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Articles
VIEWS: 165
Published: 2023-07-27

Anxiety, Depression, Loneliness, Spirituality, and Social Support in Older People During the COVID-19 Pandemic

Health Polytechnic Ministry of Health Malang, Malang 65211
Health Polytechnic Ministry of Health Malang, Malang 65211
Health Polytechnic Ministry of Health Malang, Malang 65211
anxiety depression loneliness social support spirituality

Abstract

The COVID-19 pandemic has resulted in the threat of death. Some older people feel they are not ready to face the end of their lives, so psychosocial problems arise, such as loneliness, anxiety, and depression. This research study aims to explore some psychosocial aspects, namely spirituality, social support, depression, anxiety, and loneliness in the elderly during the pandemic. The research design was cross-sectional. The total sample was 142 people selected using the purposive sampling method. Data collection used various scales to look at spirituality, depression, anxiety, and loneliness. The results showed that median spirituality and social support scores were high. The median depression and loneliness scores were mild. The average anxiety score for the elderly was normal. Based on the Pearson and Spearman correlation tests, relationships were shown between spirituality and anxiety scores, social support and anxiety scores, anxiety and depression scores, and loneliness and depression scores. The elderly need spirituality and social support when facing the end of life, and during the COVID-19 pandemic, to prevent the emergence of psychosocial problems. Social support and high spirituality must be maintained, even though the pandemic has subsided, in case such a health crisis occurs again.

 

Abstrak

Kecemasan, Depresi, Kesepian, Spiritualitas, dan Dukungan Sosial pada Lansia Saat Pandemi COVID-19. Pandemi COVID-19 mengancam banyak jiwa. Sebagian dari lansia merasa belum siap menghadapi akhir kehidupan seperti kematian sehingga muncul masalah psikososial seperti kesepian, cemas, dan depresi. Penelitian ini bertujuan untuk mengetahui aspek psikososial lansia yaitu spiritualitas, dukungan sosial, depresi, kecemasan, dan kesepian selama pandemi COVID-19. Desain penelitian yang digunakan adalah cross-sectional. Jumlah sampel sebanyak 142 orang yang dipilih dengan metode purposive sampling. Pengumpulan data menggunakan berbagai kuisioner untuk melihat spiritualitas, depresi, kecemasan, dan kesepian. Hasil penelitian menunjukkan bahwa median skor spiritualitas dan dukungan sosial termasuk tinggi. Nilai median depresi dan kesepian tergolong ringan. Rata-rata skor kecemasan lansia adalah normal. Berdasarkan uji korelasi Pearson dan Spearman, ditunjukkan hubungan antara skor spiritualitas dan kecemasan, skor dukungan sosial dan kecemasan, skor kecemasan dan depresi, serta skor kesepian dan depresi. Lansia membutuhkan spiritualitas dan dukungan sosial dalam menghadapi akhir kehidupan maupun saat pandemi COVID-19 untuk mencegah munculnya masalah psikososial. Dukungan sosial dan spiritualitas yang tinggi harus tetap dijaga, walaupun pandemi COVID-19 sudah mereda, agar mampu bertahan jika krisis kesehatan muncul kembali.

