The Analysis of Psychological Experiences of the Elderly in the Pandemic of Coronavirus Disease: A Phenomenological Study

Document Type : Original Article

Authors

1 Department of Assessment and Measurement, Allameh Tabataba'i University, Tehran, Iran.

2 Department of Psychology and Education of Exceptional Children, Allameh Tabataba'i University, Tehran, Iran.

3 Islamic Azad University, Central Tehran Branch, Tehran, Iran.

10.22126/jap.2021.5903.1489

Abstract

Coronavirus disease (COVID-19) has endangered people’s health, especially that of the elderly, worldwide, and has caused many psychosocial damages. Therefore, the current study aims to investigate the psychological experiences of the elderly during the pandemic of COVID-19. This was a qualitative study of phenomenological type, in which the content analysis method was used. Fifteen elderly (60 years and older) experiencing quarantine conditions and physical distancing without COVID-19 infection were selected as the study sample using purposive sampling method. Sampling was continued until theoretical saturation was reached. Data were collected using semi-structured interviews and Colaizzi analysis was used to analyze them. Extracted findings from the interviews were classified into 6 main themes (empty nest experience, hypersensitivity, psychological distress, personal problems, interpersonal problems and tension resulted from conditions) and 26 sub-themes. The results of this study indicated that the prevalence of COVID-19 has strongly affected all aspects of mental health in the elderly and that the serious effects of this pandemic have influenced the various aspects of their individual, interpersonal and social life. Therefore, it can be concluded that the elderly face many challenges during the outbreak of COVID-19 and need to receive appropriate psychological interventions.

References
Alimohamad, F., Setode-asl, N., & Karami, A. (2021). The Development of a Quality of Life Model Based on Metacognitive Beliefs with the Mediation role of Perceived Stress in the Elderly. Aging Psychology, 6(4), 355-341. [Persian]


