Factors associated with changes in psychological resilience of older adults with mild cognitive impairment during the COVID-19 pandemic

Nanae Matsumoto; Yujiro Kuroda; Taiki Sugimoto; Kosuke Fujita; Kazuaki Uchida; Yoshinobu Kishino; Hidenori Arai; Takashi Sakurai

doi:10.3389/fnagi.2023.1169891

Factors associated with changes in psychological resilience of older adults with mild cognitive impairment during the COVID-19 pandemic

Front Aging Neurosci. 2023 Aug 11:15:1169891. doi: 10.3389/fnagi.2023.1169891. eCollection 2023.

Authors

Nanae Matsumoto¹, Yujiro Kuroda¹, Taiki Sugimoto^{1

2}, Kosuke Fujita¹, Kazuaki Uchida^{1

3}, Yoshinobu Kishino^{2

4}, Hidenori Arai⁵, Takashi Sakurai^{1

2

4}

Affiliations

¹ Department of Prevention and Care Science, National Center for Geriatrics and Gerontology, Research Institute, Obu, Aichi, Japan.
² Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
³ Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Hyogo, Japan.
⁴ Department of Cognitive and Behavioral Science, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
⁵ National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.

Abstract

Introduction: Psychological resilience is an indicator of mental health, but there has been no research to date on changes in psychological resilience among older adults with mild cognitive impairment (MCI) during the stress of the coronavirus disease 2019 (COVID-19) pandemic including factors related to those changes. To fill the gap, this study examined the factors and the changes in psychological resilience of older adults with MCI during the COVID-19 pandemic.

Methods: One hundred thirty participants completed the 10-item version of the Connor-Davidson Resilience Scale (CD-RISC-10) between December 2020 and June 2021 as a baseline assessment and between December 2021 and February 2022 as a follow-up. Participants also answered questions on sleep quality, depression symptoms, activities in daily living (ADL), instrumental ADL and social participation to explore factors associated with changes.

Results: In this cohort, the mean CD-RISC-10 scores were significantly higher than the baseline at follow-up (p < 0.05), indicating the improvement of psychological resilience. In multiple regression analyses, sleep quality was significantly correlated with change in CD-RISC-10 score (coefficient = 3.94, 95% confidence interval = 1.11 to 6.78).

Discussion: Psychological resilience could improve even during the stress of the COVID-19 pandemic in older adults with MCI who were at risk of developing dementia. The factor associated with improved psychological resilience was good sleep quality.

Keywords: CD-RISC-10; COVID-19; mild cognitive impairment; older adults; psychological resilience; sleep quality.

Grants and funding

This study was funded by a Hori Sciences and Arts Foundation, Longevity Sciences grant (grant number 22-23) from NCGG, JSPS KAKENHI grant number 22K17792, and AMED under grant number JP21jm0210094. The funders had no role in the preparation of this manuscript.