Kata Kunci: depresi, dukungan sosial, kecemasan, kesepian, spiritualitas

References

  1. Agorastos, A., Demiralay, C., & Huber, C.G. (2014). Influence of religious aspects and personal beliefs on psychological behavior: Focus on anxiety disorders. Psychology Research and Behavior Management, 7, 93–101. doi: 10.2147/PRBM.S43666.
  2. Andrieieva, O., Hakman, A., Kashuba, V., Vasylenko, M., Patsaliuk, K., Koshura, A., & Istyniuk, I. (2019). Effects of physical activity on aging processes in elderly persons. Journal of Physical Education and Sport, 19(4), 1308–1314. doi: 10.7752/jpes.2019.s4190.
  3. Ao, Y., Zhu, H., Meng, F., Wang, Y., Ye, G., Yang, L., Dong, N., & Martek, I. (2020). The impact of social support on public anxiety amidst the COVID-19 pandemic in China. International Journal of Environmental Research and Public Health, 17(23), 9097. doi: 10.3390/ijerph17239097.
  4. Bretherton, S.J. (2017). An investigation of factors that influence older adults to use mental health services for depression and anxiety symptomatology [Thesis, Monash University]. Retrieved from: https://explore.openaire.eu/search/publication?pid=10.4225%2F03%2F58d1ca80bd7eb
  5. Bruggencate, T.T., Luijkx, K.G., & Sturm, J. (2019). When your world gets smaller: How older people try to meet their social needs, including the role of social technology. Ageing & Society, 39(8), 1826–1852. doi: 10.1017/S0144686X18000260.
  6. Crego, A., Yela, J.R., Gómez-Martínez, M.Á., Riesco-Matías, P., & Petisco-Rodríguez, C. (2021). Relationships between mindfulness, purpose in life, happiness, anxiety, and depression: Testing a mediation model in a sample of women. International Journal of Environmental Research and Public Health, 18(3), 925. doi: 10.3390/ijerph18030925.
  7. Dziedzic, B., Idzik, A., Kobos, E., Sienkiewicz, Z., Kryczka, T., Fidecki, W., & Wysokiński, M. (2021). Loneliness and mental health among the elderly in Poland during the COVID-19 pandemic. BMC Public Health, 21(1), 1976. doi: 10.1186/s12889-021-12029-4.
  8. Ferreira, L.N., Pereira, L.N., da Fé Brás, M., & Ilchuk, K. (2021). Quality of life under the COVID-19 quarantine. Quality of Life Research, 30(5), 1389–1405. doi: 10.1007/s11136-020-02724-x.
  9. García-Fernández, L., Romero-Ferreiro, V., López-Roldán, P.D., Padilla, S., & Rodriguez-Jimenez, R. (2020). Mental health in elderly Spanish people in times of COVID-19 outbreak. The American Journal of Geriatric Psychiatry, 28(10), 1040–1045. doi: 10.1016/j.jagp.2020.06.027.
  10. Guner, T.A., Erdogan, Z., & Demir, I. (2021). The effect of loneliness on death anxiety in the elderly during the COVID-19 pandemic. OMEGA-Journal of Death and Dying, 87(1), 262-282. doi: 10.1177/00302228211010587.
  11. Kasar, K.S., & Karaman, E. (2021). Life in lockdown: Social isolation, loneliness and quality of life in the elderly during the COVID-19 pandemic: A scoping review. Geriatric Nursing, 42(5), 1222–1229. doi: 10.1016/j.gerinurse.2021.03.010.
  12. Khademi, F., Moayedi, S., & Golitaleb, M. (2020). The COVID-19 pandemic and death anxiety in the elderly. International Journal of Mental Health Nursing, 30(1), 346–349. doi: 10.1111/inm.12824.
  13. Khademi, F., Moayedi, S., Golitaleb, M., & Karbalaie, N. (2021). The COVID-19 pandemic and death anxiety in the elderly. International Journal of Mental Health Nursing, 30(1), 346–349. doi: 10.1111/inm.12824.
  14. Khanna, S., & Greyson, B. (2014). Daily spiritual experiences before and after near-death experiences. Psychology of Religion and Spirituality, 6(4), 302–309. doi: 10.1037/a0037258.
  15. Kutlu, M., & Demir, Y. (2016). The relationship between loneliness and depression: Mediation role of internet addiction. Educational Process: International Journal, 5(2), 97–105. doi: 10.12973/edupij.2016.52.1.
  16. Laurence, E., & Romanoff, S. (2023). Erik Erikson's stages of psychosocial development. Forbes Health. Retrieved from: https://www.forbes.com/health/mind/erik-ericksons-theory/
  17. Lee, C.-Y.S., & Goldstein, S.E. (2016). Loneliness, stress, and social support in young adulthood: Does the source of support matter?. Journal of Youth and Adolescence, 45(3), 568–580. doi: 10.1007/s10964-015-0395-9.
  18. Lucchetti, A., Barcelos-Ferreira, R., Blazer, D.G., & Moreira-Almeida, A. (2018). Spirituality in geriatric psychiatry. Current Opinion in Psychiatry, 31(4), 373–377. doi: 10.1097/YCO.0000000000000424.
  19. Mahwati, Y. (2017). The relationship between spirituality and depression among the elderly in Indonesia. Makara Journal of Health Research, 21(1), 13–19. doi: 10.7454/msk.v21i1.6206.
