The relationship between coronavirus-related anxiety on physical frailty, psychological frailty, and social frailty in older community-dwellers in Taiwan during the COVID-19 pandemic

Authors

I-Chun Chen, Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei, Republic of China (Taiwan).Follow
Shao-Hsi Chang, Department of Physical Education and Sport Sciences, National Taiwan Normal University, Taipei, Republic of China (Taiwan)Follow

Abstract

Background: Most activities in community centers have declined as a countermeasure against the COVID-19 pandemic. Consequently, multidimensional frailty rates gradually worsened. This research aimed to explore coronavirus-related anxiety and others factors that influence physical, psychological, and social frailty in older community-dwellers in Taiwan during the COVID-19 pandemic.

Methods: Two hundred and eight (208) elderlies over 65 years of age who lived in 12 administrative districts of Taipei City during the COVID-19 pandemic completed online questionnaires. The questionnaire asked for basic information, and included the coronavirus Pandemic Anxiety Scale, SARC-CalF of physical frailty, the Tilburg Frailty Indicator of psychological frailty, and the Questionnaire to define Social Frailty Status. Data were collected from 21 May to 4 June 2022. They were analyzed using descriptive statistics, correlation coefficients, and one-way analysis of variance (ANOVA).

Results: The average scores for coronavirus anxiety was 2.61, physical frailty was 1.28, psychological frailty was 1.67, and social frailty was 2.25. Regression analysis indicated that the degree of anxiety-related symptoms was associated with physical and psychological frailty in older community-dwellers (p < 0.01, p = 0.002).

Conclusions: The anxiety related to coronaviruses in older community-dwellers affected their physical, psychological, and social frailty in Taiwan. We considered anxiety-related symptoms when assessing the frailty status of elderly to better understand their physical and mental health. Thus, these data support policy recommendations to reduce the effects of the elderly’s anxiety-related symptoms on their frailty in future pandemics.

Keywords: Corona virus anxiety, Physical frailty, Psychological frailty, Social frailty, COVID-19 pandemic

Recommended Citation

Chen I, Chang S. The relationship between coronavirus-related anxiety on physical frailty, psychological frailty, and social frailty in older community-dwellers in Taiwan during the COVID-19 pandemic. J Health Res. 2023; 37(4):253-260. DOI: https://doi.org/10.56808/2586-940X.1041

References

[1] Yen MY, Yen YF, Chen SY, Lee TI, Huang KH, Chan TC, et al. Learning from the past: Taiwan's responses to COVID-19 versus SARS. Int J Infect Dis 2021;110:469-78. https://doi.org/10.1016/j.ijid.2021.06.002.

[2] Taiwan's COVID wave to peak in second half of May: health minister - focus Taiwan. [cited 2022 Sep 17]. Available from: https://focustaiwan.tw/society/202205010015.

[3] Santomauro DF, Mantilla Herrera AM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 2021;398(10312):1700-12. https://doi.org/10.1016/S0140-6736(21)02143-7.

[4] Vahia IV, Blazer DG, Smith GS, Karp JF, Steffens DC, Forester BP, et al. COVID-19, mental health and aging: a need for new knowledge to bridge science and service. Am J Geriatr Psychiatr 2020;28(7):695-7. https://doi.org/10.1016/j.jagp.2020.03.007.

[5] Asmundson GJG, Taylor S. How health anxiety influences responses to viral outbreaks like COVID-19: what all decision-makers, health authorities, and health care professionals need to know. J Anxiety Disord 2020;71:102211. https://doi.org/10.1016/j.janxdis.2020.102211.

[6] Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001;56(3):M146-56. https://doi.org/10.1093/gerona/56.3.m146.

[7] Gobbens RJJ, van Assen MALM, Luijkx KG, Wijnen-Sponselee MT, Schols JMGA. Determinants of frailty. J Am Med Dir Assoc 2010;11(5):356e64. https://doi.org/10.1016/j.jamda.2009.11.008.