Alizadeh, K. M., Fakhrzadeh, H., Sharifi, F., S., Zanjari, N., & Gahsemi, S. (2013). Comparative study of physical and mental health status of old people in aged groups of 60-64 and 65-69 years old in Tehran metropolitan area. Journal of Diabetes and Metabolic Disorders13 (1), 50-61. [Persian]
Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5 (5), 255-256. https://doi.org/10.1016/S2468-2667(20)30061-X
Ayalon, L. (2020). There is nothing new under the sun: Ageism and intergenerational tension in the age of the COVID-19 outbreak. International Psychogeriatrics32 (10), 1-4. https://doi.org/10.1017/S1041610220000575
Brooke, J., & Jackson, D. (2020). Older people and COVID‐19: Isolation, risk and ageism. Journal of Clinical Nursing,29, 2044–2046. https://doi.org/10.1111/jocn.15274
Bu, F., Steptoe, A., & Fancourt, D. (2020). Who is lonely in lockdown? Cross-cohort analyses of predictors of loneliness before and during the COVID-19 pandemic. Public Health, 186, 31-34. https://doi.org/10.1016/j.puhe.2020.06.036
Cohen-Mansfield, J., Hazan, H., Lerman, Y., & Shalom, V. (2016). Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights. InternationalPsychogeriatrics28(4), 557-576. https://doi.org/10.1017/S1041610215001532
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, CA: Sage. [Persian]
Gerstorf, D., Hülür, G., Drewelies, J., Willis, S. L., Schaie, K. W., & Ram, N. (2020). Adult development and aging in historical context. American Psychologist75(4), 525–539. https://doi.org/10.1037/amp0000596
Greyling, T., Rossouw, S., & Adhikari, T. (2020). A tale of three countries: How did Covid-19 lockdown impact happinessGLO Discussion Paper, 584, 1-18. http://hdl.handle.net/10419/221748
Grolli, R. E., Mingoti, M. E. D., Bertollo, A. G., Luzardo, A. R., Quevedo, J., Réus, G. Z., & Ignácio, Z. M. (2021). Impact of COVID-19 in the mental health in elderly: psychological and biological updates. Molecular Neurobiology58(5), 1905-1916. https://doi.org/10.1007/s12035-020-02249-x
Gyasi, R. M. (2020). Fighting COVID-19: Fear and internal conflict among older adults in Ghana. Journal of Gerontological Social Work63 (7), 1-3. https://doi.org/10.1080/01634372.2020.1766630
Jadidi, A., Farahaninia, M., Janmohammadi, S., & Haghani, H. (2011). The relationship between Spiritual Well-Being and Quality of Life among Elderly People Residing in Kahrizak Senior House. Iran Journal of Nursing, 24 (72), 48-56. [Persian]
Janjani, P., Momeni, K., Amiri, N., & Moradi, A. (2019). The experience of marital distress in the perceptual world of women; Case study: Tohid clinic of Kermanshah. Family Counseling and Psychotherapy, 9(1), 173-196. [Persian]
Jiang, W., Sun, F., Prieto, L., Fang, Y., Gao, Y., Yue, L., Lin, X., Zhao, L., Dang, J., Qiu, J., & Li, X. (2020). Worries, strategies, and confidence of older Chinese adults during the 2019 novel coronavirus outbreak. International Journal of Geriatric Psychiatry35(12), 1458-1465. https://doi.org/10.1002/gps.5430
Kar, N. (2020). COVID-19 and older adults: in the face of a global disaster. Journal of Geriatric Care and Research7(1), 1-2. https://doi.org/10.1007/s12035-020-02249-x
Liu, K., Chen, Y., Lin, R., & Han, K. (2020). Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. Journal of Infection80 (6), 14-18. https://doi.org/10.1016/j.jinf.2020.03.005
Makaroun, L. K., Bachrach, R. L., & Rosland, A. M. (2020). Elder abuse in the time of COVID-19—Increased risks for older adults and their caregivers. The American Journal of Geriatric Psychiatry28(8), 876-880. https://doi.org/10.1016/j.jagp.2020.05.017
Meisner, B. A. (2021). Are you OK, Boomer? Intensification of ageism and intergenerational tensions on social media amid COVID-19. Leisure Sciences43(1-2), 56-61. https://doi.org/10.1080/01490400.2020.1773983
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 Research289, 1-3. https://doi.org/10.1016/j.psychres.2020.112983
Mirzaie, M., Darabi, S., & Babapoor, M. (2017). Population Aging in Iran and Rising Health Care Costs. Salmand: Iranian Journal of Ageing12 (2), 156-169. [Persian]
Mohammadpour, A. (2018). Counter-method the philosophical underpinnings and practical procedures of qualitative methodology. Ghom: Logos. [Persian]
Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The Psychologist28(8), 643-644.
Narimani, M., & Eyni, S. (2021). The Causal Model of Coronavirus Anxiety in the Elderly Based on Perceived Stress and Sense of Cohesion: The Mediating Role of Perceived Social Support. Aging Psychology7(1), 27-13. [Persian]
