期刊
INTERNATIONAL JOURNAL OF PSYCHIATRY IN CLINICAL PRACTICE
卷 26, 期 2, 页码 196-207出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/13651501.2021.1959616
关键词
COVID-19; loneliness; social isolation; dementia; risk; meta-analysis
类别
During the COVID-19 lockdown, social isolation and feelings of loneliness in the older population have increased, which may lead to a higher risk of dementia. A meta-analysis found that the risk of developing dementia in older people due to prolonged loneliness and social isolation is about 49% to 60% higher. Improving healthcare policies is necessary to reduce the impact of SIFL in older persons during the COVID-19 pandemic.
Objectives During the COVID-19 lockdown, social isolation and feelings of loneliness (SIFL) in the older population have increased, and they can be a risk of dementia, especially in vulnerable older people. The current research is a systematic review meta-analysis of the studies that approach the risk of dementia in older people with SIFL. Methods The ten studies selected for meta-analysis utilised an opportunistic sample of older people in the community from age 50 to above with no dementia and enrolment. The populations consisted of cohorts of an average of 8,239 people, followed for a mean period of 6.41 years. Random effect meta-analysis summarised the Cox Proportional Hazard Ratios and Relative Risks of the individual studies. Results Results of the meta-analysis show that in older people, the risk of developing dementia because of the impact of prolonged loneliness and social isolation is about 49 to 60% [HR/HR = 1.49; CI95=1.37-1.61] higher than in those who are not lonely and socially isolated. Conclusion The biopsychosocial model of dementia supports the need for more integrated social programs and reduced risks for the older persons who, during the COVID-19 lockdown, have suffered from deprivation of support from primary carers and restricted social interactions.Keypoints During the COVID-19 lockdown, social isolation and feelings of loneliness in the general population have increased. Older persons are more vulnerable to social isolation and feelings of loneliness (SIFL). SIFL in older people has been associated with an increased risk of dementia. The current study's findings suggest the need to improve healthcare policies to reduce the impact of SIFL in older persons during the COVID-19 pandemic.
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