  20. Meng, H., Xu, Y., Dai, J., Zhang, Y., Liu, B., & Yang, H. (2020). Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry Research, 289(7), 112983. doi: 10.1016/j.psychres.2020.112983.
  21. Ministry of Health Republic of Indonesia. (2021). Tetap sehatkan lansia di masa pandemi COVID-19. Direktorat Promosi Kesehatan Kementerian Kesehatan RI. Retrieved from: https://promkes.kemkes.go.id/tetap-sehatkan-lansia-di-masa-pandemi-covid-19
  22. Ministry of Health Republic of Indonesia. (2023). Darurat kesehatan global dicabut, Kemenkes: Bukan berarti pandemi COVID-19 berakhir. Sehat Negeriku: Sehatlah Bangsaku. Retrieved from: https://sehatnegeriku.kemkes.go.id/baca/umum/20230509/0542948/darurat-kesehatan-global-dicabut-kemenkes-bukan-berarti-pandemi-covid-19-berakhir/
  23. Perrotta, F., Corbi, G., Mazzeo, G., Boccia, M., Aronne, L., D’Agnano, V., Komici, K., Mazzarella, G., Parrella, R., & Bianco, A. (2020). COVID-19 and the elderly: Insights into pathogenesis and clinical decision-making. Aging Clinical and Experimental Research, 32(8), 1599–1608. doi: 10.1007/s40520-020-01631-y.
  24. Prazeres, F., Passos, L., Simões, J. A., Simões, P., Martins, C., & Teixeira, A. (2020). COVID-19-related fear and anxiety: Spiritual-religious coping in healthcare workers in Portugal. International Journal of Environmental Research and Public Health, 18(1), 220. doi: 10.3390/ijerph18010220.
  25. Qomaruddin, M.B., & Indawati, R. (2019). Spiritual everyday experience of religious people. Journal of International Dental and Medical Research, 12(2), 823-827.
  26. Reutter, K.K. (2012). The effects of spirituality and religiosity upon stress, anxiety, and depression: Mediation, moderation, or moderated mediation?. [Thesis, Northcentral University]. Retrieved from: https://www.proquest.com/docview/1030269452/F01E4A40B5B94FD8PQ/1
  27. Şahin, D.S., Özer, Ö., & Yanardağ, M.Z. (2019). Perceived social support, quality of life and satisfaction with life in elderly people. Educational Gerontology, 45(1), 69–77. doi: 10.1080/03601277.2019.1585065.
  28. Schug, C., Morawa, E., Geiser, F., Hiebel, N., Beschoner, P., Jerg-Bretzke, L., Albus, C., Weidner, K., Steudte-Schmiedgen, S., Borho, A., Lieb, M., & Erim, Y. (2021). Social support and optimism as protective factors for mental health among 7765 healthcare workers in Germany during the COVID-19 pandemic: Results of the VOICE study. International Journal of Environmental Research and Public Health, 18(7), 3827. doi: 10.3390/ijerph18073827.
  29. Shah, S.A., Safian, N., Ahmad, S., Wan Ibadullah, W.A.H., Mohammad, Z.B., Nurumal, S.R., Mansor, J., Addnan, M.F., & Shobugawa, Y. (2021). Factors associated with happiness among Malaysian elderly. International Journal of Environmental Research and Public Health, 18(7), 3831. doi: 10.3390/ijerph18073831.
  30. Statistics Indonesia. (2019). Statistik penduduk lanjut usia 2019. Retrieved from: https://www.bps.go.id/publication/2019/12/20/ab17e75dbe630e05110ae53b/statistik-penduduk-lanjut-usia-2019.html.
  31. Stuart, G.W. (2013). Principles and practice of psychiatric nursing (10th Ed.). Elsevier Health Sciences.
  32. Taghipour, B., Mehravar, F., Nia, H.S., Shahidifar, S., Hasani, S.A., & Alahyari, Z. (2017). Association between death anxiety and spiritual intelligence with the spiritual health and quality of life in hemodialysis patients. Journal of Nursing and Midwifery Sciences, 4(2), e140543. doi: 10.4103/2345-5756.231742.
  33. Townsend, M.C. (2016). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice (11th Ed.). F.A. Davis Company.
  34. Underwood, L.G. (2011). The daily spiritual experience scale: Overview and results. Religions, 2(1), 29–50. doi: 10.3390/rel2010029.
  35. Weber, S.R., & Pargament, K.I. (2014). The role of religion and spirituality in mental health. Current Opinion in Psychiatry, 27(5), 358–363. doi: 10.1097/YCO.0000000000000080.
  36. Yildirim, H., Işik, K., & Aylaz, R. (2021). The effect of anxiety levels of elderly people in quarantine on depression during COVID-19 pandemic. Social Work in Public Health, 36(2), 194–204. doi: 10.1080/19371918.2020.1868372.
  37. Zimet, G.D., Dahlem, N.W., Zimet, S.G., & Farley, G.K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. doi: 10.1207/s15327752jpa5201_2.

How to Cite

Widiani, E., Hidayah, N., & Hanan, A. (2023). Anxiety, Depression, Loneliness, Spirituality, and Social Support in Older People During the COVID-19 Pandemic . Jurnal Keperawatan Indonesia, 26(2), 79–88. https://doi.org/10.7454/jki.v26i2.1093