Narimani, M., Eyni, S. (2021). The causal model of coronavirus anxiety in the elderly based on perceived stress and sense of cohesion: the mediating role of perceived social support. Aging Psychology, 7(1), 13-27. [Persian]
Patel, S. S., & Clark-Ginsberg, A. (2020). Incorporating issues of elderly loneliness into the Coronavirus Disease–2019 public health response. Disaster Medicine and Public Health Preparedness14(3), 13-14. https://doi.org/10.1017/dmp.2020.145
Public News of the Ministry of Health and Medical Education. (2020). The latest statistics of the Coronavirus Disease in the Iran 2020. https://behdasht.gov.ir (Accessed September 27, 2020). [Persian]
Rahmati, A., Zeraat Herfeh, F., Alipour, F., Karbakhsh Zadeh, F. (2019). Female university students' experiences of university dorms: a qualitative study. Two Quarterly Journal of Contemporary Sociological Research8(14), 75-97. [Persian]
Ramakrishnan, V. K. (2020). Efficacious psychological resilience for Covid19 pandemic. Purakala31(44), 253-267.
Rico-Uribe, L. A., Caballero, F. F., Martín-María, N., Cabello, M., Ayuso-Mateos, J. L., & Miret, M. (2018). Association of loneliness with all-cause mortality: A meta-analysis. PloS One13(1), 1-21.
Rina, K., Maiti, T., Panigrahi, M., Patro, B., Kar, N., & Padhy, S. K. (2020). Impact of COVID-19 pandemic and lockdown on elder abuse. JGCR7(3), 602-603. https://doi.org/10.1111/jgs.17009
Rout, N. (2020). Risks to the elderly during the coronavirus (COVID-19) pandemic 2019–2020. Journal of Geriatric Care and Research7(1), 27-28. https://doi.org/10.1007/s40520-020-01631-y
Rout, N. (2020). Risks to the elderly during the coronavirus (COVID-19) pandemic 2019–2020. Journal of Geriatric Care and Research7(1), 27-28.
Saberi, A., Goodarzi, S., Asgarigandomani, R. (2020). The Effect of social capital on coronavirus anxiety among three groups of the elderly based on physical activity before and after social distance. Social Capital Management. https://doi.org/10.22059/jscm.2020.303721.2015. [Persian]
Saldaña, J. (2013). The Coding manual for qualitative researchers. Translated by Abdullah Givian, Tehran: scientific and cultural publications. [Persian]
Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public Health5(1), 62-70.
Seddighi, H. (2020). Trust in humanitarian aid from the earthquake in 2017 to COVID-19 in Iran: a policy analysis. Disaster Medicine and Public Health Preparedness, 14(5), 7-10.
Sheffler, J. L., Joiner, T. E., & Sachs-Ericsson, N. J. (2020). The interpersonal and psychological impacts of COVID-19 on risk for late-life suicide. The Gerontologist103, 1-2. https://doi.org/10.1093/geront/gnaa103
Sood, S. (2020). Psychological effects of the Coronavirus disease-2019 pandemic. Research & Humanities in Medical Education7, 23-26.
Takeda, S., Fukushima, H., Okamoto, C., Kitawaki, Y., & Nakayama, S. (2020). Effects of a lifestyle development program designed to reduce the risk factors for cognitive decline on the mental health of elderly individuals. Psychogeriatrics20 (4), 482-486. https://doi.org/10.1111/psyg.12538
Valipour Dehnouhnou, V., Abbasi Moghadam, M., Soleymani Farsani M. (2018). Effects of early morning exercise on serum brain-derived neurotrophic factor level and its relation with blood cholesterol and glucose levels in the elderly men. Iranian Journal of Ageing, 13(3), 324-333. [Persian]
van Tilburg, T. G., Steinmetz, S., Stolte, E., van der Roest, H., & de Vries, D. H. (2020). Loneliness and mental health during the COVID-19 pandemic: A study among Dutch older adults. The Journals of Gerontology: Series B111, 45-46. https://doi.org/10.1093/geronb/gbaa111
Walker, R. (1985). Applied qualitative research. Gower Pub Co.
Wang, L., He, W., Yu, X., Hu, D., Bao, M., Liu, H., & Jiang, H. (2020). Coronavirus disease 2019 in elderly patients: Characteristics and prognostic factors based on 4-week follow-up. Journal of Infection80 (6), 639-645. https://doi.org/10.1016/j.jinf.2020.03.019
Wang, L., He, W., Yu, X., Hu, D., Bao, M., Liu, H., Zhou, J., & Jiang, H. (2020). Coronavirus disease 2019 in elderly patients: Characteristics and prognostic factors based on 4-week follow-up. Journal of Infection80(6), 639-645.
World Health Organization (2017). Mental health of older adults. https://www.who.int/en/news-room/fact-sheets/detail/mentalhealth-of-older-adults.
Worlometers.Covid-19 pandemic (2020). https://www.worldometers.info/coronavirus/ (Accessed July 15, 2020).

