canada; Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, ON M5S 1V4, Canada; Corresponding author at: Factor-Inwentash Faculty of Social Work, Cross-appointed to the Faculty of Medicine, University of Toronto, 246 Bloor St. W., Toronto, ON M5S 1V4, Canada.Purpose: Individuals with diabetes have an elevated risk of depression. The occurrence of the COVID-19 pandemic may have further impacted the mental health of patients living with diabetes. This study aims to examine: 1) factors associated with the development of depression during the COVID-19 pandemic among individuals with diabetes without a history of depression; and 2) factors associated with the persistence or recurrence of depression during the pandemic among those with diabetes, and a pre-pandemic history of depression. Methods: Secondary analysis of four waves of the Canadian Longitudinal Study on Aging surveys. Canadian residents between the ages of 45–85 were recruited in 2012–2015 and subsequently completed three follow-up surveys. A total of 2,730 individuals with diabetes were included in this study. Results: Among those without a prior history of depression, the incidence of new depression was 12.9 % (95 % CI 11.3–14.4 %) during the pandemic. Among those with a history of depression, approximately half (48.5 %; 95 % CI 45.4–51.7 %) were depressed during the pandemic. Factors associated with increased risk of incident and recurrent depression during the pandemic among older adults with diabetes include being female, greater educational attainment, higher income/savings, functional limitations, loneliness/social isolation, chronic pain, family conflict, and difficulties accessing health care. Conclusion: Among Canadians living with diabetes, both the incidence and recurrence of depression increased during the pandemic. Continued efforts to support the psychological well-being of older adults with diabetes are needed.http://www.sciencedirect.com/science/article/pii/S2950307824000626DiabetesDepressionCLSACOVID-19Older adults |
| spellingShingle | ZhiDi Deng, B.Sc, PharmD Grace Li, PhD Maria E. Rowsell, MSW, RSW Dorina Cadar Esme Fuller-Thomson, PhD Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging Archives of Gerontology and Geriatrics Plus Diabetes Depression CLSA COVID-19 Older adults |
| title | Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging |
| title_full | Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging |
| title_fullStr | Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging |
| title_full_unstemmed | Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging |
| title_short | Exploring the Impact of the COVID-19 pandemic on depression in middle-aged and older Canadians with diabetes: Insights on incidence, recurrence, and risk factors from the Canadian longitudinal study on aging |
| title_sort | exploring the impact of the covid 19 pandemic on depression in middle aged and older canadians with diabetes insights on incidence recurrence and risk factors from the canadian longitudinal study on aging |
| topic | Diabetes Depression CLSA COVID-19 Older adults |
| url | http://www.sciencedirect.com/science/article/pii/S2950307824000626 |
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