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Older Adults and the Mental Health Effects of COVID-19

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

As the coronavirus disease 2019 (COVID-19) began to spread in the US in early 2020, older adults experienced disproportionately greater adverse effects from the pandemic including more severe complications, higher mortality, concerns about disruptions to their daily routines and access to care, difficulty in adapting to technologies like telemedicine, and concerns that isolation would exacerbate existing mental health conditions. Older adults tend to have lower stress reactivity, and in general, better emotional regulation and well-being than younger adults,1 but given the scale and magnitude of the pandemic, there was concern about a mental health crisis among older adults. The concern pertained to older adults both at home and in residential care facilities, where contact with friends, family, and caregivers became limited. The early data suggest a much more nuanced picture. This Viewpoint summarizes evidence suggesting that, counter to expectation, older adults as a group may be more resilient to the anxiety, depression, and stress-related mental health disorders characteristic of younger populations during the initial phase of the COVID-19 pandemic.

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Article Information

Corresponding Author: Ipsit V. Vahia, MD, McLean Hospital, 115 Mill St, Mail Stop 234, Belmont, MA 02478 (ivahia@partners.org; ivahia@mclean.harvard.edu).

Published Online: November 20, 2020. doi:10.1001/jama.2020.21753

Conflict of Interest Disclosures: Drs Vahia and Reynolds reported receiving honorarium, respectively, as editor and editor in chief of the American Journal of Geriatric Psychiatry. Dr Jeste reported receiving a stipend as editor-in-chief of International Psychogeriatrics. No other disclosures were reported.

Additional Contributions: We thank Hailey Cray, BA, McLean Hospital, Belmont, Massachusetts, for her assistance in preparing this manuscript, for which she received no compensation.

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AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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