Keywords


References
Alimohamad, F., Setode-asl, N., & Karami, A. (2021). The Development of a Quality of Life Model Based on Metacognitive Beliefs with the Mediation role of Perceived Stress in the Elderly. Aging Psychology, 6(4), 355-341. [Persian]
Alizadeh, K. M., Fakhrzadeh, H., Sharifi, F., S., Zanjari, N., & Gahsemi, S. (2013). Comparative study of physical and mental health status of old people in aged groups of 60-64 and 65-69 years old in Tehran metropolitan area. Journal of Diabetes and Metabolic Disorders13 (1), 50-61. [Persian]
Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5 (5), 255-256. https://doi.org/10.1016/S2468-2667(20)30061-X
Ayalon, L. (2020). There is nothing new under the sun: Ageism and intergenerational tension in the age of the COVID-19 outbreak. International Psychogeriatrics32 (10), 1-4. https://doi.org/10.1017/S1041610220000575
Brooke, J., & Jackson, D. (2020). Older people and COVID‐19: Isolation, risk and ageism. Journal of Clinical Nursing,29, 2044–2046. https://doi.org/10.1111/jocn.15274
Bu, F., Steptoe, A., & Fancourt, D. (2020). Who is lonely in lockdown? Cross-cohort analyses of predictors of loneliness before and during the COVID-19 pandemic. Public Health, 186, 31-34. https://doi.org/10.1016/j.puhe.2020.06.036
Cohen-Mansfield, J., Hazan, H., Lerman, Y., & Shalom, V. (2016). Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights. InternationalPsychogeriatrics28(4), 557-576. https://doi.org/10.1017/S1041610215001532
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, CA: Sage. [Persian]
Gerstorf, D., Hülür, G., Drewelies, J., Willis, S. L., Schaie, K. W., & Ram, N. (2020). Adult development and aging in historical context. American Psychologist75(4), 525–539. https://doi.org/10.1037/amp0000596
Greyling, T., Rossouw, S., & Adhikari, T. (2020). A tale of three countries: How did Covid-19 lockdown impact happinessGLO Discussion Paper, 584, 1-18. http://hdl.handle.net/10419/221748
Grolli, R. E., Mingoti, M. E. D., Bertollo, A. G., Luzardo, A. R., Quevedo, J., Réus, G. Z., & Ignácio, Z. M. (2021). Impact of COVID-19 in the mental health in elderly: psychological and biological updates. Molecular Neurobiology58(5), 1905-1916. https://doi.org/10.1007/s12035-020-02249-x
Gyasi, R. M. (2020). Fighting COVID-19: Fear and internal conflict among older adults in Ghana. Journal of Gerontological Social Work63 (7), 1-3. https://doi.org/10.1080/01634372.2020.1766630
Jadidi, A., Farahaninia, M., Janmohammadi, S., & Haghani, H. (2011). The relationship between Spiritual Well-Being and Quality of Life among Elderly People Residing in Kahrizak Senior House. Iran Journal of Nursing, 24 (72), 48-56. [Persian]
Janjani, P., Momeni, K., Amiri, N., & Moradi, A. (2019). The experience of marital distress in the perceptual world of women; Case study: Tohid clinic of Kermanshah. Family Counseling and Psychotherapy, 9(1), 173-196. [Persian]
Jiang, W., Sun, F., Prieto, L., Fang, Y., Gao, Y., Yue, L., Lin, X., Zhao, L., Dang, J., Qiu, J., & Li, X. (2020). Worries, strategies, and confidence of older Chinese adults during the 2019 novel coronavirus outbreak. International Journal of Geriatric Psychiatry35(12), 1458-1465. https://doi.org/10.1002/gps.5430
Kar, N. (2020). COVID-19 and older adults: in the face of a global disaster. Journal of Geriatric Care and Research7(1), 1-2. https://doi.org/10.1007/s12035-020-02249-x
Liu, K., Chen, Y., Lin, R., & Han, K. (2020). Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. Journal of Infection80 (6), 14-18. https://doi.org/10.1016/j.jinf.2020.03.005
Makaroun, L. K., Bachrach, R. L., & Rosland, A. M. (2020). Elder abuse in the time of COVID-19—Increased risks for older adults and their caregivers. The American Journal of Geriatric Psychiatry28(8), 876-880. https://doi.org/10.1016/j.jagp.2020.05.017
Meisner, B. A. (2021). Are you OK, Boomer? Intensification of ageism and intergenerational tensions on social media amid COVID-19. Leisure Sciences43(1-2), 56-61. https://doi.org/10.1080/01490400.2020.1773983
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 Research289, 1-3. https://doi.org/10.1016/j.psychres.2020.112983
Mirzaie, M., Darabi, S., & Babapoor, M. (2017). Population Aging in Iran and Rising Health Care Costs. Salmand: Iranian Journal of Ageing12 (2), 156-169. [Persian]
Mohammadpour, A. (2018). Counter-method the philosophical underpinnings and practical procedures of qualitative methodology. Ghom: Logos. [Persian]
Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The Psychologist28(8), 643-644.
