Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging

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DOI

https://doi.org/10.1016/j.rmed.2022.107003

Language of the publication
English
Date
2023-07
Type
Article
Author(s)
  • MacNeil, Andie
  • Li, Grace
  • Jiang, Ying
  • de Groh, Margaret
  • Fuller-Thomson, Esme
Publisher
Elsevier

Abstract

Objectives: (1) In a subsample of older adults with asthma without a history of depression, to determine the factors associated with developing depression during the COVID-19 pandemic; (2) in a subsample of older adults with asthma with a history of depression, to identify factors associated with recurrent depression during the pandemic. Methods: Data came from four waves (Baseline [2011-2015], Follow-up 1 [2015-2018]; COVID Spring 2020, COVID Autumn 2020) of the Canadian Longitudinal Study on Aging's comprehensive cohort (n = 2,047 with asthma). The outcome of interest was a positive screen for depression based on the CES-D-10 during the autumn of 2020. Bivariate and multivariate logistic regression analyses were conducted. Results: Among older adults with asthma without a history of depression (n = 1,247), approximately 1 in 7 (13.5%) developed depression for the first time during the COVID-19 pandemic. Among those with a history of depression (n = 770), approximately 1 in 2 (48.6%) experienced a recurrence of depression. The risk of incident depression and recurrent depression was higher among those who were lonely, those experiencing family conflict during the pandemic, and those who had difficulty accessing healthcare resources during the pandemic. The risk of incident depression only was higher among those who had difficulty accessing resources and/or loss of income during the pandemic. The risk of recurrent depression only was higher among those with functional limitations. Conclusions: There is a need for targeted interventions to support the mental health of older adults with asthma who have the above identified vulnerabilities during the pandemic.

Subject

  • Health

Keywords

  • Asthma,
  • CLSA,
  • COVID-19,
  • Depression,
  • Older adults

Rights

Peer review

Yes

Open access level

Gold

Identifiers

ISSN
1532-3064

Article

Journal title
Respiratory Medicine
Journal volume
213

Citation(s)

MacNeil A, Li G, Jiang Y, de Groh M, Fuller-Thomson E. Incident and recurrent depression among older adults with asthma during the COVID-19 pandemic: Findings from the Canadian Longitudinal Study on Aging. Respir Med. 2023 Jul;213:107003. doi: 10.1016/j.rmed.2022.107003

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Collection(s)

Public health surveillance

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