{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:36:29Z","timestamp":1793039789623,"version":"4.5.0"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults in long-term care facilities (LTCFs) faced social and care disruptions during COVID-19, but evidence on mental health burden and vulnerability remains fragmented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesise evidence on mental health outcomes among LTCF residents during the pandemic and identify resident- and facility-level vulnerability and protective conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>MEDLINE, Embase and PsycINFO were searched for English-language peer-reviewed studies published from January 2020 to January 2025. Findings were narratively synthesised, and exploratory random-effects meta-analyses were conducted where at least three studies reported extractable resident-level prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-two studies were included as follows: 24 quantitative, six qualitative and two mixed-methods. Most reported high prevalence, deterioration, or qualitative evidence of depression, anxiety, loneliness, isolation, or related distress. Pooled prevalence was 55.6% for depression, 51.4% for anxiety and 54.5% for loneliness, with substantial heterogeneity. Vulnerability reflected clinical, social and facility-level factors; consistent staffing, social connection and family communication were potential protective conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261500732","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T15:18:42Z","timestamp":1792768722000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental Health Burden and Vulnerability Among Long-Term Care Facility Residents During the COVID-19 Pandemic: A Systematic Review With Exploratory Prevalence Meta-Analysis"],"prefix":"10.1177","author":[{"given":"Luihfun Nahar","family":"Mahdia","sequence":"first","affiliation":[{"name":"Macquarie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5772-0584","authenticated-orcid":false,"given":"Guogui","family":"Huang","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasir","family":"Wabe","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Sandun Malpriya","family":"Silva","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna I.","family":"Westbrook","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy D.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Macquarie University"},{"name":"UNSW Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"issue":"9","key":"e_1_3_7_2_1","first-page":"1281","article-title":"Depression and anxiety in residents of a retirement community during the Covid-19 pandemic","volume":"8","author":"Aguilar E.","year":"2021","unstructured":"Aguilar E., Barry S., Chavez M., Chapple A., Ducote R., Johnson A. (2021). Depression and anxiety in residents of a retirement community during the Covid-19 pandemic. 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