Narimani, M., & Eyni, S. (2021). The Causal Model of Coronavirus Anxiety in the Elderly Based on Perceived Stress and Sense of Cohesion: The Mediating Role of Perceived Social Support. Aging Psychology7(1), 27-13. [Persian]
Narimani, M., Eyni, S. (2021). The causal model of coronavirus anxiety in the elderly based on perceived stress and sense of cohesion: the mediating role of perceived social support. Aging Psychology, 7(1), 13-27. [Persian]
Patel, S. S., & Clark-Ginsberg, A. (2020). Incorporating issues of elderly loneliness into the Coronavirus Disease–2019 public health response. Disaster Medicine and Public Health Preparedness14(3), 13-14. https://doi.org/10.1017/dmp.2020.145
Public News of the Ministry of Health and Medical Education. (2020). The latest statistics of the Coronavirus Disease in the Iran 2020. https://behdasht.gov.ir (Accessed September 27, 2020). [Persian]
Rahmati, A., Zeraat Herfeh, F., Alipour, F., Karbakhsh Zadeh, F. (2019). Female university students' experiences of university dorms: a qualitative study. Two Quarterly Journal of Contemporary Sociological Research8(14), 75-97. [Persian]
Ramakrishnan, V. K. (2020). Efficacious psychological resilience for Covid19 pandemic. Purakala31(44), 253-267.
Rico-Uribe, L. A., Caballero, F. F., Martín-María, N., Cabello, M., Ayuso-Mateos, J. L., & Miret, M. (2018). Association of loneliness with all-cause mortality: A meta-analysis. PloS One13(1), 1-21.
Rina, K., Maiti, T., Panigrahi, M., Patro, B., Kar, N., & Padhy, S. K. (2020). Impact of COVID-19 pandemic and lockdown on elder abuse. JGCR7(3), 602-603. https://doi.org/10.1111/jgs.17009
Rout, N. (2020). Risks to the elderly during the coronavirus (COVID-19) pandemic 2019–2020. Journal of Geriatric Care and Research7(1), 27-28. https://doi.org/10.1007/s40520-020-01631-y
Rout, N. (2020). Risks to the elderly during the coronavirus (COVID-19) pandemic 2019–2020. Journal of Geriatric Care and Research7(1), 27-28.
Saberi, A., Goodarzi, S., Asgarigandomani, R. (2020). The Effect of social capital on coronavirus anxiety among three groups of the elderly based on physical activity before and after social distance. Social Capital Management. https://doi.org/10.22059/jscm.2020.303721.2015. [Persian]
Saldaña, J. (2013). The Coding manual for qualitative researchers. Translated by Abdullah Givian, Tehran: scientific and cultural publications. [Persian]
Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet Public Health5(1), 62-70.
Seddighi, H. (2020). Trust in humanitarian aid from the earthquake in 2017 to COVID-19 in Iran: a policy analysis. Disaster Medicine and Public Health Preparedness, 14(5), 7-10.
Sheffler, J. L., Joiner, T. E., & Sachs-Ericsson, N. J. (2020). The interpersonal and psychological impacts of COVID-19 on risk for late-life suicide. The Gerontologist103, 1-2. https://doi.org/10.1093/geront/gnaa103
Sood, S. (2020). Psychological effects of the Coronavirus disease-2019 pandemic. Research & Humanities in Medical Education7, 23-26.
Takeda, S., Fukushima, H., Okamoto, C., Kitawaki, Y., & Nakayama, S. (2020). Effects of a lifestyle development program designed to reduce the risk factors for cognitive decline on the mental health of elderly individuals. Psychogeriatrics20 (4), 482-486. https://doi.org/10.1111/psyg.12538
Valipour Dehnouhnou, V., Abbasi Moghadam, M., Soleymani Farsani M. (2018). Effects of early morning exercise on serum brain-derived neurotrophic factor level and its relation with blood cholesterol and glucose levels in the elderly men. Iranian Journal of Ageing, 13(3), 324-333. [Persian]
van Tilburg, T. G., Steinmetz, S., Stolte, E., van der Roest, H., & de Vries, D. H. (2020). Loneliness and mental health during the COVID-19 pandemic: A study among Dutch older adults. The Journals of Gerontology: Series B111, 45-46. https://doi.org/10.1093/geronb/gbaa111
Walker, R. (1985). Applied qualitative research. Gower Pub Co.
Wang, L., He, W., Yu, X., Hu, D., Bao, M., Liu, H., & Jiang, H. (2020). Coronavirus disease 2019 in elderly patients: Characteristics and prognostic factors based on 4-week follow-up. Journal of Infection80 (6), 639-645. https://doi.org/10.1016/j.jinf.2020.03.019
Wang, L., He, W., Yu, X., Hu, D., Bao, M., Liu, H., Zhou, J., & Jiang, H. (2020). Coronavirus disease 2019 in elderly patients: Characteristics and prognostic factors based on 4-week follow-up. Journal of Infection80(6), 639-645.
World Health Organization (2017). Mental health of older adults. https://www.who.int/en/news-room/fact-sheets/detail/mentalhealth-of-older-adults.
Worlometers.Covid-19 pandemic (2020). https://www.worldometers.info/coronavirus/ (Accessed July 15, 2020).