[8] Chen CY, Wu SC, Chen LJ, Lue BH. The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch Gerontol Geriatr 2010;50(Suppl 1):S43-7. https://doi.org/10.1016/s0167-4943(10)70012-1.

[9] Rockwood K, Mitnitski A. Frailty in relation to the accumulation of deficits. J Gerontol A Biol Sci Med Sci 2007;62(7):722-7. https://doi.org/10.1093/gerona/62.7.722.

[10] Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT, Schols JM. Towards an integral conceptual model of frailty. J Nutr Health Aging 2010;14(3):175-81. https://doi.org/10.1007/s12603-010-0045-6.

[11] Pranata R, Henrina J, Lim MA, Lawrensia S, Yonas E, Vania R, et al. Clinical frailty scale and mortality in COVID-19: a systematic review and dose-response meta-analysis. Arch Gerontol Geriatr 2021;93:104324. https://doi.org/10.1016/j.archger.2020.104324.

[12] Shinohara T, Saida K, Tanaka S, Murayama A. Association between frailty and changes in lifestyle and physical orpsychological conditions among older adults affected by the coronavirus disease 2019 countermeasures in Japan. Geriatr Gerontol Int 2021;21(1):39-42. https://doi.org/10.1111/ggi.14092.

[13] Shinohara T, Saida K, Tanaka S, Murayama A. Actual frailty conditions and lifestyle changes in community-dwelling older adults affected by coronavirus Disease 2019 countermeasures in Japan: a cross-sectional studyv ol. 7. SAGE Open Nurs; 2021, 23779608211025117. https://doi.org/10.1177/23779608211025117.

[14] Bernardo ABI, Mendoza NB, Simon PD, Cunanan ALP, Dizon J, Tarroja MCH, et al. Coronavirus pandemic anxiety scale (CPAS-11): development and initial validation. Curr Psychol 2022;41(8):5703-11. https://doi.org/10.1007/s12144-020-01193-2.

[15] Hu B, Hsiao-Wei Y, Chiu T, Li-Ling L, Chen Y. The validity of the study of osteoporotic fractures (SOF) index for assessing community-based older adults in Taiwan. Innov Aging 2018;2(suppl_1):1015. https://doi.org/10.1093/geroni/igy031.3746.

[16] Makizako H, Shimada H, Tsutsumimoto K, Lee S, Doi T, Nakakubo S, et al. Social frailty in community-dwelling older adults as a risk factor for disability. J Am Med Dir Assoc 2015;16(11):1003.e7-11. https://doi.org/10.1016/j.jamda.2015.08.023.

[17] Bonett DG, Wright TA. Cronbach's alpha reliability: interval estimation, hypothesis testing, and sample size planning. J Organ Behav 2015;36(1):3-15. https://doi.org/10.1002/job.1960.

[18] Reckase MD. The difficulty of test items that measure more than one ability. Appl Psychol Meas 1985;9(4):401-12. https://doi.org/10.1177/014662168500900409.

[19] Castellano-Tejedor C, P_erez LM, Soto-Bagaria L, Risco E, Mazo MV, G_omez A, et al. Correlates to psychological distress in frail older community-dwellers undergoing lockdown during the COVID-19 pandemic. BMC Geriatr 2022;22(1):516. https://doi.org/10.1186/s12877-022-03072-w.

[20] Robb CE, de Jager CA, Ahmadi-Abhari S, Giannakopoulou P, Udeh-Momoh C, McKeand J, et al. Associations of social isolation with anxiety and depression during the early COVID-19 pandemic: a survey of older adults in london, UK. Front Psychiatr 2020;11:591120. https://doi.org/10.3389/fpsyt.2020.591120.

[21] Chen S, Bonanno GA. Psychological adjustment during the global outbreak of COVID-19: a resilience perspective. Psychol Trauma 2020;12(S1):S51-4. https://doi.org/10.1037/tra0000685.