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Mental Health in Adults Aged 50+ Since the COVID-19 Pandemic: Are We (All) Back to ‘Normal’? Evidence From England

Moreno-Agostino, Darío; Gessa, Giorgio Di; (2025) Mental Health in Adults Aged 50+ Since the COVID-19 Pandemic: Are We (All) Back to ‘Normal’? Evidence From England. Journal of Affective Disorders Reports , Article 101012. 10.1016/j.jadr.2025.101012. (In press). Green open access

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Abstract

Objectives: To understand how population mental health levels and inequalities in these are in the post-lockdown world compared to before the pandemic in adults aged 50 and older. // Methods: We used data from three Waves (2016-2017, n=7,191; 2018-2019, n=7,286; and 2021-2023, n=6,249) of the English Longitudinal Study of Ageing. Using linear and modified Poisson regression models, we investigated whether prevalence of high depressive symptomatology, anxiety, and loneliness, and quality-of-life levels changed across time points overall and by gender, living situation, and wealth quintiles. Models were adjusted for age group, gender, education, and long-standing illnesses. // Results: No significant differences were found between 2016-2017 and 2018-2019. However, compared to 2018-2019, prevalence of high depressive symptoms (RR2021-2023=1.23[95%CI 1.12;1.34], p<0.001), loneliness (RR2021-2023=1.32[1.22;1.42], p<0.001) and quality-of-life levels (B2021-2023=-1.84 [-2.21;-1.48], p<0.001) were worse by 2021-2023. Pre-existing inequalities by gender, living arrangements, and wealth were not significantly different after the pandemic, except for depression, where gaps were significantly smaller by gender (RR2021-2023*women=0.72[0.59;0.89], p=0.002) and, to a smaller extent, living situation (RR2021-2023*not_alone=1.22[1.02;1.47], p=0.026). // Conclusion: Population mental health levels in the population aged 50 and older seem to have declined after the pandemic, and inequalities within the population persist.

Type: Article
Title: Mental Health in Adults Aged 50+ Since the COVID-19 Pandemic: Are We (All) Back to ‘Normal’? Evidence From England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jadr.2025.101012
Publisher version: https://doi.org/10.1016/j.jadr.2025.101012
Language: English
Additional information: Copyright © 2025 Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: English Longitudinal Study of Ageing; depression; anxiety; loneliness; quality of life
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10219374
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